hospital_name,last_updated_on,version,location_name,hospital_address,license_number|IL,type_2_npi,"To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.",attester_name,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Mason District Hospital,5/8/2026,3.0.0,Mason District Hospital,"615 N Promenade, Havana, IL 62644",1412,1902849649,TRUE,Dana Adcock,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, description,code | 1,code | 1 | type,modifiers,setting,drug_unit_of_measurement,drug_type_of_measurement,standard_charge|gross,standard_charge|discounted_cash,standard_charge|Aetna|Commercial|negotiated_dollar,standard_charge|Aetna | Commercial |negotiated_percentage,standard_charge|Aetna|Commercial|negotiated_algorithm,median_amount|Aetna|Commercial,10th_percentile|Aetna|Commercial,90th_percentile|Aetna|Commercial,count|Aetna|Commercial,standard_charge|Aetna|Commercial|methodology,additional_payer_notes|Aetna|Commercial,standard_charge|min,standard_charge|max,additional_generic_notes,standard_charge|Aetna|Medicare|negotiated_dollar,standard_charge|Aetna|Medicare|negotiated_percentage,standard_charge|Aetna|Medicare|negotiated_algorithm,median_amount|Aetna|Medicare,10th_percentile|Aetna|Medicare,90th_percentile|Aetna|Medicare,count|Aetna|Medicare,standard_charge|Aetna|Medicare|methodology,additional_payer_notes|Aetna|Medicare,standard_charge|min|Aetna|Medicare,standard_charge|max|Aetna|Medicare,additional_generic_notes|Aetna|Medicare,standard_charge|BCBS|Commercial|negotiated_dollar,standard_charge|BCBS|Commercial|negotiated_percentage,standard_charge|BCBS|Commercial|negotiated_algorithm,median_amount|BCBS|Commercial,10th_percentile|BCBS|Commercial,90th_percentile|BCBS|Commercial,count|BCBS|Commercial,standard_charge|BCBS|Commercial|methodology,additional_payer_notes|BCBS|Commercial,standard_charge|min|BCBS|Commercial,standard_charge|max|BCBS|Commercial,additional_generic_notes|BCBS|Commercial,standard_charge|BCBS|Illinois|Medicaid|negotiated_dollar,standard_charge|BCBS|Illinois|Medicaid|negotiated_percentage,standard_charge|BCBS|Illinois|Medicaid|negotiated_algorithm,median_amount|BCBS|Illinois|Medicaid,10th_percentile|BCBS|Illinois|Medicaid,90th_percentile|BCBS|Illinois|Medicaid,count|BCBS|Illinois|Medicaid,standard_charge|BCBS|Illinois|Medicaid|methodology,additional_payer_notes|BCBS|Illinois|Medicaid,standard_charge|min|BCBS|Illinois|Medicaid,standard_charge|max|BCBS|Illinois|Medicaid,additional_generic_notes|BCBS|Illinois|Medicaid,standard_charge|BCBS|Medicare|negotiated_dollar,standard_charge|BCBS|Medicare|negotiated_percentage,standard_charge|BCBS|Medicare|negotiated_algorithm,median_amount|BCBS|Medicare,10th_percentile|BCBS|Medicare,90th_percentile|BCBS|Medicare,count|BCBS|Medicare,standard_charge|BCBS|Medicare|methodology,additional_payer_notes|BCBS|Medicare,standard_charge|min|BCBS|Medicare,standard_charge|max|BCBS|Medicare,additional_generic_notes|BCBS|Medicare,standard_charge|Cigna|Commercial|negotiated_dollar,standard_charge|Cigna|Commercial|negotiated_percentage,standard_charge|Cigna|Commercial|negotiated_algorithm,median_amount|Cigna|Commercial,10th_percentile|Cigna|Commercial,90th_percentile|Cigna|Commercial,count|Cigna|Commercial,standard_charge|Cigna|Commercial|methodology,additional_payer_notes|Cigna|Commercial,standard_charge|min|Cigna|Commercial,standard_charge|max|Cigna|Commercial,additional_generic_notes|Cigna|Commercial,standard_charge|Cigna|Medicare|negotiated_dollar,standard_charge|Cigna|Medicare|negotiated_percentage,standard_charge|Cigna|Medicare|negotiated_algorithm,median_amount|Cigna|Medicare,10th_percentile|Cigna|Medicare,90th_percentile|Cigna|Medicare,count|Cigna|Medicare,standard_charge|Cigna|Medicare|methodology,additional_payer_notes|Cigna|Medicare,standard_charge|min|Cigna|Medicare,standard_charge|max|Cigna|Medicare,additional_generic_notes|Cigna|Medicare,standard_charge|Healthlink|Commercial|negotiated_dollar,standard_charge|Healthlink|Commercial|negotiated_percentage,standard_charge|Healthlink|Commercial|negotiated_algorithm,median_amount|Healthlink|Commercial,10th_percentile|Healthlink|Commercial,90th_percentile|Healthlink|Commercial,count|Healthlink|Commercial,standard_charge|Healthlink|Commercial|methodology,additional_payer_notes|Healthlink|Commercial,standard_charge|min|Healthlink|Commercial,standard_charge|max|Healthlink|Commercial,additional_generic_notes|Healthlink|Commercial,standard_charge|Humana|Commercial|negotiated_dollar,standard_charge|Humana|Commercial|negotiated_percentage,standard_charge|Humana|Commercial|negotiated_algorithm,median_amount|Humana|Commercial,10th_percentile|Humana|Commercial,90th_percentile|Humana|Commercial,count|Humana|Commercial,standard_charge|Humana|Commercial|methodology,additional_payer_notes|Humana|Commercial,standard_charge|min|Humana|Commercial,standard_charge|max|Humana|Commercial,additional_generic_notes|Humana|Commercial,standard_charge|Humana|Medicare|negotiated_dollar,standard_charge|Humana|Medicare|negotiated_percentage,standard_charge|Humana|Medicare|negotiated_algorithm,median_amount|Humana|Medicare,10th_percentile|Humana|Medicare,90th_percentile|Humana|Medicare,count|Humana|Medicare,standard_charge|Humana|Medicare|methodology,additional_payer_notes|Humana|Medicare,standard_charge|min|Humana|Medicare,standard_charge|max|Humana|Medicare,additional_generic_notes|Humana|Medicare,standard_charge|Meridian|Medicaid|negotiated_dollar,standard_charge|Meridian|Medicaid|negotiated_percentage,standard_charge|Meridian|Medicaid|negotiated_algorithm,median_amount|Meridian|Medicaid,10th_percentile|Meridian|Medicaid,90th_percentile|Meridian|Medicaid,count|Meridian|Medicaid,standard_charge|Meridian|Medicaid|methodology,additional_payer_notes|Meridian|Medicaid,standard_charge|min|Meridian|Medicaid,standard_charge|max|Meridian|Medicaid,additional_generic_notes|Meridian|Medicaid,standard_charge|UHC|Commercial|negotiated_dollar,standard_charge|UHC|Commercial|negotiated_percentage,standard_charge|UHC|Commercial|negotiated_algorithm,median_amount|UHC|Commercial,10th_percentile|UHC|Commercial,90th_percentile|UHC|Commercial,count|UHC|Commercial,standard_charge|UHC|Commercial|methodology,additional_payer_notes|UHC|Commercial,standard_charge|min|UHC|Commercial,standard_charge|max|UHC|Commercial,additional_generic_notes|UHC|Commercial,standard_charge|UHC|Medicare|negotiated_dollar,standard_charge|UHC|Medicare|negotiated_percentage,standard_charge|UHC|Medicare|negotiated_algorithm,median_amount|UHC|Medicare,10th_percentile|UHC|Medicare,90th_percentile|UHC|Medicare,count|UHC|Medicare,standard_charge|UHC|Medicare|methodology,additional_payer_notes|UHC|Medicare,standard_charge|min|UHC|Medicare,standard_charge|max|UHC|Medicare,additional_generic_notes|UHC|Medicare *NF-MEMANTINE (NAMENDA) TAB 10 MG**** ,250,RC,,Outpatient,10,ME,95.02,76.02,70.98,,,,,,,Percent of Total Billed Charges,,70.98,70.98,,19,,,,,,,Percent of Total Billed Charges,,,,,91.22,,,,,,,Percent of Total Billed Charges,,,,,90.27,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,80.77,,,,,,,Percent of Total Billed Charges,,,,,19.95,,,,,,,Percent of Total Billed Charges,,,,,85.52,,,,,,,Percent of Total Billed Charges,,,,,85.52,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,26.61,,,,,,,Percent of Total Billed Charges,,,,,76.02,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,, *NF-MEMANTINE (NAMENDA) TAB 5 MG*** ,250,RC,,Outpatient,5,ME,9.8,7.84,7.32,,,,,,,Percent of Total Billed Charges,,7.32,7.32,,9.8,,,,,,,Percent of Total Billed Charges,,,,,9.41,,,,,,,Percent of Total Billed Charges,,,,,9.31,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,8.33,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,, *NF-FISH OIL CAPSULE 1000 MG ,250,RC,,Outpatient,100,ME,2,1.6,1.5,,,,,,,Percent of Total Billed Charges,,1.5,1.5,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, NF-DARIFENACIN (ENABLEX) TAB ER 15MG ,250,RC,,Outpatient,15,ME,14.05,11.24,10.5,,,,,,,Percent of Total Billed Charges,,10.5,10.5,,14.05,,,,,,,Percent of Total Billed Charges,,,,,13.49,,,,,,,Percent of Total Billed Charges,,,,,13.35,,,,,,,Percent of Total Billed Charges,,,,,2.81,,,,,,,Percent of Total Billed Charges,,,,,11.94,,,,,,,Percent of Total Billed Charges,,,,,2.95,,,,,,,Percent of Total Billed Charges,,,,,12.65,,,,,,,Percent of Total Billed Charges,,,,,12.65,,,,,,,Percent of Total Billed Charges,,,,,2.81,,,,,,,Percent of Total Billed Charges,,,,,3.93,,,,,,,Percent of Total Billed Charges,,,,,11.24,,,,,,,Percent of Total Billed Charges,,,,,2.81,,,,,,,Percent of Total Billed Charges,,,, *NF-DULOXETINE DR CAP 30MG******* ,250,RC,,Outpatient,30,ME,14.45,11.56,10.79,,,,,,,Percent of Total Billed Charges,,10.79,10.79,,14.45,,,,,,,Percent of Total Billed Charges,,,,,13.87,,,,,,,Percent of Total Billed Charges,,,,,13.73,,,,,,,Percent of Total Billed Charges,,,,,2.89,,,,,,,Percent of Total Billed Charges,,,,,12.28,,,,,,,Percent of Total Billed Charges,,,,,3.03,,,,,,,Percent of Total Billed Charges,,,,,13.01,,,,,,,Percent of Total Billed Charges,,,,,13.01,,,,,,,Percent of Total Billed Charges,,,,,2.89,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,11.56,,,,,,,Percent of Total Billed Charges,,,,,2.89,,,,,,,Percent of Total Billed Charges,,,, NF-PRIMIDONE (MYSOLINE) 250 MG TAB ,250,RC,,Outpatient,250,ME,2.4,1.92,1.79,,,,,,,Percent of Total Billed Charges,,1.79,1.79,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,, NF-BUDESONIDE EC (ENTOCORT EC) CAP 3 MG ,250,RC,,Outpatient,3,ME,32.05,25.64,23.94,,,,,,,Percent of Total Billed Charges,,23.94,23.94,,32.05,,,,,,,Percent of Total Billed Charges,,,,,30.77,,,,,,,Percent of Total Billed Charges,,,,,30.45,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,27.24,,,,,,,Percent of Total Billed Charges,,,,,6.73,,,,,,,Percent of Total Billed Charges,,,,,28.85,,,,,,,Percent of Total Billed Charges,,,,,28.85,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,8.97,,,,,,,Percent of Total Billed Charges,,,,,25.64,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,, NF-AZATHIOPRINE TAB 50 MG ,250,RC,,Outpatient,50,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, NF-LORATADINE (CLARITIN) SYR 5MG/5ML ,250,RC,,Outpatient,5,ME,12.85,10.28,9.6,,,,,,,Percent of Total Billed Charges,,9.6,9.6,,12.85,,,,,,,Percent of Total Billed Charges,,,,,12.34,,,,,,,Percent of Total Billed Charges,,,,,12.21,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,10.92,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,11.57,,,,,,,Percent of Total Billed Charges,,,,,11.57,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,10.28,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,, *NF-MONTELUKAST (SINGULAIR) CHEWTAB 4 MG,250,RC,,Outpatient,4,ME,158.1,126.48,118.1,,,,,,,Percent of Total Billed Charges,,118.1,118.1,,158.1,,,,,,,Percent of Total Billed Charges,,,,,151.78,,,,,,,Percent of Total Billed Charges,,,,,150.2,,,,,,,Percent of Total Billed Charges,,,,,31.62,,,,,,,Percent of Total Billed Charges,,,,,134.39,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,142.29,,,,,,,Percent of Total Billed Charges,,,,,142.29,,,,,,,Percent of Total Billed Charges,,,,,31.62,,,,,,,Percent of Total Billed Charges,,,,,44.27,,,,,,,Percent of Total Billed Charges,,,,,126.48,,,,,,,Percent of Total Billed Charges,,,,,31.62,,,,,,,Percent of Total Billed Charges,,,, NF-MONTELUKAST (SINGULAIR) CHEW TAB 4 MG,250,RC,,Outpatient,4,ME,21,16.8,15.69,,,,,,,Percent of Total Billed Charges,,15.69,15.69,,21,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,19.95,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,, NF-METHADONE TAB 5 MG ,250,RC,,Outpatient,5,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, NF-DUTASTERIDE (AVODART) LIQ CAP 0.5 MG ,250,RC,,Outpatient,0.5,ME,11.7,9.36,8.74,,,,,,,Percent of Total Billed Charges,,8.74,8.74,,11.7,,,,,,,Percent of Total Billed Charges,,,,,11.23,,,,,,,Percent of Total Billed Charges,,,,,11.12,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,9.95,,,,,,,Percent of Total Billed Charges,,,,,2.46,,,,,,,Percent of Total Billed Charges,,,,,10.53,,,,,,,Percent of Total Billed Charges,,,,,10.53,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,3.28,,,,,,,Percent of Total Billed Charges,,,,,9.36,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,, NF-FLUTICASONE (FLOVENT) HFA INH 110 MCG,250,RC,,Outpatient,110,ME,573.15,458.52,428.14,,,,,,,Percent of Total Billed Charges,,428.14,428.14,,573.15,,,,,,,Percent of Total Billed Charges,,,,,550.22,,,,,,,Percent of Total Billed Charges,,,,,544.49,,,,,,,Percent of Total Billed Charges,,,,,114.63,,,,,,,Percent of Total Billed Charges,,,,,487.18,,,,,,,Percent of Total Billed Charges,,,,,120.36,,,,,,,Percent of Total Billed Charges,,,,,515.84,,,,,,,Percent of Total Billed Charges,,,,,515.84,,,,,,,Percent of Total Billed Charges,,,,,114.63,,,,,,,Percent of Total Billed Charges,,,,,160.48,,,,,,,Percent of Total Billed Charges,,,,,458.52,,,,,,,Percent of Total Billed Charges,,,,,114.63,,,,,,,Percent of Total Billed Charges,,,, *NF-ZYBAN TAB ER 150 MG ,250,RC,,Outpatient,150,ME,3.65,2.92,2.73,,,,,,,Percent of Total Billed Charges,,2.73,2.73,,3.65,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,3.29,,,,,,,Percent of Total Billed Charges,,,,,3.29,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,1.02,,,,,,,Percent of Total Billed Charges,,,,,2.92,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,, NF-VENLAFAXINE (EFFEXOR) PLAIN TAB 75MG ,250,RC,,Outpatient,75,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, NF-VENLAFAXINE (EFFEXOR)PLAIN TB 37.5MG,250,RC,,Outpatient,37.5,ME,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, NF-CLARITIN-D 12HR TAB ER 5MG-120MG ,250,RC,,Outpatient,120,ME,3.45,2.76,2.58,,,,,,,Percent of Total Billed Charges,,2.58,2.58,,3.45,,,,,,,Percent of Total Billed Charges,,,,,3.31,,,,,,,Percent of Total Billed Charges,,,,,3.28,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,0.72,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,0.97,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,, NF-VICKS NYQUIL MULTI-SYMPTOM CAP ,250,RC,,Outpatient,,,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, NF-OXCARBAZEPINE (TRILEPTAL) TAB 300 MG ,250,RC,,Outpatient,300,ME,11.4,9.12,8.52,,,,,,,Percent of Total Billed Charges,,8.52,8.52,,11.4,,,,,,,Percent of Total Billed Charges,,,,,10.94,,,,,,,Percent of Total Billed Charges,,,,,10.83,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,9.69,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,10.26,,,,,,,Percent of Total Billed Charges,,,,,10.26,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,, NF-CO Q-10 CAPSULE 10 MG ,250,RC,,Outpatient,10,ME,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, NF-PREGABALIN (LYRICA) CAP 25 MG ,250,RC,,Outpatient,25,ME,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, *NF-MEMANTINE (NAMENDA) TAB 10 MG***** ,250,RC,,Outpatient,10,ME,12.3,9.84,9.19,,,,,,,Percent of Total Billed Charges,,9.19,9.19,,12.3,,,,,,,Percent of Total Billed Charges,,,,,11.81,,,,,,,Percent of Total Billed Charges,,,,,11.69,,,,,,,Percent of Total Billed Charges,,,,,2.46,,,,,,,Percent of Total Billed Charges,,,,,10.46,,,,,,,Percent of Total Billed Charges,,,,,2.58,,,,,,,Percent of Total Billed Charges,,,,,11.07,,,,,,,Percent of Total Billed Charges,,,,,11.07,,,,,,,Percent of Total Billed Charges,,,,,2.46,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,,,9.84,,,,,,,Percent of Total Billed Charges,,,,,2.46,,,,,,,Percent of Total Billed Charges,,,, VENLAFAXINE XR CAP 37.5MG (EFFEXOR) ,250,RC,,Outpatient,37.5,ME,2.85,2.28,2.13,,,,,,,Percent of Total Billed Charges,,2.13,2.13,,2.85,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,2.71,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,, NF-NOVOLOG MIX SUBQ SUSP 70/30 ,250,RC,,Outpatient,,,311.45,249.16,232.65,,,,,,,Percent of Total Billed Charges,,232.65,232.65,,311.45,,,,,,,Percent of Total Billed Charges,,,,,298.99,,,,,,,Percent of Total Billed Charges,,,,,295.88,,,,,,,Percent of Total Billed Charges,,,,,62.29,,,,,,,Percent of Total Billed Charges,,,,,264.73,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,,,280.31,,,,,,,Percent of Total Billed Charges,,,,,280.31,,,,,,,Percent of Total Billed Charges,,,,,62.29,,,,,,,Percent of Total Billed Charges,,,,,87.21,,,,,,,Percent of Total Billed Charges,,,,,249.16,,,,,,,Percent of Total Billed Charges,,,,,62.29,,,,,,,Percent of Total Billed Charges,,,, *NF-TOPIRAMATE ORAL TABLET 50MG**** ,250,RC,,Outpatient,50,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, NF-FAMOTIDINE TAB (PEPCID) 10 MG ,250,RC,,Outpatient,10,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, *NF-PROTONIX TAB EC 40 MG ***** BULK ,250,RC,,Outpatient,40,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, NF-MEGESTROL ACETATE TAB 20 MG ,250,RC,,Outpatient,20,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, NF-ACTOPLUS MET TAB 500MG-15MG ,250,RC,,Outpatient,15,ME,11.95,9.56,8.93,,,,,,,Percent of Total Billed Charges,,8.93,8.93,,11.95,,,,,,,Percent of Total Billed Charges,,,,,11.47,,,,,,,Percent of Total Billed Charges,,,,,11.35,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,10.16,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,10.76,,,,,,,Percent of Total Billed Charges,,,,,10.76,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,3.35,,,,,,,Percent of Total Billed Charges,,,,,9.56,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,, NF-FLUTICASONE (FLOVENT) INH 44 MCG ,250,RC,,Outpatient,44,ME,431.3,345.04,322.18,,,,,,,Percent of Total Billed Charges,,322.18,322.18,,431.3,,,,,,,Percent of Total Billed Charges,,,,,414.05,,,,,,,Percent of Total Billed Charges,,,,,409.74,,,,,,,Percent of Total Billed Charges,,,,,86.26,,,,,,,Percent of Total Billed Charges,,,,,366.61,,,,,,,Percent of Total Billed Charges,,,,,90.57,,,,,,,Percent of Total Billed Charges,,,,,388.17,,,,,,,Percent of Total Billed Charges,,,,,388.17,,,,,,,Percent of Total Billed Charges,,,,,86.26,,,,,,,Percent of Total Billed Charges,,,,,120.76,,,,,,,Percent of Total Billed Charges,,,,,345.04,,,,,,,Percent of Total Billed Charges,,,,,86.26,,,,,,,Percent of Total Billed Charges,,,, *NF-TERAZOSIN HCL CAP 1 MG****** ,250,RC,,Outpatient,1,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, NF-ATENOLOL TAB 100 MG BULK ##########,250,RC,,Outpatient,100,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, *NF-PRAVASTATIN 40 MG TAB ,250,RC,,Outpatient,40,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, *NF-LISINOPRIL/HCTZ TAB 10 MG/12.5 MG ,250,RC,,Outpatient,10,ME,5.9,4.72,4.41,,,,,,,Percent of Total Billed Charges,,4.41,4.41,,5.9,,,,,,,Percent of Total Billed Charges,,,,,5.66,,,,,,,Percent of Total Billed Charges,,,,,5.61,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,5.02,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,5.31,,,,,,,Percent of Total Billed Charges,,,,,5.31,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,1.65,,,,,,,Percent of Total Billed Charges,,,,,4.72,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,, *NF-NOVOLOG MIX 70/30 ************ ,250,RC,,Outpatient,,,51,40.8,38.1,,,,,,,Percent of Total Billed Charges,,38.1,38.1,,51,,,,,,,Percent of Total Billed Charges,,,,,48.96,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,43.35,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,, *NF-METHIMAZOLE TAB 5 MG********* ,250,RC,,Outpatient,5,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, NF-FORTICAL NASAL SPRAY 200 UN/1ACT ,250,RC,,Outpatient,200,UN,161.65,129.32,120.75,,,,,,,Percent of Total Billed Charges,,120.75,120.75,,161.65,,,,,,,Percent of Total Billed Charges,,,,,155.18,,,,,,,Percent of Total Billed Charges,,,,,153.57,,,,,,,Percent of Total Billed Charges,,,,,32.33,,,,,,,Percent of Total Billed Charges,,,,,137.4,,,,,,,Percent of Total Billed Charges,,,,,33.95,,,,,,,Percent of Total Billed Charges,,,,,145.49,,,,,,,Percent of Total Billed Charges,,,,,145.49,,,,,,,Percent of Total Billed Charges,,,,,32.33,,,,,,,Percent of Total Billed Charges,,,,,45.26,,,,,,,Percent of Total Billed Charges,,,,,129.32,,,,,,,Percent of Total Billed Charges,,,,,32.33,,,,,,,Percent of Total Billed Charges,,,, NF-TOPIRAMATE (TOPAMAX) TAB 100 MG ,250,RC,,Outpatient,100,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, *NF-LISINOPRIL ORAL TABLET 5MG ******* ,250,RC,,Outpatient,5,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, NF-LOVASTATIN TAB 40 MG ### BULK ,250,RC,,Outpatient,40,ME,2.75,2.2,2.05,,,,,,,Percent of Total Billed Charges,,2.05,2.05,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,, NF-CARBAMAZEPINE (TEGRETOL)XR TAB 200 MG,250,RC,,Outpatient,200,ME,4.25,3.4,3.17,,,,,,,Percent of Total Billed Charges,,3.17,3.17,,4.25,,,,,,,Percent of Total Billed Charges,,,,,4.08,,,,,,,Percent of Total Billed Charges,,,,,4.04,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,3.61,,,,,,,Percent of Total Billed Charges,,,,,0.89,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,, *NF-TOPIRAMATE (TOPAMAX) TAB 50 MG***** ,250,RC,,Outpatient,50,ME,18.15,14.52,13.56,,,,,,,Percent of Total Billed Charges,,13.56,13.56,,18.15,,,,,,,Percent of Total Billed Charges,,,,,17.42,,,,,,,Percent of Total Billed Charges,,,,,17.24,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,,,15.43,,,,,,,Percent of Total Billed Charges,,,,,3.81,,,,,,,Percent of Total Billed Charges,,,,,16.34,,,,,,,Percent of Total Billed Charges,,,,,16.34,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,,,5.08,,,,,,,Percent of Total Billed Charges,,,,,14.52,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,, NF-BETAMETHASONE VALERATE LOTION 0.1% ,250,RC,,Outpatient,0.1,ME,200.25,160.2,149.59,,,,,,,Percent of Total Billed Charges,,149.59,149.59,,200.25,,,,,,,Percent of Total Billed Charges,,,,,192.24,,,,,,,Percent of Total Billed Charges,,,,,190.24,,,,,,,Percent of Total Billed Charges,,,,,40.05,,,,,,,Percent of Total Billed Charges,,,,,170.21,,,,,,,Percent of Total Billed Charges,,,,,42.05,,,,,,,Percent of Total Billed Charges,,,,,180.23,,,,,,,Percent of Total Billed Charges,,,,,180.23,,,,,,,Percent of Total Billed Charges,,,,,40.05,,,,,,,Percent of Total Billed Charges,,,,,56.07,,,,,,,Percent of Total Billed Charges,,,,,160.2,,,,,,,Percent of Total Billed Charges,,,,,40.05,,,,,,,Percent of Total Billed Charges,,,, NF-KETOCONAZOLE SHAMPOO 2% ,250,RC,,Outpatient,,,57.5,46,42.95,,,,,,,Percent of Total Billed Charges,,42.95,42.95,,57.5,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,54.63,,,,,,,Percent of Total Billed Charges,,,,,11.5,,,,,,,Percent of Total Billed Charges,,,,,48.88,,,,,,,Percent of Total Billed Charges,,,,,12.08,,,,,,,Percent of Total Billed Charges,,,,,51.75,,,,,,,Percent of Total Billed Charges,,,,,51.75,,,,,,,Percent of Total Billed Charges,,,,,11.5,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,,,11.5,,,,,,,Percent of Total Billed Charges,,,, NF-PROVIGIL (MODAFINIL) TAB 100 MG ,250,RC,,Outpatient,100,ME,26.6,21.28,19.87,,,,,,,Percent of Total Billed Charges,,19.87,19.87,,26.6,,,,,,,Percent of Total Billed Charges,,,,,25.54,,,,,,,Percent of Total Billed Charges,,,,,25.27,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,22.61,,,,,,,Percent of Total Billed Charges,,,,,5.59,,,,,,,Percent of Total Billed Charges,,,,,23.94,,,,,,,Percent of Total Billed Charges,,,,,23.94,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,7.45,,,,,,,Percent of Total Billed Charges,,,,,21.28,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,, NF-METANX TAB 3/90/35/2 MG ,250,RC,,Outpatient,2,ME,4.45,3.56,3.32,,,,,,,Percent of Total Billed Charges,,3.32,3.32,,4.45,,,,,,,Percent of Total Billed Charges,,,,,4.27,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,0.89,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,0.93,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,,,0.89,,,,,,,Percent of Total Billed Charges,,,,,1.25,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,0.89,,,,,,,Percent of Total Billed Charges,,,, NF-TRIAMCINOLONE CRM 0.1% 1 POUND ,250,RC,,Outpatient,,,61.25,49,45.75,,,,,,,Percent of Total Billed Charges,,45.75,45.75,,61.25,,,,,,,Percent of Total Billed Charges,,,,,58.8,,,,,,,Percent of Total Billed Charges,,,,,58.19,,,,,,,Percent of Total Billed Charges,,,,,12.25,,,,,,,Percent of Total Billed Charges,,,,,52.06,,,,,,,Percent of Total Billed Charges,,,,,12.86,,,,,,,Percent of Total Billed Charges,,,,,55.13,,,,,,,Percent of Total Billed Charges,,,,,55.13,,,,,,,Percent of Total Billed Charges,,,,,12.25,,,,,,,Percent of Total Billed Charges,,,,,17.15,,,,,,,Percent of Total Billed Charges,,,,,49,,,,,,,Percent of Total Billed Charges,,,,,12.25,,,,,,,Percent of Total Billed Charges,,,, NF-DARIFENACIN ER (ENABLEX ER) TAB 7.5MG,250,RC,,Outpatient,7.5,ME,19.55,15.64,14.6,,,,,,,Percent of Total Billed Charges,,14.6,14.6,,19.55,,,,,,,Percent of Total Billed Charges,,,,,18.77,,,,,,,Percent of Total Billed Charges,,,,,18.57,,,,,,,Percent of Total Billed Charges,,,,,3.91,,,,,,,Percent of Total Billed Charges,,,,,16.62,,,,,,,Percent of Total Billed Charges,,,,,4.11,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,3.91,,,,,,,Percent of Total Billed Charges,,,,,5.47,,,,,,,Percent of Total Billed Charges,,,,,15.64,,,,,,,Percent of Total Billed Charges,,,,,3.91,,,,,,,Percent of Total Billed Charges,,,, *NF-GLUCOSAMINE CAP ,250,RC,,Outpatient,,,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, NF-MELATONIN TABLET 3 MG ,250,RC,,Outpatient,3,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, NF-IMATINIB (GLEEVEC) TAB 400 MG ,250,RC,,Outpatient,400,ME,228.45,182.76,170.65,,,,,,,Percent of Total Billed Charges,,170.65,170.65,,228.45,,,,,,,Percent of Total Billed Charges,,,,,219.31,,,,,,,Percent of Total Billed Charges,,,,,217.03,,,,,,,Percent of Total Billed Charges,,,,,45.69,,,,,,,Percent of Total Billed Charges,,,,,194.18,,,,,,,Percent of Total Billed Charges,,,,,47.97,,,,,,,Percent of Total Billed Charges,,,,,205.61,,,,,,,Percent of Total Billed Charges,,,,,205.61,,,,,,,Percent of Total Billed Charges,,,,,45.69,,,,,,,Percent of Total Billed Charges,,,,,63.97,,,,,,,Percent of Total Billed Charges,,,,,182.76,,,,,,,Percent of Total Billed Charges,,,,,45.69,,,,,,,Percent of Total Billed Charges,,,, NF-AMLODIPINE TAB 10 MG BULK TABS ,250,RC,,Outpatient,10,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, *NF-ORTHO TRI-CYCLEN LO TABLET ,250,RC,,Outpatient,,,8.9,7.12,6.65,,,,,,,Percent of Total Billed Charges,,6.65,6.65,,8.9,,,,,,,Percent of Total Billed Charges,,,,,8.54,,,,,,,Percent of Total Billed Charges,,,,,8.46,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,7.57,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,8.01,,,,,,,Percent of Total Billed Charges,,,,,8.01,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,2.49,,,,,,,Percent of Total Billed Charges,,,,,7.12,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,, *NF-LUMIGAN OPHTHALMIC SOLN 0.03% ,250,RC,,Outpatient,,,118.35,94.68,88.41,,,,,,,Percent of Total Billed Charges,,88.41,88.41,,118.35,,,,,,,Percent of Total Billed Charges,,,,,113.62,,,,,,,Percent of Total Billed Charges,,,,,112.43,,,,,,,Percent of Total Billed Charges,,,,,23.67,,,,,,,Percent of Total Billed Charges,,,,,100.6,,,,,,,Percent of Total Billed Charges,,,,,24.85,,,,,,,Percent of Total Billed Charges,,,,,106.52,,,,,,,Percent of Total Billed Charges,,,,,106.52,,,,,,,Percent of Total Billed Charges,,,,,23.67,,,,,,,Percent of Total Billed Charges,,,,,33.14,,,,,,,Percent of Total Billed Charges,,,,,94.68,,,,,,,Percent of Total Billed Charges,,,,,23.67,,,,,,,Percent of Total Billed Charges,,,, NF-COMBIGAN OPHTH SOLN 0.2%-0.5% ,250,RC,,Outpatient,,,307.85,246.28,229.96,,,,,,,Percent of Total Billed Charges,,229.96,229.96,,307.85,,,,,,,Percent of Total Billed Charges,,,,,295.54,,,,,,,Percent of Total Billed Charges,,,,,292.46,,,,,,,Percent of Total Billed Charges,,,,,61.57,,,,,,,Percent of Total Billed Charges,,,,,261.67,,,,,,,Percent of Total Billed Charges,,,,,64.65,,,,,,,Percent of Total Billed Charges,,,,,277.07,,,,,,,Percent of Total Billed Charges,,,,,277.07,,,,,,,Percent of Total Billed Charges,,,,,61.57,,,,,,,Percent of Total Billed Charges,,,,,86.2,,,,,,,Percent of Total Billed Charges,,,,,246.28,,,,,,,Percent of Total Billed Charges,,,,,61.57,,,,,,,Percent of Total Billed Charges,,,, NF-ATROPINE SULFATE OPHTH SOLUTION 1% ,250,RC,,Outpatient,,,164.8,131.84,123.11,,,,,,,Percent of Total Billed Charges,,123.11,123.11,,164.8,,,,,,,Percent of Total Billed Charges,,,,,158.21,,,,,,,Percent of Total Billed Charges,,,,,156.56,,,,,,,Percent of Total Billed Charges,,,,,32.96,,,,,,,Percent of Total Billed Charges,,,,,140.08,,,,,,,Percent of Total Billed Charges,,,,,34.61,,,,,,,Percent of Total Billed Charges,,,,,148.32,,,,,,,Percent of Total Billed Charges,,,,,148.32,,,,,,,Percent of Total Billed Charges,,,,,32.96,,,,,,,Percent of Total Billed Charges,,,,,46.14,,,,,,,Percent of Total Billed Charges,,,,,131.84,,,,,,,Percent of Total Billed Charges,,,,,32.96,,,,,,,Percent of Total Billed Charges,,,, *NF-CITALOPRAM (CELEXA) TAB : 20 MG BULK,250,RC,,Outpatient,20,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, NF-SYMBICORT INH 160MCG-4.5MCG ,250,RC,,Outpatient,160,ME,204.7,163.76,152.91,,,,,,,Percent of Total Billed Charges,,152.91,152.91,,204.7,,,,,,,Percent of Total Billed Charges,,,,,196.51,,,,,,,Percent of Total Billed Charges,,,,,194.47,,,,,,,Percent of Total Billed Charges,,,,,40.94,,,,,,,Percent of Total Billed Charges,,,,,174,,,,,,,Percent of Total Billed Charges,,,,,42.99,,,,,,,Percent of Total Billed Charges,,,,,184.23,,,,,,,Percent of Total Billed Charges,,,,,184.23,,,,,,,Percent of Total Billed Charges,,,,,40.94,,,,,,,Percent of Total Billed Charges,,,,,57.32,,,,,,,Percent of Total Billed Charges,,,,,163.76,,,,,,,Percent of Total Billed Charges,,,,,40.94,,,,,,,Percent of Total Billed Charges,,,, NF-MERCAPTOPURINE (PURINETHOL) TAB 50 MG,250,RC,,Outpatient,50,ME,16.15,12.92,12.06,,,,,,,Percent of Total Billed Charges,,12.06,12.06,,16.15,,,,,,,Percent of Total Billed Charges,,,,,15.5,,,,,,,Percent of Total Billed Charges,,,,,15.34,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,,,13.73,,,,,,,Percent of Total Billed Charges,,,,,3.39,,,,,,,Percent of Total Billed Charges,,,,,14.54,,,,,,,Percent of Total Billed Charges,,,,,14.54,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,,,4.52,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,, NF - FENOFIBRATE (TRICOR) TAB : 54 MG ,250,RC,,Outpatient,54,ME,4.2,3.36,3.14,,,,,,,Percent of Total Billed Charges,,3.14,3.14,,4.2,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,, NF-VYTORIN TAB 10/20 (ZETIA/SIMVASTATIN),250,RC,,Outpatient,,,12.55,10.04,9.37,,,,,,,Percent of Total Billed Charges,,9.37,9.37,,12.55,,,,,,,Percent of Total Billed Charges,,,,,12.05,,,,,,,Percent of Total Billed Charges,,,,,11.92,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,10.67,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,10.04,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,, NF-PREMPRO TAB 0.625MG-2.5MG ,250,RC,,Outpatient,0.625,ME,12.7,10.16,9.49,,,,,,,Percent of Total Billed Charges,,9.49,9.49,,12.7,,,,,,,Percent of Total Billed Charges,,,,,12.19,,,,,,,Percent of Total Billed Charges,,,,,12.07,,,,,,,Percent of Total Billed Charges,,,,,2.54,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.67,,,,,,,Percent of Total Billed Charges,,,,,11.43,,,,,,,Percent of Total Billed Charges,,,,,11.43,,,,,,,Percent of Total Billed Charges,,,,,2.54,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,10.16,,,,,,,Percent of Total Billed Charges,,,,,2.54,,,,,,,Percent of Total Billed Charges,,,, NF-DOXAZOSIN TAB 1 MG BULK ########### ,250,RC,,Outpatient,1,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-TRIAMTERENE/HCTZ TABLET 75-50MG ,250,RC,,Outpatient,75,ME,4.2,3.36,3.14,,,,,,,Percent of Total Billed Charges,,3.14,3.14,,4.2,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,, NF-CINNAMON CAP 500 MG ,250,RC,,Outpatient,500,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-INDAPAMIDE TAB 2.5MG ,250,RC,,Outpatient,2.5,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, NF-SOMINEX TAB (DIPHENHYDRAMINE) 25 MG ,250,RC,,Outpatient,25,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, *NF-PAIN RELIEF PM EXTRA STRENGTH 500/25,250,RC,,Outpatient,,,18.3,14.64,13.67,,,,,,,Percent of Total Billed Charges,,13.67,13.67,,18.3,,,,,,,Percent of Total Billed Charges,,,,,17.57,,,,,,,Percent of Total Billed Charges,,,,,17.39,,,,,,,Percent of Total Billed Charges,,,,,3.66,,,,,,,Percent of Total Billed Charges,,,,,15.56,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,16.47,,,,,,,Percent of Total Billed Charges,,,,,16.47,,,,,,,Percent of Total Billed Charges,,,,,3.66,,,,,,,Percent of Total Billed Charges,,,,,5.12,,,,,,,Percent of Total Billed Charges,,,,,14.64,,,,,,,Percent of Total Billed Charges,,,,,3.66,,,,,,,Percent of Total Billed Charges,,,, NF-CORTISONE ACETATE TAB 25 MG ,250,RC,,Outpatient,25,ME,2.4,1.92,1.79,,,,,,,Percent of Total Billed Charges,,1.79,1.79,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,, NF-VALSARTAN (DIOVAN) TAB 160 MG ,250,RC,,Outpatient,160,ME,10.65,8.52,7.96,,,,,,,Percent of Total Billed Charges,,7.96,7.96,,10.65,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,10.12,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,9.05,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,9.59,,,,,,,Percent of Total Billed Charges,,,,,9.59,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,8.52,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,, NF-LEVEMIR SUBQ SOLN 100 UNIT/1ML ,J1815 ,CPT,,Outpatient,,,846.5,677.2,632.34,,,,,,,Percent of Total Billed Charges,,632.34,632.34,,846.5,,,,,,,Percent of Total Billed Charges,,,,,812.64,,,,,,,Percent of Total Billed Charges,,,,,804.18,,,,,,,Percent of Total Billed Charges,,,,,169.3,,,,,,,Percent of Total Billed Charges,,,,,719.53,,,,,,,Percent of Total Billed Charges,,,,,177.77,,,,,,,Percent of Total Billed Charges,,,,,761.85,,,,,,,Percent of Total Billed Charges,,,,,761.85,,,,,,,Percent of Total Billed Charges,,,,,169.3,,,,,,,Percent of Total Billed Charges,,,,,237.02,,,,,,,Percent of Total Billed Charges,,,,,677.2,,,,,,,Percent of Total Billed Charges,,,,,169.3,,,,,,,Percent of Total Billed Charges,,,, NF-MIDODRINE TAB 5 MG ,250,RC,,Outpatient,5,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, NF-ONE DAILY TABLET ,250,RC,,Outpatient,,,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, NF-MELOXICAM (MOBIC) TAB 7.5 MG BULK ###,250,RC,,Outpatient,7.5,ME,24.3,19.44,18.15,,,,,,,Percent of Total Billed Charges,,18.15,18.15,,24.3,,,,,,,Percent of Total Billed Charges,,,,,23.33,,,,,,,Percent of Total Billed Charges,,,,,23.09,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,20.66,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.87,,,,,,,Percent of Total Billed Charges,,,,,21.87,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,19.44,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,, NF-CITALOPRAM TAB (CELEXA) 40 MG ,250,RC,,Outpatient,40,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-GABAPENTIN (NEURONTIN) TAB 600 MG ,250,RC,,Outpatient,600,ME,31.75,25.4,23.72,,,,,,,Percent of Total Billed Charges,,23.72,23.72,,31.75,,,,,,,Percent of Total Billed Charges,,,,,30.48,,,,,,,Percent of Total Billed Charges,,,,,30.16,,,,,,,Percent of Total Billed Charges,,,,,6.35,,,,,,,Percent of Total Billed Charges,,,,,26.99,,,,,,,Percent of Total Billed Charges,,,,,6.67,,,,,,,Percent of Total Billed Charges,,,,,28.58,,,,,,,Percent of Total Billed Charges,,,,,28.58,,,,,,,Percent of Total Billed Charges,,,,,6.35,,,,,,,Percent of Total Billed Charges,,,,,8.89,,,,,,,Percent of Total Billed Charges,,,,,25.4,,,,,,,Percent of Total Billed Charges,,,,,6.35,,,,,,,Percent of Total Billed Charges,,,, NF-LETROZOLE (FEMARA) TAB 2.5 MG ,250,RC,,Outpatient,2.5,ME,42.85,34.28,32.01,,,,,,,Percent of Total Billed Charges,,32.01,32.01,,42.85,,,,,,,Percent of Total Billed Charges,,,,,41.14,,,,,,,Percent of Total Billed Charges,,,,,40.71,,,,,,,Percent of Total Billed Charges,,,,,8.57,,,,,,,Percent of Total Billed Charges,,,,,36.42,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,38.57,,,,,,,Percent of Total Billed Charges,,,,,38.57,,,,,,,Percent of Total Billed Charges,,,,,8.57,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,34.28,,,,,,,Percent of Total Billed Charges,,,,,8.57,,,,,,,Percent of Total Billed Charges,,,, NF-ESTROPIPATE TAB 0.75MG ,250,RC,,Outpatient,0.75,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, NF-BIMATOPROST (LUMIGAN OPHTH SOLN 0.03%,250,RC,,Outpatient,,,460.55,368.44,344.03,,,,,,,Percent of Total Billed Charges,,344.03,344.03,,460.55,,,,,,,Percent of Total Billed Charges,,,,,442.13,,,,,,,Percent of Total Billed Charges,,,,,437.52,,,,,,,Percent of Total Billed Charges,,,,,92.11,,,,,,,Percent of Total Billed Charges,,,,,391.47,,,,,,,Percent of Total Billed Charges,,,,,96.72,,,,,,,Percent of Total Billed Charges,,,,,414.5,,,,,,,Percent of Total Billed Charges,,,,,414.5,,,,,,,Percent of Total Billed Charges,,,,,92.11,,,,,,,Percent of Total Billed Charges,,,,,128.95,,,,,,,Percent of Total Billed Charges,,,,,368.44,,,,,,,Percent of Total Billed Charges,,,,,92.11,,,,,,,Percent of Total Billed Charges,,,, *NF-TRIAZOLAM (HALCION) TAB 0.25 MG ,250,RC,,Outpatient,0.25,ME,5.4,4.32,4.03,,,,,,,Percent of Total Billed Charges,,4.03,4.03,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,5.13,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,,,1.51,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,, NF-FEXOFENADINE (ALLEGRA) TAB 180 MG ,250,RC,,Outpatient,180,ME,3.3,2.64,2.47,,,,,,,Percent of Total Billed Charges,,2.47,2.47,,3.3,,,,,,,Percent of Total Billed Charges,,,,,3.17,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,2.81,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,2.97,,,,,,,Percent of Total Billed Charges,,,,,2.97,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,0.92,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,, NF-ETODOLAC (LODINE) TAB 400 MG ,250,RC,,Outpatient,400,ME,8.05,6.44,6.01,,,,,,,Percent of Total Billed Charges,,6.01,6.01,,8.05,,,,,,,Percent of Total Billed Charges,,,,,7.73,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.61,,,,,,,Percent of Total Billed Charges,,,,,6.84,,,,,,,Percent of Total Billed Charges,,,,,1.69,,,,,,,Percent of Total Billed Charges,,,,,7.25,,,,,,,Percent of Total Billed Charges,,,,,7.25,,,,,,,Percent of Total Billed Charges,,,,,1.61,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,1.61,,,,,,,Percent of Total Billed Charges,,,, NF-RANOLAZINE (RANEXA) ER TAB 1000 MG ,250,RC,,Outpatient,1000,ME,22.5,18,16.81,,,,,,,Percent of Total Billed Charges,,16.81,16.81,,22.5,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,, NF-FENOFIBRATE CAP (TRICOR) 134 MG ,250,RC,,Outpatient,134,ME,3.95,3.16,2.95,,,,,,,Percent of Total Billed Charges,,2.95,2.95,,3.95,,,,,,,Percent of Total Billed Charges,,,,,3.79,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,,,1.11,,,,,,,Percent of Total Billed Charges,,,,,3.16,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,, NF-GLUCOSAMINE/CHONDR TAB TRIPLE STRENGT,250,RC,,Outpatient,,,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, *NF-LIOTHYRONINE TAB: 5 MCG ,250,RC,,Outpatient,5,ME,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, *NF-ASMANEX TWISTHALER INH PWD ,250,RC,,Outpatient,,,1382,1105.6,1032.35,,,,,,,Percent of Total Billed Charges,,1032.35,1032.35,,1382,,,,,,,Percent of Total Billed Charges,,,,,1326.72,,,,,,,Percent of Total Billed Charges,,,,,1312.9,,,,,,,Percent of Total Billed Charges,,,,,276.4,,,,,,,Percent of Total Billed Charges,,,,,1174.7,,,,,,,Percent of Total Billed Charges,,,,,290.22,,,,,,,Percent of Total Billed Charges,,,,,1243.8,,,,,,,Percent of Total Billed Charges,,,,,1243.8,,,,,,,Percent of Total Billed Charges,,,,,276.4,,,,,,,Percent of Total Billed Charges,,,,,386.96,,,,,,,Percent of Total Billed Charges,,,,,1105.6,,,,,,,Percent of Total Billed Charges,,,,,276.4,,,,,,,Percent of Total Billed Charges,,,, NF-STALEVO 150 TAB 37.5MG-200MG-150MG ,250,RC,,Outpatient,37.5,ME,10.15,8.12,7.58,,,,,,,Percent of Total Billed Charges,,7.58,7.58,,10.15,,,,,,,Percent of Total Billed Charges,,,,,9.74,,,,,,,Percent of Total Billed Charges,,,,,9.64,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,8.63,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,, *NF-VITAMIN D TABLET 400 UNIT ,250,RC,,Outpatient,400,UN,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, NF-DOK PLUS TAB ############# ,250,RC,,Outpatient,,,5.75,4.6,4.3,,,,,,,Percent of Total Billed Charges,,4.3,4.3,,5.75,,,,,,,Percent of Total Billed Charges,,,,,5.52,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,1.15,,,,,,,Percent of Total Billed Charges,,,,,4.89,,,,,,,Percent of Total Billed Charges,,,,,1.21,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,1.15,,,,,,,Percent of Total Billed Charges,,,,,1.61,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,1.15,,,,,,,Percent of Total Billed Charges,,,, NF-ESTRACE VAGINAL CREAM 0.1MG/1GM ,250,RC,,Outpatient,0.1,ME,86.15,68.92,64.35,,,,,,,Percent of Total Billed Charges,,64.35,64.35,,86.15,,,,,,,Percent of Total Billed Charges,,,,,82.7,,,,,,,Percent of Total Billed Charges,,,,,81.84,,,,,,,Percent of Total Billed Charges,,,,,17.23,,,,,,,Percent of Total Billed Charges,,,,,73.23,,,,,,,Percent of Total Billed Charges,,,,,18.09,,,,,,,Percent of Total Billed Charges,,,,,77.54,,,,,,,Percent of Total Billed Charges,,,,,77.54,,,,,,,Percent of Total Billed Charges,,,,,17.23,,,,,,,Percent of Total Billed Charges,,,,,24.12,,,,,,,Percent of Total Billed Charges,,,,,68.92,,,,,,,Percent of Total Billed Charges,,,,,17.23,,,,,,,Percent of Total Billed Charges,,,, NF-AMITRIPTYLINE TAB 10MG ##############,250,RC,,Outpatient,,,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-TOPIRAMATE (TOPAMAX) TAB 200 MG ,250,RC,,Outpatient,200,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-RAMIPRIL (ALTACE) CAP 1.25 MG ,250,RC,,Outpatient,1.25,ME,6.8,5.44,5.08,,,,,,,Percent of Total Billed Charges,,5.08,5.08,,6.8,,,,,,,Percent of Total Billed Charges,,,,,6.53,,,,,,,Percent of Total Billed Charges,,,,,6.46,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,1.43,,,,,,,Percent of Total Billed Charges,,,,,6.12,,,,,,,Percent of Total Billed Charges,,,,,6.12,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,5.44,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,, NF-ALFUZOSIN ER (UROXATRAL) TAB 10 MG ,250,RC,,Outpatient,10,ME,2.75,2.2,2.05,,,,,,,Percent of Total Billed Charges,,2.05,2.05,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,, NF-LISINOPRIL TAB 40 MG ### ,250,RC,,Outpatient,40,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-RAMIPRIL (ALTACE) CAP 2.5 MG ,250,RC,,Outpatient,2.5,ME,9.05,7.24,6.76,,,,,,,Percent of Total Billed Charges,,6.76,6.76,,9.05,,,,,,,Percent of Total Billed Charges,,,,,8.69,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,7.69,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.15,,,,,,,Percent of Total Billed Charges,,,,,8.15,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,2.53,,,,,,,Percent of Total Billed Charges,,,,,7.24,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,, NF-FLUTICASONE FLOVENT DISKUS INH 100MCG,250,RC,,Outpatient,100,ME,612.5,490,457.54,,,,,,,Percent of Total Billed Charges,,457.54,457.54,,612.5,,,,,,,Percent of Total Billed Charges,,,,,588,,,,,,,Percent of Total Billed Charges,,,,,581.88,,,,,,,Percent of Total Billed Charges,,,,,122.5,,,,,,,Percent of Total Billed Charges,,,,,520.63,,,,,,,Percent of Total Billed Charges,,,,,128.63,,,,,,,Percent of Total Billed Charges,,,,,551.25,,,,,,,Percent of Total Billed Charges,,,,,551.25,,,,,,,Percent of Total Billed Charges,,,,,122.5,,,,,,,Percent of Total Billed Charges,,,,,171.5,,,,,,,Percent of Total Billed Charges,,,,,490,,,,,,,Percent of Total Billed Charges,,,,,122.5,,,,,,,Percent of Total Billed Charges,,,, NF-OXYBUTYNIN XL TAB 15 MG ,250,RC,,Outpatient,15,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, NF-DOXYCYCLINE HYCLATE TAB 20 MG ,250,RC,,Outpatient,20,ME,5.1,4.08,3.81,,,,,,,Percent of Total Billed Charges,,3.81,3.81,,5.1,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,4.85,,,,,,,Percent of Total Billed Charges,,,,,1.02,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,1.07,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,1.02,,,,,,,Percent of Total Billed Charges,,,,,1.43,,,,,,,Percent of Total Billed Charges,,,,,4.08,,,,,,,Percent of Total Billed Charges,,,,,1.02,,,,,,,Percent of Total Billed Charges,,,, NF-TROSPIUM (SANCTURA) TAB 20 MG ,250,RC,,Outpatient,20,ME,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, NF-NADOLOL (CORGARD) TAB 20 MG ,250,RC,,Outpatient,20,ME,2.45,1.96,1.83,,,,,,,Percent of Total Billed Charges,,1.83,1.83,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.33,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,, NF-CALCIUM TAB 600 MG ,250,RC,,Outpatient,600,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-CEFDINIR (OMNICEF) CAP: 300 MG ,250,RC,,Outpatient,300,ME,4.45,3.56,3.32,,,,,,,Percent of Total Billed Charges,,3.32,3.32,,4.45,,,,,,,Percent of Total Billed Charges,,,,,4.27,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,0.89,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,0.93,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,,,0.89,,,,,,,Percent of Total Billed Charges,,,,,1.25,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,0.89,,,,,,,Percent of Total Billed Charges,,,, NF-NADOLOL (CORGARD) TAB 40 MG ,250,RC,,Outpatient,40,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, *NF-OXYBUTYNIN TAB XL 5 MG ,250,RC,,Outpatient,5,ME,5.95,4.76,4.44,,,,,,,Percent of Total Billed Charges,,4.44,4.44,,5.95,,,,,,,Percent of Total Billed Charges,,,,,5.71,,,,,,,Percent of Total Billed Charges,,,,,5.65,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,,,5.06,,,,,,,Percent of Total Billed Charges,,,,,1.25,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,, NF-LISINOPRIL /HCTZ TAB 10/12.5 ,250,RC,,Outpatient,,,3.25,2.6,2.43,,,,,,,Percent of Total Billed Charges,,2.43,2.43,,3.25,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,3.09,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,, NF-METOPROLOL TARTRATE TAB 50 MG########,250,RC,,Outpatient,50,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, NF-OLMESARTAN (BENICAR) TAB: 40 MG ,250,RC,,Outpatient,40,ME,8.8,7.04,6.57,,,,,,,Percent of Total Billed Charges,,6.57,6.57,,8.8,,,,,,,Percent of Total Billed Charges,,,,,8.45,,,,,,,Percent of Total Billed Charges,,,,,8.36,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,7.48,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,2.46,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,, NF-SOTALOL AF TAB 160 MG ,250,RC,,Outpatient,160,ME,7.25,5.58,5.42,,,,,,,Percent of Total Billed Charges,,5.42,5.42,,7.25,,,,,,,Percent of Total Billed Charges,,,,,6.96,,,,,,,Percent of Total Billed Charges,,,,,6.89,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,6.53,,,,,,,Percent of Total Billed Charges,,,,,6.53,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,, NF-CALCIUM 500 + D TABLET ,250,RC,,Outpatient,500,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, NF-FELODIPINE (PLENDIL) TAB ER 2.5MG ,250,RC,,Outpatient,2.5,ME,10.35,8.28,7.73,,,,,,,Percent of Total Billed Charges,,7.73,7.73,,10.35,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,9.83,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,9.32,,,,,,,Percent of Total Billed Charges,,,,,9.32,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,8.28,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,, NF-NEPAFENAC (NEVANAC) OPHTH SUSP 0.1% ,250,RC,,Outpatient,,,307.4,245.92,229.63,,,,,,,Percent of Total Billed Charges,,229.63,229.63,,307.4,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,292.03,,,,,,,Percent of Total Billed Charges,,,,,61.48,,,,,,,Percent of Total Billed Charges,,,,,261.29,,,,,,,Percent of Total Billed Charges,,,,,64.55,,,,,,,Percent of Total Billed Charges,,,,,276.66,,,,,,,Percent of Total Billed Charges,,,,,276.66,,,,,,,Percent of Total Billed Charges,,,,,61.48,,,,,,,Percent of Total Billed Charges,,,,,86.07,,,,,,,Percent of Total Billed Charges,,,,,245.92,,,,,,,Percent of Total Billed Charges,,,,,61.48,,,,,,,Percent of Total Billed Charges,,,, NF-PRAVASTATIN TAB 40 MG ##### ,250,RC,,Outpatient,40,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, *NF-C-PHEN DM LIQ 4/15/12.5MG/5ML#### ,250,RC,,Outpatient,12.5,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, NF-DORZOLAMIDE/TIMOLOL OPHTH (COSOPT) ,250,RC,,Outpatient,,,126.35,101.08,94.38,,,,,,,Percent of Total Billed Charges,,94.38,94.38,,126.35,,,,,,,Percent of Total Billed Charges,,,,,121.3,,,,,,,Percent of Total Billed Charges,,,,,120.03,,,,,,,Percent of Total Billed Charges,,,,,25.27,,,,,,,Percent of Total Billed Charges,,,,,107.4,,,,,,,Percent of Total Billed Charges,,,,,26.53,,,,,,,Percent of Total Billed Charges,,,,,113.72,,,,,,,Percent of Total Billed Charges,,,,,113.72,,,,,,,Percent of Total Billed Charges,,,,,25.27,,,,,,,Percent of Total Billed Charges,,,,,35.38,,,,,,,Percent of Total Billed Charges,,,,,101.08,,,,,,,Percent of Total Billed Charges,,,,,25.27,,,,,,,Percent of Total Billed Charges,,,, NF-LOTEPREDNOL (LOTEMAX) OPHTH SUSP 0.5%,250,RC,,Outpatient,,,501.3,401.04,374.47,,,,,,,Percent of Total Billed Charges,,374.47,374.47,,501.3,,,,,,,Percent of Total Billed Charges,,,,,481.25,,,,,,,Percent of Total Billed Charges,,,,,476.24,,,,,,,Percent of Total Billed Charges,,,,,100.26,,,,,,,Percent of Total Billed Charges,,,,,426.11,,,,,,,Percent of Total Billed Charges,,,,,105.27,,,,,,,Percent of Total Billed Charges,,,,,451.17,,,,,,,Percent of Total Billed Charges,,,,,451.17,,,,,,,Percent of Total Billed Charges,,,,,100.26,,,,,,,Percent of Total Billed Charges,,,,,140.36,,,,,,,Percent of Total Billed Charges,,,,,401.04,,,,,,,Percent of Total Billed Charges,,,,,100.26,,,,,,,Percent of Total Billed Charges,,,, NF-TRAVOPROST(TRAVATAN) OPTH SOLN 0.004%,250,RC,,Outpatient,,,410.6,328.48,306.72,,,,,,,Percent of Total Billed Charges,,306.72,306.72,,410.6,,,,,,,Percent of Total Billed Charges,,,,,394.18,,,,,,,Percent of Total Billed Charges,,,,,390.07,,,,,,,Percent of Total Billed Charges,,,,,82.12,,,,,,,Percent of Total Billed Charges,,,,,349.01,,,,,,,Percent of Total Billed Charges,,,,,86.23,,,,,,,Percent of Total Billed Charges,,,,,369.54,,,,,,,Percent of Total Billed Charges,,,,,369.54,,,,,,,Percent of Total Billed Charges,,,,,82.12,,,,,,,Percent of Total Billed Charges,,,,,114.97,,,,,,,Percent of Total Billed Charges,,,,,328.48,,,,,,,Percent of Total Billed Charges,,,,,82.12,,,,,,,Percent of Total Billed Charges,,,, NF-PITAVASTATIN (LIVALO) TAB 2 MG ,250,RC,,Outpatient,2,ME,18.75,15,14.01,,,,,,,Percent of Total Billed Charges,,14.01,14.01,,18.75,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,17.81,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,,,15.94,,,,,,,Percent of Total Billed Charges,,,,,3.94,,,,,,,Percent of Total Billed Charges,,,,,16.88,,,,,,,Percent of Total Billed Charges,,,,,16.88,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,, NF-ATRIPLA TAB 600MG-200MG-300MG ,250,RC,,Outpatient,600,ME,154.25,123.4,115.22,,,,,,,Percent of Total Billed Charges,,115.22,115.22,,154.25,,,,,,,Percent of Total Billed Charges,,,,,148.08,,,,,,,Percent of Total Billed Charges,,,,,146.54,,,,,,,Percent of Total Billed Charges,,,,,30.85,,,,,,,Percent of Total Billed Charges,,,,,131.11,,,,,,,Percent of Total Billed Charges,,,,,32.39,,,,,,,Percent of Total Billed Charges,,,,,138.83,,,,,,,Percent of Total Billed Charges,,,,,138.83,,,,,,,Percent of Total Billed Charges,,,,,30.85,,,,,,,Percent of Total Billed Charges,,,,,43.19,,,,,,,Percent of Total Billed Charges,,,,,123.4,,,,,,,Percent of Total Billed Charges,,,,,30.85,,,,,,,Percent of Total Billed Charges,,,, NF-SOLIFENACIN (VESICARE) TAB 5MG ,250,RC,,Outpatient,5,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, NF-RAMIPRIL (ALTACE) CAP 5 MG ,250,RC,,Outpatient,5,ME,8.6,6.88,6.42,,,,,,,Percent of Total Billed Charges,,6.42,6.42,,8.6,,,,,,,Percent of Total Billed Charges,,,,,8.26,,,,,,,Percent of Total Billed Charges,,,,,8.17,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,7.31,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,7.74,,,,,,,Percent of Total Billed Charges,,,,,7.74,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,2.41,,,,,,,Percent of Total Billed Charges,,,,,6.88,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,, NF-ORTHO TRI-CYCLEN LO TAB 0.025MG-0.18M,250,RC,,Outpatient,0.25,ME,11.8,9.44,8.81,,,,,,,Percent of Total Billed Charges,,8.81,8.81,,11.8,,,,,,,Percent of Total Billed Charges,,,,,11.33,,,,,,,Percent of Total Billed Charges,,,,,11.21,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,,,10.03,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,10.62,,,,,,,Percent of Total Billed Charges,,,,,10.62,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,9.44,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,, NF-OXYBUTYNIN XL TAB: 10 MG ,250,RC,,Outpatient,10,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, NF-HYDROXYCHLOROQUINE TAB 200 MG ,250,RC,,Outpatient,200,ME,4.65,3.72,3.47,,,,,,,Percent of Total Billed Charges,,3.47,3.47,,4.65,,,,,,,Percent of Total Billed Charges,,,,,4.46,,,,,,,Percent of Total Billed Charges,,,,,4.42,,,,,,,Percent of Total Billed Charges,,,,,0.93,,,,,,,Percent of Total Billed Charges,,,,,3.95,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,4.19,,,,,,,Percent of Total Billed Charges,,,,,4.19,,,,,,,Percent of Total Billed Charges,,,,,0.93,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,3.72,,,,,,,Percent of Total Billed Charges,,,,,0.93,,,,,,,Percent of Total Billed Charges,,,, NF-MELOXICAM TAB (MOBIC) 15 MG BULK ####,250,RC,,Outpatient,15,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, *NF-VITAMIN D3 TAB 1000 UNIT ,250,RC,,Outpatient,1000,UN,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-AVANDAMET TAB 1000 / 4 ,250,RC,,Outpatient,,,15.65,12.52,11.69,,,,,,,Percent of Total Billed Charges,,11.69,11.69,,15.65,,,,,,,Percent of Total Billed Charges,,,,,15.02,,,,,,,Percent of Total Billed Charges,,,,,14.87,,,,,,,Percent of Total Billed Charges,,,,,3.13,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,3.29,,,,,,,Percent of Total Billed Charges,,,,,14.09,,,,,,,Percent of Total Billed Charges,,,,,14.09,,,,,,,Percent of Total Billed Charges,,,,,3.13,,,,,,,Percent of Total Billed Charges,,,,,4.38,,,,,,,Percent of Total Billed Charges,,,,,12.52,,,,,,,Percent of Total Billed Charges,,,,,3.13,,,,,,,Percent of Total Billed Charges,,,, *NF-SYNTHROID TAB 0.2 MG ,250,RC,,Outpatient,0.2,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, NF-GLUCOVANCE TAB ,250,RC,,Outpatient,,,5.6,4.48,4.18,,,,,,,Percent of Total Billed Charges,,4.18,4.18,,5.6,,,,,,,Percent of Total Billed Charges,,,,,5.38,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,, NF-TWINRIX IM SUSP 720EL U-20MCG/ML ,250,RC,,Outpatient,20,ME,282.05,225.64,210.69,,,,,,,Percent of Total Billed Charges,,210.69,210.69,,282.05,,,,,,,Percent of Total Billed Charges,,,,,270.77,,,,,,,Percent of Total Billed Charges,,,,,267.95,,,,,,,Percent of Total Billed Charges,,,,,56.41,,,,,,,Percent of Total Billed Charges,,,,,239.74,,,,,,,Percent of Total Billed Charges,,,,,59.23,,,,,,,Percent of Total Billed Charges,,,,,253.85,,,,,,,Percent of Total Billed Charges,,,,,253.85,,,,,,,Percent of Total Billed Charges,,,,,56.41,,,,,,,Percent of Total Billed Charges,,,,,78.97,,,,,,,Percent of Total Billed Charges,,,,,225.64,,,,,,,Percent of Total Billed Charges,,,,,56.41,,,,,,,Percent of Total Billed Charges,,,, NF-ESOMEPRAZOLE (NEXIUM) CAP ER 20 MG ,250,RC,,Outpatient,20,ME,2.65,2.12,1.98,,,,,,,Percent of Total Billed Charges,,1.98,1.98,,2.65,,,,,,,Percent of Total Billed Charges,,,,,2.54,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,, NF-CARVEDILOL (COREG) TAB: 25MG #######,250,RC,,Outpatient,25,GR,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, NF-TRIFLURIDINE OPHTH SOLN 1% (VIROPTIC),250,RC,,Outpatient,,,318.95,255.16,238.26,,,,,,,Percent of Total Billed Charges,,238.26,238.26,,318.95,,,,,,,Percent of Total Billed Charges,,,,,306.19,,,,,,,Percent of Total Billed Charges,,,,,303,,,,,,,Percent of Total Billed Charges,,,,,63.79,,,,,,,Percent of Total Billed Charges,,,,,271.11,,,,,,,Percent of Total Billed Charges,,,,,66.98,,,,,,,Percent of Total Billed Charges,,,,,287.06,,,,,,,Percent of Total Billed Charges,,,,,287.06,,,,,,,Percent of Total Billed Charges,,,,,63.79,,,,,,,Percent of Total Billed Charges,,,,,89.31,,,,,,,Percent of Total Billed Charges,,,,,255.16,,,,,,,Percent of Total Billed Charges,,,,,63.79,,,,,,,Percent of Total Billed Charges,,,, NF-ROSUVASTATIN (CRESTOR) TAB 5MG ,250,RC,,Outpatient,5,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, NF-LEVETIRACETAM SOLN 100 MG/1ML ,250,RC,,Outpatient,100,ME,2.3,1.84,1.72,,,,,,,Percent of Total Billed Charges,,1.72,1.72,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,, NF-SERTRALINE (ZOLOFT) TAB 100 MG##### ,250,RC,,Outpatient,100,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, NF-MICONAZOLE POWDER ,250,RC,,Outpatient,,,147.5,118,110.18,,,,,,,Percent of Total Billed Charges,,110.18,110.18,,147.5,,,,,,,Percent of Total Billed Charges,,,,,141.6,,,,,,,Percent of Total Billed Charges,,,,,140.13,,,,,,,Percent of Total Billed Charges,,,,,29.5,,,,,,,Percent of Total Billed Charges,,,,,125.38,,,,,,,Percent of Total Billed Charges,,,,,30.98,,,,,,,Percent of Total Billed Charges,,,,,132.75,,,,,,,Percent of Total Billed Charges,,,,,132.75,,,,,,,Percent of Total Billed Charges,,,,,29.5,,,,,,,Percent of Total Billed Charges,,,,,41.3,,,,,,,Percent of Total Billed Charges,,,,,118,,,,,,,Percent of Total Billed Charges,,,,,29.5,,,,,,,Percent of Total Billed Charges,,,, NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%,250,RC,,Outpatient,,,33.75,27,25.21,,,,,,,Percent of Total Billed Charges,,25.21,25.21,,33.75,,,,,,,Percent of Total Billed Charges,,,,,32.4,,,,,,,Percent of Total Billed Charges,,,,,32.06,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,28.69,,,,,,,Percent of Total Billed Charges,,,,,7.09,,,,,,,Percent of Total Billed Charges,,,,,30.38,,,,,,,Percent of Total Billed Charges,,,,,30.38,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,, NF-TOLTERODINE LA (DETROL LA) CAP ER 4MG,250,RC,,Outpatient,4,ME,14.15,11.32,10.57,,,,,,,Percent of Total Billed Charges,,10.57,10.57,,14.15,,,,,,,Percent of Total Billed Charges,,,,,13.58,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,,,12.03,,,,,,,Percent of Total Billed Charges,,,,,2.97,,,,,,,Percent of Total Billed Charges,,,,,12.74,,,,,,,Percent of Total Billed Charges,,,,,12.74,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,,,11.32,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,, *NF-RANITIDINE TAB (ZANTAC) 300 MG ,250,RC,,Outpatient,300,ME,10.3,8.24,7.69,,,,,,,Percent of Total Billed Charges,,7.69,7.69,,10.3,,,,,,,Percent of Total Billed Charges,,,,,9.89,,,,,,,Percent of Total Billed Charges,,,,,9.79,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,8.76,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,9.27,,,,,,,Percent of Total Billed Charges,,,,,9.27,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,8.24,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,, TOPIRAMATE (TOPAMAX) TAB 25MG ,250,RC,,Outpatient,25,ME,2.75,2.2,2.05,,,,,,,Percent of Total Billed Charges,,2.05,2.05,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,, NF-DIVALPROEX ER (DEPAKOTE) TAB 250 MG ,250,RC,,Outpatient,250,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, NF-DIVALPROEX (DEPAKOTE) DR TAB : 250 MG,250,RC,,Outpatient,250,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, NF-VALACYCLOVIR (VALTREX) TAB 1000 MG ,250,RC,,Outpatient,1000,ME,51.85,41.48,38.73,,,,,,,Percent of Total Billed Charges,,38.73,38.73,,51.85,,,,,,,Percent of Total Billed Charges,,,,,49.78,,,,,,,Percent of Total Billed Charges,,,,,49.26,,,,,,,Percent of Total Billed Charges,,,,,10.37,,,,,,,Percent of Total Billed Charges,,,,,44.07,,,,,,,Percent of Total Billed Charges,,,,,10.89,,,,,,,Percent of Total Billed Charges,,,,,46.67,,,,,,,Percent of Total Billed Charges,,,,,46.67,,,,,,,Percent of Total Billed Charges,,,,,10.37,,,,,,,Percent of Total Billed Charges,,,,,14.52,,,,,,,Percent of Total Billed Charges,,,,,41.48,,,,,,,Percent of Total Billed Charges,,,,,10.37,,,,,,,Percent of Total Billed Charges,,,, *NF-KLOR-CON TAB 20MEQ************ ,250,RC,,Outpatient,20,ME,3.25,2.6,2.43,,,,,,,Percent of Total Billed Charges,,2.43,2.43,,3.25,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,3.09,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,, NF-INTERFERON (REBIF) INJ 44 MCG/0.5ML ,250,RC,,Outpatient,44,ME,1313.4,1050.72,981.11,,,,,,,Percent of Total Billed Charges,,981.11,981.11,,1313.4,,,,,,,Percent of Total Billed Charges,,,,,1260.86,,,,,,,Percent of Total Billed Charges,,,,,1247.73,,,,,,,Percent of Total Billed Charges,,,,,262.68,,,,,,,Percent of Total Billed Charges,,,,,1116.39,,,,,,,Percent of Total Billed Charges,,,,,275.81,,,,,,,Percent of Total Billed Charges,,,,,1182.06,,,,,,,Percent of Total Billed Charges,,,,,1182,,,,,,,Percent of Total Billed Charges,,,,,262.68,,,,,,,Percent of Total Billed Charges,,,,,367.75,,,,,,,Percent of Total Billed Charges,,,,,1050.72,,,,,,,Percent of Total Billed Charges,,,,,262.68,,,,,,,Percent of Total Billed Charges,,,, NF-GLIMEPRIRIDE (AMARYL) TAB: 4 MG ,250,RC,,Outpatient,4,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-ESTRADIOL (ESTRACE) TAB 1 MG ,250,RC,,Outpatient,1,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-CIPRODEX OTIC SUSP 0.3%-0.1% ,250,RC,,Outpatient,,,793.25,634.6,592.56,,,,,,,Percent of Total Billed Charges,,592.56,592.56,,793.25,,,,,,,Percent of Total Billed Charges,,,,,761.52,,,,,,,Percent of Total Billed Charges,,,,,753.59,,,,,,,Percent of Total Billed Charges,,,,,158.65,,,,,,,Percent of Total Billed Charges,,,,,674.26,,,,,,,Percent of Total Billed Charges,,,,,166.58,,,,,,,Percent of Total Billed Charges,,,,,713.93,,,,,,,Percent of Total Billed Charges,,,,,713.93,,,,,,,Percent of Total Billed Charges,,,,,158.65,,,,,,,Percent of Total Billed Charges,,,,,222.11,,,,,,,Percent of Total Billed Charges,,,,,634.6,,,,,,,Percent of Total Billed Charges,,,,,158.65,,,,,,,Percent of Total Billed Charges,,,, NF-THALIDOMIDE CAP 50 MG ,250,RC,,Outpatient,50,ME,414.45,331.56,309.59,,,,,,,Percent of Total Billed Charges,,309.59,309.59,,414.45,,,,,,,Percent of Total Billed Charges,,,,,397.87,,,,,,,Percent of Total Billed Charges,,,,,393.73,,,,,,,Percent of Total Billed Charges,,,,,82.89,,,,,,,Percent of Total Billed Charges,,,,,352.28,,,,,,,Percent of Total Billed Charges,,,,,87.03,,,,,,,Percent of Total Billed Charges,,,,,373.01,,,,,,,Percent of Total Billed Charges,,,,,373.01,,,,,,,Percent of Total Billed Charges,,,,,82.89,,,,,,,Percent of Total Billed Charges,,,,,116.05,,,,,,,Percent of Total Billed Charges,,,,,331.56,,,,,,,Percent of Total Billed Charges,,,,,82.89,,,,,,,Percent of Total Billed Charges,,,, NF-SITAGLIPTIN (JANUVIA) TAB: 100 MG ,250,RC,,Outpatient,100,ME,21.1,16.88,15.76,,,,,,,Percent of Total Billed Charges,,15.76,15.76,,21.1,,,,,,,Percent of Total Billed Charges,,,,,20.26,,,,,,,Percent of Total Billed Charges,,,,,20.05,,,,,,,Percent of Total Billed Charges,,,,,4.22,,,,,,,Percent of Total Billed Charges,,,,,17.94,,,,,,,Percent of Total Billed Charges,,,,,4.43,,,,,,,Percent of Total Billed Charges,,,,,18.99,,,,,,,Percent of Total Billed Charges,,,,,18.99,,,,,,,Percent of Total Billed Charges,,,,,4.22,,,,,,,Percent of Total Billed Charges,,,,,5.91,,,,,,,Percent of Total Billed Charges,,,,,16.88,,,,,,,Percent of Total Billed Charges,,,,,4.22,,,,,,,Percent of Total Billed Charges,,,, NF-ASCRIPTIN ORAL TAB ,250,RC,,Outpatient,,,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, NF-LEVOTHYROXINE TAB 200 MCG ,250,RC,,Outpatient,200,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT ,250,RC,,Outpatient,27.5,ME,279.35,223.48,208.67,,,,,,,Percent of Total Billed Charges,,208.67,208.67,,279.35,,,,,,,Percent of Total Billed Charges,,,,,268.18,,,,,,,Percent of Total Billed Charges,,,,,265.38,,,,,,,Percent of Total Billed Charges,,,,,55.87,,,,,,,Percent of Total Billed Charges,,,,,237.45,,,,,,,Percent of Total Billed Charges,,,,,58.66,,,,,,,Percent of Total Billed Charges,,,,,251.42,,,,,,,Percent of Total Billed Charges,,,,,251.42,,,,,,,Percent of Total Billed Charges,,,,,55.87,,,,,,,Percent of Total Billed Charges,,,,,78.22,,,,,,,Percent of Total Billed Charges,,,,,223.48,,,,,,,Percent of Total Billed Charges,,,,,55.87,,,,,,,Percent of Total Billed Charges,,,, *NF-VITAMIN D2 TABLET 400 UNIT ,250,RC,,Outpatient,400,UN,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, NF-METRONIDAZOLE (METROGEL) GEL 1% ,250,RC,,Outpatient,,,904.3,723.44,675.51,,,,,,,Percent of Total Billed Charges,,675.51,675.51,,904.3,,,,,,,Percent of Total Billed Charges,,,,,868.13,,,,,,,Percent of Total Billed Charges,,,,,859.09,,,,,,,Percent of Total Billed Charges,,,,,180.86,,,,,,,Percent of Total Billed Charges,,,,,768.66,,,,,,,Percent of Total Billed Charges,,,,,189.9,,,,,,,Percent of Total Billed Charges,,,,,813.87,,,,,,,Percent of Total Billed Charges,,,,,813.87,,,,,,,Percent of Total Billed Charges,,,,,180.86,,,,,,,Percent of Total Billed Charges,,,,,253.2,,,,,,,Percent of Total Billed Charges,,,,,723.44,,,,,,,Percent of Total Billed Charges,,,,,180.86,,,,,,,Percent of Total Billed Charges,,,, NF-FENOFIBRATE (TRICOR) TAB 145 MG ,250,RC,,Outpatient,145,ME,3.55,2.84,2.65,,,,,,,Percent of Total Billed Charges,,2.65,2.65,,3.55,,,,,,,Percent of Total Billed Charges,,,,,3.41,,,,,,,Percent of Total Billed Charges,,,,,3.37,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,0.99,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,, NF-CEFUROXIME (CEFTIN) TAB: 250MG ,250,RC,,Outpatient,250,ME,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, NF-CITRUCEL TAB 500 MG ,250,RC,,Outpatient,500,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, "NF-AZELASTINE (ASTELIN, ASTEPRO) NASAL ",250,RC,,Outpatient,,,41.45,33.16,30.96,,,,,,,Percent of Total Billed Charges,,30.96,30.96,,41.45,,,,,,,Percent of Total Billed Charges,,,,,39.79,,,,,,,Percent of Total Billed Charges,,,,,39.38,,,,,,,Percent of Total Billed Charges,,,,,8.29,,,,,,,Percent of Total Billed Charges,,,,,35.23,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,37.31,,,,,,,Percent of Total Billed Charges,,,,,37.31,,,,,,,Percent of Total Billed Charges,,,,,8.29,,,,,,,Percent of Total Billed Charges,,,,,11.61,,,,,,,Percent of Total Billed Charges,,,,,33.16,,,,,,,Percent of Total Billed Charges,,,,,8.29,,,,,,,Percent of Total Billed Charges,,,, *NF-ASTEPRO NASAL SPRAY 205.5 MCG/1ACT ,250,RC,,Outpatient,205.5,ME,282.5,226,211.03,,,,,,,Percent of Total Billed Charges,,211.03,211.03,,282.5,,,,,,,Percent of Total Billed Charges,,,,,271.2,,,,,,,Percent of Total Billed Charges,,,,,268.38,,,,,,,Percent of Total Billed Charges,,,,,56.5,,,,,,,Percent of Total Billed Charges,,,,,240.13,,,,,,,Percent of Total Billed Charges,,,,,59.33,,,,,,,Percent of Total Billed Charges,,,,,254.25,,,,,,,Percent of Total Billed Charges,,,,,254.25,,,,,,,Percent of Total Billed Charges,,,,,56.5,,,,,,,Percent of Total Billed Charges,,,,,79.1,,,,,,,Percent of Total Billed Charges,,,,,226,,,,,,,Percent of Total Billed Charges,,,,,56.5,,,,,,,Percent of Total Billed Charges,,,, NF-CHLORTHALIDONE TAB 25 MG ,250,RC,,Outpatient,25,ME,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, NF-VYTORIN TAB 10/10 (ZETIA/SIMVASTATIN),250,RC,,Outpatient,,,12.55,10.04,9.37,,,,,,,Percent of Total Billed Charges,,9.37,9.37,,12.55,,,,,,,Percent of Total Billed Charges,,,,,12.05,,,,,,,Percent of Total Billed Charges,,,,,11.92,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,10.67,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,10.04,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,, NF-LITHIUM CARBONATE CAP 150 MG ,250,RC,,Outpatient,150,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, NF-CELOCOXIB (CELEBREX) CAP: 200 MG ,250,RC,,Outpatient,200,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, NF-NEBIVOLOL (BYSTOLIC) TAB: 10 MG ,250,RC,,Outpatient,10,ME,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, NF-SIMVASTATIN TAB 10 MG ###############,250,RC,,Outpatient,10,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, *NF-FENOFIBRATE TAB 54 MG ,250,RC,,Outpatient,54,ME,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, NF-LOSARTAN/HCTZ 100-50 TAB ,250,RC,,Outpatient,,,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, NF-CANDESARTAN (ATACAND) TAB 16 MG ,250,RC,,Outpatient,16,ME,10.9,8.72,8.14,,,,,,,Percent of Total Billed Charges,,8.14,8.14,,10.9,,,,,,,Percent of Total Billed Charges,,,,,10.46,,,,,,,Percent of Total Billed Charges,,,,,10.36,,,,,,,Percent of Total Billed Charges,,,,,2.18,,,,,,,Percent of Total Billed Charges,,,,,9.27,,,,,,,Percent of Total Billed Charges,,,,,2.29,,,,,,,Percent of Total Billed Charges,,,,,9.81,,,,,,,Percent of Total Billed Charges,,,,,9.81,,,,,,,Percent of Total Billed Charges,,,,,2.18,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,2.18,,,,,,,Percent of Total Billed Charges,,,, NF-ROSUVASTATIN (CRESTOR) TAB 20 MG ,250,RC,,Outpatient,20,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, NF-VAGIFEM VAG TAB 10 MCG ,250,RC,,Outpatient,10,ME,19.95,15.96,14.9,,,,,,,Percent of Total Billed Charges,,14.9,14.9,,19.95,,,,,,,Percent of Total Billed Charges,,,,,19.15,,,,,,,Percent of Total Billed Charges,,,,,18.95,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,16.96,,,,,,,Percent of Total Billed Charges,,,,,4.19,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,5.59,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,, NF-ALAVERT D-12 HOUR TAB ER 5MG-120MG ,250,RC,,Outpatient,5,ME,3.9,3.12,2.91,,,,,,,Percent of Total Billed Charges,,2.91,2.91,,3.9,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,3.71,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,3.32,,,,,,,Percent of Total Billed Charges,,,,,0.82,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,1.09,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,, NF-ROPINROLE TAB: 2 MG ,250,RC,,Outpatient,2,ME,9.05,7.24,6.76,,,,,,,Percent of Total Billed Charges,,6.76,6.76,,9.05,,,,,,,Percent of Total Billed Charges,,,,,8.69,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,7.69,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.15,,,,,,,Percent of Total Billed Charges,,,,,8.15,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,2.53,,,,,,,Percent of Total Billed Charges,,,,,7.24,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,, NF-OYSTER SHELL CALCIUM TAB 500 MG ,250,RC,,Outpatient,500,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, NF-CARTEOLOL OPHTH SOLN 1% ,250,RC,,Outpatient,,,122,97.6,91.13,,,,,,,Percent of Total Billed Charges,,91.13,91.13,,122,,,,,,,Percent of Total Billed Charges,,,,,117.12,,,,,,,Percent of Total Billed Charges,,,,,115.9,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,,,103.7,,,,,,,Percent of Total Billed Charges,,,,,25.62,,,,,,,Percent of Total Billed Charges,,,,,109.8,,,,,,,Percent of Total Billed Charges,,,,,109.8,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,,,34.16,,,,,,,Percent of Total Billed Charges,,,,,97.6,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,, NF-AZTREONAM INJ 2 GRAM ,250,RC,,Outpatient,2,GR,186.5,149.2,139.32,,,,,,,Percent of Total Billed Charges,,139.32,139.32,,186.5,,,,,,,Percent of Total Billed Charges,,,,,179.04,,,,,,,Percent of Total Billed Charges,,,,,177.18,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,158.53,,,,,,,Percent of Total Billed Charges,,,,,39.17,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,52.22,,,,,,,Percent of Total Billed Charges,,,,,149.2,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,, NF-DIPHENHYDRAMINE (BENADRYL) CREAM ,250,RC,,Outpatient,,,18.05,14.44,13.48,,,,,,,Percent of Total Billed Charges,,13.48,13.48,,18.05,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,17.15,,,,,,,Percent of Total Billed Charges,,,,,3.61,,,,,,,Percent of Total Billed Charges,,,,,15.34,,,,,,,Percent of Total Billed Charges,,,,,3.79,,,,,,,Percent of Total Billed Charges,,,,,16.25,,,,,,,Percent of Total Billed Charges,,,,,16.25,,,,,,,Percent of Total Billed Charges,,,,,3.61,,,,,,,Percent of Total Billed Charges,,,,,5.05,,,,,,,Percent of Total Billed Charges,,,,,14.44,,,,,,,Percent of Total Billed Charges,,,,,3.61,,,,,,,Percent of Total Billed Charges,,,, NF-LISINOPRIL / HCTZ TAB 20/12.5 ,250,RC,,Outpatient,,,15.4,12.32,11.5,,,,,,,Percent of Total Billed Charges,,11.5,11.5,,15.4,,,,,,,Percent of Total Billed Charges,,,,,14.78,,,,,,,Percent of Total Billed Charges,,,,,14.63,,,,,,,Percent of Total Billed Charges,,,,,3.08,,,,,,,Percent of Total Billed Charges,,,,,13.09,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,,,13.86,,,,,,,Percent of Total Billed Charges,,,,,13.86,,,,,,,Percent of Total Billed Charges,,,,,3.08,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,12.32,,,,,,,Percent of Total Billed Charges,,,,,3.08,,,,,,,Percent of Total Billed Charges,,,, NF-EXCEDRIN MIGRAINE TAB 250-250-65 ,250,RC,,Outpatient,,,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, NF-VITAMIN A CAP ,250,RC,,Outpatient,,,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, *NF-VITAMIN B COMPLEX CAP ,250,RC,,Outpatient,,,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-SUMATRIPTAN TAB: 50 MG ,250,RC,,Outpatient,50,ME,3.4,2.72,2.54,,,,,,,Percent of Total Billed Charges,,2.54,2.54,,3.4,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,2.89,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,, *NF-MINOCYCLINE CAP: 100 MG ,250,RC,,Outpatient,100,ME,2.75,2.2,2.05,,,,,,,Percent of Total Billed Charges,,2.05,2.05,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,, NF-PREGABALIN (LYRICA) CAP : 75 MG######,250,RC,,Outpatient,75,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, *CARISOPRODOL (SOMA) TAB: 350 MG ,250,RC,,Outpatient,350,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, NF-DEXLANSOPRAZOLE (DEXILANT) ER: 60MG C,250,RC,,Outpatient,60,ME,13.35,10.68,9.97,,,,,,,Percent of Total Billed Charges,,9.97,9.97,,13.35,,,,,,,Percent of Total Billed Charges,,,,,12.82,,,,,,,Percent of Total Billed Charges,,,,,12.68,,,,,,,Percent of Total Billed Charges,,,,,2.67,,,,,,,Percent of Total Billed Charges,,,,,11.35,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,12.02,,,,,,,Percent of Total Billed Charges,,,,,12.02,,,,,,,Percent of Total Billed Charges,,,,,2.67,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,10.68,,,,,,,Percent of Total Billed Charges,,,,,2.67,,,,,,,Percent of Total Billed Charges,,,, NF-ESTRADIOL (ESTRACE) TAB: 2 MG ,250,RC,,Outpatient,2,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-LEVETIRACETAM (KEPPRA) TAB: 250 MG###,250,RC,,Outpatient,250,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, NF-METAXALONE TAB (SKELAXIN) 800 MG ,250,RC,,Outpatient,800,ME,13.8,11.04,10.31,,,,,,,Percent of Total Billed Charges,,10.31,10.31,,13.8,,,,,,,Percent of Total Billed Charges,,,,,13.25,,,,,,,Percent of Total Billed Charges,,,,,13.11,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,11.73,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.42,,,,,,,Percent of Total Billed Charges,,,,,12.42,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,3.86,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,, NF-ACETAMINOPHEN PM CAP 500 MG/25 MG ,250,RC,,Outpatient,500,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, NF-TIZANIDINE (ZANAFLEX) CAP: 4 MG ,250,RC,,Outpatient,4,ME,15.2,12.16,11.35,,,,,,,Percent of Total Billed Charges,,11.35,11.35,,15.2,,,,,,,Percent of Total Billed Charges,,,,,14.59,,,,,,,Percent of Total Billed Charges,,,,,14.44,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,13.68,,,,,,,Percent of Total Billed Charges,,,,,13.68,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,,,4.26,,,,,,,Percent of Total Billed Charges,,,,,12.16,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,, NF-LEVETIRACETAM (KEPPRA) TAB: 500 MG###,250,RC,,Outpatient,500,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, NF-BUPROPION (WELLBUTRIN) SR 100 MG 12HR,250,RC,,Outpatient,100,ME,9.65,7.72,7.21,,,,,,,Percent of Total Billed Charges,,7.21,7.21,,9.65,,,,,,,Percent of Total Billed Charges,,,,,9.26,,,,,,,Percent of Total Billed Charges,,,,,9.17,,,,,,,Percent of Total Billed Charges,,,,,1.93,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,8.69,,,,,,,Percent of Total Billed Charges,,,,,8.69,,,,,,,Percent of Total Billed Charges,,,,,1.93,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,7.72,,,,,,,Percent of Total Billed Charges,,,,,1.93,,,,,,,Percent of Total Billed Charges,,,, *NF-VITAMIN D TAB 1000 UNIT***** ,250,RC,,Outpatient,1000,UN,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, NF-LOSARTAN/HCTZ TAB: 100 MG/25 MG ,250,RC,,Outpatient,100,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, NF-LIP BALM BASE OINTMENT ,250,RC,,Outpatient,,,21.5,17.2,16.06,,,,,,,Percent of Total Billed Charges,,16.06,16.06,,21.5,,,,,,,Percent of Total Billed Charges,,,,,20.64,,,,,,,Percent of Total Billed Charges,,,,,20.43,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,18.28,,,,,,,Percent of Total Billed Charges,,,,,4.52,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,6.02,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,, NF-VIVELLE-DOT PATCH ER 0.075MG/24HR ,250,RC,,Outpatient,0.75,ME,23.75,19,17.74,,,,,,,Percent of Total Billed Charges,,17.74,17.74,,23.75,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,22.56,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,20.19,,,,,,,Percent of Total Billed Charges,,,,,4.99,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,, NF-BIDIL TAB 37.5/20 ,250,RC,,Outpatient,,,11.85,9.48,8.85,,,,,,,Percent of Total Billed Charges,,8.85,8.85,,11.85,,,,,,,Percent of Total Billed Charges,,,,,11.38,,,,,,,Percent of Total Billed Charges,,,,,11.26,,,,,,,Percent of Total Billed Charges,,,,,2.37,,,,,,,Percent of Total Billed Charges,,,,,10.07,,,,,,,Percent of Total Billed Charges,,,,,2.49,,,,,,,Percent of Total Billed Charges,,,,,10.67,,,,,,,Percent of Total Billed Charges,,,,,10.67,,,,,,,Percent of Total Billed Charges,,,,,2.37,,,,,,,Percent of Total Billed Charges,,,,,3.32,,,,,,,Percent of Total Billed Charges,,,,,9.48,,,,,,,Percent of Total Billed Charges,,,,,2.37,,,,,,,Percent of Total Billed Charges,,,, NF-MINOCYCLINE CAP 50 MG ,250,RC,,Outpatient,50,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, NF-OLOPATADINE (PATADAY) OPHTH SOLN 0.2%,250,RC,,Outpatient,,,293.3,234.64,219.1,,,,,,,Percent of Total Billed Charges,,219.1,219.1,,293.3,,,,,,,Percent of Total Billed Charges,,,,,281.57,,,,,,,Percent of Total Billed Charges,,,,,278.64,,,,,,,Percent of Total Billed Charges,,,,,58.66,,,,,,,Percent of Total Billed Charges,,,,,249.31,,,,,,,Percent of Total Billed Charges,,,,,61.59,,,,,,,Percent of Total Billed Charges,,,,,263.97,,,,,,,Percent of Total Billed Charges,,,,,263.97,,,,,,,Percent of Total Billed Charges,,,,,58.66,,,,,,,Percent of Total Billed Charges,,,,,82.12,,,,,,,Percent of Total Billed Charges,,,,,234.64,,,,,,,Percent of Total Billed Charges,,,,,58.66,,,,,,,Percent of Total Billed Charges,,,, NF-KETOCONAZOLE CREAM 2% ,250,RC,,Outpatient,,,57.5,46,42.95,,,,,,,Percent of Total Billed Charges,,42.95,42.95,,57.5,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,54.63,,,,,,,Percent of Total Billed Charges,,,,,11.5,,,,,,,Percent of Total Billed Charges,,,,,48.88,,,,,,,Percent of Total Billed Charges,,,,,12.08,,,,,,,Percent of Total Billed Charges,,,,,51.75,,,,,,,Percent of Total Billed Charges,,,,,51.75,,,,,,,Percent of Total Billed Charges,,,,,11.5,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,,,11.5,,,,,,,Percent of Total Billed Charges,,,, NF-NIASPAN TAB ER 1000 MG ,250,RC,,Outpatient,1000,ME,18.75,15,14.01,,,,,,,Percent of Total Billed Charges,,14.01,14.01,,18.75,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,17.81,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,,,15.94,,,,,,,Percent of Total Billed Charges,,,,,3.94,,,,,,,Percent of Total Billed Charges,,,,,16.88,,,,,,,Percent of Total Billed Charges,,,,,16.88,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,, NITROFURANTOIN ER (MACROBID) CAP : 100MG,250,RC,,Outpatient,100,ME,3.55,2.84,2.65,,,,,,,Percent of Total Billed Charges,,2.65,2.65,,3.55,,,,,,,Percent of Total Billed Charges,,,,,3.41,,,,,,,Percent of Total Billed Charges,,,,,3.37,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,0.99,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,, NF-BRINZOLAMIDE (AZOPT) OPHTH SUSP 1% ,250,RC,,Outpatient,,,440,352,328.68,,,,,,,Percent of Total Billed Charges,,328.68,328.68,,440,,,,,,,Percent of Total Billed Charges,,,,,422.4,,,,,,,Percent of Total Billed Charges,,,,,418,,,,,,,Percent of Total Billed Charges,,,,,88,,,,,,,Percent of Total Billed Charges,,,,,374,,,,,,,Percent of Total Billed Charges,,,,,92.4,,,,,,,Percent of Total Billed Charges,,,,,396,,,,,,,Percent of Total Billed Charges,,,,,396,,,,,,,Percent of Total Billed Charges,,,,,88,,,,,,,Percent of Total Billed Charges,,,,,123.2,,,,,,,Percent of Total Billed Charges,,,,,352,,,,,,,Percent of Total Billed Charges,,,,,88,,,,,,,Percent of Total Billed Charges,,,, NF-OSCAL ULTRA 600 TABLET ,250,RC,,Outpatient,600,EA,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, FOSINOPRIL (MONOPRIL) TAB 10MG ,250,RC,,Outpatient,10,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, NF-OXCARBAZEPINE (TRILEPTAL) TAB 150MG ,250,RC,,Outpatient,150,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-TRILIPIX CAP DR 135 MG ,250,RC,,Outpatient,135,ME,17.8,14.24,13.3,,,,,,,Percent of Total Billed Charges,,13.3,13.3,,17.8,,,,,,,Percent of Total Billed Charges,,,,,17.09,,,,,,,Percent of Total Billed Charges,,,,,16.91,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,15.13,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,16.02,,,,,,,Percent of Total Billed Charges,,,,,16.02,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,4.98,,,,,,,Percent of Total Billed Charges,,,,,14.24,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,, NF-GLATIRAMER (COPAXONE) SQ KIT 20MG/1ML,250,RC,,Outpatient,20,ME,9754.25,7803.4,7286.42,,,,,,,Percent of Total Billed Charges,,7286.42,7286.42,,9754.25,,,,,,,Percent of Total Billed Charges,,,,,9364.08,,,,,,,Percent of Total Billed Charges,,,,,9266.54,,,,,,,Percent of Total Billed Charges,,,,,1950.85,,,,,,,Percent of Total Billed Charges,,,,,8291.11,,,,,,,Percent of Total Billed Charges,,,,,2048.39,,,,,,,Percent of Total Billed Charges,,,,,8778.83,,,,,,,Percent of Total Billed Charges,,,,,8778,,,,,,,Percent of Total Billed Charges,,,,,1950.85,,,,,,,Percent of Total Billed Charges,,,,,2731.19,,,,,,,Percent of Total Billed Charges,,,,,7803.4,,,,,,,Percent of Total Billed Charges,,,,,1950.85,,,,,,,Percent of Total Billed Charges,,,, NF-FELODIPINE ER (PLENDIL) TAB 10 MG ,250,RC,,Outpatient,10,ME,7.1,5.68,5.3,,,,,,,Percent of Total Billed Charges,,5.3,5.3,,7.1,,,,,,,Percent of Total Billed Charges,,,,,6.82,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,1.42,,,,,,,Percent of Total Billed Charges,,,,,6.04,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,6.39,,,,,,,Percent of Total Billed Charges,,,,,6.39,,,,,,,Percent of Total Billed Charges,,,,,1.42,,,,,,,Percent of Total Billed Charges,,,,,1.99,,,,,,,Percent of Total Billed Charges,,,,,5.68,,,,,,,Percent of Total Billed Charges,,,,,1.42,,,,,,,Percent of Total Billed Charges,,,, *NF-SYNTHROID TABLET 0.137 MG ,250,RC,,Outpatient,0.137,ME,5.65,4.52,4.22,,,,,,,Percent of Total Billed Charges,,4.22,4.22,,5.65,,,,,,,Percent of Total Billed Charges,,,,,5.42,,,,,,,Percent of Total Billed Charges,,,,,5.37,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,,,5.09,,,,,,,Percent of Total Billed Charges,,,,,5.09,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,4.52,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,, NF-PAROXETINE TAB: 40 MG ,250,RC,,Outpatient,40,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, NF-TENORETIC TAB 50MG-25MG ,250,RC,,Outpatient,50,ME,6.7,5.36,5,,,,,,,Percent of Total Billed Charges,,5,5,,6.7,,,,,,,Percent of Total Billed Charges,,,,,6.43,,,,,,,Percent of Total Billed Charges,,,,,6.37,,,,,,,Percent of Total Billed Charges,,,,,1.34,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.41,,,,,,,Percent of Total Billed Charges,,,,,6.03,,,,,,,Percent of Total Billed Charges,,,,,6.03,,,,,,,Percent of Total Billed Charges,,,,,1.34,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,1.34,,,,,,,Percent of Total Billed Charges,,,, NF-ATENOLOL/CHLORTHALIDONE 50/25 ,250,RC,,Outpatient,,,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, NF-VIT C CHEW TAB 250 MG ,250,RC,,Outpatient,250,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-PANGESTYME EC 20000UN/4500UN/25000UN ,250,RC,,Outpatient,20000,UN,3.25,2.6,2.43,,,,,,,Percent of Total Billed Charges,,2.43,2.43,,3.25,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,3.09,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,, NF-ROSUVASTATIN (CRESTOR) TAB 40 MG ,250,RC,,Outpatient,40,ME,13.2,10.56,9.86,,,,,,,Percent of Total Billed Charges,,9.86,9.86,,13.2,,,,,,,Percent of Total Billed Charges,,,,,12.67,,,,,,,Percent of Total Billed Charges,,,,,12.54,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,11.22,,,,,,,Percent of Total Billed Charges,,,,,2.77,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,10.56,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,, *NF-PHENOBARBITAL TAB 16.2 MG ,250,RC,,Outpatient,16.2,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-VIVELLE-DOT PATCH ER 0.05MG/24HR ,250,RC,,Outpatient,0.05,ME,20.15,16.12,15.05,,,,,,,Percent of Total Billed Charges,,15.05,15.05,,20.15,,,,,,,Percent of Total Billed Charges,,,,,19.34,,,,,,,Percent of Total Billed Charges,,,,,19.14,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,17.13,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,18.14,,,,,,,Percent of Total Billed Charges,,,,,18.14,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,5.64,,,,,,,Percent of Total Billed Charges,,,,,16.12,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,, NF-TOPIRAMATE (TOPAMAX) TAB 50 MG ,250,RC,,Outpatient,50,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, *NF-TOPIRAMATE (TOPAMAX) TAB 200 MG ,250,RC,,Outpatient,200,ME,25.7,20.56,19.2,,,,,,,Percent of Total Billed Charges,,19.2,19.2,,25.7,,,,,,,Percent of Total Billed Charges,,,,,24.67,,,,,,,Percent of Total Billed Charges,,,,,24.42,,,,,,,Percent of Total Billed Charges,,,,,5.14,,,,,,,Percent of Total Billed Charges,,,,,21.85,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,23.13,,,,,,,Percent of Total Billed Charges,,,,,23.13,,,,,,,Percent of Total Billed Charges,,,,,5.14,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,20.56,,,,,,,Percent of Total Billed Charges,,,,,5.14,,,,,,,Percent of Total Billed Charges,,,, *ROPINIROLE (REQUIP) TAB: 1 MG ,250,RC,,Outpatient,1,ME,2.85,2.28,2.13,,,,,,,Percent of Total Billed Charges,,2.13,2.13,,2.85,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,2.71,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,, BUPROPION (WELLBUTRIN) XL TAB : 150 MG ,250,RC,,Outpatient,150,ME,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, NF-QUINAPRIL TAB (ACCUPRIL) 40 MG######,250,RC,,Outpatient,40,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, NF-LEVOXYL TAB 0.112 MG ,250,RC,,Outpatient,0.112,ME,2.6,2.08,1.94,,,,,,,Percent of Total Billed Charges,,1.94,1.94,,2.6,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,, NF-LISINOPRIL AND HCTZ TAB 20MG/25MG ###,250,RC,,Outpatient,20,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-ACYCLOVIR (ZOVIRAX) TAB 400 MG ,250,RC,,Outpatient,400,ME,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, NF-NIASPAN TAB ER 500 MG ,250,RC,,Outpatient,500,ME,8.2,6.56,6.13,,,,,,,Percent of Total Billed Charges,,6.13,6.13,,8.2,,,,,,,Percent of Total Billed Charges,,,,,7.87,,,,,,,Percent of Total Billed Charges,,,,,7.79,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,6.97,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,7.38,,,,,,,Percent of Total Billed Charges,,,,,7.38,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,6.56,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,, *LIDOCAINE PATCH 5% ,250,RC,,Outpatient,,,8.45,6.76,6.31,,,,,,,Percent of Total Billed Charges,,6.31,6.31,,8.45,,,,,,,Percent of Total Billed Charges,,,,,8.11,,,,,,,Percent of Total Billed Charges,,,,,8.03,,,,,,,Percent of Total Billed Charges,,,,,1.69,,,,,,,Percent of Total Billed Charges,,,,,7.18,,,,,,,Percent of Total Billed Charges,,,,,1.77,,,,,,,Percent of Total Billed Charges,,,,,7.61,,,,,,,Percent of Total Billed Charges,,,,,7.61,,,,,,,Percent of Total Billed Charges,,,,,1.69,,,,,,,Percent of Total Billed Charges,,,,,2.37,,,,,,,Percent of Total Billed Charges,,,,,6.76,,,,,,,Percent of Total Billed Charges,,,,,1.69,,,,,,,Percent of Total Billed Charges,,,, NF-NIASPAN TAB 750 MG ,250,RC,,Outpatient,750,ME,15.6,12.48,11.65,,,,,,,Percent of Total Billed Charges,,11.65,11.65,,15.6,,,,,,,Percent of Total Billed Charges,,,,,14.98,,,,,,,Percent of Total Billed Charges,,,,,14.82,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,13.26,,,,,,,Percent of Total Billed Charges,,,,,3.28,,,,,,,Percent of Total Billed Charges,,,,,14.04,,,,,,,Percent of Total Billed Charges,,,,,14.04,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,4.37,,,,,,,Percent of Total Billed Charges,,,,,12.48,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,, NF-CLOBETASOL PROPIONATE 0.05% ,250,RC,,Outpatient,,,53.75,43,40.15,,,,,,,Percent of Total Billed Charges,,40.15,40.15,,53.75,,,,,,,Percent of Total Billed Charges,,,,,51.6,,,,,,,Percent of Total Billed Charges,,,,,51.06,,,,,,,Percent of Total Billed Charges,,,,,10.75,,,,,,,Percent of Total Billed Charges,,,,,45.69,,,,,,,Percent of Total Billed Charges,,,,,11.29,,,,,,,Percent of Total Billed Charges,,,,,48.38,,,,,,,Percent of Total Billed Charges,,,,,48.38,,,,,,,Percent of Total Billed Charges,,,,,10.75,,,,,,,Percent of Total Billed Charges,,,,,15.05,,,,,,,Percent of Total Billed Charges,,,,,43,,,,,,,Percent of Total Billed Charges,,,,,10.75,,,,,,,Percent of Total Billed Charges,,,, NF-TAZAROTENE (TAZORAC) GEL 0.1% ,250,RC,,Outpatient,,,593.3,474.64,443.2,,,,,,,Percent of Total Billed Charges,,443.2,443.2,,593.3,,,,,,,Percent of Total Billed Charges,,,,,569.57,,,,,,,Percent of Total Billed Charges,,,,,563.64,,,,,,,Percent of Total Billed Charges,,,,,118.66,,,,,,,Percent of Total Billed Charges,,,,,504.31,,,,,,,Percent of Total Billed Charges,,,,,124.59,,,,,,,Percent of Total Billed Charges,,,,,533.97,,,,,,,Percent of Total Billed Charges,,,,,533.97,,,,,,,Percent of Total Billed Charges,,,,,118.66,,,,,,,Percent of Total Billed Charges,,,,,166.12,,,,,,,Percent of Total Billed Charges,,,,,474.64,,,,,,,Percent of Total Billed Charges,,,,,118.66,,,,,,,Percent of Total Billed Charges,,,, NF-FELODIPINE (PLENDIL) TABLET ER 5 MG ,250,RC,,Outpatient,5,ME,4.75,3.8,3.55,,,,,,,Percent of Total Billed Charges,,3.55,3.55,,4.75,,,,,,,Percent of Total Billed Charges,,,,,4.56,,,,,,,Percent of Total Billed Charges,,,,,4.51,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.04,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,1.33,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,, NF-AZURETTE TAB ,250,RC,,Outpatient,,,600.2,480.16,448.35,,,,,,,Percent of Total Billed Charges,,448.35,448.35,,600.2,,,,,,,Percent of Total Billed Charges,,,,,576.19,,,,,,,Percent of Total Billed Charges,,,,,570.19,,,,,,,Percent of Total Billed Charges,,,,,120.04,,,,,,,Percent of Total Billed Charges,,,,,510.17,,,,,,,Percent of Total Billed Charges,,,,,126.04,,,,,,,Percent of Total Billed Charges,,,,,540.18,,,,,,,Percent of Total Billed Charges,,,,,540.18,,,,,,,Percent of Total Billed Charges,,,,,120.04,,,,,,,Percent of Total Billed Charges,,,,,168.06,,,,,,,Percent of Total Billed Charges,,,,,480.16,,,,,,,Percent of Total Billed Charges,,,,,120.04,,,,,,,Percent of Total Billed Charges,,,, NF-EPLERENONE (INSPRA) TAB : 25MG ,250,RC,,Outpatient,25,ME,11.35,9.08,8.48,,,,,,,Percent of Total Billed Charges,,8.48,8.48,,11.35,,,,,,,Percent of Total Billed Charges,,,,,10.9,,,,,,,Percent of Total Billed Charges,,,,,10.78,,,,,,,Percent of Total Billed Charges,,,,,2.27,,,,,,,Percent of Total Billed Charges,,,,,9.65,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,2.27,,,,,,,Percent of Total Billed Charges,,,,,3.18,,,,,,,Percent of Total Billed Charges,,,,,9.08,,,,,,,Percent of Total Billed Charges,,,,,2.27,,,,,,,Percent of Total Billed Charges,,,, NF-SLO-NIACIN TABLET 500MG ,250,RC,,Outpatient,500,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, MORPHINE ORAL SOLN 20MG/ML *NONFORMULARY,250,RC,,Outpatient,20,ME,26.65,21.32,19.91,,,,,,,Percent of Total Billed Charges,,19.91,19.91,,26.65,,,,,,,Percent of Total Billed Charges,,,,,25.58,,,,,,,Percent of Total Billed Charges,,,,,25.32,,,,,,,Percent of Total Billed Charges,,,,,5.33,,,,,,,Percent of Total Billed Charges,,,,,22.65,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,23.99,,,,,,,Percent of Total Billed Charges,,,,,23.99,,,,,,,Percent of Total Billed Charges,,,,,5.33,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,21.32,,,,,,,Percent of Total Billed Charges,,,,,5.33,,,,,,,Percent of Total Billed Charges,,,, NF-GLYBURIDE/METFORMIN 5/500 TAB #######,250,RC,,Outpatient,500,EA,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, NF-TRI-SPRINTEC TAB 35MCG-0.18MG;35MCG-0,250,RC,,Outpatient,35,ME,6.85,5.48,5.12,,,,,,,Percent of Total Billed Charges,,5.12,5.12,,6.85,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.82,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,6.17,,,,,,,Percent of Total Billed Charges,,,,,6.17,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,5.48,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,, NF-GLUCERNA 1.2 CAL ORAL LIQUID ,250,RC,,Outpatient,1.2,EA,6.8,5.44,5.08,,,,,,,Percent of Total Billed Charges,,5.08,5.08,,6.8,,,,,,,Percent of Total Billed Charges,,,,,6.53,,,,,,,Percent of Total Billed Charges,,,,,6.46,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,1.43,,,,,,,Percent of Total Billed Charges,,,,,6.12,,,,,,,Percent of Total Billed Charges,,,,,6.12,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,5.44,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,, NF-BENZOYL PEROXIDE TOPICAL GEL 5% ,250,RC,,Outpatient,,,53.85,43.08,40.23,,,,,,,Percent of Total Billed Charges,,40.23,40.23,,53.85,,,,,,,Percent of Total Billed Charges,,,,,51.7,,,,,,,Percent of Total Billed Charges,,,,,51.16,,,,,,,Percent of Total Billed Charges,,,,,10.77,,,,,,,Percent of Total Billed Charges,,,,,45.77,,,,,,,Percent of Total Billed Charges,,,,,11.31,,,,,,,Percent of Total Billed Charges,,,,,48.47,,,,,,,Percent of Total Billed Charges,,,,,48.47,,,,,,,Percent of Total Billed Charges,,,,,10.77,,,,,,,Percent of Total Billed Charges,,,,,15.08,,,,,,,Percent of Total Billed Charges,,,,,43.08,,,,,,,Percent of Total Billed Charges,,,,,10.77,,,,,,,Percent of Total Billed Charges,,,, NF-CLINDAMYCIN (CLEOCIN) LOTION 1% ,250,RC,,Outpatient,,,29.75,23.8,22.22,,,,,,,Percent of Total Billed Charges,,22.22,22.22,,29.75,,,,,,,Percent of Total Billed Charges,,,,,28.56,,,,,,,Percent of Total Billed Charges,,,,,28.26,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,25.29,,,,,,,Percent of Total Billed Charges,,,,,6.25,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,8.33,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,, NF-SIMVASTATIN TAB 80 MG ########## BULK,250,RC,,Outpatient,80,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, NF-LOVAZA LIQ CAP 1 GRAM ,250,RC,,Outpatient,1,GR,5.95,4.76,4.44,,,,,,,Percent of Total Billed Charges,,4.44,4.44,,5.95,,,,,,,Percent of Total Billed Charges,,,,,5.71,,,,,,,Percent of Total Billed Charges,,,,,5.65,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,,,5.06,,,,,,,Percent of Total Billed Charges,,,,,1.25,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,, *NF-MULTAQ TAB 400 MG ,250,RC,,Outpatient,400,ME,12.85,10.28,9.6,,,,,,,Percent of Total Billed Charges,,9.6,9.6,,12.85,,,,,,,Percent of Total Billed Charges,,,,,12.34,,,,,,,Percent of Total Billed Charges,,,,,12.21,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,10.92,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,11.57,,,,,,,Percent of Total Billed Charges,,,,,11.57,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,10.28,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,, NF-TELAVANCIN 250 MG INJ FOR IVPB ,J3095 ,HCPCS,,Outpatient,,,190.95,152.76,142.64,,,,,,,Percent of Total Billed Charges,,142.64,142.64,,190.95,,,,,,,Percent of Total Billed Charges,,,,,183.31,,,,,,,Percent of Total Billed Charges,,,,,181.4,,,,,,,Percent of Total Billed Charges,,,,,38.19,,,,,,,Percent of Total Billed Charges,,,,,162.31,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,,,171.86,,,,,,,Percent of Total Billed Charges,,,,,171.86,,,,,,,Percent of Total Billed Charges,,,,,38.19,,,,,,,Percent of Total Billed Charges,,,,,53.47,,,,,,,Percent of Total Billed Charges,,,,,152.76,,,,,,,Percent of Total Billed Charges,,,,,38.19,,,,,,,Percent of Total Billed Charges,,,, NF-TELAVANCIN 750 MG INJ FOR IVPB ,J3095 ,HCPCS,,Outpatient,,,1148.1,918.48,857.63,,,,,,,Percent of Total Billed Charges,,857.63,857.63,,1148.1,,,,,,,Percent of Total Billed Charges,,,,,1102.18,,,,,,,Percent of Total Billed Charges,,,,,1090.7,,,,,,,Percent of Total Billed Charges,,,,,229.62,,,,,,,Percent of Total Billed Charges,,,,,975.89,,,,,,,Percent of Total Billed Charges,,,,,241.1,,,,,,,Percent of Total Billed Charges,,,,,1033.29,,,,,,,Percent of Total Billed Charges,,,,,1033.29,,,,,,,Percent of Total Billed Charges,,,,,229.62,,,,,,,Percent of Total Billed Charges,,,,,321.47,,,,,,,Percent of Total Billed Charges,,,,,918.48,,,,,,,Percent of Total Billed Charges,,,,,229.62,,,,,,,Percent of Total Billed Charges,,,, *NF-TRIAMCINOLONE ACETONIDE CREAM 0.1% ,250,RC,,Outpatient,,,43.15,34.52,32.23,,,,,,,Percent of Total Billed Charges,,32.23,32.23,,43.15,,,,,,,Percent of Total Billed Charges,,,,,41.42,,,,,,,Percent of Total Billed Charges,,,,,40.99,,,,,,,Percent of Total Billed Charges,,,,,8.63,,,,,,,Percent of Total Billed Charges,,,,,36.68,,,,,,,Percent of Total Billed Charges,,,,,9.06,,,,,,,Percent of Total Billed Charges,,,,,38.84,,,,,,,Percent of Total Billed Charges,,,,,38.84,,,,,,,Percent of Total Billed Charges,,,,,8.63,,,,,,,Percent of Total Billed Charges,,,,,12.08,,,,,,,Percent of Total Billed Charges,,,,,34.52,,,,,,,Percent of Total Billed Charges,,,,,8.63,,,,,,,Percent of Total Billed Charges,,,, *NF-ACETAMINOPHEN TAB BOTTLE OF 500#### ,250,RC,,Outpatient,,,4.8,3.84,3.59,,,,,,,Percent of Total Billed Charges,,3.59,3.59,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.61,,,,,,,Percent of Total Billed Charges,,,,,4.56,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,4.08,,,,,,,Percent of Total Billed Charges,,,,,1.01,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,1.34,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,, NF-CALCIUM CHEW TAB 500MG/VIT D ,250,RC,,Outpatient,500,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, NF-METOPROLOL TARTRATE TAB 100 MG######,250,RC,,Outpatient,100,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, *NF-LISINOPRIL / HCTZ TAB 10/12.5 ,250,RC,,Outpatient,,,5.9,4.72,4.41,,,,,,,Percent of Total Billed Charges,,4.41,4.41,,5.9,,,,,,,Percent of Total Billed Charges,,,,,5.66,,,,,,,Percent of Total Billed Charges,,,,,5.61,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,5.02,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,5.31,,,,,,,Percent of Total Billed Charges,,,,,5.31,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,1.65,,,,,,,Percent of Total Billed Charges,,,,,4.72,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,, NF-GAS-X EXTRA STRENGTH CAPSULE 125MG ,250,RC,,Outpatient,125,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, NF-TRETINOIN CREAM 0.05% ,250,RC,,Outpatient,,,113.5,90.8,84.78,,,,,,,Percent of Total Billed Charges,,84.78,84.78,,113.5,,,,,,,Percent of Total Billed Charges,,,,,108.96,,,,,,,Percent of Total Billed Charges,,,,,107.83,,,,,,,Percent of Total Billed Charges,,,,,22.7,,,,,,,Percent of Total Billed Charges,,,,,96.48,,,,,,,Percent of Total Billed Charges,,,,,23.84,,,,,,,Percent of Total Billed Charges,,,,,102.15,,,,,,,Percent of Total Billed Charges,,,,,102.15,,,,,,,Percent of Total Billed Charges,,,,,22.7,,,,,,,Percent of Total Billed Charges,,,,,31.78,,,,,,,Percent of Total Billed Charges,,,,,90.8,,,,,,,Percent of Total Billed Charges,,,,,22.7,,,,,,,Percent of Total Billed Charges,,,, NF-SYMBICORT INHALER 80 MCG-4.5 MCG ,250,RC,,Outpatient,80,ME,569.95,455.96,425.75,,,,,,,Percent of Total Billed Charges,,425.75,425.75,,569.95,,,,,,,Percent of Total Billed Charges,,,,,547.15,,,,,,,Percent of Total Billed Charges,,,,,541.45,,,,,,,Percent of Total Billed Charges,,,,,113.99,,,,,,,Percent of Total Billed Charges,,,,,484.46,,,,,,,Percent of Total Billed Charges,,,,,119.69,,,,,,,Percent of Total Billed Charges,,,,,512.96,,,,,,,Percent of Total Billed Charges,,,,,512.96,,,,,,,Percent of Total Billed Charges,,,,,113.99,,,,,,,Percent of Total Billed Charges,,,,,159.59,,,,,,,Percent of Total Billed Charges,,,,,455.96,,,,,,,Percent of Total Billed Charges,,,,,113.99,,,,,,,Percent of Total Billed Charges,,,, PRENATAL TABLET########## ,250,RC,,Outpatient,,,20.8,16.64,15.54,,,,,,,Percent of Total Billed Charges,,15.54,15.54,,20.8,,,,,,,Percent of Total Billed Charges,,,,,19.97,,,,,,,Percent of Total Billed Charges,,,,,19.76,,,,,,,Percent of Total Billed Charges,,,,,4.16,,,,,,,Percent of Total Billed Charges,,,,,17.68,,,,,,,Percent of Total Billed Charges,,,,,4.37,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,4.16,,,,,,,Percent of Total Billed Charges,,,,,5.82,,,,,,,Percent of Total Billed Charges,,,,,16.64,,,,,,,Percent of Total Billed Charges,,,,,4.16,,,,,,,Percent of Total Billed Charges,,,, NF-CLOTRIMAZOLE SOLN 1% ,250,RC,,Outpatient,,,86.55,69.24,64.65,,,,,,,Percent of Total Billed Charges,,64.65,64.65,,86.55,,,,,,,Percent of Total Billed Charges,,,,,83.09,,,,,,,Percent of Total Billed Charges,,,,,82.22,,,,,,,Percent of Total Billed Charges,,,,,17.31,,,,,,,Percent of Total Billed Charges,,,,,73.57,,,,,,,Percent of Total Billed Charges,,,,,18.18,,,,,,,Percent of Total Billed Charges,,,,,77.9,,,,,,,Percent of Total Billed Charges,,,,,77.9,,,,,,,Percent of Total Billed Charges,,,,,17.31,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,69.24,,,,,,,Percent of Total Billed Charges,,,,,17.31,,,,,,,Percent of Total Billed Charges,,,, NF-FELDENE (PIROXICAM) CAP: 20 MG ,250,RC,,Outpatient,20,ME,22.75,18.2,16.99,,,,,,,Percent of Total Billed Charges,,16.99,16.99,,22.75,,,,,,,Percent of Total Billed Charges,,,,,21.84,,,,,,,Percent of Total Billed Charges,,,,,21.61,,,,,,,Percent of Total Billed Charges,,,,,4.55,,,,,,,Percent of Total Billed Charges,,,,,19.34,,,,,,,Percent of Total Billed Charges,,,,,4.78,,,,,,,Percent of Total Billed Charges,,,,,20.48,,,,,,,Percent of Total Billed Charges,,,,,20.48,,,,,,,Percent of Total Billed Charges,,,,,4.55,,,,,,,Percent of Total Billed Charges,,,,,6.37,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,4.55,,,,,,,Percent of Total Billed Charges,,,, NF-FENOFIBRATE (TRICOR) CAP: 200 MG ,250,RC,,Outpatient,200,ME,22.25,17.8,16.62,,,,,,,Percent of Total Billed Charges,,16.62,16.62,,22.25,,,,,,,Percent of Total Billed Charges,,,,,21.36,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,4.45,,,,,,,Percent of Total Billed Charges,,,,,18.91,,,,,,,Percent of Total Billed Charges,,,,,4.67,,,,,,,Percent of Total Billed Charges,,,,,20.03,,,,,,,Percent of Total Billed Charges,,,,,20.03,,,,,,,Percent of Total Billed Charges,,,,,4.45,,,,,,,Percent of Total Billed Charges,,,,,6.23,,,,,,,Percent of Total Billed Charges,,,,,17.8,,,,,,,Percent of Total Billed Charges,,,,,4.45,,,,,,,Percent of Total Billed Charges,,,, NF-CLONAZEPAM (KLONOPIN) TAB: 2 MG ,250,RC,,Outpatient,2,ME,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, NF-FOSINOPRIL (MONOPRIL) TAB: 40 MG ,250,RC,,Outpatient,40,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, NF-SILODOSIN (RAPAFLO) CAP: 8 MG ,250,RC,,Outpatient,8,ME,2.55,2.04,1.9,,,,,,,Percent of Total Billed Charges,,1.9,1.9,,2.55,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,, NF-ARIPIPRAZOLE (ABILIFY) TAB: 5 MG ,250,RC,,Outpatient,5,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-AVONEX IM KIT : 30 MCG/0.5 ML ,250,RC,,Outpatient,0.5,ML,2178.5,1742.8,1627.34,,,,,,,Percent of Total Billed Charges,,1627.34,1627.34,,2178.5,,,,,,,Percent of Total Billed Charges,,,,,2091.36,,,,,,,Percent of Total Billed Charges,,,,,2069.58,,,,,,,Percent of Total Billed Charges,,,,,435.7,,,,,,,Percent of Total Billed Charges,,,,,1851.73,,,,,,,Percent of Total Billed Charges,,,,,457.49,,,,,,,Percent of Total Billed Charges,,,,,1960.65,,,,,,,Percent of Total Billed Charges,,,,,1960.65,,,,,,,Percent of Total Billed Charges,,,,,435.7,,,,,,,Percent of Total Billed Charges,,,,,609.98,,,,,,,Percent of Total Billed Charges,,,,,1742.8,,,,,,,Percent of Total Billed Charges,,,,,435.7,,,,,,,Percent of Total Billed Charges,,,, NF-FENOFIBRATE (TRICOR) CAP 67 MG ,250,RC,,Outpatient,67,ME,4.25,3.4,3.17,,,,,,,Percent of Total Billed Charges,,3.17,3.17,,4.25,,,,,,,Percent of Total Billed Charges,,,,,4.08,,,,,,,Percent of Total Billed Charges,,,,,4.04,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,3.61,,,,,,,Percent of Total Billed Charges,,,,,0.89,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,, NF-PREMPRO LOW DOSE TAB 0.45MG-1.5MG ,250,RC,,Outpatient,0.45,ME,11.35,9.08,8.48,,,,,,,Percent of Total Billed Charges,,8.48,8.48,,11.35,,,,,,,Percent of Total Billed Charges,,,,,10.9,,,,,,,Percent of Total Billed Charges,,,,,10.78,,,,,,,Percent of Total Billed Charges,,,,,2.27,,,,,,,Percent of Total Billed Charges,,,,,9.65,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,2.27,,,,,,,Percent of Total Billed Charges,,,,,3.18,,,,,,,Percent of Total Billed Charges,,,,,9.08,,,,,,,Percent of Total Billed Charges,,,,,2.27,,,,,,,Percent of Total Billed Charges,,,, *NF-CENTURY CARDIO HEALTH FORMULA TAB ,250,RC,,Outpatient,,,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, NF-FLUNISOLIDE NASAL SPRAY 0.025MG/1ACT ,250,RC,,Outpatient,0.025,ME,570.4,456.32,426.09,,,,,,,Percent of Total Billed Charges,,426.09,426.09,,570.4,,,,,,,Percent of Total Billed Charges,,,,,547.58,,,,,,,Percent of Total Billed Charges,,,,,541.88,,,,,,,Percent of Total Billed Charges,,,,,114.08,,,,,,,Percent of Total Billed Charges,,,,,484.84,,,,,,,Percent of Total Billed Charges,,,,,119.78,,,,,,,Percent of Total Billed Charges,,,,,513.36,,,,,,,Percent of Total Billed Charges,,,,,513.36,,,,,,,Percent of Total Billed Charges,,,,,114.08,,,,,,,Percent of Total Billed Charges,,,,,159.71,,,,,,,Percent of Total Billed Charges,,,,,456.32,,,,,,,Percent of Total Billed Charges,,,,,114.08,,,,,,,Percent of Total Billed Charges,,,, NF-GLUCOSAMINE & CHONDROITIN TAB/CAP ,250,RC,,Outpatient,,,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, NF-METHIMAZOLE (TAPAZOLE) TAB 5 MG ,250,RC,,Outpatient,5,ME,2.95,2.36,2.2,,,,,,,Percent of Total Billed Charges,,2.2,2.2,,2.95,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,, NF-BIMATOPROST (LUMIGAN OPHTH SOLN 0.01%,250,RC,,Outpatient,,,672.5,538,502.36,,,,,,,Percent of Total Billed Charges,,502.36,502.36,,672.5,,,,,,,Percent of Total Billed Charges,,,,,645.6,,,,,,,Percent of Total Billed Charges,,,,,638.88,,,,,,,Percent of Total Billed Charges,,,,,134.5,,,,,,,Percent of Total Billed Charges,,,,,571.63,,,,,,,Percent of Total Billed Charges,,,,,141.23,,,,,,,Percent of Total Billed Charges,,,,,605.25,,,,,,,Percent of Total Billed Charges,,,,,605.25,,,,,,,Percent of Total Billed Charges,,,,,134.5,,,,,,,Percent of Total Billed Charges,,,,,188.3,,,,,,,Percent of Total Billed Charges,,,,,538,,,,,,,Percent of Total Billed Charges,,,,,134.5,,,,,,,Percent of Total Billed Charges,,,, NF-FOLIC ACID TAB 1 MG ############## ,250,RC,,Outpatient,1,ME,12.75,10.2,9.52,,,,,,,Percent of Total Billed Charges,,9.52,9.52,,12.75,,,,,,,Percent of Total Billed Charges,,,,,12.24,,,,,,,Percent of Total Billed Charges,,,,,12.11,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,10.84,,,,,,,Percent of Total Billed Charges,,,,,2.68,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,, NF-POTASSIUM GLUCONATE TAB 595 MG ,250,RC,,Outpatient,595,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-NAPHCON-A OPHTH SOLUTION ,250,RC,,Outpatient,,,36.3,29.04,27.12,,,,,,,Percent of Total Billed Charges,,27.12,27.12,,36.3,,,,,,,Percent of Total Billed Charges,,,,,34.85,,,,,,,Percent of Total Billed Charges,,,,,34.49,,,,,,,Percent of Total Billed Charges,,,,,7.26,,,,,,,Percent of Total Billed Charges,,,,,30.86,,,,,,,Percent of Total Billed Charges,,,,,7.62,,,,,,,Percent of Total Billed Charges,,,,,32.67,,,,,,,Percent of Total Billed Charges,,,,,32.67,,,,,,,Percent of Total Billed Charges,,,,,7.26,,,,,,,Percent of Total Billed Charges,,,,,10.16,,,,,,,Percent of Total Billed Charges,,,,,29.04,,,,,,,Percent of Total Billed Charges,,,,,7.26,,,,,,,Percent of Total Billed Charges,,,, NF-ZIPRASIDONE (GEODON) CAP 80 MG ,250,RC,,Outpatient,80,ME,26.95,21.56,20.13,,,,,,,Percent of Total Billed Charges,,20.13,20.13,,26.95,,,,,,,Percent of Total Billed Charges,,,,,25.87,,,,,,,Percent of Total Billed Charges,,,,,25.6,,,,,,,Percent of Total Billed Charges,,,,,5.39,,,,,,,Percent of Total Billed Charges,,,,,22.91,,,,,,,Percent of Total Billed Charges,,,,,5.66,,,,,,,Percent of Total Billed Charges,,,,,24.26,,,,,,,Percent of Total Billed Charges,,,,,24.26,,,,,,,Percent of Total Billed Charges,,,,,5.39,,,,,,,Percent of Total Billed Charges,,,,,7.55,,,,,,,Percent of Total Billed Charges,,,,,21.56,,,,,,,Percent of Total Billed Charges,,,,,5.39,,,,,,,Percent of Total Billed Charges,,,, NF-LAMOTRIGINE (LAMICTAL) TAB 200 MG ,250,RC,,Outpatient,200,ME,3.9,3.12,2.91,,,,,,,Percent of Total Billed Charges,,2.91,2.91,,3.9,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,3.71,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,3.32,,,,,,,Percent of Total Billed Charges,,,,,0.82,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,1.09,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,, NF-FLUTICASONE PROPIONATE CRM 0.05% ,250,RC,,Outpatient,,,40.05,32.04,29.92,,,,,,,Percent of Total Billed Charges,,29.92,29.92,,40.05,,,,,,,Percent of Total Billed Charges,,,,,38.45,,,,,,,Percent of Total Billed Charges,,,,,38.05,,,,,,,Percent of Total Billed Charges,,,,,8.01,,,,,,,Percent of Total Billed Charges,,,,,34.04,,,,,,,Percent of Total Billed Charges,,,,,8.41,,,,,,,Percent of Total Billed Charges,,,,,36.05,,,,,,,Percent of Total Billed Charges,,,,,36.05,,,,,,,Percent of Total Billed Charges,,,,,8.01,,,,,,,Percent of Total Billed Charges,,,,,11.21,,,,,,,Percent of Total Billed Charges,,,,,32.04,,,,,,,Percent of Total Billed Charges,,,,,8.01,,,,,,,Percent of Total Billed Charges,,,, NF-PRAVASTATIN TAB 10MG ### BULK ,250,RC,,Outpatient,10,ME,2.95,2.36,2.2,,,,,,,Percent of Total Billed Charges,,2.2,2.2,,2.95,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,, NF-LEVETIRACETAM (KEPPRA) TAB 1000 MG ,250,RC,,Outpatient,1000,ME,28.75,23,21.48,,,,,,,Percent of Total Billed Charges,,21.48,21.48,,28.75,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,,,27.31,,,,,,,Percent of Total Billed Charges,,,,,5.75,,,,,,,Percent of Total Billed Charges,,,,,24.44,,,,,,,Percent of Total Billed Charges,,,,,6.04,,,,,,,Percent of Total Billed Charges,,,,,25.88,,,,,,,Percent of Total Billed Charges,,,,,25.88,,,,,,,Percent of Total Billed Charges,,,,,5.75,,,,,,,Percent of Total Billed Charges,,,,,8.05,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,5.75,,,,,,,Percent of Total Billed Charges,,,, NF-CLONAZEPAM (KLONOPIN) TAB 1 MG ,250,RC,,Outpatient,1,ME,6.75,5.4,5.04,,,,,,,Percent of Total Billed Charges,,5.04,5.04,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.48,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,1.42,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,, NF-PREVIDENT 5000 PLUS DENTAL CREAM 1.1%,250,RC,,Outpatient,,,22.25,17.8,16.62,,,,,,,Percent of Total Billed Charges,,16.62,16.62,,22.25,,,,,,,Percent of Total Billed Charges,,,,,21.36,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,4.45,,,,,,,Percent of Total Billed Charges,,,,,18.91,,,,,,,Percent of Total Billed Charges,,,,,4.67,,,,,,,Percent of Total Billed Charges,,,,,20.03,,,,,,,Percent of Total Billed Charges,,,,,20.03,,,,,,,Percent of Total Billed Charges,,,,,4.45,,,,,,,Percent of Total Billed Charges,,,,,6.23,,,,,,,Percent of Total Billed Charges,,,,,17.8,,,,,,,Percent of Total Billed Charges,,,,,4.45,,,,,,,Percent of Total Billed Charges,,,, NF-ALENDRONATE TAB (FOSAMAX) 10 MG ,250,RC,,Outpatient,10,ME,11.25,9,8.4,,,,,,,Percent of Total Billed Charges,,8.4,8.4,,11.25,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,10.69,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,9.56,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,,,10.13,,,,,,,Percent of Total Billed Charges,,,,,10.13,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,, NF-FLUTAMIDE (EULEXIN) CAP 125 MG ,250,RC,,Outpatient,125,ME,5.85,4.68,4.37,,,,,,,Percent of Total Billed Charges,,4.37,4.37,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.62,,,,,,,Percent of Total Billed Charges,,,,,5.56,,,,,,,Percent of Total Billed Charges,,,,,1.17,,,,,,,Percent of Total Billed Charges,,,,,4.97,,,,,,,Percent of Total Billed Charges,,,,,1.23,,,,,,,Percent of Total Billed Charges,,,,,5.27,,,,,,,Percent of Total Billed Charges,,,,,5.27,,,,,,,Percent of Total Billed Charges,,,,,1.17,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.17,,,,,,,Percent of Total Billed Charges,,,, *NF-ZIPRADIDONE (GEODON) CAP 20 MG ,250,RC,,Outpatient,20,ME,3.55,2.84,2.65,,,,,,,Percent of Total Billed Charges,,2.65,2.65,,3.55,,,,,,,Percent of Total Billed Charges,,,,,3.41,,,,,,,Percent of Total Billed Charges,,,,,3.37,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,0.99,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,, NF-SERTRALINE 50 MG TAB ########### ,250,RC,,Outpatient,50,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, *NF-ZINC ELEMENTAL TAB 50 MG ,250,RC,,Outpatient,50,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, *NF-CALCIUM CARBONATE SUSP 1250MG/5ML ,250,RC,,Outpatient,1250,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, NF-VITAMIN E CAPSULE 1000 UNIT ,250,RC,,Outpatient,1000,UN,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, NF-LEVOXYL TAB 0.137 MG ################,250,RC,,Outpatient,0.137,ME,2.75,2.2,2.05,,,,,,,Percent of Total Billed Charges,,2.05,2.05,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,, NF-CALCIUM CITRATE TAB 950 MG ,250,RC,,Outpatient,950,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, *HYDROCODONE/APAP TAB 7.5MG-325MG ,250,RC,,Outpatient,7.5,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, NF-QUETIAPINE XR (SEROQUEL) TAB 150 MG ,250,RC,,Outpatient,150,ME,26,20.8,19.42,,,,,,,Percent of Total Billed Charges,,19.42,19.42,,26,,,,,,,Percent of Total Billed Charges,,,,,24.96,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,7.28,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,, NF-VIVELLE DOT PATCH 0.025 MG/24HRS ,250,RC,,Outpatient,0.025,ME,25.65,20.52,19.16,,,,,,,Percent of Total Billed Charges,,19.16,19.16,,25.65,,,,,,,Percent of Total Billed Charges,,,,,24.62,,,,,,,Percent of Total Billed Charges,,,,,24.37,,,,,,,Percent of Total Billed Charges,,,,,5.13,,,,,,,Percent of Total Billed Charges,,,,,21.8,,,,,,,Percent of Total Billed Charges,,,,,5.39,,,,,,,Percent of Total Billed Charges,,,,,23.09,,,,,,,Percent of Total Billed Charges,,,,,23.09,,,,,,,Percent of Total Billed Charges,,,,,5.13,,,,,,,Percent of Total Billed Charges,,,,,7.18,,,,,,,Percent of Total Billed Charges,,,,,20.52,,,,,,,Percent of Total Billed Charges,,,,,5.13,,,,,,,Percent of Total Billed Charges,,,, NF-K-PHOS NEUTRAL TABLET ,250,RC,,Outpatient,,,2.6,2.08,1.94,,,,,,,Percent of Total Billed Charges,,1.94,1.94,,2.6,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,, NF-BEELITH TAB 362/20 ,250,RC,,Outpatient,,,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, NF-BICALUTAMIDE (CASODEX) TAB: 50 MG ,250,RC,,Outpatient,50,ME,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, NF-ICAPS ORIGINAL TAB ,250,RC,,Outpatient,,,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, NF-SUMATRIPTAN (IMITREX) TAB 100 MG ,250,RC,,Outpatient,100,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, NF-SUMATRIPTAN (IMITREX) TAB: 25 MG ,250,RC,,Outpatient,25,ME,2.55,2.04,1.9,,,,,,,Percent of Total Billed Charges,,1.9,1.9,,2.55,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,, NF-OLMESARTAN (BENICAR) TAB: 20 MG ,250,RC,,Outpatient,20,ME,9.1,7.28,6.8,,,,,,,Percent of Total Billed Charges,,6.8,6.8,,9.1,,,,,,,Percent of Total Billed Charges,,,,,8.74,,,,,,,Percent of Total Billed Charges,,,,,8.65,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,7.74,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,7.28,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,, NF-VYTORIN TAB 10/40 (ZETIA/SIMVASTATIN),250,RC,,Outpatient,,,17.35,13.88,12.96,,,,,,,Percent of Total Billed Charges,,12.96,12.96,,17.35,,,,,,,Percent of Total Billed Charges,,,,,16.66,,,,,,,Percent of Total Billed Charges,,,,,16.48,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.75,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,15.62,,,,,,,Percent of Total Billed Charges,,,,,15.62,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,13.88,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,, NF-2 IN 1 DANDRUFF SHAMPOO ,250,RC,,Outpatient,,,24.55,19.64,18.34,,,,,,,Percent of Total Billed Charges,,18.34,18.34,,24.55,,,,,,,Percent of Total Billed Charges,,,,,23.57,,,,,,,Percent of Total Billed Charges,,,,,23.32,,,,,,,Percent of Total Billed Charges,,,,,4.91,,,,,,,Percent of Total Billed Charges,,,,,20.87,,,,,,,Percent of Total Billed Charges,,,,,5.16,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,4.91,,,,,,,Percent of Total Billed Charges,,,,,6.87,,,,,,,Percent of Total Billed Charges,,,,,19.64,,,,,,,Percent of Total Billed Charges,,,,,4.91,,,,,,,Percent of Total Billed Charges,,,, NF-FENTANYL (ACTIQ) LOZENGE 200 MCG ,250,RC,,Outpatient,200,ME,114,91.2,85.16,,,,,,,Percent of Total Billed Charges,,85.16,85.16,,114,,,,,,,Percent of Total Billed Charges,,,,,109.44,,,,,,,Percent of Total Billed Charges,,,,,108.3,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,96.9,,,,,,,Percent of Total Billed Charges,,,,,23.94,,,,,,,Percent of Total Billed Charges,,,,,102.6,,,,,,,Percent of Total Billed Charges,,,,,102.6,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,31.92,,,,,,,Percent of Total Billed Charges,,,,,91.2,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,, NF-PENTOSAN (ELMIRON) CAP 100 MG ,250,RC,,Outpatient,100,ME,16.75,13.4,12.51,,,,,,,Percent of Total Billed Charges,,12.51,12.51,,16.75,,,,,,,Percent of Total Billed Charges,,,,,16.08,,,,,,,Percent of Total Billed Charges,,,,,15.91,,,,,,,Percent of Total Billed Charges,,,,,3.35,,,,,,,Percent of Total Billed Charges,,,,,14.24,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,,,15.08,,,,,,,Percent of Total Billed Charges,,,,,15.08,,,,,,,Percent of Total Billed Charges,,,,,3.35,,,,,,,Percent of Total Billed Charges,,,,,4.69,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,3.35,,,,,,,Percent of Total Billed Charges,,,, NF-PROAIR HFA AER PWD 0.09MG/1ACT ,250,RC,,Outpatient,0.09,ME,100.65,80.52,75.19,,,,,,,Percent of Total Billed Charges,,75.19,75.19,,100.65,,,,,,,Percent of Total Billed Charges,,,,,96.62,,,,,,,Percent of Total Billed Charges,,,,,95.62,,,,,,,Percent of Total Billed Charges,,,,,20.13,,,,,,,Percent of Total Billed Charges,,,,,85.55,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,90.59,,,,,,,Percent of Total Billed Charges,,,,,90.59,,,,,,,Percent of Total Billed Charges,,,,,20.13,,,,,,,Percent of Total Billed Charges,,,,,28.18,,,,,,,Percent of Total Billed Charges,,,,,80.52,,,,,,,Percent of Total Billed Charges,,,,,20.13,,,,,,,Percent of Total Billed Charges,,,, NF-VANCOMYCIN CAP: 125 MG ,250,RC,,Outpatient,125,ME,5.3,4.24,3.96,,,,,,,Percent of Total Billed Charges,,3.96,3.96,,5.3,,,,,,,Percent of Total Billed Charges,,,,,5.09,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,1.06,,,,,,,Percent of Total Billed Charges,,,,,4.51,,,,,,,Percent of Total Billed Charges,,,,,1.11,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,,,1.06,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,4.24,,,,,,,Percent of Total Billed Charges,,,,,1.06,,,,,,,Percent of Total Billed Charges,,,, NF-BRIMONIDINE(ALPHAGAN P) SOLN 0.1% ,250,RC,,Outpatient,,,64.5,51.6,48.18,,,,,,,Percent of Total Billed Charges,,48.18,48.18,,64.5,,,,,,,Percent of Total Billed Charges,,,,,61.92,,,,,,,Percent of Total Billed Charges,,,,,61.28,,,,,,,Percent of Total Billed Charges,,,,,12.9,,,,,,,Percent of Total Billed Charges,,,,,54.83,,,,,,,Percent of Total Billed Charges,,,,,13.55,,,,,,,Percent of Total Billed Charges,,,,,58.05,,,,,,,Percent of Total Billed Charges,,,,,58.05,,,,,,,Percent of Total Billed Charges,,,,,12.9,,,,,,,Percent of Total Billed Charges,,,,,18.06,,,,,,,Percent of Total Billed Charges,,,,,51.6,,,,,,,Percent of Total Billed Charges,,,,,12.9,,,,,,,Percent of Total Billed Charges,,,, *NF-TRUSOPT OPHTH SOLN 2% ,250,RC,,Outpatient,,,78.5,62.8,58.64,,,,,,,Percent of Total Billed Charges,,58.64,58.64,,78.5,,,,,,,Percent of Total Billed Charges,,,,,75.36,,,,,,,Percent of Total Billed Charges,,,,,74.58,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,66.73,,,,,,,Percent of Total Billed Charges,,,,,16.49,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,21.98,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,, NF-ICAPS MVI TAB ,250,RC,,Outpatient,,,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, NF-GUANFACINE (TENEX) TAB 1 MG ,250,RC,,Outpatient,1,ME,8.75,7,6.54,,,,,,,Percent of Total Billed Charges,,6.54,6.54,,8.75,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,8.31,,,,,,,Percent of Total Billed Charges,,,,,1.75,,,,,,,Percent of Total Billed Charges,,,,,7.44,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,1.75,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,1.75,,,,,,,Percent of Total Billed Charges,,,, NF-VENLAFAXINE ER (EFFEXOR ER)CAP 150 MG,250,RC,,Outpatient,150,ME,12.95,10.36,9.67,,,,,,,Percent of Total Billed Charges,,9.67,9.67,,12.95,,,,,,,Percent of Total Billed Charges,,,,,12.43,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,11.01,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,11.66,,,,,,,Percent of Total Billed Charges,,,,,11.66,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,,,10.36,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,, NF-NAPROXEN (ALEVE) TAB : 220 MG ,250,RC,,Outpatient,220,ME,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, *NF-ISOSORBIDE DINITRATE TAB 30 MG ,250,RC,,Outpatient,30,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, *NF-LACTULOSE SOLN 10GM/15ML****** ,250,RC,,Outpatient,10,GR,4.75,3.8,3.55,,,,,,,Percent of Total Billed Charges,,3.55,3.55,,4.75,,,,,,,Percent of Total Billed Charges,,,,,4.56,,,,,,,Percent of Total Billed Charges,,,,,4.51,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.04,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,1.33,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,, NF-PREDNISOLONE ACETATE OPHTH SUSP 1% ,250,RC,,Outpatient,,,121.25,97,90.57,,,,,,,Percent of Total Billed Charges,,90.57,90.57,,121.25,,,,,,,Percent of Total Billed Charges,,,,,116.4,,,,,,,Percent of Total Billed Charges,,,,,115.19,,,,,,,Percent of Total Billed Charges,,,,,24.25,,,,,,,Percent of Total Billed Charges,,,,,103.06,,,,,,,Percent of Total Billed Charges,,,,,25.46,,,,,,,Percent of Total Billed Charges,,,,,109.13,,,,,,,Percent of Total Billed Charges,,,,,109.13,,,,,,,Percent of Total Billed Charges,,,,,24.25,,,,,,,Percent of Total Billed Charges,,,,,33.95,,,,,,,Percent of Total Billed Charges,,,,,97,,,,,,,Percent of Total Billed Charges,,,,,24.25,,,,,,,Percent of Total Billed Charges,,,, NF-OLANZAPINE (ZYPREXA) TAB: 15 MG ,250,RC,,Outpatient,15,ME,68.25,54.6,50.98,,,,,,,Percent of Total Billed Charges,,50.98,50.98,,68.25,,,,,,,Percent of Total Billed Charges,,,,,65.52,,,,,,,Percent of Total Billed Charges,,,,,64.84,,,,,,,Percent of Total Billed Charges,,,,,13.65,,,,,,,Percent of Total Billed Charges,,,,,58.01,,,,,,,Percent of Total Billed Charges,,,,,14.33,,,,,,,Percent of Total Billed Charges,,,,,61.43,,,,,,,Percent of Total Billed Charges,,,,,61.43,,,,,,,Percent of Total Billed Charges,,,,,13.65,,,,,,,Percent of Total Billed Charges,,,,,19.11,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,13.65,,,,,,,Percent of Total Billed Charges,,,, NF-DESLORATADINE (CLARINEX) TAB :5 MG ,250,RC,,Outpatient,5,ME,17.6,14.08,13.15,,,,,,,Percent of Total Billed Charges,,13.15,13.15,,17.6,,,,,,,Percent of Total Billed Charges,,,,,16.9,,,,,,,Percent of Total Billed Charges,,,,,16.72,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,,,14.96,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,,,4.93,,,,,,,Percent of Total Billed Charges,,,,,14.08,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,, NF-DABIGATRAN (PRADAXA) CAP 150 MG ,250,RC,,Outpatient,150,ME,11.65,9.32,8.7,,,,,,,Percent of Total Billed Charges,,8.7,8.7,,11.65,,,,,,,Percent of Total Billed Charges,,,,,11.18,,,,,,,Percent of Total Billed Charges,,,,,11.07,,,,,,,Percent of Total Billed Charges,,,,,2.33,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,10.49,,,,,,,Percent of Total Billed Charges,,,,,10.49,,,,,,,Percent of Total Billed Charges,,,,,2.33,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,9.32,,,,,,,Percent of Total Billed Charges,,,,,2.33,,,,,,,Percent of Total Billed Charges,,,, NF-CARVEDILOL ER (COREG ER) CAP: 10MG ,250,RC,,Outpatient,10,ME,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, NF-EPINASTINE (ELESTAT) OPHTH SOLN 0.05%,250,RC,,Outpatient,,,72.1,57.68,53.86,,,,,,,Percent of Total Billed Charges,,53.86,53.86,,72.1,,,,,,,Percent of Total Billed Charges,,,,,69.22,,,,,,,Percent of Total Billed Charges,,,,,68.5,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,61.29,,,,,,,Percent of Total Billed Charges,,,,,15.14,,,,,,,Percent of Total Billed Charges,,,,,64.89,,,,,,,Percent of Total Billed Charges,,,,,64.89,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,20.19,,,,,,,Percent of Total Billed Charges,,,,,57.68,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,, *NF-GLIMEPIRIDE (AMARYL) 2 MG ,250,RC,,Outpatient,2,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, *NF-SYSTANE LUBRICANT OPHTH 0.4%-0.3% ,250,RC,,Outpatient,,,46.25,37,34.55,,,,,,,Percent of Total Billed Charges,,34.55,34.55,,46.25,,,,,,,Percent of Total Billed Charges,,,,,44.4,,,,,,,Percent of Total Billed Charges,,,,,43.94,,,,,,,Percent of Total Billed Charges,,,,,9.25,,,,,,,Percent of Total Billed Charges,,,,,39.31,,,,,,,Percent of Total Billed Charges,,,,,9.71,,,,,,,Percent of Total Billed Charges,,,,,41.63,,,,,,,Percent of Total Billed Charges,,,,,41.63,,,,,,,Percent of Total Billed Charges,,,,,9.25,,,,,,,Percent of Total Billed Charges,,,,,12.95,,,,,,,Percent of Total Billed Charges,,,,,37,,,,,,,Percent of Total Billed Charges,,,,,9.25,,,,,,,Percent of Total Billed Charges,,,, NF-FENOFIBRATE (TRICOR) TAB 160 MG ,250,RC,,Outpatient,160,ME,14,11.2,10.46,,,,,,,Percent of Total Billed Charges,,10.46,10.46,,14,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,, NF-SLO-NIACIN TABLET 250 MG ,250,RC,,Outpatient,250,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-ANASTROZOLE (ARIMIDEX) TAB: 1 MG ,250,RC,,Outpatient,1,ME,3.1,2.48,2.32,,,,,,,Percent of Total Billed Charges,,2.32,2.32,,3.1,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,2.95,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,0.87,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,, NF-PRIMIDONE TAB (MYSOLINE) : 50 MG ,250,RC,,Outpatient,50,ME,3.55,2.84,2.65,,,,,,,Percent of Total Billed Charges,,2.65,2.65,,3.55,,,,,,,Percent of Total Billed Charges,,,,,3.41,,,,,,,Percent of Total Billed Charges,,,,,3.37,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,0.99,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,, NF-MUGARD OROMUCOSAL SOLUTION ,250,RC,,Outpatient,,,37.7,30.16,28.16,,,,,,,Percent of Total Billed Charges,,28.16,28.16,,37.7,,,,,,,Percent of Total Billed Charges,,,,,36.19,,,,,,,Percent of Total Billed Charges,,,,,35.82,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,,,32.05,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,33.93,,,,,,,Percent of Total Billed Charges,,,,,33.93,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,,,10.56,,,,,,,Percent of Total Billed Charges,,,,,30.16,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,, NF-TOBRADEX OPHTH OINTMENT ,250,RC,,Outpatient,,,30.75,24.6,22.97,,,,,,,Percent of Total Billed Charges,,22.97,22.97,,30.75,,,,,,,Percent of Total Billed Charges,,,,,29.52,,,,,,,Percent of Total Billed Charges,,,,,29.21,,,,,,,Percent of Total Billed Charges,,,,,6.15,,,,,,,Percent of Total Billed Charges,,,,,26.14,,,,,,,Percent of Total Billed Charges,,,,,6.46,,,,,,,Percent of Total Billed Charges,,,,,27.68,,,,,,,Percent of Total Billed Charges,,,,,27.68,,,,,,,Percent of Total Billed Charges,,,,,6.15,,,,,,,Percent of Total Billed Charges,,,,,8.61,,,,,,,Percent of Total Billed Charges,,,,,24.6,,,,,,,Percent of Total Billed Charges,,,,,6.15,,,,,,,Percent of Total Billed Charges,,,, NF-DULERA INH (MOMETASONE/FORMOTEROL) ,250,RC,,Outpatient,,,605.05,484.04,451.97,,,,,,,Percent of Total Billed Charges,,451.97,451.97,,605.05,,,,,,,Percent of Total Billed Charges,,,,,580.85,,,,,,,Percent of Total Billed Charges,,,,,574.8,,,,,,,Percent of Total Billed Charges,,,,,121.01,,,,,,,Percent of Total Billed Charges,,,,,514.29,,,,,,,Percent of Total Billed Charges,,,,,127.06,,,,,,,Percent of Total Billed Charges,,,,,544.55,,,,,,,Percent of Total Billed Charges,,,,,544.55,,,,,,,Percent of Total Billed Charges,,,,,121.01,,,,,,,Percent of Total Billed Charges,,,,,169.41,,,,,,,Percent of Total Billed Charges,,,,,484.04,,,,,,,Percent of Total Billed Charges,,,,,121.01,,,,,,,Percent of Total Billed Charges,,,, NF-CLINDAMYCIN TOPICAL SOLUTION 1% ,250,RC,,Outpatient,,,49.85,39.88,37.24,,,,,,,Percent of Total Billed Charges,,37.24,37.24,,49.85,,,,,,,Percent of Total Billed Charges,,,,,47.86,,,,,,,Percent of Total Billed Charges,,,,,47.36,,,,,,,Percent of Total Billed Charges,,,,,9.97,,,,,,,Percent of Total Billed Charges,,,,,42.37,,,,,,,Percent of Total Billed Charges,,,,,10.47,,,,,,,Percent of Total Billed Charges,,,,,44.87,,,,,,,Percent of Total Billed Charges,,,,,44.87,,,,,,,Percent of Total Billed Charges,,,,,9.97,,,,,,,Percent of Total Billed Charges,,,,,13.96,,,,,,,Percent of Total Billed Charges,,,,,39.88,,,,,,,Percent of Total Billed Charges,,,,,9.97,,,,,,,Percent of Total Billed Charges,,,, NF-CREON CAP DR ,250,RC,,Outpatient,,,22.35,17.88,16.7,,,,,,,Percent of Total Billed Charges,,16.7,16.7,,22.35,,,,,,,Percent of Total Billed Charges,,,,,21.46,,,,,,,Percent of Total Billed Charges,,,,,21.23,,,,,,,Percent of Total Billed Charges,,,,,4.47,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4.69,,,,,,,Percent of Total Billed Charges,,,,,20.12,,,,,,,Percent of Total Billed Charges,,,,,20.12,,,,,,,Percent of Total Billed Charges,,,,,4.47,,,,,,,Percent of Total Billed Charges,,,,,6.26,,,,,,,Percent of Total Billed Charges,,,,,17.88,,,,,,,Percent of Total Billed Charges,,,,,4.47,,,,,,,Percent of Total Billed Charges,,,, NF-PRAZOSIN CAP (MINIPRESS) 2 MG ,250,RC,,Outpatient,2,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, NF-OMEGA 3 (FISH OIL) CAP 1000 MG ,250,RC,,Outpatient,1000,ME,1.7,1.39,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-TRETINOIN (RETIN-A) CRM 0.025% ,250,RC,,Outpatient,,,59.75,47.8,44.63,,,,,,,Percent of Total Billed Charges,,44.63,44.63,,59.75,,,,,,,Percent of Total Billed Charges,,,,,57.36,,,,,,,Percent of Total Billed Charges,,,,,56.76,,,,,,,Percent of Total Billed Charges,,,,,11.95,,,,,,,Percent of Total Billed Charges,,,,,50.79,,,,,,,Percent of Total Billed Charges,,,,,12.55,,,,,,,Percent of Total Billed Charges,,,,,53.78,,,,,,,Percent of Total Billed Charges,,,,,53.78,,,,,,,Percent of Total Billed Charges,,,,,11.95,,,,,,,Percent of Total Billed Charges,,,,,16.73,,,,,,,Percent of Total Billed Charges,,,,,47.8,,,,,,,Percent of Total Billed Charges,,,,,11.95,,,,,,,Percent of Total Billed Charges,,,, *NF-ZESTORETIC TAB 12.5/20 ##### ,250,RC,,Outpatient,,,11.95,9.56,8.93,,,,,,,Percent of Total Billed Charges,,8.93,8.93,,11.95,,,,,,,Percent of Total Billed Charges,,,,,11.47,,,,,,,Percent of Total Billed Charges,,,,,11.35,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,10.16,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,10.76,,,,,,,Percent of Total Billed Charges,,,,,10.76,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,3.35,,,,,,,Percent of Total Billed Charges,,,,,9.56,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,, NF-IPRATROPIUM ATROVENT NASAL SPRY 0.03%,250,RC,,Outpatient,,,872.2,697.76,651.53,,,,,,,Percent of Total Billed Charges,,651.53,651.53,,872.2,,,,,,,Percent of Total Billed Charges,,,,,837.31,,,,,,,Percent of Total Billed Charges,,,,,828.59,,,,,,,Percent of Total Billed Charges,,,,,174.44,,,,,,,Percent of Total Billed Charges,,,,,741.37,,,,,,,Percent of Total Billed Charges,,,,,183.16,,,,,,,Percent of Total Billed Charges,,,,,784.98,,,,,,,Percent of Total Billed Charges,,,,,784.98,,,,,,,Percent of Total Billed Charges,,,,,174.44,,,,,,,Percent of Total Billed Charges,,,,,244.22,,,,,,,Percent of Total Billed Charges,,,,,697.76,,,,,,,Percent of Total Billed Charges,,,,,174.44,,,,,,,Percent of Total Billed Charges,,,, *NF-LAMOTRIGINE (LAMICTAL) TAB 25 MG ,250,RC,,Outpatient,25,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, *NF-HALOPERIDOL (HALDOL) TAB 5 MG ,250,RC,,Outpatient,5,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, NF-PARICALCITOL (ZEMPLAR) CAP 1 MCG ,250,RC,,Outpatient,1,ME,27,21.6,20.17,,,,,,,Percent of Total Billed Charges,,20.17,20.17,,27,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,, NF-TERBINAFINE (LAMISIL) TAB 250 MG ,250,RC,,Outpatient,250,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, NF-VIACTIV MULTI-VITAMIN CHEW TAB ,250,RC,,Outpatient,,,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, NF-FLUTICASONE (FLOVENT) HFA INH 220 MCG,250,RC,,Outpatient,220,ME,1152.3,921.84,860.77,,,,,,,Percent of Total Billed Charges,,860.77,860.77,,1152.3,,,,,,,Percent of Total Billed Charges,,,,,1106.21,,,,,,,Percent of Total Billed Charges,,,,,1094.69,,,,,,,Percent of Total Billed Charges,,,,,230.46,,,,,,,Percent of Total Billed Charges,,,,,979.46,,,,,,,Percent of Total Billed Charges,,,,,241.98,,,,,,,Percent of Total Billed Charges,,,,,1037.07,,,,,,,Percent of Total Billed Charges,,,,,1037.07,,,,,,,Percent of Total Billed Charges,,,,,230.46,,,,,,,Percent of Total Billed Charges,,,,,322.64,,,,,,,Percent of Total Billed Charges,,,,,921.84,,,,,,,Percent of Total Billed Charges,,,,,230.46,,,,,,,Percent of Total Billed Charges,,,, NF-FELBAMATE (FELBATOL) TAB 600 MG ,250,RC,,Outpatient,600,ME,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, NF-CEFDINIR (OMNICEF) SUSP 250MG/5ML ,250,RC,,Outpatient,250,ME,53.75,43,40.15,,,,,,,Percent of Total Billed Charges,,40.15,40.15,,53.75,,,,,,,Percent of Total Billed Charges,,,,,51.6,,,,,,,Percent of Total Billed Charges,,,,,51.06,,,,,,,Percent of Total Billed Charges,,,,,10.75,,,,,,,Percent of Total Billed Charges,,,,,45.69,,,,,,,Percent of Total Billed Charges,,,,,11.29,,,,,,,Percent of Total Billed Charges,,,,,48.38,,,,,,,Percent of Total Billed Charges,,,,,48.38,,,,,,,Percent of Total Billed Charges,,,,,10.75,,,,,,,Percent of Total Billed Charges,,,,,15.05,,,,,,,Percent of Total Billed Charges,,,,,43,,,,,,,Percent of Total Billed Charges,,,,,10.75,,,,,,,Percent of Total Billed Charges,,,, NF-RAMIPRIL (ALTACE) 10 MG CAP ,250,RC,,Outpatient,10,ME,11.25,9,8.4,,,,,,,Percent of Total Billed Charges,,8.4,8.4,,11.25,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,10.69,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,9.56,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,,,10.13,,,,,,,Percent of Total Billed Charges,,,,,10.13,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,, NF-DIVALPROEX ER (DEPAKOTE) TAB 500 MG ,250,RC,,Outpatient,500,ME,2.3,1.84,1.72,,,,,,,Percent of Total Billed Charges,,1.72,1.72,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,, NF-BUPROPION TAB SR 200MG (WELLBUTRIN) ,250,RC,,Outpatient,200,ME,2.55,2.04,1.9,,,,,,,Percent of Total Billed Charges,,1.9,1.9,,2.55,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,, NF-FIORICET TAB ,250,RC,,Outpatient,,,6.35,5.08,4.74,,,,,,,Percent of Total Billed Charges,,4.74,4.74,,6.35,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,6.03,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.33,,,,,,,Percent of Total Billed Charges,,,,,5.72,,,,,,,Percent of Total Billed Charges,,,,,5.72,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,5.08,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,, NF-ZONISAMIDE (ZONEGRAN) CAP: 100 MG ,250,RC,,Outpatient,100,ME,8.1,6.48,6.05,,,,,,,Percent of Total Billed Charges,,6.05,6.05,,8.1,,,,,,,Percent of Total Billed Charges,,,,,7.78,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,6.89,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.29,,,,,,,Percent of Total Billed Charges,,,,,7.29,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,2.27,,,,,,,Percent of Total Billed Charges,,,,,6.48,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,, NF-JALYN CAP 0.5MG-0.4MG ,250,RC,,Outpatient,0.5,ME,12.3,9.84,9.19,,,,,,,Percent of Total Billed Charges,,9.19,9.19,,12.3,,,,,,,Percent of Total Billed Charges,,,,,11.81,,,,,,,Percent of Total Billed Charges,,,,,11.69,,,,,,,Percent of Total Billed Charges,,,,,2.46,,,,,,,Percent of Total Billed Charges,,,,,10.46,,,,,,,Percent of Total Billed Charges,,,,,2.58,,,,,,,Percent of Total Billed Charges,,,,,11.07,,,,,,,Percent of Total Billed Charges,,,,,11.07,,,,,,,Percent of Total Billed Charges,,,,,2.46,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,,,9.84,,,,,,,Percent of Total Billed Charges,,,,,2.46,,,,,,,Percent of Total Billed Charges,,,, NF-VOLTAREN GEL 1% (DICLOFENAC):100 GRAM,250,RC,,Outpatient,100,GR,57.5,46,42.95,,,,,,,Percent of Total Billed Charges,,42.95,42.95,,57.5,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,54.63,,,,,,,Percent of Total Billed Charges,,,,,11.5,,,,,,,Percent of Total Billed Charges,,,,,48.88,,,,,,,Percent of Total Billed Charges,,,,,12.08,,,,,,,Percent of Total Billed Charges,,,,,51.75,,,,,,,Percent of Total Billed Charges,,,,,51.75,,,,,,,Percent of Total Billed Charges,,,,,11.5,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,,,11.5,,,,,,,Percent of Total Billed Charges,,,, NF-CALCIUM CHEW TAB 1250 MG ,250,RC,,Outpatient,1250,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, NF-LEVSIN TAB 0.125MG ,250,RC,,Outpatient,0.125,ME,3.75,3,2.8,,,,,,,Percent of Total Billed Charges,,2.8,2.8,,3.75,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,, NF-PILOCARPINE TAB 5 MG ,250,RC,,Outpatient,5,ME,7.75,6.2,5.79,,,,,,,Percent of Total Billed Charges,,5.79,5.79,,7.75,,,,,,,Percent of Total Billed Charges,,,,,7.44,,,,,,,Percent of Total Billed Charges,,,,,7.36,,,,,,,Percent of Total Billed Charges,,,,,1.55,,,,,,,Percent of Total Billed Charges,,,,,6.59,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,6.98,,,,,,,Percent of Total Billed Charges,,,,,6.98,,,,,,,Percent of Total Billed Charges,,,,,1.55,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,1.55,,,,,,,Percent of Total Billed Charges,,,, NF-AMILORIDE/HCTZ 5/50 (MODURETIC) TAB ,250,RC,,Outpatient,50,EA,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, NF-CALCIUM CARBONATE CHEW TAB 600 MG ,250,RC,,Outpatient,600,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, NF-COLESEVELAM (WELCHOL)TAB 625 MG ,250,RC,,Outpatient,625,ME,5.2,4.16,3.88,,,,,,,Percent of Total Billed Charges,,3.88,3.88,,5.2,,,,,,,Percent of Total Billed Charges,,,,,4.99,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,1.04,,,,,,,Percent of Total Billed Charges,,,,,4.42,,,,,,,Percent of Total Billed Charges,,,,,1.09,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.04,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,,,4.16,,,,,,,Percent of Total Billed Charges,,,,,1.04,,,,,,,Percent of Total Billed Charges,,,, NF-ACETAMINOPHEN ARTHRITIS TAB 650 MG ,250,RC,,Outpatient,650,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, NF-RIVASTIGMINE CAP (EXELON) :3 MG ,250,RC,,Outpatient,3,ME,14.2,11.36,10.61,,,,,,,Percent of Total Billed Charges,,10.61,10.61,,14.2,,,,,,,Percent of Total Billed Charges,,,,,13.63,,,,,,,Percent of Total Billed Charges,,,,,13.49,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,12.07,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,12.78,,,,,,,Percent of Total Billed Charges,,,,,12.78,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,3.98,,,,,,,Percent of Total Billed Charges,,,,,11.36,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,, NF-FESOTERODINE (TOVIAZ) TAB ER 4 MG ,250,RC,,Outpatient,4,ME,18.8,15.04,14.04,,,,,,,Percent of Total Billed Charges,,14.04,14.04,,18.8,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,17.86,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,,,15.98,,,,,,,Percent of Total Billed Charges,,,,,3.95,,,,,,,Percent of Total Billed Charges,,,,,16.92,,,,,,,Percent of Total Billed Charges,,,,,16.92,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,,,5.26,,,,,,,Percent of Total Billed Charges,,,,,15.04,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,, NF-ERLOTINIB (TARCEVA) TAB: 150 MG ,250,RC,,Outpatient,150,ME,392.2,313.76,292.97,,,,,,,Percent of Total Billed Charges,,292.97,292.97,,392.2,,,,,,,Percent of Total Billed Charges,,,,,376.51,,,,,,,Percent of Total Billed Charges,,,,,372.59,,,,,,,Percent of Total Billed Charges,,,,,78.44,,,,,,,Percent of Total Billed Charges,,,,,333.37,,,,,,,Percent of Total Billed Charges,,,,,82.36,,,,,,,Percent of Total Billed Charges,,,,,352.98,,,,,,,Percent of Total Billed Charges,,,,,352.98,,,,,,,Percent of Total Billed Charges,,,,,78.44,,,,,,,Percent of Total Billed Charges,,,,,109.82,,,,,,,Percent of Total Billed Charges,,,,,313.76,,,,,,,Percent of Total Billed Charges,,,,,78.44,,,,,,,Percent of Total Billed Charges,,,, NF-SOLIFENACIN (VESICARE) TAB: 10 MG ,250,RC,,Outpatient,10,ME,17.05,13.64,12.74,,,,,,,Percent of Total Billed Charges,,12.74,12.74,,17.05,,,,,,,Percent of Total Billed Charges,,,,,16.37,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.41,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,3.58,,,,,,,Percent of Total Billed Charges,,,,,15.35,,,,,,,Percent of Total Billed Charges,,,,,15.35,,,,,,,Percent of Total Billed Charges,,,,,3.41,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,,,13.64,,,,,,,Percent of Total Billed Charges,,,,,3.41,,,,,,,Percent of Total Billed Charges,,,, NF-DUREZOL(DIFLUPREDNATATE)OPTH 0.05% ,250,RC,,Outpatient,,,306.95,245.56,229.29,,,,,,,Percent of Total Billed Charges,,229.29,229.29,,306.95,,,,,,,Percent of Total Billed Charges,,,,,294.67,,,,,,,Percent of Total Billed Charges,,,,,291.6,,,,,,,Percent of Total Billed Charges,,,,,61.39,,,,,,,Percent of Total Billed Charges,,,,,260.91,,,,,,,Percent of Total Billed Charges,,,,,64.46,,,,,,,Percent of Total Billed Charges,,,,,276.26,,,,,,,Percent of Total Billed Charges,,,,,276.26,,,,,,,Percent of Total Billed Charges,,,,,61.39,,,,,,,Percent of Total Billed Charges,,,,,85.95,,,,,,,Percent of Total Billed Charges,,,,,245.56,,,,,,,Percent of Total Billed Charges,,,,,61.39,,,,,,,Percent of Total Billed Charges,,,, NF-PYRIDOSTIGMINE (MESTINON) 60MG/5ML LQ,250,RC,,Outpatient,60,ME,2.65,2.12,1.98,,,,,,,Percent of Total Billed Charges,,1.98,1.98,,2.65,,,,,,,Percent of Total Billed Charges,,,,,2.54,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,, NF-ACIDOPHILUS CAPSULE ,250,RC,,Outpatient,,,3.25,2.26,2.43,,,,,,,Percent of Total Billed Charges,,2.43,2.43,,3.25,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,3.09,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,, *NF-LEVETIRACETAM (KEPPRA) INJ:500MG/5ML,250,RC,,Outpatient,500,ME,23.85,19.08,17.82,,,,,,,Percent of Total Billed Charges,,17.82,17.82,,23.85,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,,,22.66,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,5.01,,,,,,,Percent of Total Billed Charges,,,,,21.47,,,,,,,Percent of Total Billed Charges,,,,,21.47,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,,,6.68,,,,,,,Percent of Total Billed Charges,,,,,19.08,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,, NF-FEBUXOSTAT (ULORIC) TAB 80 MG ,250,RC,,Outpatient,80,ME,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, NF-ZIPRASIDONE(GEODON) CAP 40 MG ,250,RC,,Outpatient,40,ME,24.35,19.48,18.19,,,,,,,Percent of Total Billed Charges,,18.19,18.19,,24.35,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,23.13,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,5.11,,,,,,,Percent of Total Billed Charges,,,,,21.92,,,,,,,Percent of Total Billed Charges,,,,,21.92,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,,,6.82,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,, NF-SLEEP AID TABLET 25 MG ,250,RC,,Outpatient,25,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, NF-QUETIAPINE (SEROQUEL) XR TAB 400 MG ,250,RC,,Outpatient,400,ME,64.65,51.72,48.29,,,,,,,Percent of Total Billed Charges,,48.29,48.29,,64.65,,,,,,,Percent of Total Billed Charges,,,,,62.06,,,,,,,Percent of Total Billed Charges,,,,,61.42,,,,,,,Percent of Total Billed Charges,,,,,12.93,,,,,,,Percent of Total Billed Charges,,,,,54.95,,,,,,,Percent of Total Billed Charges,,,,,13.58,,,,,,,Percent of Total Billed Charges,,,,,58.19,,,,,,,Percent of Total Billed Charges,,,,,58.19,,,,,,,Percent of Total Billed Charges,,,,,12.93,,,,,,,Percent of Total Billed Charges,,,,,18.1,,,,,,,Percent of Total Billed Charges,,,,,51.72,,,,,,,Percent of Total Billed Charges,,,,,12.93,,,,,,,Percent of Total Billed Charges,,,, NF - SEVELAMER (RENVELA) TAB 800 MG ,250,RC,,Outpatient,800,ME,8.4,6.72,6.27,,,,,,,Percent of Total Billed Charges,,6.27,6.27,,8.4,,,,,,,Percent of Total Billed Charges,,,,,8.06,,,,,,,Percent of Total Billed Charges,,,,,7.98,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,2.35,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,, NF-VSL#3 CAPSULE 112.5 BILLION ORG ,250,RC,,Outpatient,,,3.25,2.6,2.43,,,,,,,Percent of Total Billed Charges,,2.43,2.43,,3.25,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,3.09,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,, NF-METHENAMINE 1 GRAM TAB ,250,RC,,Outpatient,1,GM,4.35,3.48,3.25,,,,,,,Percent of Total Billed Charges,,3.25,3.25,,4.35,,,,,,,Percent of Total Billed Charges,,,,,4.18,,,,,,,Percent of Total Billed Charges,,,,,4.13,,,,,,,Percent of Total Billed Charges,,,,,0.87,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,0.87,,,,,,,Percent of Total Billed Charges,,,,,1.22,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,,,0.87,,,,,,,Percent of Total Billed Charges,,,, NF-BUPROPION (WELLBUTRIN) TAB: 100 MG ,250,RC,,Outpatient,100,ME,4.1,3.28,3.06,,,,,,,Percent of Total Billed Charges,,3.06,3.06,,4.1,,,,,,,Percent of Total Billed Charges,,,,,3.94,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,0.82,,,,,,,Percent of Total Billed Charges,,,,,3.49,,,,,,,Percent of Total Billed Charges,,,,,0.86,,,,,,,Percent of Total Billed Charges,,,,,3.69,,,,,,,Percent of Total Billed Charges,,,,,3.69,,,,,,,Percent of Total Billed Charges,,,,,0.82,,,,,,,Percent of Total Billed Charges,,,,,1.15,,,,,,,Percent of Total Billed Charges,,,,,3.28,,,,,,,Percent of Total Billed Charges,,,,,0.82,,,,,,,Percent of Total Billed Charges,,,, NF-LURASIDONE (LATUDA) TAB : 40 MG ,250,RC,,Outpatient,40,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, NF-DOCOSANOL (ABREVA) CREAM 10% ,250,RC,,Outpatient,,,51.5,41.2,38.47,,,,,,,Percent of Total Billed Charges,,38.47,38.47,,51.5,,,,,,,Percent of Total Billed Charges,,,,,49.44,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,43.78,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,, NF-BIOTENE DRY MOUTH DENTAL GEL 0.14% ,250,RC,,Outpatient,,,25.7,20.56,19.2,,,,,,,Percent of Total Billed Charges,,19.2,19.2,,25.7,,,,,,,Percent of Total Billed Charges,,,,,24.67,,,,,,,Percent of Total Billed Charges,,,,,24.42,,,,,,,Percent of Total Billed Charges,,,,,5.14,,,,,,,Percent of Total Billed Charges,,,,,21.85,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,23.13,,,,,,,Percent of Total Billed Charges,,,,,23.13,,,,,,,Percent of Total Billed Charges,,,,,5.14,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,20.56,,,,,,,Percent of Total Billed Charges,,,,,5.14,,,,,,,Percent of Total Billed Charges,,,, NF-FLURAZEPAM (DALMANE) CAP 15 MG ,250,RC,,Outpatient,15,ME,3.15,2.52,2.35,,,,,,,Percent of Total Billed Charges,,2.35,2.35,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,2.99,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.68,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,, NF-CALCIPOTRIENE (DOVONEX) CRM 0.005% ,250,RC,,Outpatient,,,919.1,735.28,686.57,,,,,,,Percent of Total Billed Charges,,686.57,686.57,,919.1,,,,,,,Percent of Total Billed Charges,,,,,882.34,,,,,,,Percent of Total Billed Charges,,,,,873.15,,,,,,,Percent of Total Billed Charges,,,,,183.82,,,,,,,Percent of Total Billed Charges,,,,,781.24,,,,,,,Percent of Total Billed Charges,,,,,193.01,,,,,,,Percent of Total Billed Charges,,,,,827.19,,,,,,,Percent of Total Billed Charges,,,,,827.19,,,,,,,Percent of Total Billed Charges,,,,,183.82,,,,,,,Percent of Total Billed Charges,,,,,257.35,,,,,,,Percent of Total Billed Charges,,,,,735.28,,,,,,,Percent of Total Billed Charges,,,,,183.82,,,,,,,Percent of Total Billed Charges,,,, NF-REVATIO (SILDENAFIL) TAB 20 MG ,250,RC,,Outpatient,20,ME,3.75,3,2.8,,,,,,,Percent of Total Billed Charges,,2.8,2.8,,3.75,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,, NF-TRACLEER (BOSENTAN) TAB 125 MG ,250,RC,,Outpatient,125,ME,288,230.4,215.14,,,,,,,Percent of Total Billed Charges,,215.14,215.14,,288,,,,,,,Percent of Total Billed Charges,,,,,276.48,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,259.2,,,,,,,Percent of Total Billed Charges,,,,,259.2,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,80.64,,,,,,,Percent of Total Billed Charges,,,,,230.4,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,, NF-BUDESONIDE MDI (PULMICORT) 180 MCG ,250,RC,,Outpatient,180,ME,548,438.4,409.36,,,,,,,Percent of Total Billed Charges,,409.36,409.36,,548,,,,,,,Percent of Total Billed Charges,,,,,526.08,,,,,,,Percent of Total Billed Charges,,,,,520.6,,,,,,,Percent of Total Billed Charges,,,,,109.6,,,,,,,Percent of Total Billed Charges,,,,,465.8,,,,,,,Percent of Total Billed Charges,,,,,115.08,,,,,,,Percent of Total Billed Charges,,,,,493.2,,,,,,,Percent of Total Billed Charges,,,,,493.2,,,,,,,Percent of Total Billed Charges,,,,,109.6,,,,,,,Percent of Total Billed Charges,,,,,153.44,,,,,,,Percent of Total Billed Charges,,,,,438.4,,,,,,,Percent of Total Billed Charges,,,,,109.6,,,,,,,Percent of Total Billed Charges,,,, NF-LUTEIN TABLET 20 MG ,250,RC,,Outpatient,20,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, NF-FONDAPARINUX INJ (ARIXTRA) 10MG/0.8ML,250,RC,,Outpatient,10,ME,46.6,37.28,34.81,,,,,,,Percent of Total Billed Charges,,34.81,34.81,,46.6,,,,,,,Percent of Total Billed Charges,,,,,44.74,,,,,,,Percent of Total Billed Charges,,,,,44.27,,,,,,,Percent of Total Billed Charges,,,,,9.32,,,,,,,Percent of Total Billed Charges,,,,,39.61,,,,,,,Percent of Total Billed Charges,,,,,9.79,,,,,,,Percent of Total Billed Charges,,,,,41.94,,,,,,,Percent of Total Billed Charges,,,,,41.94,,,,,,,Percent of Total Billed Charges,,,,,9.32,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,37.28,,,,,,,Percent of Total Billed Charges,,,,,9.32,,,,,,,Percent of Total Billed Charges,,,, *NF-AZELASTINE (ASTEPRO) NASAL 137MCG ,250,RC,,Outpatient,137,ME,20.15,16.12,15.05,,,,,,,Percent of Total Billed Charges,,15.05,15.05,,20.15,,,,,,,Percent of Total Billed Charges,,,,,19.34,,,,,,,Percent of Total Billed Charges,,,,,19.14,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,17.13,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,18.14,,,,,,,Percent of Total Billed Charges,,,,,18.14,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,5.64,,,,,,,Percent of Total Billed Charges,,,,,16.12,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,, NF-PROPRANOLOL(INDERAL LA) CAP ER 80 MG ,250,RC,,Outpatient,80,ME,4.6,3.68,3.44,,,,,,,Percent of Total Billed Charges,,3.44,3.44,,4.6,,,,,,,Percent of Total Billed Charges,,,,,4.42,,,,,,,Percent of Total Billed Charges,,,,,4.37,,,,,,,Percent of Total Billed Charges,,,,,0.92,,,,,,,Percent of Total Billed Charges,,,,,3.91,,,,,,,Percent of Total Billed Charges,,,,,0.97,,,,,,,Percent of Total Billed Charges,,,,,4.14,,,,,,,Percent of Total Billed Charges,,,,,4.14,,,,,,,Percent of Total Billed Charges,,,,,0.92,,,,,,,Percent of Total Billed Charges,,,,,1.29,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,0.92,,,,,,,Percent of Total Billed Charges,,,, NF-LAMOTRIGINE(LAMICTAL)TAB 100 MG ,250,RC,,Outpatient,100,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, *NF-PREGABALIN (LYRICA) CAP 100MG ,250,RC,,Outpatient,100,ME,10.75,8.6,8.03,,,,,,,Percent of Total Billed Charges,,8.03,8.03,,10.75,,,,,,,Percent of Total Billed Charges,,,,,10.32,,,,,,,Percent of Total Billed Charges,,,,,10.21,,,,,,,Percent of Total Billed Charges,,,,,2.15,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,9.68,,,,,,,Percent of Total Billed Charges,,,,,9.68,,,,,,,Percent of Total Billed Charges,,,,,2.15,,,,,,,Percent of Total Billed Charges,,,,,3.01,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,2.15,,,,,,,Percent of Total Billed Charges,,,, *NF-POTASSIUM TAB EFFERV 25 MEQ ,250,RC,,Outpatient,25,ME,2.55,2.04,1.9,,,,,,,Percent of Total Billed Charges,,1.9,1.9,,2.55,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,, NF-EXCEDRIN PM TAB 500MG-38MG ,250,RC,,Outpatient,500,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-MESALAMINE HD(ASACOL) TAB DR 800 MG ,250,RC,,Outpatient,800,ME,12.4,9.92,9.26,,,,,,,Percent of Total Billed Charges,,9.26,9.26,,12.4,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,11.78,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,10.54,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,11.16,,,,,,,Percent of Total Billed Charges,,,,,11.16,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,9.92,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,, *NF-OMEPRAZOLE(PRILOSEC) CAP DR 10 MG ,250,RC,,Outpatient,10,ME,11.45,9.16,8.55,,,,,,,Percent of Total Billed Charges,,8.55,8.55,,11.45,,,,,,,Percent of Total Billed Charges,,,,,10.99,,,,,,,Percent of Total Billed Charges,,,,,10.88,,,,,,,Percent of Total Billed Charges,,,,,2.29,,,,,,,Percent of Total Billed Charges,,,,,9.73,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,10.31,,,,,,,Percent of Total Billed Charges,,,,,10.31,,,,,,,Percent of Total Billed Charges,,,,,2.29,,,,,,,Percent of Total Billed Charges,,,,,3.21,,,,,,,Percent of Total Billed Charges,,,,,9.16,,,,,,,Percent of Total Billed Charges,,,,,2.29,,,,,,,Percent of Total Billed Charges,,,, VALACYCLOVIR TAB (VALTREX) 500 MG ,250,RC,,Outpatient,500,ME,2.65,2.12,1.98,,,,,,,Percent of Total Billed Charges,,1.98,1.98,,2.65,,,,,,,Percent of Total Billed Charges,,,,,2.54,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,, NF-VANTAS 50 MG(HISTRELIN) SUBQ IMPLANT ,250,RC,,Outpatient,50,ME,8013,6410.4,5985.71,,,,,,,Percent of Total Billed Charges,,5985.71,5985.71,,8013,,,,,,,Percent of Total Billed Charges,,,,,7692.48,,,,,,,Percent of Total Billed Charges,,,,,7612.35,,,,,,,Percent of Total Billed Charges,,,,,1602.6,,,,,,,Percent of Total Billed Charges,,,,,6811.05,,,,,,,Percent of Total Billed Charges,,,,,1682.73,,,,,,,Percent of Total Billed Charges,,,,,7211.7,,,,,,,Percent of Total Billed Charges,,,,,7211.7,,,,,,,Percent of Total Billed Charges,,,,,1602.6,,,,,,,Percent of Total Billed Charges,,,,,2243.64,,,,,,,Percent of Total Billed Charges,,,,,6410.4,,,,,,,Percent of Total Billed Charges,,,,,1602.6,,,,,,,Percent of Total Billed Charges,,,, NF-NEFAZODONE TAB(SERZONE) 200 MG ,250,RC,,Outpatient,200,ME,7.8,6.24,5.83,,,,,,,Percent of Total Billed Charges,,5.83,5.83,,7.8,,,,,,,Percent of Total Billed Charges,,,,,7.49,,,,,,,Percent of Total Billed Charges,,,,,7.41,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,6.63,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,7.02,,,,,,,Percent of Total Billed Charges,,,,,7.02,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,2.18,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,, NF-GLUCOSAMINE & CHOND 500MG-400MG ,250,RC,,Outpatient,500,ME,2.4,1.92,1.79,,,,,,,Percent of Total Billed Charges,,1.79,1.79,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,, NF-NORGESTR /ETHINYL ESTRAD 168TAB##### ,250,RC,,Outpatient,,,9.2,7.36,6.87,,,,,,,Percent of Total Billed Charges,,6.87,6.87,,9.2,,,,,,,Percent of Total Billed Charges,,,,,8.83,,,,,,,Percent of Total Billed Charges,,,,,8.74,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,7.82,,,,,,,Percent of Total Billed Charges,,,,,1.93,,,,,,,Percent of Total Billed Charges,,,,,8.28,,,,,,,Percent of Total Billed Charges,,,,,8.28,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,2.58,,,,,,,Percent of Total Billed Charges,,,,,7.36,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,, NF-CIMETIDINE (TAGAMET) TAB 400 MG ,250,RC,,Outpatient,400,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, NF-QUETIAPINE TAB(SEROQUEL) 100 MG ,250,RC,,Outpatient,100,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-FEXOFENADINE (ALLEGRA) TAB 60 MG ,250,RC,,Outpatient,60,ME,7.2,5.76,5.38,,,,,,,Percent of Total Billed Charges,,5.38,5.38,,7.2,,,,,,,Percent of Total Billed Charges,,,,,6.91,,,,,,,Percent of Total Billed Charges,,,,,6.84,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,6.12,,,,,,,Percent of Total Billed Charges,,,,,1.51,,,,,,,Percent of Total Billed Charges,,,,,6.48,,,,,,,Percent of Total Billed Charges,,,,,6.48,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,, *NF-AMOXICILLIN CAP 250MG********** ,250,RC,,Outpatient,250,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, *NF-CLARITIN-D 24 HR TAB ER 10MG- ,250,RC,,Outpatient,10,ME,4.45,3.56,3.32,,,,,,,Percent of Total Billed Charges,,3.32,3.32,,4.45,,,,,,,Percent of Total Billed Charges,,,,,4.27,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,0.89,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,0.93,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,,,0.89,,,,,,,Percent of Total Billed Charges,,,,,1.25,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,0.89,,,,,,,Percent of Total Billed Charges,,,, NF-BETAMETH DIP(DIPROLENE) OINT 0.05% ,250,RC,,Outpatient,,,230.05,184.04,171.85,,,,,,,Percent of Total Billed Charges,,171.85,171.85,,230.05,,,,,,,Percent of Total Billed Charges,,,,,220.85,,,,,,,Percent of Total Billed Charges,,,,,218.55,,,,,,,Percent of Total Billed Charges,,,,,46.01,,,,,,,Percent of Total Billed Charges,,,,,195.54,,,,,,,Percent of Total Billed Charges,,,,,48.31,,,,,,,Percent of Total Billed Charges,,,,,207.05,,,,,,,Percent of Total Billed Charges,,,,,207.05,,,,,,,Percent of Total Billed Charges,,,,,46.01,,,,,,,Percent of Total Billed Charges,,,,,64.41,,,,,,,Percent of Total Billed Charges,,,,,184.04,,,,,,,Percent of Total Billed Charges,,,,,46.01,,,,,,,Percent of Total Billed Charges,,,, NF-ATORVASTATIN (LIPITOR) TAB 80 MG ,250,RC,,Outpatient,80,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-ESTRADIOL(ALORA) TD PATCH 0.1MG/24HR,250,RC,,Outpatient,0.1,ME,28.35,22.68,21.18,,,,,,,Percent of Total Billed Charges,,21.18,21.18,,28.35,,,,,,,Percent of Total Billed Charges,,,,,27.22,,,,,,,Percent of Total Billed Charges,,,,,26.93,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,25.52,,,,,,,Percent of Total Billed Charges,,,,,25.52,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,7.94,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,, *NF-ROPINIROLE (REQUIP)TAB 1 MG***** ,250,RC,,Outpatient,1,ME,3.05,2.44,2.28,,,,,,,Percent of Total Billed Charges,,2.28,2.28,,3.05,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,2.44,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,, NF-FAMCICLOVIR (FAMVIR) TAB 500 MG ,250,RC,,Outpatient,500,ME,44.1,35.28,32.94,,,,,,,Percent of Total Billed Charges,,32.94,32.94,,44.1,,,,,,,Percent of Total Billed Charges,,,,,42.34,,,,,,,Percent of Total Billed Charges,,,,,41.9,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.49,,,,,,,Percent of Total Billed Charges,,,,,9.26,,,,,,,Percent of Total Billed Charges,,,,,39.69,,,,,,,Percent of Total Billed Charges,,,,,39.69,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,12.35,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,, NF-DILTIAZEM(TIAZAC) 24 HR CAP ER 420MG ,250,RC,,Outpatient,420,ME,9.1,7.28,6.8,,,,,,,Percent of Total Billed Charges,,6.8,6.8,,9.1,,,,,,,Percent of Total Billed Charges,,,,,8.74,,,,,,,Percent of Total Billed Charges,,,,,8.65,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,7.74,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,7.28,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,, NF-LEVETIRACETAM (KEPPRA) TAB 750 MG ,250,RC,,Outpatient,750,ME,11,8.8,8.22,,,,,,,Percent of Total Billed Charges,,8.22,8.22,,11,,,,,,,Percent of Total Billed Charges,,,,,10.56,,,,,,,Percent of Total Billed Charges,,,,,10.45,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,9.35,,,,,,,Percent of Total Billed Charges,,,,,2.31,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,3.08,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,, NF-FEBUXOSTAT (ULORIC) TAB 40 MG ,250,RC,,Outpatient,40,ME,17.6,14.08,13.15,,,,,,,Percent of Total Billed Charges,,13.15,13.15,,17.6,,,,,,,Percent of Total Billed Charges,,,,,16.9,,,,,,,Percent of Total Billed Charges,,,,,16.72,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,,,14.96,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,,,4.93,,,,,,,Percent of Total Billed Charges,,,,,14.08,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,, NF-PROPRANOLOL ER (INDERAL ER)CAP 120 MG,250,RC,,Outpatient,120,ME,10,8,7.47,,,,,,,Percent of Total Billed Charges,,7.47,7.47,,10,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,, NF-OMEPRAZOLE CAP DR (PRILOSEC) 10 MG ,250,RC,,Outpatient,10,ME,3.05,2.44,2.28,,,,,,,Percent of Total Billed Charges,,2.28,2.28,,3.05,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,2.44,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,, NF-OMEPRAZOLE CAP DR 40 MG ,250,RC,,Outpatient,40,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-ETODOLAC TAB (LODINE) 500 MG ,250,RC,,Outpatient,500,ME,3.15,2.52,2.35,,,,,,,Percent of Total Billed Charges,,2.35,2.35,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,2.99,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.68,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,, NF-BUSPIRONE (BUSPAR) TAB 15 MG ,250,RC,,Outpatient,15,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, NF-COENZYME Q-10 LIQ CAP 100 MG ,250,RC,,Outpatient,100,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, NF-FINASTERIDE (PROPECIA) 1 MG TAB ,250,RC,,Outpatient,1,ME,17.55,14.04,13.11,,,,,,,Percent of Total Billed Charges,,13.11,13.11,,17.55,,,,,,,Percent of Total Billed Charges,,,,,16.85,,,,,,,Percent of Total Billed Charges,,,,,16.67,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,14.92,,,,,,,Percent of Total Billed Charges,,,,,3.69,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,4.91,,,,,,,Percent of Total Billed Charges,,,,,14.04,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,, *NF-PANTOPRAZOLE (PROTONIX)TAB EC 20 MG ,250,RC,,Outpatient,20,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, NF-LACOSAMIDE (VIMPAT) TAB 100 MG ,250,RC,,Outpatient,100,ME,23.5,18.8,17.55,,,,,,,Percent of Total Billed Charges,,17.55,17.55,,23.5,,,,,,,Percent of Total Billed Charges,,,,,22.56,,,,,,,Percent of Total Billed Charges,,,,,22.33,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,19.98,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,, NF-DIVALPROEX (DEPAKOTE) DR TAB 125 MG ,250,RC,,Outpatient,125,ME,2.7,2.16,2.02,,,,,,,Percent of Total Billed Charges,,2.02,2.02,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,, NF-DULOXETINE (CYMBALTA) CAP DR 20 MG ,250,RC,,Outpatient,20,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, NF-QUINAPRIL /HCTZ TAB 20/12.5 ,250,RC,,Outpatient,,,3.45,2.76,2.58,,,,,,,Percent of Total Billed Charges,,2.58,2.58,,3.45,,,,,,,Percent of Total Billed Charges,,,,,3.31,,,,,,,Percent of Total Billed Charges,,,,,3.28,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,0.72,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,0.97,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,, NF-GLUCOSAMINE 1500 MG TAB ,250,RC,,Outpatient,1500,ME,2.7,2.16,2.02,,,,,,,Percent of Total Billed Charges,,2.02,2.02,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,, NF-PREGABALIN (LYRICA) CAP 200 MG ,250,RC,,Outpatient,200,ME,2.45,1.96,1.83,,,,,,,Percent of Total Billed Charges,,1.83,1.83,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.33,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,, NF-TESTOSTERONE (ANDROGEL) GEL 1.62% ,250,RC,,Outpatient,,,950.65,760.52,710.14,,,,,,,Percent of Total Billed Charges,,710.14,710.14,,950.65,,,,,,,Percent of Total Billed Charges,,,,,912.62,,,,,,,Percent of Total Billed Charges,,,,,903.12,,,,,,,Percent of Total Billed Charges,,,,,190.13,,,,,,,Percent of Total Billed Charges,,,,,808.05,,,,,,,Percent of Total Billed Charges,,,,,199.64,,,,,,,Percent of Total Billed Charges,,,,,855.59,,,,,,,Percent of Total Billed Charges,,,,,855.59,,,,,,,Percent of Total Billed Charges,,,,,190.13,,,,,,,Percent of Total Billed Charges,,,,,266.18,,,,,,,Percent of Total Billed Charges,,,,,760.52,,,,,,,Percent of Total Billed Charges,,,,,190.13,,,,,,,Percent of Total Billed Charges,,,, *NF-DORZOLAMIDE (TRUSOPT) OPHTH SOLN 2% ,250,RC,,Outpatient,,,99.2,79.36,74.1,,,,,,,Percent of Total Billed Charges,,74.1,74.1,,99.2,,,,,,,Percent of Total Billed Charges,,,,,95.23,,,,,,,Percent of Total Billed Charges,,,,,94.24,,,,,,,Percent of Total Billed Charges,,,,,19.84,,,,,,,Percent of Total Billed Charges,,,,,84.32,,,,,,,Percent of Total Billed Charges,,,,,20.83,,,,,,,Percent of Total Billed Charges,,,,,89.28,,,,,,,Percent of Total Billed Charges,,,,,89.28,,,,,,,Percent of Total Billed Charges,,,,,19.84,,,,,,,Percent of Total Billed Charges,,,,,27.78,,,,,,,Percent of Total Billed Charges,,,,,79.36,,,,,,,Percent of Total Billed Charges,,,,,19.84,,,,,,,Percent of Total Billed Charges,,,, NF-BUPROPION 24 HR TAB XL 300 MG ,250,RC,,Outpatient,300,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-ZALEPLON (SONATA) CAP: 5 MG ,250,RC,,Outpatient,5,ME,9.1,7.28,6.8,,,,,,,Percent of Total Billed Charges,,6.8,6.8,,9.1,,,,,,,Percent of Total Billed Charges,,,,,8.74,,,,,,,Percent of Total Billed Charges,,,,,8.65,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,7.74,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,7.28,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,, *NF-OFLOXACIN OTIC SOLN 0.3%******* ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, NF-CEFDINIR (OMNICEF) SUSP 125MG/5ML ,250,RC,,Outpatient,125,ME,42.65,34.12,31.86,,,,,,,Percent of Total Billed Charges,,31.86,31.86,,42.65,,,,,,,Percent of Total Billed Charges,,,,,40.94,,,,,,,Percent of Total Billed Charges,,,,,40.52,,,,,,,Percent of Total Billed Charges,,,,,8.53,,,,,,,Percent of Total Billed Charges,,,,,36.25,,,,,,,Percent of Total Billed Charges,,,,,8.96,,,,,,,Percent of Total Billed Charges,,,,,38.39,,,,,,,Percent of Total Billed Charges,,,,,38.39,,,,,,,Percent of Total Billed Charges,,,,,8.53,,,,,,,Percent of Total Billed Charges,,,,,11.94,,,,,,,Percent of Total Billed Charges,,,,,34.12,,,,,,,Percent of Total Billed Charges,,,,,8.53,,,,,,,Percent of Total Billed Charges,,,, NF-STALEVO 50 TAB 12.5MG-200MG-50MG ,250,RC,,Outpatient,12.5,ME,12.45,9.96,9.3,,,,,,,Percent of Total Billed Charges,,9.3,9.3,,12.45,,,,,,,Percent of Total Billed Charges,,,,,11.95,,,,,,,Percent of Total Billed Charges,,,,,11.83,,,,,,,Percent of Total Billed Charges,,,,,2.49,,,,,,,Percent of Total Billed Charges,,,,,10.58,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,11.21,,,,,,,Percent of Total Billed Charges,,,,,11.21,,,,,,,Percent of Total Billed Charges,,,,,2.49,,,,,,,Percent of Total Billed Charges,,,,,3.49,,,,,,,Percent of Total Billed Charges,,,,,9.96,,,,,,,Percent of Total Billed Charges,,,,,2.49,,,,,,,Percent of Total Billed Charges,,,, NF-EXELON PATCH ER 4.6 MG/ 24 HR ,250,RC,,Outpatient,4.6,ME,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, NF-LOSARTAN/HCTZ TAB 50MG-12.5MG ,250,RC,,Outpatient,50,GM,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-ATENOLOL/CHLORTHALIDONE TAB 100/25 ,250,RC,,Outpatient,,,8.8,7.04,6.57,,,,,,,Percent of Total Billed Charges,,6.57,6.57,,8.8,,,,,,,Percent of Total Billed Charges,,,,,8.45,,,,,,,Percent of Total Billed Charges,,,,,8.36,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,7.48,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,2.46,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,, NF-RESTASIS OPHTH EMULSION 0.05% ,250,RC,,Outpatient,,,22.65,18.12,16.92,,,,,,,Percent of Total Billed Charges,,16.92,16.92,,22.65,,,,,,,Percent of Total Billed Charges,,,,,21.74,,,,,,,Percent of Total Billed Charges,,,,,21.52,,,,,,,Percent of Total Billed Charges,,,,,4.53,,,,,,,Percent of Total Billed Charges,,,,,19.25,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,20.39,,,,,,,Percent of Total Billed Charges,,,,,20.39,,,,,,,Percent of Total Billed Charges,,,,,4.53,,,,,,,Percent of Total Billed Charges,,,,,6.34,,,,,,,Percent of Total Billed Charges,,,,,18.12,,,,,,,Percent of Total Billed Charges,,,,,4.53,,,,,,,Percent of Total Billed Charges,,,, NF-LUBIPROSTONE (AMITIZA) CAP 24 MCG ,250,RC,,Outpatient,24,ME,13.85,11.08,10.35,,,,,,,Percent of Total Billed Charges,,10.35,10.35,,13.85,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,13.16,,,,,,,Percent of Total Billed Charges,,,,,2.77,,,,,,,Percent of Total Billed Charges,,,,,11.77,,,,,,,Percent of Total Billed Charges,,,,,2.91,,,,,,,Percent of Total Billed Charges,,,,,12.47,,,,,,,Percent of Total Billed Charges,,,,,12.47,,,,,,,Percent of Total Billed Charges,,,,,2.77,,,,,,,Percent of Total Billed Charges,,,,,3.88,,,,,,,Percent of Total Billed Charges,,,,,11.08,,,,,,,Percent of Total Billed Charges,,,,,2.77,,,,,,,Percent of Total Billed Charges,,,, NF-RELISTOR SUBQ SOLN 12MG/0.6ML ,250,RC,,Outpatient,0.6,ML,376.45,301.16,281.21,,,,,,,Percent of Total Billed Charges,,281.21,281.21,,376.45,,,,,,,Percent of Total Billed Charges,,,,,361.39,,,,,,,Percent of Total Billed Charges,,,,,357.63,,,,,,,Percent of Total Billed Charges,,,,,75.29,,,,,,,Percent of Total Billed Charges,,,,,319.98,,,,,,,Percent of Total Billed Charges,,,,,79.05,,,,,,,Percent of Total Billed Charges,,,,,338.81,,,,,,,Percent of Total Billed Charges,,,,,338.81,,,,,,,Percent of Total Billed Charges,,,,,75.29,,,,,,,Percent of Total Billed Charges,,,,,105.41,,,,,,,Percent of Total Billed Charges,,,,,301.16,,,,,,,Percent of Total Billed Charges,,,,,75.29,,,,,,,Percent of Total Billed Charges,,,, NF-PROPAFENONE (RYTHMOL) CAP ER: 225 MG,250,RC,,Outpatient,225,ME,17.6,14.08,13.15,,,,,,,Percent of Total Billed Charges,,13.15,13.15,,17.6,,,,,,,Percent of Total Billed Charges,,,,,16.9,,,,,,,Percent of Total Billed Charges,,,,,16.72,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,,,14.96,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,,,4.93,,,,,,,Percent of Total Billed Charges,,,,,14.08,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,, NF-PROPRANOLOL (INDERAL) CAP ER :60 MG ,250,RC,,Outpatient,60,ME,4.3,3.44,3.21,,,,,,,Percent of Total Billed Charges,,3.21,3.21,,4.3,,,,,,,Percent of Total Billed Charges,,,,,4.13,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,,,0.86,,,,,,,Percent of Total Billed Charges,,,,,3.66,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,0.86,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,,,0.86,,,,,,,Percent of Total Billed Charges,,,, NF-BRIMONIDINE 0.2% OPTH SOLN (ALPHAGAN),250,RC,,Outpatient,,,19.95,15.96,14.9,,,,,,,Percent of Total Billed Charges,,14.9,14.9,,19.95,,,,,,,Percent of Total Billed Charges,,,,,19.15,,,,,,,Percent of Total Billed Charges,,,,,18.95,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,16.96,,,,,,,Percent of Total Billed Charges,,,,,4.19,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,5.59,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,, NF-VENLAFAXINE TAB 100 MG ,250,RC,,Outpatient,100,ME,4.3,3.44,3.21,,,,,,,Percent of Total Billed Charges,,3.21,3.21,,4.3,,,,,,,Percent of Total Billed Charges,,,,,4.13,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,,,0.86,,,,,,,Percent of Total Billed Charges,,,,,3.66,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,0.86,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,,,0.86,,,,,,,Percent of Total Billed Charges,,,, *NF-CARVEDILOL TAB 25MG************ ,250,RC,,Outpatient,25,ME,1.8,1.4,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, NF-DESONIDE CREAM 0.05% ,250,RC,,Outpatient,,,93.8,75.04,70.07,,,,,,,Percent of Total Billed Charges,,70.07,70.07,,93.8,,,,,,,Percent of Total Billed Charges,,,,,90.05,,,,,,,Percent of Total Billed Charges,,,,,89.11,,,,,,,Percent of Total Billed Charges,,,,,18.76,,,,,,,Percent of Total Billed Charges,,,,,79.73,,,,,,,Percent of Total Billed Charges,,,,,19.7,,,,,,,Percent of Total Billed Charges,,,,,84.42,,,,,,,Percent of Total Billed Charges,,,,,84.42,,,,,,,Percent of Total Billed Charges,,,,,18.76,,,,,,,Percent of Total Billed Charges,,,,,26.26,,,,,,,Percent of Total Billed Charges,,,,,75.04,,,,,,,Percent of Total Billed Charges,,,,,18.76,,,,,,,Percent of Total Billed Charges,,,, MONTELUKAST TAB 10 MG BULK ########## ,250,RC,,Outpatient,10,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, NF-ALORA TD PATCH ER 0.025MG/24HR ,250,RC,,Outpatient,0.025,ME,29.75,23.8,22.22,,,,,,,Percent of Total Billed Charges,,22.22,22.22,,29.75,,,,,,,Percent of Total Billed Charges,,,,,28.56,,,,,,,Percent of Total Billed Charges,,,,,28.26,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,25.29,,,,,,,Percent of Total Billed Charges,,,,,6.25,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,8.33,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,, NF-LACOSAMIDE TAB (VIMPAT) : 200 MG ,250,RC,,Outpatient,200,ME,27.1,21.68,20.24,,,,,,,Percent of Total Billed Charges,,20.24,20.24,,27.1,,,,,,,Percent of Total Billed Charges,,,,,26.02,,,,,,,Percent of Total Billed Charges,,,,,25.75,,,,,,,Percent of Total Billed Charges,,,,,5.42,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,5.69,,,,,,,Percent of Total Billed Charges,,,,,24.39,,,,,,,Percent of Total Billed Charges,,,,,24.39,,,,,,,Percent of Total Billed Charges,,,,,5.42,,,,,,,Percent of Total Billed Charges,,,,,7.59,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.42,,,,,,,Percent of Total Billed Charges,,,, NF-ABIRATERONE (ZYTIGA) TAB : 250 MG ,250,RC,,Outpatient,250,ME,169.4,135.52,126.54,,,,,,,Percent of Total Billed Charges,,126.54,126.54,,169.4,,,,,,,Percent of Total Billed Charges,,,,,162.62,,,,,,,Percent of Total Billed Charges,,,,,160.93,,,,,,,Percent of Total Billed Charges,,,,,33.88,,,,,,,Percent of Total Billed Charges,,,,,143.99,,,,,,,Percent of Total Billed Charges,,,,,35.57,,,,,,,Percent of Total Billed Charges,,,,,152.46,,,,,,,Percent of Total Billed Charges,,,,,152.46,,,,,,,Percent of Total Billed Charges,,,,,33.88,,,,,,,Percent of Total Billed Charges,,,,,47.43,,,,,,,Percent of Total Billed Charges,,,,,135.52,,,,,,,Percent of Total Billed Charges,,,,,33.88,,,,,,,Percent of Total Billed Charges,,,, NF-FENOFIBRATE (TRICOR)TAB: 48 MG ,250,RC,,Outpatient,48,ME,7.15,5.72,5.34,,,,,,,Percent of Total Billed Charges,,5.34,5.34,,7.15,,,,,,,Percent of Total Billed Charges,,,,,6.86,,,,,,,Percent of Total Billed Charges,,,,,6.79,,,,,,,Percent of Total Billed Charges,,,,,1.43,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,1.43,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,5.72,,,,,,,Percent of Total Billed Charges,,,,,1.43,,,,,,,Percent of Total Billed Charges,,,, NF-TERIPARATIDE (FORTEO) INJ 250 MCG/ML ,250,RC,,Outpatient,250,ME,4108.5,3286.8,3069.05,,,,,,,Percent of Total Billed Charges,,3069.05,3069.05,,4108.5,,,,,,,Percent of Total Billed Charges,,,,,3944.16,,,,,,,Percent of Total Billed Charges,,,,,3903.08,,,,,,,Percent of Total Billed Charges,,,,,821.7,,,,,,,Percent of Total Billed Charges,,,,,3492.23,,,,,,,Percent of Total Billed Charges,,,,,862.79,,,,,,,Percent of Total Billed Charges,,,,,3697.65,,,,,,,Percent of Total Billed Charges,,,,,3697.65,,,,,,,Percent of Total Billed Charges,,,,,821.7,,,,,,,Percent of Total Billed Charges,,,,,1150.38,,,,,,,Percent of Total Billed Charges,,,,,3286.8,,,,,,,Percent of Total Billed Charges,,,,,821.7,,,,,,,Percent of Total Billed Charges,,,, NF-LACOSAMIDE TAB (VIMPAT) : 150 MG ,250,RC,,Outpatient,150,ME,27.1,21.68,20.24,,,,,,,Percent of Total Billed Charges,,20.24,20.24,,27.1,,,,,,,Percent of Total Billed Charges,,,,,26.02,,,,,,,Percent of Total Billed Charges,,,,,25.75,,,,,,,Percent of Total Billed Charges,,,,,5.42,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,5.69,,,,,,,Percent of Total Billed Charges,,,,,24.39,,,,,,,Percent of Total Billed Charges,,,,,24.39,,,,,,,Percent of Total Billed Charges,,,,,5.42,,,,,,,Percent of Total Billed Charges,,,,,7.59,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.42,,,,,,,Percent of Total Billed Charges,,,, NF-DILANTIN CAP (PHENYTOIN): 30 MG ,250,RC,,Outpatient,30,ME,3.05,2.44,2.28,,,,,,,Percent of Total Billed Charges,,2.28,2.28,,3.05,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,2.44,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,, NF-LINAGLIPTIN (TRADJENTA) TAB: 5 MG ,250,RC,,Outpatient,5,ME,24.35,19.48,18.19,,,,,,,Percent of Total Billed Charges,,18.19,18.19,,24.35,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,23.13,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,5.11,,,,,,,Percent of Total Billed Charges,,,,,21.92,,,,,,,Percent of Total Billed Charges,,,,,21.92,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,,,6.82,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,, NF-NECON 1/50 ORAL KIT ,250,RC,,Outpatient,50,EA,3.9,3.12,2.91,,,,,,,Percent of Total Billed Charges,,2.91,2.91,,3.9,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,3.71,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,3.32,,,,,,,Percent of Total Billed Charges,,,,,0.82,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,1.09,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,, NF-ARMOUR THYROID TAB: 60 MG ,250,RC,,Outpatient,60,ME,2.55,2.04,1.9,,,,,,,Percent of Total Billed Charges,,1.9,1.9,,2.55,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,, NF-CEFTAROLINE IV 600 MG ,250,RC,,Outpatient,600,ME,150.7,120.56,112.57,,,,,,,Percent of Total Billed Charges,,112.57,112.57,,150.7,,,,,,,Percent of Total Billed Charges,,,,,144.67,,,,,,,Percent of Total Billed Charges,,,,,143.17,,,,,,,Percent of Total Billed Charges,,,,,30.14,,,,,,,Percent of Total Billed Charges,,,,,128.1,,,,,,,Percent of Total Billed Charges,,,,,31.65,,,,,,,Percent of Total Billed Charges,,,,,135.63,,,,,,,Percent of Total Billed Charges,,,,,135.63,,,,,,,Percent of Total Billed Charges,,,,,30.14,,,,,,,Percent of Total Billed Charges,,,,,42.2,,,,,,,Percent of Total Billed Charges,,,,,120.56,,,,,,,Percent of Total Billed Charges,,,,,30.14,,,,,,,Percent of Total Billed Charges,,,, NF-BUPROPION 12HR SR TAB: 150 MG##BULK ,250,RC,,Outpatient,150,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, NF-COSOPT 2%-0.5% (DORZOLAMIDE/TIMOLOL) ,250,RC,,Outpatient,,,45.9,36.72,34.29,,,,,,,Percent of Total Billed Charges,,34.29,34.29,,45.9,,,,,,,Percent of Total Billed Charges,,,,,44.06,,,,,,,Percent of Total Billed Charges,,,,,43.61,,,,,,,Percent of Total Billed Charges,,,,,9.18,,,,,,,Percent of Total Billed Charges,,,,,39.02,,,,,,,Percent of Total Billed Charges,,,,,9.64,,,,,,,Percent of Total Billed Charges,,,,,41.31,,,,,,,Percent of Total Billed Charges,,,,,41.31,,,,,,,Percent of Total Billed Charges,,,,,9.18,,,,,,,Percent of Total Billed Charges,,,,,12.85,,,,,,,Percent of Total Billed Charges,,,,,36.72,,,,,,,Percent of Total Billed Charges,,,,,9.18,,,,,,,Percent of Total Billed Charges,,,, NF-OXYMORPHONE ER (OPANA ER) TAB: 20 MG ,250,RC,,Outpatient,20,ME,29.3,23.44,21.89,,,,,,,Percent of Total Billed Charges,,21.89,21.89,,29.3,,,,,,,Percent of Total Billed Charges,,,,,28.13,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,5.86,,,,,,,Percent of Total Billed Charges,,,,,24.91,,,,,,,Percent of Total Billed Charges,,,,,6.15,,,,,,,Percent of Total Billed Charges,,,,,26.37,,,,,,,Percent of Total Billed Charges,,,,,26.37,,,,,,,Percent of Total Billed Charges,,,,,5.86,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,23.44,,,,,,,Percent of Total Billed Charges,,,,,5.86,,,,,,,Percent of Total Billed Charges,,,, NF-ROFLUMILAST (DALIRESP) TAB: 500 MCG ,250,RC,,Outpatient,500,ME,19.9,15.92,14.87,,,,,,,Percent of Total Billed Charges,,14.87,14.87,,19.9,,,,,,,Percent of Total Billed Charges,,,,,19.1,,,,,,,Percent of Total Billed Charges,,,,,18.91,,,,,,,Percent of Total Billed Charges,,,,,3.98,,,,,,,Percent of Total Billed Charges,,,,,16.92,,,,,,,Percent of Total Billed Charges,,,,,4.18,,,,,,,Percent of Total Billed Charges,,,,,17.91,,,,,,,Percent of Total Billed Charges,,,,,17.91,,,,,,,Percent of Total Billed Charges,,,,,3.98,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,15.92,,,,,,,Percent of Total Billed Charges,,,,,3.98,,,,,,,Percent of Total Billed Charges,,,, NF-NULYTELY PWD FOR SOLN ,250,RC,,Outpatient,,,92.6,74.08,69.17,,,,,,,Percent of Total Billed Charges,,69.17,69.17,,92.6,,,,,,,Percent of Total Billed Charges,,,,,88.9,,,,,,,Percent of Total Billed Charges,,,,,87.97,,,,,,,Percent of Total Billed Charges,,,,,18.52,,,,,,,Percent of Total Billed Charges,,,,,78.71,,,,,,,Percent of Total Billed Charges,,,,,19.45,,,,,,,Percent of Total Billed Charges,,,,,83.34,,,,,,,Percent of Total Billed Charges,,,,,83.34,,,,,,,Percent of Total Billed Charges,,,,,18.52,,,,,,,Percent of Total Billed Charges,,,,,25.93,,,,,,,Percent of Total Billed Charges,,,,,74.08,,,,,,,Percent of Total Billed Charges,,,,,18.52,,,,,,,Percent of Total Billed Charges,,,, NF-DESVENLAFAXINE (PRISTIQ) ER TAB:50 MG,250,RC,,Outpatient,50,ME,25.75,20.6,19.24,,,,,,,Percent of Total Billed Charges,,19.24,19.24,,25.75,,,,,,,Percent of Total Billed Charges,,,,,24.72,,,,,,,Percent of Total Billed Charges,,,,,24.46,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,21.89,,,,,,,Percent of Total Billed Charges,,,,,5.41,,,,,,,Percent of Total Billed Charges,,,,,23.18,,,,,,,Percent of Total Billed Charges,,,,,23.18,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,7.21,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,, NF-TIZANIDINE CAP/TAB (ZANAFLEX) 2 MG###,250,RC,,Outpatient,2,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, NF-BROMFENAC (PROLENSA) OPHTH SOLN 0.07%,250,RC,,Outpatient,,,422,337.6,315.23,,,,,,,Percent of Total Billed Charges,,315.23,315.23,,422,,,,,,,Percent of Total Billed Charges,,,,,405.12,,,,,,,Percent of Total Billed Charges,,,,,400.9,,,,,,,Percent of Total Billed Charges,,,,,84.4,,,,,,,Percent of Total Billed Charges,,,,,358.7,,,,,,,Percent of Total Billed Charges,,,,,88.62,,,,,,,Percent of Total Billed Charges,,,,,379.8,,,,,,,Percent of Total Billed Charges,,,,,379.8,,,,,,,Percent of Total Billed Charges,,,,,84.4,,,,,,,Percent of Total Billed Charges,,,,,118.16,,,,,,,Percent of Total Billed Charges,,,,,337.6,,,,,,,Percent of Total Billed Charges,,,,,84.4,,,,,,,Percent of Total Billed Charges,,,, NF-PREGABALIN (LYRICA) CAP 50 MG##### ,250,RC,,Outpatient,50,ME,25.35,20.28,18.94,,,,,,,Percent of Total Billed Charges,,18.94,18.94,,25.35,,,,,,,Percent of Total Billed Charges,,,,,24.34,,,,,,,Percent of Total Billed Charges,,,,,24.08,,,,,,,Percent of Total Billed Charges,,,,,5.07,,,,,,,Percent of Total Billed Charges,,,,,21.55,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,22.82,,,,,,,Percent of Total Billed Charges,,,,,22.82,,,,,,,Percent of Total Billed Charges,,,,,5.07,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,20.28,,,,,,,Percent of Total Billed Charges,,,,,5.07,,,,,,,Percent of Total Billed Charges,,,, NF-MICARDIS HCT TAB ,250,RC,,Outpatient,,,10.2,8.16,7.62,,,,,,,Percent of Total Billed Charges,,7.62,7.62,,10.2,,,,,,,Percent of Total Billed Charges,,,,,9.79,,,,,,,Percent of Total Billed Charges,,,,,9.69,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,8.67,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,9.18,,,,,,,Percent of Total Billed Charges,,,,,9.18,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,2.86,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,, NF-MYCOPHENOLATE (CELLCEPT) TAB 500 MG ,250,RC,,Outpatient,500,ME,37.6,30.08,28.09,,,,,,,Percent of Total Billed Charges,,28.09,28.09,,37.6,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,,,35.72,,,,,,,Percent of Total Billed Charges,,,,,7.52,,,,,,,Percent of Total Billed Charges,,,,,31.96,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,33.84,,,,,,,Percent of Total Billed Charges,,,,,33.84,,,,,,,Percent of Total Billed Charges,,,,,7.52,,,,,,,Percent of Total Billed Charges,,,,,10.53,,,,,,,Percent of Total Billed Charges,,,,,30.08,,,,,,,Percent of Total Billed Charges,,,,,7.52,,,,,,,Percent of Total Billed Charges,,,, NF-TACROLIMUS (PROGRAF) CAP 1 MG ,250,RC,,Outpatient,1,ME,13.4,10.72,10.01,,,,,,,Percent of Total Billed Charges,,10.01,10.01,,13.4,,,,,,,Percent of Total Billed Charges,,,,,12.86,,,,,,,Percent of Total Billed Charges,,,,,12.73,,,,,,,Percent of Total Billed Charges,,,,,2.68,,,,,,,Percent of Total Billed Charges,,,,,11.39,,,,,,,Percent of Total Billed Charges,,,,,2.81,,,,,,,Percent of Total Billed Charges,,,,,12.06,,,,,,,Percent of Total Billed Charges,,,,,12.06,,,,,,,Percent of Total Billed Charges,,,,,2.68,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,,,10.72,,,,,,,Percent of Total Billed Charges,,,,,2.68,,,,,,,Percent of Total Billed Charges,,,, NF-OXYCODONE TAB 15 MG ,250,RC,,Outpatient,15,ME,6.75,5.4,5.04,,,,,,,Percent of Total Billed Charges,,5.04,5.04,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.48,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,1.42,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,, NF-OXYCODONE/APAP 10MG-325MG ,250,RC,,Outpatient,10,ME,5.8,4.64,4.33,,,,,,,Percent of Total Billed Charges,,4.33,4.33,,5.8,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,5.51,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.93,,,,,,,Percent of Total Billed Charges,,,,,1.22,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,4.64,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,, NF-HUMALOG MIX 75/25 INJECTION ,250,RC,,Outpatient,,,475.55,380.44,355.24,,,,,,,Percent of Total Billed Charges,,355.24,355.24,,475.55,,,,,,,Percent of Total Billed Charges,,,,,456.53,,,,,,,Percent of Total Billed Charges,,,,,451.77,,,,,,,Percent of Total Billed Charges,,,,,95.11,,,,,,,Percent of Total Billed Charges,,,,,404.22,,,,,,,Percent of Total Billed Charges,,,,,99.87,,,,,,,Percent of Total Billed Charges,,,,,428,,,,,,,Percent of Total Billed Charges,,,,,428,,,,,,,Percent of Total Billed Charges,,,,,95.11,,,,,,,Percent of Total Billed Charges,,,,,133.15,,,,,,,Percent of Total Billed Charges,,,,,380.44,,,,,,,Percent of Total Billed Charges,,,,,95.11,,,,,,,Percent of Total Billed Charges,,,, NF-MEMANTINE ER (NAMENDA) 28 MG CAP ,250,RC,,Outpatient,28,ME,2.45,1.96,1.83,,,,,,,Percent of Total Billed Charges,,1.83,1.83,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.33,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,, NF-AMOXICILLIN SUSP 400MG/5ML ,250,RC,,Outpatient,400,ME,31.85,25.48,23.79,,,,,,,Percent of Total Billed Charges,,23.79,23.79,,31.85,,,,,,,Percent of Total Billed Charges,,,,,30.58,,,,,,,Percent of Total Billed Charges,,,,,30.26,,,,,,,Percent of Total Billed Charges,,,,,6.37,,,,,,,Percent of Total Billed Charges,,,,,27.07,,,,,,,Percent of Total Billed Charges,,,,,6.69,,,,,,,Percent of Total Billed Charges,,,,,28.67,,,,,,,Percent of Total Billed Charges,,,,,28.67,,,,,,,Percent of Total Billed Charges,,,,,6.37,,,,,,,Percent of Total Billed Charges,,,,,8.92,,,,,,,Percent of Total Billed Charges,,,,,25.48,,,,,,,Percent of Total Billed Charges,,,,,6.37,,,,,,,Percent of Total Billed Charges,,,, NF-VIVELLE-DOT TD PATCH ER 0.1MG/24HR ,250,RC,,Outpatient,0.1,ME,51.85,41.48,38.73,,,,,,,Percent of Total Billed Charges,,38.73,38.73,,51.85,,,,,,,Percent of Total Billed Charges,,,,,49.78,,,,,,,Percent of Total Billed Charges,,,,,49.26,,,,,,,Percent of Total Billed Charges,,,,,10.37,,,,,,,Percent of Total Billed Charges,,,,,44.07,,,,,,,Percent of Total Billed Charges,,,,,10.89,,,,,,,Percent of Total Billed Charges,,,,,46.67,,,,,,,Percent of Total Billed Charges,,,,,46.67,,,,,,,Percent of Total Billed Charges,,,,,10.37,,,,,,,Percent of Total Billed Charges,,,,,14.52,,,,,,,Percent of Total Billed Charges,,,,,41.48,,,,,,,Percent of Total Billed Charges,,,,,10.37,,,,,,,Percent of Total Billed Charges,,,, NF-ETANERCEPT (ENBREL) INJ 50MG/1ML ,J1438 ,CPT,,Outpatient,,,1821.25,1457,1360.47,,,,,,,Percent of Total Billed Charges,,1360.47,1360.47,,1821.25,,,,,,,Percent of Total Billed Charges,,,,,1748.4,,,,,,,Percent of Total Billed Charges,,,,,1730.19,,,,,,,Percent of Total Billed Charges,,,,,364.25,,,,,,,Percent of Total Billed Charges,,,,,1548.06,,,,,,,Percent of Total Billed Charges,,,,,382.46,,,,,,,Percent of Total Billed Charges,,,,,1639.13,,,,,,,Percent of Total Billed Charges,,,,,1639.13,,,,,,,Percent of Total Billed Charges,,,,,364.25,,,,,,,Percent of Total Billed Charges,,,,,509.95,,,,,,,Percent of Total Billed Charges,,,,,1457,,,,,,,Percent of Total Billed Charges,,,,,364.25,,,,,,,Percent of Total Billed Charges,,,, NF-MOXIFLOXACIN (AVELOX) ORAL TAB 400 MG,250,RC,,Outpatient,400,ME,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, NF-ASPERCREME TOPICAL CREAM 10% ,250,RC,,Outpatient,,,57.15,45.72,42.69,,,,,,,Percent of Total Billed Charges,,42.69,42.69,,57.15,,,,,,,Percent of Total Billed Charges,,,,,54.86,,,,,,,Percent of Total Billed Charges,,,,,54.29,,,,,,,Percent of Total Billed Charges,,,,,11.43,,,,,,,Percent of Total Billed Charges,,,,,48.58,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,51.44,,,,,,,Percent of Total Billed Charges,,,,,51.44,,,,,,,Percent of Total Billed Charges,,,,,11.43,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,45.72,,,,,,,Percent of Total Billed Charges,,,,,11.43,,,,,,,Percent of Total Billed Charges,,,, NF-DIAZEPAM (VALIUM) LIQ 5MG/5ML ,250,RC,,Outpatient,5,ME,70.35,56.28,52.55,,,,,,,Percent of Total Billed Charges,,52.55,52.55,,70.35,,,,,,,Percent of Total Billed Charges,,,,,67.54,,,,,,,Percent of Total Billed Charges,,,,,66.83,,,,,,,Percent of Total Billed Charges,,,,,14.07,,,,,,,Percent of Total Billed Charges,,,,,59.8,,,,,,,Percent of Total Billed Charges,,,,,14.77,,,,,,,Percent of Total Billed Charges,,,,,63.32,,,,,,,Percent of Total Billed Charges,,,,,63.32,,,,,,,Percent of Total Billed Charges,,,,,14.07,,,,,,,Percent of Total Billed Charges,,,,,19.7,,,,,,,Percent of Total Billed Charges,,,,,56.28,,,,,,,Percent of Total Billed Charges,,,,,14.07,,,,,,,Percent of Total Billed Charges,,,, NF-ARIPIPRAZOLE (ABILIFY) TAB 2 MG ,250,RC,,Outpatient,2,ME,68.45,54.76,51.13,,,,,,,Percent of Total Billed Charges,,51.13,51.13,,68.45,,,,,,,Percent of Total Billed Charges,,,,,65.71,,,,,,,Percent of Total Billed Charges,,,,,65.03,,,,,,,Percent of Total Billed Charges,,,,,13.69,,,,,,,Percent of Total Billed Charges,,,,,58.18,,,,,,,Percent of Total Billed Charges,,,,,14.37,,,,,,,Percent of Total Billed Charges,,,,,61.61,,,,,,,Percent of Total Billed Charges,,,,,61.61,,,,,,,Percent of Total Billed Charges,,,,,13.69,,,,,,,Percent of Total Billed Charges,,,,,19.17,,,,,,,Percent of Total Billed Charges,,,,,54.76,,,,,,,Percent of Total Billed Charges,,,,,13.69,,,,,,,Percent of Total Billed Charges,,,, NF-PREGABALIN(LYRICA) CAP: 300 MG ,250,RC,,Outpatient,300,ME,16.65,13.32,12.44,,,,,,,Percent of Total Billed Charges,,12.44,12.44,,16.65,,,,,,,Percent of Total Billed Charges,,,,,15.98,,,,,,,Percent of Total Billed Charges,,,,,15.82,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,14.15,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.99,,,,,,,Percent of Total Billed Charges,,,,,14.99,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,4.66,,,,,,,Percent of Total Billed Charges,,,,,13.32,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,, NF-VILAZADONE (VIIBRYD) TAB 40 MG ,250,RC,,Outpatient,40,ME,15.35,12.28,11.47,,,,,,,Percent of Total Billed Charges,,11.47,11.47,,15.35,,,,,,,Percent of Total Billed Charges,,,,,14.74,,,,,,,Percent of Total Billed Charges,,,,,14.58,,,,,,,Percent of Total Billed Charges,,,,,3.07,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,13.82,,,,,,,Percent of Total Billed Charges,,,,,13.82,,,,,,,Percent of Total Billed Charges,,,,,3.07,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,12.28,,,,,,,Percent of Total Billed Charges,,,,,3.07,,,,,,,Percent of Total Billed Charges,,,, NF-QUINIDINE SULFATE TAB 200 MG ,250,RC,,Outpatient,200,ME,3.7,2.96,2.76,,,,,,,Percent of Total Billed Charges,,2.76,2.76,,3.7,,,,,,,Percent of Total Billed Charges,,,,,3.55,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,1.04,,,,,,,Percent of Total Billed Charges,,,,,2.96,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,, NF-METHOCARBAMOL (ROBAXIN) TAB 750 MG ,250,RC,,Outpatient,750,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-(ETHOSUXIMIDE) ZARONTIN 250 MG CAP ,250,RC,,Outpatient,250,ME,7.3,5.84,5.45,,,,,,,Percent of Total Billed Charges,,5.45,5.45,,7.3,,,,,,,Percent of Total Billed Charges,,,,,7.01,,,,,,,Percent of Total Billed Charges,,,,,6.94,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,,,6.21,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,6.57,,,,,,,Percent of Total Billed Charges,,,,,6.57,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,5.84,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,, NF-ETHOSUXIMIDE (ZARONTIN) CAP 250 MG ,250,RC,,Outpatient,250,ME,7.3,5.84,5.45,,,,,,,Percent of Total Billed Charges,,5.45,5.45,,7.3,,,,,,,Percent of Total Billed Charges,,,,,7.01,,,,,,,Percent of Total Billed Charges,,,,,6.94,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,,,6.21,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,6.57,,,,,,,Percent of Total Billed Charges,,,,,6.57,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,5.84,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,, NF-METAGLIP 2.5 MG-500 MG TAB ,250,RC,,Outpatient,2.5,ME,5.95,4.76,4.44,,,,,,,Percent of Total Billed Charges,,4.44,4.44,,5.95,,,,,,,Percent of Total Billed Charges,,,,,5.71,,,,,,,Percent of Total Billed Charges,,,,,5.65,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,,,5.06,,,,,,,Percent of Total Billed Charges,,,,,1.25,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,, NF-TUDORZA PRESSAIR INH AER PWD 400 MCG ,250,RC,,Outpatient,400,ME,720.5,576.4,538.21,,,,,,,Percent of Total Billed Charges,,538.21,538.21,,720.5,,,,,,,Percent of Total Billed Charges,,,,,691.68,,,,,,,Percent of Total Billed Charges,,,,,684.48,,,,,,,Percent of Total Billed Charges,,,,,144.1,,,,,,,Percent of Total Billed Charges,,,,,612.43,,,,,,,Percent of Total Billed Charges,,,,,151.31,,,,,,,Percent of Total Billed Charges,,,,,648.45,,,,,,,Percent of Total Billed Charges,,,,,648.45,,,,,,,Percent of Total Billed Charges,,,,,144.1,,,,,,,Percent of Total Billed Charges,,,,,201.74,,,,,,,Percent of Total Billed Charges,,,,,576.4,,,,,,,Percent of Total Billed Charges,,,,,144.1,,,,,,,Percent of Total Billed Charges,,,, NF-ACAMPROSATE (CAMPRAL) TAB DR: 333 MG ,250,RC,,Outpatient,333,ME,3.8,3.04,2.84,,,,,,,Percent of Total Billed Charges,,2.84,2.84,,3.8,,,,,,,Percent of Total Billed Charges,,,,,3.65,,,,,,,Percent of Total Billed Charges,,,,,3.61,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.42,,,,,,,Percent of Total Billed Charges,,,,,3.42,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,,,1.06,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,, NF-LISINOPRIL 30 MG TAB ,250,RC,,Outpatient,30,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, NF-METOPROLOL TARTRATE 25 MG TAB########,250,RC,,Outpatient,25,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, NF-VITAMIN D3 2000 UNIT CAP/TAB ,250,RC,,Outpatient,3200,UN,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, *NF-OFIRMEV IV SOLN 1000 MG/100 ML ,J0131 ,CPT,,Outpatient,,,124.05,99.24,92.67,,,,,,,Percent of Total Billed Charges,,92.67,92.67,,124.05,,,,,,,Percent of Total Billed Charges,,,,,119.09,,,,,,,Percent of Total Billed Charges,,,,,117.85,,,,,,,Percent of Total Billed Charges,,,,,24.81,,,,,,,Percent of Total Billed Charges,,,,,105.44,,,,,,,Percent of Total Billed Charges,,,,,26.05,,,,,,,Percent of Total Billed Charges,,,,,111.65,,,,,,,Percent of Total Billed Charges,,,,,111.65,,,,,,,Percent of Total Billed Charges,,,,,24.81,,,,,,,Percent of Total Billed Charges,,,,,34.73,,,,,,,Percent of Total Billed Charges,,,,,99.24,,,,,,,Percent of Total Billed Charges,,,,,24.81,,,,,,,Percent of Total Billed Charges,,,, NF-VENLAFAXINE (EFFEXOR) PLAIN TAB 25 MG,250,RC,,Outpatient,25,ME,8.7,6.96,6.5,,,,,,,Percent of Total Billed Charges,,6.5,6.5,,8.7,,,,,,,Percent of Total Billed Charges,,,,,8.35,,,,,,,Percent of Total Billed Charges,,,,,8.27,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,7.83,,,,,,,Percent of Total Billed Charges,,,,,7.83,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,2.44,,,,,,,Percent of Total Billed Charges,,,,,6.96,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,, NF-BISOPROLOL (ZEBETA): 10 MG TAB ,250,RC,,Outpatient,10,ME,8.3,6.64,6.2,,,,,,,Percent of Total Billed Charges,,6.2,6.2,,8.3,,,,,,,Percent of Total Billed Charges,,,,,7.97,,,,,,,Percent of Total Billed Charges,,,,,7.89,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,7.06,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,7.47,,,,,,,Percent of Total Billed Charges,,,,,7.47,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,2.32,,,,,,,Percent of Total Billed Charges,,,,,6.64,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,, NF-ESTRADIOL TAB 0.5 MG ,250,RC,,Outpatient,0.5,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, *NF-METHOCARBAMOL TAB 750 MG ,250,RC,,Outpatient,750,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-PIOGLITAZONE & METFORMIN TAB 15/850 ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, NF-METHADONE SOLN 10 MG/5 ML ,250,RC,,Outpatient,10,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, NF-NEBIVOLOL (BYSTOLIC) : 20 MG TAB ,250,RC,,Outpatient,20,ME,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, NF-TESTOSTERONE CYPIONATE OIL 200MG/ML ,250,RC,,Outpatient,200,ME,122.15,97.72,91.25,,,,,,,Percent of Total Billed Charges,,91.25,91.25,,122.15,,,,,,,Percent of Total Billed Charges,,,,,117.26,,,,,,,Percent of Total Billed Charges,,,,,116.04,,,,,,,Percent of Total Billed Charges,,,,,24.43,,,,,,,Percent of Total Billed Charges,,,,,103.83,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,109.94,,,,,,,Percent of Total Billed Charges,,,,,109.94,,,,,,,Percent of Total Billed Charges,,,,,24.43,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,97.72,,,,,,,Percent of Total Billed Charges,,,,,24.43,,,,,,,Percent of Total Billed Charges,,,, NF-KCL 8 mEq (KLOR-CON) TAB ,250,RC,,Outpatient,600,ME,2.95,2.36,2.2,,,,,,,Percent of Total Billed Charges,,2.2,2.2,,2.95,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,, NF-NASACORT ALLERGY 24HR NASAL SPRAY 55M,250,RC,,Outpatient,55,ME,468.5,374.8,349.97,,,,,,,Percent of Total Billed Charges,,349.97,349.97,,468.5,,,,,,,Percent of Total Billed Charges,,,,,449.76,,,,,,,Percent of Total Billed Charges,,,,,445.08,,,,,,,Percent of Total Billed Charges,,,,,93.7,,,,,,,Percent of Total Billed Charges,,,,,398.23,,,,,,,Percent of Total Billed Charges,,,,,98.39,,,,,,,Percent of Total Billed Charges,,,,,421.65,,,,,,,Percent of Total Billed Charges,,,,,421.65,,,,,,,Percent of Total Billed Charges,,,,,93.7,,,,,,,Percent of Total Billed Charges,,,,,131.18,,,,,,,Percent of Total Billed Charges,,,,,374.8,,,,,,,Percent of Total Billed Charges,,,,,93.7,,,,,,,Percent of Total Billed Charges,,,, NF-SITAGLIPTIN (JANUVIA)TAB 50 MG ,250,RC,,Outpatient,50,ME,58.95,47.16,44.04,,,,,,,Percent of Total Billed Charges,,44.04,44.04,,58.95,,,,,,,Percent of Total Billed Charges,,,,,56.59,,,,,,,Percent of Total Billed Charges,,,,,56,,,,,,,Percent of Total Billed Charges,,,,,11.79,,,,,,,Percent of Total Billed Charges,,,,,50.11,,,,,,,Percent of Total Billed Charges,,,,,12.38,,,,,,,Percent of Total Billed Charges,,,,,53.06,,,,,,,Percent of Total Billed Charges,,,,,53.06,,,,,,,Percent of Total Billed Charges,,,,,11.79,,,,,,,Percent of Total Billed Charges,,,,,16.51,,,,,,,Percent of Total Billed Charges,,,,,47.16,,,,,,,Percent of Total Billed Charges,,,,,11.79,,,,,,,Percent of Total Billed Charges,,,, NF-LEVOBUNOLOL OPHTH SOLN 0.5% ,250,RC,,Outpatient,,,22.15,17.72,16.55,,,,,,,Percent of Total Billed Charges,,16.55,16.55,,22.15,,,,,,,Percent of Total Billed Charges,,,,,21.26,,,,,,,Percent of Total Billed Charges,,,,,21.04,,,,,,,Percent of Total Billed Charges,,,,,4.43,,,,,,,Percent of Total Billed Charges,,,,,18.83,,,,,,,Percent of Total Billed Charges,,,,,4.65,,,,,,,Percent of Total Billed Charges,,,,,19.94,,,,,,,Percent of Total Billed Charges,,,,,19.94,,,,,,,Percent of Total Billed Charges,,,,,4.43,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,17.72,,,,,,,Percent of Total Billed Charges,,,,,4.43,,,,,,,Percent of Total Billed Charges,,,, NF-SODIUM BICARBONATE TAB: 650 MG ,250,RC,,Outpatient,650,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-LEFLUNOMIDE (ARAVA) TAB 10 MG ,250,RC,,Outpatient,10,ME,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, *NF-ORPHENADRINE (NORFLEX) TAB 100 MG ,250,RC,,Outpatient,100,ME,4.8,3.84,3.59,,,,,,,Percent of Total Billed Charges,,3.59,3.59,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.61,,,,,,,Percent of Total Billed Charges,,,,,4.56,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,4.08,,,,,,,Percent of Total Billed Charges,,,,,1.01,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,1.34,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,, NF-UROCIT-K 15 TAB ER 15 MEQ ,250,RC,,Outpatient,15,EA,11.45,9.16,8.55,,,,,,,Percent of Total Billed Charges,,8.55,8.55,,11.45,,,,,,,Percent of Total Billed Charges,,,,,10.99,,,,,,,Percent of Total Billed Charges,,,,,10.88,,,,,,,Percent of Total Billed Charges,,,,,2.29,,,,,,,Percent of Total Billed Charges,,,,,9.73,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,10.31,,,,,,,Percent of Total Billed Charges,,,,,10.31,,,,,,,Percent of Total Billed Charges,,,,,2.29,,,,,,,Percent of Total Billed Charges,,,,,3.21,,,,,,,Percent of Total Billed Charges,,,,,9.16,,,,,,,Percent of Total Billed Charges,,,,,2.29,,,,,,,Percent of Total Billed Charges,,,, NF-FOLIC ACID TAB: 0.4 MG ,250,RC,,Outpatient,0.4,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, *NF-BETAMETHASONE DIPROPIONAT CR 0.05% ,250,RC,,Outpatient,,,192.5,154,143.8,,,,,,,Percent of Total Billed Charges,,143.8,143.8,,192.5,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,182.88,,,,,,,Percent of Total Billed Charges,,,,,38.5,,,,,,,Percent of Total Billed Charges,,,,,163.63,,,,,,,Percent of Total Billed Charges,,,,,40.43,,,,,,,Percent of Total Billed Charges,,,,,173.25,,,,,,,Percent of Total Billed Charges,,,,,173.25,,,,,,,Percent of Total Billed Charges,,,,,38.5,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,,,154,,,,,,,Percent of Total Billed Charges,,,,,38.5,,,,,,,Percent of Total Billed Charges,,,, NF-APIXABAN (ELIQUIS) TAB 2.5MG ,250,RC,,Outpatient,2.5,ME,21.15,16.92,15.8,,,,,,,Percent of Total Billed Charges,,15.8,15.8,,21.15,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,20.09,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,17.98,,,,,,,Percent of Total Billed Charges,,,,,4.44,,,,,,,Percent of Total Billed Charges,,,,,19.04,,,,,,,Percent of Total Billed Charges,,,,,19.04,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,5.92,,,,,,,Percent of Total Billed Charges,,,,,16.92,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,, NF-RIFAXIM (XIFAXAN) TAB: 550 MG ,250,RC,,Outpatient,550,ME,85.6,68.48,63.94,,,,,,,Percent of Total Billed Charges,,63.94,63.94,,85.6,,,,,,,Percent of Total Billed Charges,,,,,82.18,,,,,,,Percent of Total Billed Charges,,,,,81.32,,,,,,,Percent of Total Billed Charges,,,,,17.12,,,,,,,Percent of Total Billed Charges,,,,,72.76,,,,,,,Percent of Total Billed Charges,,,,,17.98,,,,,,,Percent of Total Billed Charges,,,,,77.04,,,,,,,Percent of Total Billed Charges,,,,,77.04,,,,,,,Percent of Total Billed Charges,,,,,17.12,,,,,,,Percent of Total Billed Charges,,,,,23.97,,,,,,,Percent of Total Billed Charges,,,,,68.48,,,,,,,Percent of Total Billed Charges,,,,,17.12,,,,,,,Percent of Total Billed Charges,,,, *NF-LAMOTRIGINE 25 MG TAB(LAMICTAL) ,250,RC,,Outpatient,25,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, NF-APIXABAN (ELIQUIS ) TAB 5 MG ,250,RC,,Outpatient,5,ME,20.05,16.04,14.98,,,,,,,Percent of Total Billed Charges,,14.98,14.98,,20.05,,,,,,,Percent of Total Billed Charges,,,,,19.25,,,,,,,Percent of Total Billed Charges,,,,,19.05,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,,,17.04,,,,,,,Percent of Total Billed Charges,,,,,4.21,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,,,5.61,,,,,,,Percent of Total Billed Charges,,,,,16.04,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,, NF-RASAGILINE (AZILECT) TAB 1 MG ,250,RC,,Outpatient,1,ME,54.05,43.24,40.38,,,,,,,Percent of Total Billed Charges,,40.38,40.38,,54.05,,,,,,,Percent of Total Billed Charges,,,,,51.89,,,,,,,Percent of Total Billed Charges,,,,,51.35,,,,,,,Percent of Total Billed Charges,,,,,10.81,,,,,,,Percent of Total Billed Charges,,,,,45.94,,,,,,,Percent of Total Billed Charges,,,,,11.35,,,,,,,Percent of Total Billed Charges,,,,,48.65,,,,,,,Percent of Total Billed Charges,,,,,48.65,,,,,,,Percent of Total Billed Charges,,,,,10.81,,,,,,,Percent of Total Billed Charges,,,,,15.13,,,,,,,Percent of Total Billed Charges,,,,,43.24,,,,,,,Percent of Total Billed Charges,,,,,10.81,,,,,,,Percent of Total Billed Charges,,,, NF-PREDNISONE DELAY REL(RAYOS) TAB 1MG,250,RC,,Outpatient,1,ME,151.3,121.04,113.02,,,,,,,Percent of Total Billed Charges,,113.02,113.02,,151.3,,,,,,,Percent of Total Billed Charges,,,,,145.25,,,,,,,Percent of Total Billed Charges,,,,,143.74,,,,,,,Percent of Total Billed Charges,,,,,30.26,,,,,,,Percent of Total Billed Charges,,,,,128.61,,,,,,,Percent of Total Billed Charges,,,,,31.77,,,,,,,Percent of Total Billed Charges,,,,,136.17,,,,,,,Percent of Total Billed Charges,,,,,136.17,,,,,,,Percent of Total Billed Charges,,,,,30.26,,,,,,,Percent of Total Billed Charges,,,,,42.36,,,,,,,Percent of Total Billed Charges,,,,,121.04,,,,,,,Percent of Total Billed Charges,,,,,30.26,,,,,,,Percent of Total Billed Charges,,,, NF-DULOXETINE CAP DR 30 MG (CYMBALTA) ##,250,RC,,Outpatient,30,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, NF-OXCARBAZEPINE (TRILEPTAL) TAB 600 MG,250,RC,,Outpatient,600,ME,3.9,3.12,2.91,,,,,,,Percent of Total Billed Charges,,2.91,2.91,,3.9,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,3.71,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,3.32,,,,,,,Percent of Total Billed Charges,,,,,0.82,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,1.09,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,, MIRABEGRON (MYRBETRIQ) TAB : 25 MG ,250,RC,,Outpatient,25,ME,43.25,34.6,32.31,,,,,,,Percent of Total Billed Charges,,32.31,32.31,,43.25,,,,,,,Percent of Total Billed Charges,,,,,41.52,,,,,,,Percent of Total Billed Charges,,,,,41.09,,,,,,,Percent of Total Billed Charges,,,,,8.65,,,,,,,Percent of Total Billed Charges,,,,,36.76,,,,,,,Percent of Total Billed Charges,,,,,9.08,,,,,,,Percent of Total Billed Charges,,,,,38.93,,,,,,,Percent of Total Billed Charges,,,,,38.93,,,,,,,Percent of Total Billed Charges,,,,,8.65,,,,,,,Percent of Total Billed Charges,,,,,12.11,,,,,,,Percent of Total Billed Charges,,,,,34.6,,,,,,,Percent of Total Billed Charges,,,,,8.65,,,,,,,Percent of Total Billed Charges,,,, NF-ANORO ELLIPTA INHALER 62.5/25 ,250,RC,,Outpatient,,,199.65,159.72,149.14,,,,,,,Percent of Total Billed Charges,,149.14,149.14,,199.65,,,,,,,Percent of Total Billed Charges,,,,,191.66,,,,,,,Percent of Total Billed Charges,,,,,189.67,,,,,,,Percent of Total Billed Charges,,,,,39.93,,,,,,,Percent of Total Billed Charges,,,,,169.7,,,,,,,Percent of Total Billed Charges,,,,,41.93,,,,,,,Percent of Total Billed Charges,,,,,179.69,,,,,,,Percent of Total Billed Charges,,,,,179.69,,,,,,,Percent of Total Billed Charges,,,,,39.93,,,,,,,Percent of Total Billed Charges,,,,,55.9,,,,,,,Percent of Total Billed Charges,,,,,159.72,,,,,,,Percent of Total Billed Charges,,,,,39.93,,,,,,,Percent of Total Billed Charges,,,, NF-TOFACITINIB (XELJANZ) TAB: 5 MG ,250,RC,,Outpatient,5,ME,159.95,127.96,119.48,,,,,,,Percent of Total Billed Charges,,119.48,119.48,,159.95,,,,,,,Percent of Total Billed Charges,,,,,153.55,,,,,,,Percent of Total Billed Charges,,,,,151.95,,,,,,,Percent of Total Billed Charges,,,,,31.99,,,,,,,Percent of Total Billed Charges,,,,,135.96,,,,,,,Percent of Total Billed Charges,,,,,33.59,,,,,,,Percent of Total Billed Charges,,,,,143.96,,,,,,,Percent of Total Billed Charges,,,,,143.96,,,,,,,Percent of Total Billed Charges,,,,,31.99,,,,,,,Percent of Total Billed Charges,,,,,44.79,,,,,,,Percent of Total Billed Charges,,,,,127.96,,,,,,,Percent of Total Billed Charges,,,,,31.99,,,,,,,Percent of Total Billed Charges,,,, NF-MODAFINIL (PROVIGIL) TAB: 200 MG ,250,RC,,Outpatient,200,ME,62.7,50.16,46.84,,,,,,,Percent of Total Billed Charges,,46.84,46.84,,62.7,,,,,,,Percent of Total Billed Charges,,,,,60.19,,,,,,,Percent of Total Billed Charges,,,,,59.57,,,,,,,Percent of Total Billed Charges,,,,,12.54,,,,,,,Percent of Total Billed Charges,,,,,53.3,,,,,,,Percent of Total Billed Charges,,,,,13.17,,,,,,,Percent of Total Billed Charges,,,,,56.43,,,,,,,Percent of Total Billed Charges,,,,,56.43,,,,,,,Percent of Total Billed Charges,,,,,12.54,,,,,,,Percent of Total Billed Charges,,,,,17.56,,,,,,,Percent of Total Billed Charges,,,,,50.16,,,,,,,Percent of Total Billed Charges,,,,,12.54,,,,,,,Percent of Total Billed Charges,,,, NF-CETAPHIL MOISTURIZER CREAM ,250,RC,,Outpatient,,,76,60.8,56.77,,,,,,,Percent of Total Billed Charges,,56.77,56.77,,76,,,,,,,Percent of Total Billed Charges,,,,,72.96,,,,,,,Percent of Total Billed Charges,,,,,72.2,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,64.6,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,21.28,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,, NF-NOVOLOG INSULIN 100 UNIT/ML ,250,RC,,Outpatient,100,UN,264.15,211.32,197.32,,,,,,,Percent of Total Billed Charges,,197.32,197.32,,264.15,,,,,,,Percent of Total Billed Charges,,,,,253.58,,,,,,,Percent of Total Billed Charges,,,,,250.94,,,,,,,Percent of Total Billed Charges,,,,,52.83,,,,,,,Percent of Total Billed Charges,,,,,224.53,,,,,,,Percent of Total Billed Charges,,,,,55.47,,,,,,,Percent of Total Billed Charges,,,,,237.74,,,,,,,Percent of Total Billed Charges,,,,,237.74,,,,,,,Percent of Total Billed Charges,,,,,52.83,,,,,,,Percent of Total Billed Charges,,,,,73.96,,,,,,,Percent of Total Billed Charges,,,,,211.32,,,,,,,Percent of Total Billed Charges,,,,,52.83,,,,,,,Percent of Total Billed Charges,,,, NF-PYRIDOSTIGMINE TAB (MESTINON): 60 MG ,250,RC,,Outpatient,60,ME,2.6,2.08,1.94,,,,,,,Percent of Total Billed Charges,,1.94,1.94,,2.6,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,, *NF-VIT D3 CAP: 5000 UNIT (NOT STOCKED) ,250,RC,,Outpatient,5000,UN,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, NF-EVEROLIMUS (AFINITOR) TAB :10 MG ,250,RC,,Outpatient,10,ME,13.6,10.88,10.16,,,,,,,Percent of Total Billed Charges,,10.16,10.16,,13.6,,,,,,,Percent of Total Billed Charges,,,,,13.06,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,11.56,,,,,,,Percent of Total Billed Charges,,,,,2.86,,,,,,,Percent of Total Billed Charges,,,,,12.24,,,,,,,Percent of Total Billed Charges,,,,,12.24,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,3.81,,,,,,,Percent of Total Billed Charges,,,,,10.88,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,, NF-SOTALOL (BETAPACE) TAB 120 MG ,250,RC,,Outpatient,120,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-TRIMETHOPRIM TAB: 100 MG ,250,RC,,Outpatient,100,ME,2.45,1.96,1.83,,,,,,,Percent of Total Billed Charges,,1.83,1.83,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.33,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,, NF-CILOSTAZOL (PLETAL) TAB: 50MG ,250,RC,,Outpatient,50,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, LINEZOLID (ZYVOX) TAB: 600 MG ,250,RC,,Outpatient,600,ME,7.6,6.08,5.68,,,,,,,Percent of Total Billed Charges,,5.68,5.68,,7.6,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,7.22,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,6.46,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.84,,,,,,,Percent of Total Billed Charges,,,,,6.84,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,, *NF-COLLAGENASE (SANTYL) OINTMENT ,250,RC,,Outpatient,,,648,518.4,484.06,,,,,,,Percent of Total Billed Charges,,484.06,484.06,,648,,,,,,,Percent of Total Billed Charges,,,,,622.08,,,,,,,Percent of Total Billed Charges,,,,,615.6,,,,,,,Percent of Total Billed Charges,,,,,129.6,,,,,,,Percent of Total Billed Charges,,,,,550.8,,,,,,,Percent of Total Billed Charges,,,,,136.08,,,,,,,Percent of Total Billed Charges,,,,,583.2,,,,,,,Percent of Total Billed Charges,,,,,583.2,,,,,,,Percent of Total Billed Charges,,,,,129.6,,,,,,,Percent of Total Billed Charges,,,,,181.44,,,,,,,Percent of Total Billed Charges,,,,,518.4,,,,,,,Percent of Total Billed Charges,,,,,129.6,,,,,,,Percent of Total Billed Charges,,,, NF-METHYLPHENIDATE TAB (RITALIN): 10 MG ,250,RC,,Outpatient,10,ME,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, NF-BREO ELLIPT INH ,250,RC,,Outpatient,,,906.25,725,676.97,,,,,,,Percent of Total Billed Charges,,676.97,676.97,,906.25,,,,,,,Percent of Total Billed Charges,,,,,870,,,,,,,Percent of Total Billed Charges,,,,,860.94,,,,,,,Percent of Total Billed Charges,,,,,181.25,,,,,,,Percent of Total Billed Charges,,,,,770.31,,,,,,,Percent of Total Billed Charges,,,,,190.31,,,,,,,Percent of Total Billed Charges,,,,,815.63,,,,,,,Percent of Total Billed Charges,,,,,815.63,,,,,,,Percent of Total Billed Charges,,,,,181.25,,,,,,,Percent of Total Billed Charges,,,,,253.75,,,,,,,Percent of Total Billed Charges,,,,,725,,,,,,,Percent of Total Billed Charges,,,,,181.25,,,,,,,Percent of Total Billed Charges,,,, NF-BIOTENE ORAL SPRAY ,250,RC,,Outpatient,,,17.7,14.16,13.22,,,,,,,Percent of Total Billed Charges,,13.22,13.22,,17.7,,,,,,,Percent of Total Billed Charges,,,,,16.99,,,,,,,Percent of Total Billed Charges,,,,,16.82,,,,,,,Percent of Total Billed Charges,,,,,3.54,,,,,,,Percent of Total Billed Charges,,,,,15.05,,,,,,,Percent of Total Billed Charges,,,,,3.72,,,,,,,Percent of Total Billed Charges,,,,,15.93,,,,,,,Percent of Total Billed Charges,,,,,15.93,,,,,,,Percent of Total Billed Charges,,,,,3.54,,,,,,,Percent of Total Billed Charges,,,,,4.96,,,,,,,Percent of Total Billed Charges,,,,,14.16,,,,,,,Percent of Total Billed Charges,,,,,3.54,,,,,,,Percent of Total Billed Charges,,,, APIXABAN (ELIQUIS) TAB 2.5MG ### ,250,RC,,Outpatient,2.5,ME,2.65,2.12,1.98,,,,,,,Percent of Total Billed Charges,,1.98,1.98,,2.65,,,,,,,Percent of Total Billed Charges,,,,,2.54,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,, NF-CAPECITABINE (XELODA) TAB: 500 MG ,250,RC,,Outpatient,500,ME,95.4,76.32,71.26,,,,,,,Percent of Total Billed Charges,,71.26,71.26,,95.4,,,,,,,Percent of Total Billed Charges,,,,,91.58,,,,,,,Percent of Total Billed Charges,,,,,90.63,,,,,,,Percent of Total Billed Charges,,,,,19.08,,,,,,,Percent of Total Billed Charges,,,,,81.09,,,,,,,Percent of Total Billed Charges,,,,,20.03,,,,,,,Percent of Total Billed Charges,,,,,85.86,,,,,,,Percent of Total Billed Charges,,,,,85.86,,,,,,,Percent of Total Billed Charges,,,,,19.08,,,,,,,Percent of Total Billed Charges,,,,,26.71,,,,,,,Percent of Total Billed Charges,,,,,76.32,,,,,,,Percent of Total Billed Charges,,,,,19.08,,,,,,,Percent of Total Billed Charges,,,, MELATONIN TAB/CAP: 5 MG ,250,RC,,Outpatient,5,ME,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, NF-LIOTHYRONINE SOD INJ 10 MCG/ML ,250,RC,,Outpatient,10,ME,1322.85,1058.28,988.17,,,,,,,Percent of Total Billed Charges,,988.17,988.17,,1322.85,,,,,,,Percent of Total Billed Charges,,,,,1269.94,,,,,,,Percent of Total Billed Charges,,,,,1256.71,,,,,,,Percent of Total Billed Charges,,,,,264.57,,,,,,,Percent of Total Billed Charges,,,,,1124.42,,,,,,,Percent of Total Billed Charges,,,,,277.8,,,,,,,Percent of Total Billed Charges,,,,,1190.57,,,,,,,Percent of Total Billed Charges,,,,,1190.57,,,,,,,Percent of Total Billed Charges,,,,,264.57,,,,,,,Percent of Total Billed Charges,,,,,370.4,,,,,,,Percent of Total Billed Charges,,,,,1058.28,,,,,,,Percent of Total Billed Charges,,,,,264.57,,,,,,,Percent of Total Billed Charges,,,, NF-CANAGLIFLOZIN (INVOKANA) TAB 100 MG ,250,RC,,Outpatient,100,ME,40.7,32.56,30.4,,,,,,,Percent of Total Billed Charges,,30.4,30.4,,40.7,,,,,,,Percent of Total Billed Charges,,,,,39.07,,,,,,,Percent of Total Billed Charges,,,,,38.67,,,,,,,Percent of Total Billed Charges,,,,,8.14,,,,,,,Percent of Total Billed Charges,,,,,34.6,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,36.63,,,,,,,Percent of Total Billed Charges,,,,,36.63,,,,,,,Percent of Total Billed Charges,,,,,8.14,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,32.56,,,,,,,Percent of Total Billed Charges,,,,,8.14,,,,,,,Percent of Total Billed Charges,,,, NF-COENZYME Q10 CAP: 200 MG ,250,RC,,Outpatient,200,ME,2.9,2.32,2.17,,,,,,,Percent of Total Billed Charges,,2.17,2.17,,2.9,,,,,,,Percent of Total Billed Charges,,,,,2.78,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,2.32,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,, EMPAGLIFOZIN (JARDIANCE) TAB : 25 MG ,250,RC,,Outpatient,25,ME,54.05,43.24,40.38,,,,,,,Percent of Total Billed Charges,,40.38,40.38,,54.05,,,,,,,Percent of Total Billed Charges,,,,,51.89,,,,,,,Percent of Total Billed Charges,,,,,51.35,,,,,,,Percent of Total Billed Charges,,,,,10.81,,,,,,,Percent of Total Billed Charges,,,,,45.94,,,,,,,Percent of Total Billed Charges,,,,,11.35,,,,,,,Percent of Total Billed Charges,,,,,48.65,,,,,,,Percent of Total Billed Charges,,,,,48.65,,,,,,,Percent of Total Billed Charges,,,,,10.81,,,,,,,Percent of Total Billed Charges,,,,,15.13,,,,,,,Percent of Total Billed Charges,,,,,43.24,,,,,,,Percent of Total Billed Charges,,,,,10.81,,,,,,,Percent of Total Billed Charges,,,, NF-ADDERALL XR ER CAP: 30 MG ,250,RC,,Outpatient,30,ME,22.9,18.32,17.11,,,,,,,Percent of Total Billed Charges,,17.11,17.11,,22.9,,,,,,,Percent of Total Billed Charges,,,,,21.98,,,,,,,Percent of Total Billed Charges,,,,,21.76,,,,,,,Percent of Total Billed Charges,,,,,4.58,,,,,,,Percent of Total Billed Charges,,,,,19.47,,,,,,,Percent of Total Billed Charges,,,,,4.81,,,,,,,Percent of Total Billed Charges,,,,,20.61,,,,,,,Percent of Total Billed Charges,,,,,20.61,,,,,,,Percent of Total Billed Charges,,,,,4.58,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,18.32,,,,,,,Percent of Total Billed Charges,,,,,4.58,,,,,,,Percent of Total Billed Charges,,,, NF-RISPERIDONE (RISPERDAL) TAB: 2 MG ,250,RC,,Outpatient,2,ME,7.9,6.32,5.9,,,,,,,Percent of Total Billed Charges,,5.9,5.9,,7.9,,,,,,,Percent of Total Billed Charges,,,,,7.58,,,,,,,Percent of Total Billed Charges,,,,,7.51,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,7.11,,,,,,,Percent of Total Billed Charges,,,,,7.11,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,6.32,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,, NF-URSODIOL (ACTIGALL) TAB: 500 MG ,250,RC,,Outpatient,500,ME,12.9,10.32,9.64,,,,,,,Percent of Total Billed Charges,,9.64,9.64,,12.9,,,,,,,Percent of Total Billed Charges,,,,,12.38,,,,,,,Percent of Total Billed Charges,,,,,12.26,,,,,,,Percent of Total Billed Charges,,,,,2.58,,,,,,,Percent of Total Billed Charges,,,,,10.97,,,,,,,Percent of Total Billed Charges,,,,,2.71,,,,,,,Percent of Total Billed Charges,,,,,11.61,,,,,,,Percent of Total Billed Charges,,,,,11.61,,,,,,,Percent of Total Billed Charges,,,,,2.58,,,,,,,Percent of Total Billed Charges,,,,,3.61,,,,,,,Percent of Total Billed Charges,,,,,10.32,,,,,,,Percent of Total Billed Charges,,,,,2.58,,,,,,,Percent of Total Billed Charges,,,, NF-QUETIAPINE (SEROQUEL) TAB 25 MG ,250,RC,,Outpatient,25,ME,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, NF-TETRABENAZINE (XENAZINE) TAB: 25 MG ,250,RC,,Outpatient,25,ME,626.9,5001.52,468.29,,,,,,,Percent of Total Billed Charges,,468.29,468.29,,626.9,,,,,,,Percent of Total Billed Charges,,,,,601.82,,,,,,,Percent of Total Billed Charges,,,,,595.56,,,,,,,Percent of Total Billed Charges,,,,,125.38,,,,,,,Percent of Total Billed Charges,,,,,532.87,,,,,,,Percent of Total Billed Charges,,,,,131.65,,,,,,,Percent of Total Billed Charges,,,,,564.21,,,,,,,Percent of Total Billed Charges,,,,,564.21,,,,,,,Percent of Total Billed Charges,,,,,125.38,,,,,,,Percent of Total Billed Charges,,,,,175.53,,,,,,,Percent of Total Billed Charges,,,,,501.52,,,,,,,Percent of Total Billed Charges,,,,,125.38,,,,,,,Percent of Total Billed Charges,,,, NF-TOLVAPTAN (SAMSCA) TAB 15MG ,250,RC,,Outpatient,15,ME,1232.1,985.68,920.38,,,,,,,Percent of Total Billed Charges,,920.38,920.38,,1232.1,,,,,,,Percent of Total Billed Charges,,,,,1182.82,,,,,,,Percent of Total Billed Charges,,,,,1170.5,,,,,,,Percent of Total Billed Charges,,,,,246.42,,,,,,,Percent of Total Billed Charges,,,,,1047.29,,,,,,,Percent of Total Billed Charges,,,,,258.74,,,,,,,Percent of Total Billed Charges,,,,,1108.89,,,,,,,Percent of Total Billed Charges,,,,,1108.89,,,,,,,Percent of Total Billed Charges,,,,,246.42,,,,,,,Percent of Total Billed Charges,,,,,344.99,,,,,,,Percent of Total Billed Charges,,,,,985.68,,,,,,,Percent of Total Billed Charges,,,,,246.42,,,,,,,Percent of Total Billed Charges,,,, NF-INCRUSE ELLIPTA INHALER 62.5MCG ,250,RC,,Outpatient,62.5,ME,1454.8,1163.84,1086.74,,,,,,,Percent of Total Billed Charges,,1086.74,1086.74,,1454.8,,,,,,,Percent of Total Billed Charges,,,,,1396.61,,,,,,,Percent of Total Billed Charges,,,,,1382.06,,,,,,,Percent of Total Billed Charges,,,,,290.96,,,,,,,Percent of Total Billed Charges,,,,,1236.58,,,,,,,Percent of Total Billed Charges,,,,,305.51,,,,,,,Percent of Total Billed Charges,,,,,1309.32,,,,,,,Percent of Total Billed Charges,,,,,1309.32,,,,,,,Percent of Total Billed Charges,,,,,290.96,,,,,,,Percent of Total Billed Charges,,,,,407.34,,,,,,,Percent of Total Billed Charges,,,,,1163.84,,,,,,,Percent of Total Billed Charges,,,,,290.96,,,,,,,Percent of Total Billed Charges,,,, NF-STIOLTO Respimat Inh 2.5-2.5MCG/1Act ,250,RC,,Outpatient,2.5,ME,1035.3,828.24,773.37,,,,,,,Percent of Total Billed Charges,,773.37,773.37,,1035.3,,,,,,,Percent of Total Billed Charges,,,,,993.89,,,,,,,Percent of Total Billed Charges,,,,,983.54,,,,,,,Percent of Total Billed Charges,,,,,207.06,,,,,,,Percent of Total Billed Charges,,,,,880.01,,,,,,,Percent of Total Billed Charges,,,,,217.41,,,,,,,Percent of Total Billed Charges,,,,,931.77,,,,,,,Percent of Total Billed Charges,,,,,931.77,,,,,,,Percent of Total Billed Charges,,,,,207.06,,,,,,,Percent of Total Billed Charges,,,,,289.88,,,,,,,Percent of Total Billed Charges,,,,,828.24,,,,,,,Percent of Total Billed Charges,,,,,207.06,,,,,,,Percent of Total Billed Charges,,,, *NF-Vitamin C Capsule 500MG ,250,RC,,Outpatient,500,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, NF-GLUCOSAMINE & CHONDR TAB 750MG-600MG ,250,RC,,Outpatient,750,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, NF-ANAGRELIDE (AGRYLIN) CAP : 0.5 MG ,250,RC,,Outpatient,0.5,ME,3.1,2.48,2.32,,,,,,,Percent of Total Billed Charges,,2.32,2.32,,3.1,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,2.95,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,0.87,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,, NF-INVOKAMET XR TAB ER 150MG-100 MG ,250,RC,,Outpatient,150,ME,22.85,18.28,17.07,,,,,,,Percent of Total Billed Charges,,17.07,17.07,,22.85,,,,,,,Percent of Total Billed Charges,,,,,21.94,,,,,,,Percent of Total Billed Charges,,,,,21.71,,,,,,,Percent of Total Billed Charges,,,,,4.57,,,,,,,Percent of Total Billed Charges,,,,,19.42,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,20.57,,,,,,,Percent of Total Billed Charges,,,,,20.57,,,,,,,Percent of Total Billed Charges,,,,,4.57,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,18.28,,,,,,,Percent of Total Billed Charges,,,,,4.57,,,,,,,Percent of Total Billed Charges,,,, *NF-TROKENDI XR CAP 25 MG ,250,RC,,Outpatient,25,ME,26.1,20.88,19.5,,,,,,,Percent of Total Billed Charges,,19.5,19.5,,26.1,,,,,,,Percent of Total Billed Charges,,,,,25.06,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,,,22.19,,,,,,,Percent of Total Billed Charges,,,,,5.48,,,,,,,Percent of Total Billed Charges,,,,,23.49,,,,,,,Percent of Total Billed Charges,,,,,23.49,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,,,7.31,,,,,,,Percent of Total Billed Charges,,,,,20.88,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,, NF-XULTOPHY SQ SOLN 100UNIT-3.6MG/ML ,250,RC,,Outpatient,3.6,ME,203.15,162.52,151.75,,,,,,,Percent of Total Billed Charges,,151.75,151.75,,203.15,,,,,,,Percent of Total Billed Charges,,,,,195.02,,,,,,,Percent of Total Billed Charges,,,,,192.99,,,,,,,Percent of Total Billed Charges,,,,,40.63,,,,,,,Percent of Total Billed Charges,,,,,172.68,,,,,,,Percent of Total Billed Charges,,,,,42.66,,,,,,,Percent of Total Billed Charges,,,,,182.84,,,,,,,Percent of Total Billed Charges,,,,,182.84,,,,,,,Percent of Total Billed Charges,,,,,40.63,,,,,,,Percent of Total Billed Charges,,,,,56.88,,,,,,,Percent of Total Billed Charges,,,,,162.52,,,,,,,Percent of Total Billed Charges,,,,,40.63,,,,,,,Percent of Total Billed Charges,,,, NF-QUETIAPINE (SEROQUEL) TAB 300 MG ,250,RC,,Outpatient,300,ME,20.9,16.72,15.61,,,,,,,Percent of Total Billed Charges,,15.61,15.61,,20.9,,,,,,,Percent of Total Billed Charges,,,,,20.06,,,,,,,Percent of Total Billed Charges,,,,,19.86,,,,,,,Percent of Total Billed Charges,,,,,4.18,,,,,,,Percent of Total Billed Charges,,,,,17.77,,,,,,,Percent of Total Billed Charges,,,,,4.39,,,,,,,Percent of Total Billed Charges,,,,,18.81,,,,,,,Percent of Total Billed Charges,,,,,18.81,,,,,,,Percent of Total Billed Charges,,,,,4.18,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,16.72,,,,,,,Percent of Total Billed Charges,,,,,4.18,,,,,,,Percent of Total Billed Charges,,,, NF-TUSSIN DM SYRUP ,250,RC,,Outpatient,,,9.55,7.64,7.13,,,,,,,Percent of Total Billed Charges,,7.13,7.13,,9.55,,,,,,,Percent of Total Billed Charges,,,,,9.17,,,,,,,Percent of Total Billed Charges,,,,,9.07,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,2.01,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,2.67,,,,,,,Percent of Total Billed Charges,,,,,7.64,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,, *NF-Topiramate Oral Tablet 25MG ,250,RC,,Outpatient,25,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, NF-ECONAZOLE POWDER (ECOZA) ,250,RC,,Outpatient,,,63,50.4,47.06,,,,,,,Percent of Total Billed Charges,,47.06,47.06,,63,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,53.55,,,,,,,Percent of Total Billed Charges,,,,,13.23,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,17.64,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,, NF-SIMETHICONE (MYLICON) LIQ CAP 180 MG ,250,RC,,Outpatient,180,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-VORTIOXETINE (TRINTELLIX) TAB: 20 MG,250,RC,,Outpatient,20,ME,33.35,26.68,24.91,,,,,,,Percent of Total Billed Charges,,24.91,24.91,,33.35,,,,,,,Percent of Total Billed Charges,,,,,32.02,,,,,,,Percent of Total Billed Charges,,,,,31.68,,,,,,,Percent of Total Billed Charges,,,,,6.67,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,30.02,,,,,,,Percent of Total Billed Charges,,,,,30.02,,,,,,,Percent of Total Billed Charges,,,,,6.67,,,,,,,Percent of Total Billed Charges,,,,,9.34,,,,,,,Percent of Total Billed Charges,,,,,26.68,,,,,,,Percent of Total Billed Charges,,,,,6.67,,,,,,,Percent of Total Billed Charges,,,, NF-FORMOTEROL (PERFOROMIST)NEB:20MCG/2ML,250,RC,,Outpatient,20,ME,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, NF-SILODOSIN (RAPAFLO) CAP 4MG ,250,RC,,Outpatient,4,ME,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, NF-HARVONI TAB 90MG-400MG ,250,RC,,Outpatient,90,ME,3376.5,2701.2,2522.25,,,,,,,Percent of Total Billed Charges,,2522.25,2522.25,,3376.5,,,,,,,Percent of Total Billed Charges,,,,,3241.44,,,,,,,Percent of Total Billed Charges,,,,,3207.68,,,,,,,Percent of Total Billed Charges,,,,,675.3,,,,,,,Percent of Total Billed Charges,,,,,2870.03,,,,,,,Percent of Total Billed Charges,,,,,709.07,,,,,,,Percent of Total Billed Charges,,,,,3038.85,,,,,,,Percent of Total Billed Charges,,,,,3038.85,,,,,,,Percent of Total Billed Charges,,,,,675.3,,,,,,,Percent of Total Billed Charges,,,,,945.42,,,,,,,Percent of Total Billed Charges,,,,,2701.2,,,,,,,Percent of Total Billed Charges,,,,,675.3,,,,,,,Percent of Total Billed Charges,,,, NF-ASMANEX (MOMETASONE) INH 100 MCG/PUFF,250,RC,,Outpatient,100,ME,586.6,469.28,438.19,,,,,,,Percent of Total Billed Charges,,438.19,438.19,,586.6,,,,,,,Percent of Total Billed Charges,,,,,563.14,,,,,,,Percent of Total Billed Charges,,,,,557.27,,,,,,,Percent of Total Billed Charges,,,,,117.32,,,,,,,Percent of Total Billed Charges,,,,,498.61,,,,,,,Percent of Total Billed Charges,,,,,123.19,,,,,,,Percent of Total Billed Charges,,,,,527.94,,,,,,,Percent of Total Billed Charges,,,,,527.94,,,,,,,Percent of Total Billed Charges,,,,,117.32,,,,,,,Percent of Total Billed Charges,,,,,164.25,,,,,,,Percent of Total Billed Charges,,,,,469.28,,,,,,,Percent of Total Billed Charges,,,,,117.32,,,,,,,Percent of Total Billed Charges,,,, NF-Mag-Tab SR Tablet 84MG ,250,RC,,Outpatient,84,ME,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, *NF-CELLCEPT TAB: 500 MG ,250,RC,,Outpatient,500,ME,55.5,44.4,41.46,,,,,,,Percent of Total Billed Charges,,41.46,41.46,,55.5,,,,,,,Percent of Total Billed Charges,,,,,53.28,,,,,,,Percent of Total Billed Charges,,,,,52.73,,,,,,,Percent of Total Billed Charges,,,,,11.1,,,,,,,Percent of Total Billed Charges,,,,,47.18,,,,,,,Percent of Total Billed Charges,,,,,11.66,,,,,,,Percent of Total Billed Charges,,,,,49.95,,,,,,,Percent of Total Billed Charges,,,,,49.95,,,,,,,Percent of Total Billed Charges,,,,,11.1,,,,,,,Percent of Total Billed Charges,,,,,15.54,,,,,,,Percent of Total Billed Charges,,,,,44.4,,,,,,,Percent of Total Billed Charges,,,,,11.1,,,,,,,Percent of Total Billed Charges,,,, NF-CYCLOSPSPORINE CAP: 25 MG ,250,RC,,Outpatient,25,ME,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, NF-MYCOPHENOLATE (MYFORTIC) EC TAB:180MG,250,RC,,Outpatient,180,ME,17.15,13.72,12.81,,,,,,,Percent of Total Billed Charges,,12.81,12.81,,17.15,,,,,,,Percent of Total Billed Charges,,,,,16.46,,,,,,,Percent of Total Billed Charges,,,,,16.29,,,,,,,Percent of Total Billed Charges,,,,,3.43,,,,,,,Percent of Total Billed Charges,,,,,14.58,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,3.43,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,13.72,,,,,,,Percent of Total Billed Charges,,,,,3.43,,,,,,,Percent of Total Billed Charges,,,, NF-CALCIUM 600MG+D TAB 600MG-200 UNIT ,250,RC,,Outpatient,600,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, NF-GLUCOSAMINE/CHONDROITIN/MSM TAB ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, CRANBERRY CAP/TAB ,250,RC,,Outpatient,,,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, NF-PROBIOTIC DIGEST CARE CAP: 20 BILLION,250,RC,,Outpatient,1,EA,3.9,3.12,2.91,,,,,,,Percent of Total Billed Charges,,2.91,2.91,,3.9,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,3.71,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,3.32,,,,,,,Percent of Total Billed Charges,,,,,0.82,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,1.09,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,, NF-VITAMIN E CAP: 100 UNIT ,250,RC,,Outpatient,100,UN,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, NF-DRONABINOL (MARINOL) CAP : 2.5 MG ,250,RC,,Outpatient,2.5,ME,6.05,4.84,4.52,,,,,,,Percent of Total Billed Charges,,4.52,4.52,,6.05,,,,,,,Percent of Total Billed Charges,,,,,5.81,,,,,,,Percent of Total Billed Charges,,,,,5.75,,,,,,,Percent of Total Billed Charges,,,,,1.21,,,,,,,Percent of Total Billed Charges,,,,,5.14,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,,,5.45,,,,,,,Percent of Total Billed Charges,,,,,5.45,,,,,,,Percent of Total Billed Charges,,,,,1.21,,,,,,,Percent of Total Billed Charges,,,,,1.69,,,,,,,Percent of Total Billed Charges,,,,,4.84,,,,,,,Percent of Total Billed Charges,,,,,1.21,,,,,,,Percent of Total Billed Charges,,,, NF-RYTARY ER Cap 23.75MG-95 ,250,RC,,Outpatient,23.75,ME,9.25,7.4,6.91,,,,,,,Percent of Total Billed Charges,,6.91,6.91,,9.25,,,,,,,Percent of Total Billed Charges,,,,,8.88,,,,,,,Percent of Total Billed Charges,,,,,8.79,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,7.86,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,8.33,,,,,,,Percent of Total Billed Charges,,,,,8.33,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,, NF-LEVALBUTEROL HFA INH 45 MCG XOPONEX ,250,RC,,Outpatient,45,ME,3083.3,2466.64,2303.23,,,,,,,Percent of Total Billed Charges,,2303.23,2303.23,,3083.3,,,,,,,Percent of Total Billed Charges,,,,,2959.97,,,,,,,Percent of Total Billed Charges,,,,,2929.14,,,,,,,Percent of Total Billed Charges,,,,,616.66,,,,,,,Percent of Total Billed Charges,,,,,2620.81,,,,,,,Percent of Total Billed Charges,,,,,647.49,,,,,,,Percent of Total Billed Charges,,,,,2774.97,,,,,,,Percent of Total Billed Charges,,,,,2774.97,,,,,,,Percent of Total Billed Charges,,,,,616.66,,,,,,,Percent of Total Billed Charges,,,,,863.32,,,,,,,Percent of Total Billed Charges,,,,,2466.64,,,,,,,Percent of Total Billed Charges,,,,,616.66,,,,,,,Percent of Total Billed Charges,,,, NF-BEVESPI AEROSPHERE INH 4.8MCG/9MCG ,250,RC,,Outpatient,4.8,ME,1076.6,861.28,804.22,,,,,,,Percent of Total Billed Charges,,804.22,804.22,,1076.6,,,,,,,Percent of Total Billed Charges,,,,,1033.54,,,,,,,Percent of Total Billed Charges,,,,,1022.77,,,,,,,Percent of Total Billed Charges,,,,,215.32,,,,,,,Percent of Total Billed Charges,,,,,915.11,,,,,,,Percent of Total Billed Charges,,,,,226.09,,,,,,,Percent of Total Billed Charges,,,,,968.94,,,,,,,Percent of Total Billed Charges,,,,,968.94,,,,,,,Percent of Total Billed Charges,,,,,215.32,,,,,,,Percent of Total Billed Charges,,,,,301.45,,,,,,,Percent of Total Billed Charges,,,,,861.28,,,,,,,Percent of Total Billed Charges,,,,,215.32,,,,,,,Percent of Total Billed Charges,,,, NF-LIALDA DR TAB (MESALAMINE): 1.2 GRAM ,250,RC,,Outpatient,1.2,GR,29.6,23.68,22.11,,,,,,,Percent of Total Billed Charges,,22.11,22.11,,29.6,,,,,,,Percent of Total Billed Charges,,,,,28.42,,,,,,,Percent of Total Billed Charges,,,,,28.12,,,,,,,Percent of Total Billed Charges,,,,,5.92,,,,,,,Percent of Total Billed Charges,,,,,25.16,,,,,,,Percent of Total Billed Charges,,,,,6.22,,,,,,,Percent of Total Billed Charges,,,,,26.64,,,,,,,Percent of Total Billed Charges,,,,,26.64,,,,,,,Percent of Total Billed Charges,,,,,5.92,,,,,,,Percent of Total Billed Charges,,,,,8.29,,,,,,,Percent of Total Billed Charges,,,,,23.68,,,,,,,Percent of Total Billed Charges,,,,,5.92,,,,,,,Percent of Total Billed Charges,,,, NF-LEFLUNOMIDE TAB(ARAVA) 20MG ,250,RC,,Outpatient,20,ME,2.3,1.84,1.72,,,,,,,Percent of Total Billed Charges,,1.72,1.72,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,, NF-RIVASTIGMINE (EXELON) CAP :6 MG ,250,RC,,Outpatient,6,ME,3.4,2.72,2.54,,,,,,,Percent of Total Billed Charges,,2.54,2.54,,3.4,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,2.89,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,, NF-BUMETANIDE (BUMEX) TAB: 2 MG ,250,RC,,Outpatient,2,ME,6.35,5.08,4.74,,,,,,,Percent of Total Billed Charges,,4.74,4.74,,6.35,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,6.03,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.33,,,,,,,Percent of Total Billed Charges,,,,,5.72,,,,,,,Percent of Total Billed Charges,,,,,5.72,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,5.08,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,, NF-ENTRESTO TAB: 24MG-26MG ,250,RC,,Outpatient,24,ME,24.7,19.76,18.45,,,,,,,Percent of Total Billed Charges,,18.45,18.45,,24.7,,,,,,,Percent of Total Billed Charges,,,,,23.71,,,,,,,Percent of Total Billed Charges,,,,,23.47,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,5.19,,,,,,,Percent of Total Billed Charges,,,,,22.23,,,,,,,Percent of Total Billed Charges,,,,,22.23,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,6.92,,,,,,,Percent of Total Billed Charges,,,,,19.76,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,, NF-NUPLAZID (PIMAVANSERIN) CAP: 34MG ,250,RC,,Outpatient,34,ME,305.4,244.32,228.13,,,,,,,Percent of Total Billed Charges,,228.13,228.13,,305.4,,,,,,,Percent of Total Billed Charges,,,,,293.18,,,,,,,Percent of Total Billed Charges,,,,,290.13,,,,,,,Percent of Total Billed Charges,,,,,61.08,,,,,,,Percent of Total Billed Charges,,,,,259.59,,,,,,,Percent of Total Billed Charges,,,,,64.13,,,,,,,Percent of Total Billed Charges,,,,,274.86,,,,,,,Percent of Total Billed Charges,,,,,274.86,,,,,,,Percent of Total Billed Charges,,,,,61.08,,,,,,,Percent of Total Billed Charges,,,,,85.51,,,,,,,Percent of Total Billed Charges,,,,,244.32,,,,,,,Percent of Total Billed Charges,,,,,61.08,,,,,,,Percent of Total Billed Charges,,,, NF-AMIODARONE (CORDARONE) TAB: 100 MG ,250,RC,,Outpatient,100,ME,9.9,7.92,7.4,,,,,,,Percent of Total Billed Charges,,7.4,7.4,,9.9,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.41,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,8.42,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,8.91,,,,,,,Percent of Total Billed Charges,,,,,8.91,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,2.77,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,, *NF-MEXILETINE (MEXITIL) CAP : 150MG ,250,RC,,Outpatient,150,ME,5.4,4.32,4.03,,,,,,,Percent of Total Billed Charges,,4.03,4.03,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,5.13,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,,,1.51,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,, MIRABEGRON (MYRBETRIQ) TAB : 50MG ,250,RC,,Outpatient,50,ME,33.35,26.68,24.91,,,,,,,Percent of Total Billed Charges,,24.91,24.91,,33.35,,,,,,,Percent of Total Billed Charges,,,,,32.02,,,,,,,Percent of Total Billed Charges,,,,,31.68,,,,,,,Percent of Total Billed Charges,,,,,6.67,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,30.02,,,,,,,Percent of Total Billed Charges,,,,,30.02,,,,,,,Percent of Total Billed Charges,,,,,6.67,,,,,,,Percent of Total Billed Charges,,,,,9.34,,,,,,,Percent of Total Billed Charges,,,,,26.68,,,,,,,Percent of Total Billed Charges,,,,,6.67,,,,,,,Percent of Total Billed Charges,,,, NF-CALCIUM CHOCOLATE CHEWS ,250,RC,,Outpatient,,,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF-Muro-128 Ophth Solution ,250,RC,,Outpatient,15,ML,89.5,71.6,66.86,,,,,,,Percent of Total Billed Charges,,66.86,66.86,,89.5,,,,,,,Percent of Total Billed Charges,,,,,85.92,,,,,,,Percent of Total Billed Charges,,,,,85.03,,,,,,,Percent of Total Billed Charges,,,,,17.9,,,,,,,Percent of Total Billed Charges,,,,,76.08,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,80.55,,,,,,,Percent of Total Billed Charges,,,,,80.55,,,,,,,Percent of Total Billed Charges,,,,,17.9,,,,,,,Percent of Total Billed Charges,,,,,25.06,,,,,,,Percent of Total Billed Charges,,,,,71.6,,,,,,,Percent of Total Billed Charges,,,,,17.9,,,,,,,Percent of Total Billed Charges,,,, NF-MELATONIN TAB: 10 MG ,250,RC,,Outpatient,10,ME,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, NF-ENTRESTO TAB 49MG-51MG ,250,RC,,Outpatient,49,ME,34.6,27.68,25.85,,,,,,,Percent of Total Billed Charges,,25.85,25.85,,34.6,,,,,,,Percent of Total Billed Charges,,,,,33.22,,,,,,,Percent of Total Billed Charges,,,,,32.87,,,,,,,Percent of Total Billed Charges,,,,,6.92,,,,,,,Percent of Total Billed Charges,,,,,29.41,,,,,,,Percent of Total Billed Charges,,,,,7.27,,,,,,,Percent of Total Billed Charges,,,,,31.14,,,,,,,Percent of Total Billed Charges,,,,,31.14,,,,,,,Percent of Total Billed Charges,,,,,6.92,,,,,,,Percent of Total Billed Charges,,,,,9.69,,,,,,,Percent of Total Billed Charges,,,,,27.68,,,,,,,Percent of Total Billed Charges,,,,,6.92,,,,,,,Percent of Total Billed Charges,,,, NF-TAMOXIFEN (NOLVADEX) TAB: 20 MG ,250,RC,,Outpatient,20,ME,4.2,3.36,3.14,,,,,,,Percent of Total Billed Charges,,3.14,3.14,,4.2,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,, NF-CARBAMAZEPINE ER (TEGRETOL) CAP 100MG,250,RC,,Outpatient,100,ME,6.45,5.16,4.82,,,,,,,Percent of Total Billed Charges,,4.82,4.82,,6.45,,,,,,,Percent of Total Billed Charges,,,,,6.19,,,,,,,Percent of Total Billed Charges,,,,,6.13,,,,,,,Percent of Total Billed Charges,,,,,1.29,,,,,,,Percent of Total Billed Charges,,,,,5.48,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,5.81,,,,,,,Percent of Total Billed Charges,,,,,5.81,,,,,,,Percent of Total Billed Charges,,,,,1.29,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,5.16,,,,,,,Percent of Total Billed Charges,,,,,1.29,,,,,,,Percent of Total Billed Charges,,,, NF-INSULIN ADMELOG (LISPRO) 100UN/1ML ,250,RC,,Outpatient,100,UN,404.8,323.84,302.39,,,,,,,Percent of Total Billed Charges,,302.39,302.39,,404.8,,,,,,,Percent of Total Billed Charges,,,,,388.61,,,,,,,Percent of Total Billed Charges,,,,,384.56,,,,,,,Percent of Total Billed Charges,,,,,80.96,,,,,,,Percent of Total Billed Charges,,,,,344.08,,,,,,,Percent of Total Billed Charges,,,,,85.01,,,,,,,Percent of Total Billed Charges,,,,,364.32,,,,,,,Percent of Total Billed Charges,,,,,364.32,,,,,,,Percent of Total Billed Charges,,,,,80.96,,,,,,,Percent of Total Billed Charges,,,,,113.34,,,,,,,Percent of Total Billed Charges,,,,,323.84,,,,,,,Percent of Total Billed Charges,,,,,80.96,,,,,,,Percent of Total Billed Charges,,,, NF-ALOGLIPTIN (NESINA) TAB: 25 MG ,250,RC,,Outpatient,25,ME,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, NF-BASAGLAR (INS GLARGINE) 100U/1ML ,250,RC,,Outpatient,100,UN,208.35,166.68,155.64,,,,,,,Percent of Total Billed Charges,,155.64,155.64,,208.35,,,,,,,Percent of Total Billed Charges,,,,,200.02,,,,,,,Percent of Total Billed Charges,,,,,197.93,,,,,,,Percent of Total Billed Charges,,,,,41.67,,,,,,,Percent of Total Billed Charges,,,,,177.1,,,,,,,Percent of Total Billed Charges,,,,,43.75,,,,,,,Percent of Total Billed Charges,,,,,187.52,,,,,,,Percent of Total Billed Charges,,,,,187.52,,,,,,,Percent of Total Billed Charges,,,,,41.67,,,,,,,Percent of Total Billed Charges,,,,,58.34,,,,,,,Percent of Total Billed Charges,,,,,166.68,,,,,,,Percent of Total Billed Charges,,,,,41.67,,,,,,,Percent of Total Billed Charges,,,, NF-OLMESARTAN/HCTZ ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, NF-TIOTROPIUM RESPIMAT(SPIRIVA) 2.5 MCG,250,RC,,Outpatient,2.5,ME,193.5,154.8,144.54,,,,,,,Percent of Total Billed Charges,,144.54,144.54,,193.5,,,,,,,Percent of Total Billed Charges,,,,,185.76,,,,,,,Percent of Total Billed Charges,,,,,183.83,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,164.48,,,,,,,Percent of Total Billed Charges,,,,,40.64,,,,,,,Percent of Total Billed Charges,,,,,174.15,,,,,,,Percent of Total Billed Charges,,,,,174.15,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,54.18,,,,,,,Percent of Total Billed Charges,,,,,154.8,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,, NF-BISOPROLOL (ZEBETA) TAB: 5MG ,250,RC,,Outpatient,5,ME,4.15,3.32,3.1,,,,,,,Percent of Total Billed Charges,,3.1,3.1,,4.15,,,,,,,Percent of Total Billed Charges,,,,,3.98,,,,,,,Percent of Total Billed Charges,,,,,3.94,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,3.53,,,,,,,Percent of Total Billed Charges,,,,,0.87,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,3.32,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,, NF-MEMANTINE (NAMENDA) ER CAP: 14 MG ,250,RC,,Outpatient,14,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, NF-RIFAMPIN ORAL CAPSULE 150MG ,250,RC,,Outpatient,150,ME,9.45,7.56,7.06,,,,,,,Percent of Total Billed Charges,,7.06,7.06,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.07,,,,,,,Percent of Total Billed Charges,,,,,8.98,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.03,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,8.51,,,,,,,Percent of Total Billed Charges,,,,,8.51,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,2.65,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,, NF-MEXILETINE (MEXETIL) CAP 150 MG ,250,RC,,Outpatient,150,ME,5.4,4.32,4.03,,,,,,,Percent of Total Billed Charges,,4.03,4.03,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,5.13,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,,,1.51,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,, NF-TOUJEO SubQ 300U/1ML ,250,RC,,Outpatient,300,UN,345,276,257.72,,,,,,,Percent of Total Billed Charges,,257.72,257.72,,345,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,327.75,,,,,,,Percent of Total Billed Charges,,,,,69,,,,,,,Percent of Total Billed Charges,,,,,293.25,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,310.5,,,,,,,Percent of Total Billed Charges,,,,,310.5,,,,,,,Percent of Total Billed Charges,,,,,69,,,,,,,Percent of Total Billed Charges,,,,,96.6,,,,,,,Percent of Total Billed Charges,,,,,276,,,,,,,Percent of Total Billed Charges,,,,,69,,,,,,,Percent of Total Billed Charges,,,, NF-Glucosamine Chondroitin 1500/1200 Cap,250,RC,,Outpatient,120,EA,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, NF-NUTREN 1 CAL FEEDING:250ML ,250,RC,,Outpatient,250,ML,5.95,4.76,4.44,,,,,,,Percent of Total Billed Charges,,4.44,4.44,,5.95,,,,,,,Percent of Total Billed Charges,,,,,5.71,,,,,,,Percent of Total Billed Charges,,,,,5.65,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,,,5.06,,,,,,,Percent of Total Billed Charges,,,,,1.25,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,, NF-CAFFEINE TAB: 200 MG ,250,RC,,Outpatient,200,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, EMPAGLIFLOZIN (JARDIANCE) TAB 10MG ####,250,RC,,Outpatient,10,ME,58.55,46.84,43.74,,,,,,,Percent of Total Billed Charges,,43.74,43.74,,58.55,,,,,,,Percent of Total Billed Charges,,,,,56.21,,,,,,,Percent of Total Billed Charges,,,,,55.62,,,,,,,Percent of Total Billed Charges,,,,,11.71,,,,,,,Percent of Total Billed Charges,,,,,49.77,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,,,11.71,,,,,,,Percent of Total Billed Charges,,,,,16.39,,,,,,,Percent of Total Billed Charges,,,,,46.84,,,,,,,Percent of Total Billed Charges,,,,,11.71,,,,,,,Percent of Total Billed Charges,,,, VENLAFAXINE HCL TAB 37.5MG ,250,RC,,Outpatient,37.5,ME,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, NF-DOFETILIDE (TYKOSYN) CAP 125MCG ,250,RC,,Outpatient,125,ME,2.75,2.2,2.05,,,,,,,Percent of Total Billed Charges,,2.05,2.05,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,, BOTOX THERAPEUTIC 100 UNITS ,J0585 ,CPT,,Outpatient,,,2216.5,1773.2,1655.73,,,,,,,Percent of Total Billed Charges,,1655.73,1655.73,,2216.5,,,,,,,Percent of Total Billed Charges,,,,,2127.84,,,,,,,Percent of Total Billed Charges,,,,,2105.68,,,,,,,Percent of Total Billed Charges,,,,,443.3,,,,,,,Percent of Total Billed Charges,,,,,1884.03,,,,,,,Percent of Total Billed Charges,,,,,465.47,,,,,,,Percent of Total Billed Charges,,,,,1994.85,,,,,,,Percent of Total Billed Charges,,,,,1994.85,,,,,,,Percent of Total Billed Charges,,,,,443.3,,,,,,,Percent of Total Billed Charges,,,,,620.62,,,,,,,Percent of Total Billed Charges,,,,,1773.2,,,,,,,Percent of Total Billed Charges,,,,,443.3,,,,,,,Percent of Total Billed Charges,,,, TADALAFIL (CIALIS) TAB 5 MG - NF ,250,RC,,Outpatient,5,ME,3.75,3,2.8,,,,,,,Percent of Total Billed Charges,,2.8,2.8,,3.75,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,, NF-KETOROLAC OPHTH SOLN 0.5% ,250,RC,,Outpatient,,,34.5,27.6,25.77,,,,,,,Percent of Total Billed Charges,,25.77,25.77,,34.5,,,,,,,Percent of Total Billed Charges,,,,,33.12,,,,,,,Percent of Total Billed Charges,,,,,32.78,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,29.33,,,,,,,Percent of Total Billed Charges,,,,,7.25,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,9.66,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,, NF-NIACINAMIDE TAB : 500MG ,250,RC,,Outpatient,500,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, ISOSORBIDE MONO TAB ER 120MG ### ,250,RC,,Outpatient,120,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, NF-Theophylline Oral 24Hr Tab ER 400MG ,250,RC,,Outpatient,400,ME,5.55,4.44,4.15,,,,,,,Percent of Total Billed Charges,,4.15,4.15,,5.55,,,,,,,Percent of Total Billed Charges,,,,,5.33,,,,,,,Percent of Total Billed Charges,,,,,5.27,,,,,,,Percent of Total Billed Charges,,,,,1.11,,,,,,,Percent of Total Billed Charges,,,,,4.72,,,,,,,Percent of Total Billed Charges,,,,,1.17,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,1.11,,,,,,,Percent of Total Billed Charges,,,,,1.55,,,,,,,Percent of Total Billed Charges,,,,,4.44,,,,,,,Percent of Total Billed Charges,,,,,1.11,,,,,,,Percent of Total Billed Charges,,,, SANDOSTATIN LAR DEPOT IM 20MG ,250,RC,,Outpatient,20,ME,12147,9717.6,9073.81,,,,,,,Percent of Total Billed Charges,,9073.81,9073.81,,12147,,,,,,,Percent of Total Billed Charges,,,,,11661.12,,,,,,,Percent of Total Billed Charges,,,,,11539.65,,,,,,,Percent of Total Billed Charges,,,,,2429.4,,,,,,,Percent of Total Billed Charges,,,,,10324.95,,,,,,,Percent of Total Billed Charges,,,,,2550.87,,,,,,,Percent of Total Billed Charges,,,,,10932.3,,,,,,,Percent of Total Billed Charges,,,,,10932.3,,,,,,,Percent of Total Billed Charges,,,,,2429.4,,,,,,,Percent of Total Billed Charges,,,,,3401.16,,,,,,,Percent of Total Billed Charges,,,,,9717.6,,,,,,,Percent of Total Billed Charges,,,,,2429.4,,,,,,,Percent of Total Billed Charges,,,, ILUMYA SUBCUTANEOUS SOLUTION 100MG/1ML ,J3245 ,CPT,,Outpatient,,,47162,37729.6,35230.01,,,,,,,Percent of Total Billed Charges,,35230.01,35230.01,,47162,,,,,,,Percent of Total Billed Charges,,,,,45275.52,,,,,,,Percent of Total Billed Charges,,,,,44803.9,,,,,,,Percent of Total Billed Charges,,,,,9432.4,,,,,,,Percent of Total Billed Charges,,,,,40087.7,,,,,,,Percent of Total Billed Charges,,,,,9904.02,,,,,,,Percent of Total Billed Charges,,,,,42445.8,,,,,,,Percent of Total Billed Charges,,,,,42445.8,,,,,,,Percent of Total Billed Charges,,,,,9432.4,,,,,,,Percent of Total Billed Charges,,,,,13205.36,,,,,,,Percent of Total Billed Charges,,,,,37729.6,,,,,,,Percent of Total Billed Charges,,,,,9432.4,,,,,,,Percent of Total Billed Charges,,,, MILEAGE NONCOVERED ,A0888QN ,CPT,QN,Outpatient,,,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, MYCOPHENOLIC ACID ,80299TC ,CPT,TC,Outpatient,,,284,227.25,212.15,,,,,,,Percent of Total Billed Charges,,212.15,212.15,,284,,,,,,,Percent of Total Billed Charges,,,,,272.64,,,,,,,Percent of Total Billed Charges,,,,,269.8,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,,,241.4,,,,,,,Percent of Total Billed Charges,,,,,59.64,,,,,,,Percent of Total Billed Charges,,,,,255.6,,,,,,,Percent of Total Billed Charges,,,,,255.6,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,,,79.52,,,,,,,Percent of Total Billed Charges,,,,,227.2,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,, .HEPATITIS C(QUAL)VIRUS BY PCR ,87521,CPT,,Outpatient,,,632.5,506,472.48,,,,,,,Percent of Total Billed Charges,,472.48,472.48,,632.5,,,,,,,Percent of Total Billed Charges,,,,,607.2,,,,,,,Percent of Total Billed Charges,,,,,600.88,,,,,,,Percent of Total Billed Charges,,,,,126.5,,,,,,,Percent of Total Billed Charges,,,,,537.63,,,,,,,Percent of Total Billed Charges,,,,,132.83,,,,,,,Percent of Total Billed Charges,,,,,569.25,,,,,,,Percent of Total Billed Charges,,,,,569.25,,,,,,,Percent of Total Billed Charges,,,,,126.5,,,,,,,Percent of Total Billed Charges,,,,,177.1,,,,,,,Percent of Total Billed Charges,,,,,506,,,,,,,Percent of Total Billed Charges,,,,,126.5,,,,,,,Percent of Total Billed Charges,,,, "INDICAN, URINE ",81005TC ,CPT,TC,Outpatient,,,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, D DEXA BONE DENSITY ,77080TC ,CPT,TC,Outpatient,,,753,602.4,562.49,,,,,,,Percent of Total Billed Charges,,562.49,562.49,,753,,,,,,,Percent of Total Billed Charges,,,,,722.88,,,,,,,Percent of Total Billed Charges,,,,,715.35,,,,,,,Percent of Total Billed Charges,,,,,150.6,,,,,,,Percent of Total Billed Charges,,,,,640.05,,,,,,,Percent of Total Billed Charges,,,,,158.13,,,,,,,Percent of Total Billed Charges,,,,,677.7,,,,,,,Percent of Total Billed Charges,,,,,677.7,,,,,,,Percent of Total Billed Charges,,,,,150.6,,,,,,,Percent of Total Billed Charges,,,,,210.84,,,,,,,Percent of Total Billed Charges,,,,,602.4,,,,,,,Percent of Total Billed Charges,,,,,150.6,,,,,,,Percent of Total Billed Charges,,,, D DEXA LIMITED ,77081TC ,CPT,TC,Outpatient,,,138,110.4,103.09,,,,,,,Percent of Total Billed Charges,,103.09,103.09,,138,,,,,,,Percent of Total Billed Charges,,,,,132.48,,,,,,,Percent of Total Billed Charges,,,,,131.1,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,,,117.3,,,,,,,Percent of Total Billed Charges,,,,,28.98,,,,,,,Percent of Total Billed Charges,,,,,124.2,,,,,,,Percent of Total Billed Charges,,,,,124.2,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,,,38.64,,,,,,,Percent of Total Billed Charges,,,,,110.4,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,, MRI ORBIT/FACE/ST NECK W/CONTRAST ,70542TC ,CPT,TC,Outpatient,,,5416,4332.8,4045.75,,,,,,,Percent of Total Billed Charges,,4045.75,4045.75,,5416,,,,,,,Percent of Total Billed Charges,,,,,5199.36,,,,,,,Percent of Total Billed Charges,,,,,5145.2,,,,,,,Percent of Total Billed Charges,,,,,1083.2,,,,,,,Percent of Total Billed Charges,,,,,4603.6,,,,,,,Percent of Total Billed Charges,,,,,1137.36,,,,,,,Percent of Total Billed Charges,,,,,4874.4,,,,,,,Percent of Total Billed Charges,,,,,4874.4,,,,,,,Percent of Total Billed Charges,,,,,1083.2,,,,,,,Percent of Total Billed Charges,,,,,1516.48,,,,,,,Percent of Total Billed Charges,,,,,4332.8,,,,,,,Percent of Total Billed Charges,,,,,1083.2,,,,,,,Percent of Total Billed Charges,,,, CPR ,250,RC,,Outpatient,,,591,472.8,441.48,,,,,,,Percent of Total Billed Charges,,441.48,441.48,,591,,,,,,,Percent of Total Billed Charges,,,,,567.36,,,,,,,Percent of Total Billed Charges,,,,,561.45,,,,,,,Percent of Total Billed Charges,,,,,118.2,,,,,,,Percent of Total Billed Charges,,,,,502.35,,,,,,,Percent of Total Billed Charges,,,,,124.11,,,,,,,Percent of Total Billed Charges,,,,,531.9,,,,,,,Percent of Total Billed Charges,,,,,531.9,,,,,,,Percent of Total Billed Charges,,,,,118.2,,,,,,,Percent of Total Billed Charges,,,,,165.48,,,,,,,Percent of Total Billed Charges,,,,,472.8,,,,,,,Percent of Total Billed Charges,,,,,118.2,,,,,,,Percent of Total Billed Charges,,,, PULSE OXIMETER X 1 TIME ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, PULSE OXIMETER DAILY ,250,RC,,Outpatient,,,29.5,23.6,22.04,,,,,,,Percent of Total Billed Charges,,22.04,22.04,,29.5,,,,,,,Percent of Total Billed Charges,,,,,28.32,,,,,,,Percent of Total Billed Charges,,,,,28.03,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,25.08,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,8.26,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,, ARTERIAL LINE INSERTION ,250,RC,,Outpatient,,,101.5,81.2,75.82,,,,,,,Percent of Total Billed Charges,,75.82,75.82,,101.5,,,,,,,Percent of Total Billed Charges,,,,,97.44,,,,,,,Percent of Total Billed Charges,,,,,96.43,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,86.28,,,,,,,Percent of Total Billed Charges,,,,,21.32,,,,,,,Percent of Total Billed Charges,,,,,91.35,,,,,,,Percent of Total Billed Charges,,,,,91.35,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,28.42,,,,,,,Percent of Total Billed Charges,,,,,81.2,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,, ARTERIAL LINE HOURLY NURSING ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, SWAN GANZ NURSING HOURLY ,250,RC,,Outpatient,,,54,43.2,40.34,,,,,,,Percent of Total Billed Charges,,40.34,40.34,,54,,,,,,,Percent of Total Billed Charges,,,,,51.84,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,, CENT. VENOUS PRES. LINE PER HR ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, SWAN GANZ CATH INSERTION ,250,RC,,Outpatient,,,200.5,160.4,149.77,,,,,,,Percent of Total Billed Charges,,149.77,149.77,,200.5,,,,,,,Percent of Total Billed Charges,,,,,192.48,,,,,,,Percent of Total Billed Charges,,,,,190.48,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,,,170.43,,,,,,,Percent of Total Billed Charges,,,,,42.11,,,,,,,Percent of Total Billed Charges,,,,,180.45,,,,,,,Percent of Total Billed Charges,,,,,180.45,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,,,56.14,,,,,,,Percent of Total Billed Charges,,,,,160.4,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,, TEMPORARY PACER INSERTION ,250,RC,,Outpatient,,,200.5,160.4,149.77,,,,,,,Percent of Total Billed Charges,,149.77,149.77,,200.5,,,,,,,Percent of Total Billed Charges,,,,,192.48,,,,,,,Percent of Total Billed Charges,,,,,190.48,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,,,170.43,,,,,,,Percent of Total Billed Charges,,,,,42.11,,,,,,,Percent of Total Billed Charges,,,,,180.45,,,,,,,Percent of Total Billed Charges,,,,,180.45,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,,,56.14,,,,,,,Percent of Total Billed Charges,,,,,160.4,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,, TEMP TRANSVENOUS PM MON EA HR ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, CENRTAL LINE INSERTION ,250,RC,,Outpatient,,,101.5,81.2,75.82,,,,,,,Percent of Total Billed Charges,,75.82,75.82,,101.5,,,,,,,Percent of Total Billed Charges,,,,,97.44,,,,,,,Percent of Total Billed Charges,,,,,96.43,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,86.28,,,,,,,Percent of Total Billed Charges,,,,,21.32,,,,,,,Percent of Total Billed Charges,,,,,91.35,,,,,,,Percent of Total Billed Charges,,,,,91.35,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,28.42,,,,,,,Percent of Total Billed Charges,,,,,81.2,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,, HOLDING ROOM ICU FIRST HOUR ,250,RC,,Outpatient,,,336,268.8,250.99,,,,,,,Percent of Total Billed Charges,,250.99,250.99,,336,,,,,,,Percent of Total Billed Charges,,,,,322.56,,,,,,,Percent of Total Billed Charges,,,,,319.2,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,285.6,,,,,,,Percent of Total Billed Charges,,,,,70.56,,,,,,,Percent of Total Billed Charges,,,,,302.4,,,,,,,Percent of Total Billed Charges,,,,,302.4,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,268.8,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,, HOLDING ROOM ICU EA ADD HOUR ,250,RC,,Outpatient,,,57,45.6,42.58,,,,,,,Percent of Total Billed Charges,,42.58,42.58,,57,,,,,,,Percent of Total Billed Charges,,,,,54.72,,,,,,,Percent of Total Billed Charges,,,,,54.15,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,11.97,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,, R/R ROOM IST HOUR ,250,RC,,Outpatient,,,551,440.8,411.6,,,,,,,Percent of Total Billed Charges,,411.6,411.6,,551,,,,,,,Percent of Total Billed Charges,,,,,528.96,,,,,,,Percent of Total Billed Charges,,,,,523.45,,,,,,,Percent of Total Billed Charges,,,,,110.2,,,,,,,Percent of Total Billed Charges,,,,,468.35,,,,,,,Percent of Total Billed Charges,,,,,115.71,,,,,,,Percent of Total Billed Charges,,,,,495.9,,,,,,,Percent of Total Billed Charges,,,,,495.9,,,,,,,Percent of Total Billed Charges,,,,,110.2,,,,,,,Percent of Total Billed Charges,,,,,154.28,,,,,,,Percent of Total Billed Charges,,,,,440.8,,,,,,,Percent of Total Billed Charges,,,,,110.2,,,,,,,Percent of Total Billed Charges,,,, R/R ROOM ADD 15 MIN ,250,RC,,Outpatient,,,57,45.6,42.58,,,,,,,Percent of Total Billed Charges,,42.58,42.58,,57,,,,,,,Percent of Total Billed Charges,,,,,54.72,,,,,,,Percent of Total Billed Charges,,,,,54.15,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,11.97,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,, #AST TROUSERS/DAY ,250,RC,,Outpatient,,,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, #OTATING TOURNIQUET/DAY ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, K PAD/DAY ,250,RC,,Outpatient,,,13,10.4,9.71,,,,,,,Percent of Total Billed Charges,,9.71,9.71,,13,,,,,,,Percent of Total Billed Charges,,,,,12.48,,,,,,,Percent of Total Billed Charges,,,,,12.35,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,11.05,,,,,,,Percent of Total Billed Charges,,,,,2.73,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,10.4,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,, HEEL PROTECTOR/DAY ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, SUCTION MACHINE/DAY ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, GOMCO/DAY ,250,RC,,Outpatient,,,13,10.4,9.71,,,,,,,Percent of Total Billed Charges,,9.71,9.71,,13,,,,,,,Percent of Total Billed Charges,,,,,12.48,,,,,,,Percent of Total Billed Charges,,,,,12.35,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,11.05,,,,,,,Percent of Total Billed Charges,,,,,2.73,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,10.4,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,, CARDIO VERSION ,250,RC,,Outpatient,,,123,98.4,91.88,,,,,,,Percent of Total Billed Charges,,91.88,91.88,,123,,,,,,,Percent of Total Billed Charges,,,,,118.08,,,,,,,Percent of Total Billed Charges,,,,,116.85,,,,,,,Percent of Total Billed Charges,,,,,24.6,,,,,,,Percent of Total Billed Charges,,,,,104.55,,,,,,,Percent of Total Billed Charges,,,,,25.83,,,,,,,Percent of Total Billed Charges,,,,,110.7,,,,,,,Percent of Total Billed Charges,,,,,110.7,,,,,,,Percent of Total Billed Charges,,,,,24.6,,,,,,,Percent of Total Billed Charges,,,,,34.44,,,,,,,Percent of Total Billed Charges,,,,,98.4,,,,,,,Percent of Total Billed Charges,,,,,24.6,,,,,,,Percent of Total Billed Charges,,,, HOLDING RM-SAME DAY SURG/EA ADDIT HOUR ,99204,CPT,,Outpatient,,,86,68.8,64.24,,,,,,,Percent of Total Billed Charges,,64.24,64.24,,86,,,,,,,Percent of Total Billed Charges,,,,,82.56,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,,,18.06,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,24.08,,,,,,,Percent of Total Billed Charges,,,,,68.8,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,, HOLDING RM-SAME DAY SURG/FIRST HOUR ,99204,CPT,,Outpatient,,,188,150.04,140.44,,,,,,,Percent of Total Billed Charges,,140.44,140.44,,188,,,,,,,Percent of Total Billed Charges,,,,,180.48,,,,,,,Percent of Total Billed Charges,,,,,178.6,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,,,159.8,,,,,,,Percent of Total Billed Charges,,,,,39.48,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,,,52.64,,,,,,,Percent of Total Billed Charges,,,,,150.4,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,, HOLDING ROOM PICC LINE ,99212,CPT,,Outpatient,,,2000,1600,1494,,,,,,,Percent of Total Billed Charges,,1494,1494,,2000,,,,,,,Percent of Total Billed Charges,,,,,1920,,,,,,,Percent of Total Billed Charges,,,,,1900,,,,,,,Percent of Total Billed Charges,,,,,400,,,,,,,Percent of Total Billed Charges,,,,,1700,,,,,,,Percent of Total Billed Charges,,,,,420,,,,,,,Percent of Total Billed Charges,,,,,1800,,,,,,,Percent of Total Billed Charges,,,,,1800,,,,,,,Percent of Total Billed Charges,,,,,400,,,,,,,Percent of Total Billed Charges,,,,,560,,,,,,,Percent of Total Billed Charges,,,,,1600,,,,,,,Percent of Total Billed Charges,,,,,400,,,,,,,Percent of Total Billed Charges,,,, R/R MONITORING #2 ,93041,CPT,,Outpatient,,,367,293.6,274.15,,,,,,,Percent of Total Billed Charges,,274.15,274.15,,367,,,,,,,Percent of Total Billed Charges,,,,,352.32,,,,,,,Percent of Total Billed Charges,,,,,348.65,,,,,,,Percent of Total Billed Charges,,,,,73.4,,,,,,,Percent of Total Billed Charges,,,,,311.95,,,,,,,Percent of Total Billed Charges,,,,,77.07,,,,,,,Percent of Total Billed Charges,,,,,330.3,,,,,,,Percent of Total Billed Charges,,,,,330.3,,,,,,,Percent of Total Billed Charges,,,,,73.4,,,,,,,Percent of Total Billed Charges,,,,,102.76,,,,,,,Percent of Total Billed Charges,,,,,293.6,,,,,,,Percent of Total Billed Charges,,,,,73.4,,,,,,,Percent of Total Billed Charges,,,, TELEMENTRY-MONITOR ,250,RC,,Outpatient,,,782.5,626,584.53,,,,,,,Percent of Total Billed Charges,,584.53,584.53,,782.5,,,,,,,Percent of Total Billed Charges,,,,,751.2,,,,,,,Percent of Total Billed Charges,,,,,743.38,,,,,,,Percent of Total Billed Charges,,,,,156.5,,,,,,,Percent of Total Billed Charges,,,,,665.13,,,,,,,Percent of Total Billed Charges,,,,,164.33,,,,,,,Percent of Total Billed Charges,,,,,704.25,,,,,,,Percent of Total Billed Charges,,,,,704.25,,,,,,,Percent of Total Billed Charges,,,,,156.5,,,,,,,Percent of Total Billed Charges,,,,,219.1,,,,,,,Percent of Total Billed Charges,,,,,626,,,,,,,Percent of Total Billed Charges,,,,,156.5,,,,,,,Percent of Total Billed Charges,,,, X KNEE BILATERAL AP STANDING ,73564TC ,CPT,TC,Outpatient,,,348,278.4,259.96,,,,,,,Percent of Total Billed Charges,,259.96,259.96,,348,,,,,,,Percent of Total Billed Charges,,,,,334.08,,,,,,,Percent of Total Billed Charges,,,,,330.6,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,295.8,,,,,,,Percent of Total Billed Charges,,,,,73.08,,,,,,,Percent of Total Billed Charges,,,,,313.2,,,,,,,Percent of Total Billed Charges,,,,,313.2,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,97.44,,,,,,,Percent of Total Billed Charges,,,,,278.4,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,, MODIFIED ISOLATION ,250,RC,,Outpatient,,,57.5,46,42.95,,,,,,,Percent of Total Billed Charges,,42.95,42.95,,57.5,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,54.63,,,,,,,Percent of Total Billed Charges,,,,,11.5,,,,,,,Percent of Total Billed Charges,,,,,48.88,,,,,,,Percent of Total Billed Charges,,,,,12.08,,,,,,,Percent of Total Billed Charges,,,,,51.75,,,,,,,Percent of Total Billed Charges,,,,,51.75,,,,,,,Percent of Total Billed Charges,,,,,11.5,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,,,11.5,,,,,,,Percent of Total Billed Charges,,,, FULL ISOLATION ,250,RC,,Outpatient,,,114.5,91.6,85.53,,,,,,,Percent of Total Billed Charges,,85.53,85.53,,114.5,,,,,,,Percent of Total Billed Charges,,,,,109.92,,,,,,,Percent of Total Billed Charges,,,,,108.78,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,,,97.33,,,,,,,Percent of Total Billed Charges,,,,,24.05,,,,,,,Percent of Total Billed Charges,,,,,103.05,,,,,,,Percent of Total Billed Charges,,,,,103.05,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,,,32.06,,,,,,,Percent of Total Billed Charges,,,,,91.6,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,, BUCKS TRACTION SET UP ,250,RC,,Outpatient,,,60.5,48.4,45.19,,,,,,,Percent of Total Billed Charges,,45.19,45.19,,60.5,,,,,,,Percent of Total Billed Charges,,,,,58.08,,,,,,,Percent of Total Billed Charges,,,,,57.48,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,51.43,,,,,,,Percent of Total Billed Charges,,,,,12.71,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,16.94,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,, BUCKS TRACTION DAILY CHARGE ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, CERVICAL TRACTION SET UP ,250,RC,,Outpatient,,,60.5,48.4,45.19,,,,,,,Percent of Total Billed Charges,,45.19,45.19,,60.5,,,,,,,Percent of Total Billed Charges,,,,,58.08,,,,,,,Percent of Total Billed Charges,,,,,57.48,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,51.43,,,,,,,Percent of Total Billed Charges,,,,,12.71,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,16.94,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,, CERVICAL TRACTION DAILY CHARGE ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, PELVIC TRACTION SET UP ,250,RC,,Outpatient,,,60.5,48.4,45.19,,,,,,,Percent of Total Billed Charges,,45.19,45.19,,60.5,,,,,,,Percent of Total Billed Charges,,,,,58.08,,,,,,,Percent of Total Billed Charges,,,,,57.48,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,51.43,,,,,,,Percent of Total Billed Charges,,,,,12.71,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,16.94,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,, PELVIC TRACTION DAILY CHARGE ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, TRAPEZE SET UP ,250,RC,,Outpatient,,,60.5,48.4,45.19,,,,,,,Percent of Total Billed Charges,,45.19,45.19,,60.5,,,,,,,Percent of Total Billed Charges,,,,,58.08,,,,,,,Percent of Total Billed Charges,,,,,57.48,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,51.43,,,,,,,Percent of Total Billed Charges,,,,,12.71,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,16.94,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,, TRAPEZE DAILY CHARGE ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, O/R PROC RM 30 MINS ,250,RC,,Outpatient,,,275.5,220.4,205.8,,,,,,,Percent of Total Billed Charges,,205.8,205.8,,275.5,,,,,,,Percent of Total Billed Charges,,,,,264.48,,,,,,,Percent of Total Billed Charges,,,,,261.73,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,57.86,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,77.14,,,,,,,Percent of Total Billed Charges,,,,,220.4,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,, O/R PROC RM 60 MINS ,250,RC,,Outpatient,,,509,407.2,380.22,,,,,,,Percent of Total Billed Charges,,380.22,380.22,,509,,,,,,,Percent of Total Billed Charges,,,,,488.64,,,,,,,Percent of Total Billed Charges,,,,,483.55,,,,,,,Percent of Total Billed Charges,,,,,101.8,,,,,,,Percent of Total Billed Charges,,,,,432.65,,,,,,,Percent of Total Billed Charges,,,,,106.89,,,,,,,Percent of Total Billed Charges,,,,,458.1,,,,,,,Percent of Total Billed Charges,,,,,458.1,,,,,,,Percent of Total Billed Charges,,,,,101.8,,,,,,,Percent of Total Billed Charges,,,,,142.52,,,,,,,Percent of Total Billed Charges,,,,,407.2,,,,,,,Percent of Total Billed Charges,,,,,101.8,,,,,,,Percent of Total Billed Charges,,,, O/R PROC RM 90 MINS ,250,RC,,Outpatient,,,732,585.6,546.8,,,,,,,Percent of Total Billed Charges,,546.8,546.8,,732,,,,,,,Percent of Total Billed Charges,,,,,702.72,,,,,,,Percent of Total Billed Charges,,,,,695.4,,,,,,,Percent of Total Billed Charges,,,,,146.4,,,,,,,Percent of Total Billed Charges,,,,,622.2,,,,,,,Percent of Total Billed Charges,,,,,153.72,,,,,,,Percent of Total Billed Charges,,,,,658.8,,,,,,,Percent of Total Billed Charges,,,,,658.8,,,,,,,Percent of Total Billed Charges,,,,,146.4,,,,,,,Percent of Total Billed Charges,,,,,204.96,,,,,,,Percent of Total Billed Charges,,,,,585.6,,,,,,,Percent of Total Billed Charges,,,,,146.4,,,,,,,Percent of Total Billed Charges,,,, O/R PROC RM 120 MINS ,250,RC,,Outpatient,,,963.5,770.8,719.73,,,,,,,Percent of Total Billed Charges,,719.73,719.73,,963.5,,,,,,,Percent of Total Billed Charges,,,,,924.96,,,,,,,Percent of Total Billed Charges,,,,,915.33,,,,,,,Percent of Total Billed Charges,,,,,192.7,,,,,,,Percent of Total Billed Charges,,,,,818.98,,,,,,,Percent of Total Billed Charges,,,,,202.34,,,,,,,Percent of Total Billed Charges,,,,,867.15,,,,,,,Percent of Total Billed Charges,,,,,867.15,,,,,,,Percent of Total Billed Charges,,,,,192.7,,,,,,,Percent of Total Billed Charges,,,,,269.78,,,,,,,Percent of Total Billed Charges,,,,,770.8,,,,,,,Percent of Total Billed Charges,,,,,192.7,,,,,,,Percent of Total Billed Charges,,,, O/R PROC RM 150 MINS ,250,RC,,Outpatient,,,1189,951.2,888.18,,,,,,,Percent of Total Billed Charges,,888.18,888.18,,1189,,,,,,,Percent of Total Billed Charges,,,,,1141.44,,,,,,,Percent of Total Billed Charges,,,,,1129.55,,,,,,,Percent of Total Billed Charges,,,,,237.8,,,,,,,Percent of Total Billed Charges,,,,,1010.65,,,,,,,Percent of Total Billed Charges,,,,,249.69,,,,,,,Percent of Total Billed Charges,,,,,1070.1,,,,,,,Percent of Total Billed Charges,,,,,1070.1,,,,,,,Percent of Total Billed Charges,,,,,237.8,,,,,,,Percent of Total Billed Charges,,,,,332.92,,,,,,,Percent of Total Billed Charges,,,,,951.2,,,,,,,Percent of Total Billed Charges,,,,,237.8,,,,,,,Percent of Total Billed Charges,,,, O/R PROC RM 180 MINS ,250,RC,,Outpatient,,,1414,1131.2,1056.26,,,,,,,Percent of Total Billed Charges,,1056.26,1056.26,,1414,,,,,,,Percent of Total Billed Charges,,,,,1357.44,,,,,,,Percent of Total Billed Charges,,,,,1343.3,,,,,,,Percent of Total Billed Charges,,,,,282.8,,,,,,,Percent of Total Billed Charges,,,,,1201.9,,,,,,,Percent of Total Billed Charges,,,,,296.94,,,,,,,Percent of Total Billed Charges,,,,,1272.6,,,,,,,Percent of Total Billed Charges,,,,,1272.6,,,,,,,Percent of Total Billed Charges,,,,,282.8,,,,,,,Percent of Total Billed Charges,,,,,395.92,,,,,,,Percent of Total Billed Charges,,,,,1131.2,,,,,,,Percent of Total Billed Charges,,,,,282.8,,,,,,,Percent of Total Billed Charges,,,, O/R -- IM/SQ INJECTION ,96372,CPT,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, O/R -- IVP INITIAL ,9637459,CPT,,Outpatient,,,235.5,188.4,175.92,,,,,,,Percent of Total Billed Charges,,175.92,175.92,,235.5,,,,,,,Percent of Total Billed Charges,,,,,226.08,,,,,,,Percent of Total Billed Charges,,,,,223.73,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,,,200.18,,,,,,,Percent of Total Billed Charges,,,,,49.46,,,,,,,Percent of Total Billed Charges,,,,,211.95,,,,,,,Percent of Total Billed Charges,,,,,211.95,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,,,65.94,,,,,,,Percent of Total Billed Charges,,,,,188.4,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM TIME CLASS 1 ,250,RC,,Outpatient,,,1041.5,833.2,778,,,,,,,Percent of Total Billed Charges,,778,778,,1041.5,,,,,,,Percent of Total Billed Charges,,,,,999.84,,,,,,,Percent of Total Billed Charges,,,,,989.43,,,,,,,Percent of Total Billed Charges,,,,,208.3,,,,,,,Percent of Total Billed Charges,,,,,885.28,,,,,,,Percent of Total Billed Charges,,,,,218.72,,,,,,,Percent of Total Billed Charges,,,,,937.35,,,,,,,Percent of Total Billed Charges,,,,,937.35,,,,,,,Percent of Total Billed Charges,,,,,208.3,,,,,,,Percent of Total Billed Charges,,,,,291.62,,,,,,,Percent of Total Billed Charges,,,,,833.2,,,,,,,Percent of Total Billed Charges,,,,,208.3,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM TIME CLASS 1 EA ADD 30 MIN ,250,RC,,Outpatient,,,186.5,149.2,139.32,,,,,,,Percent of Total Billed Charges,,139.32,139.32,,186.5,,,,,,,Percent of Total Billed Charges,,,,,179.04,,,,,,,Percent of Total Billed Charges,,,,,177.18,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,158.53,,,,,,,Percent of Total Billed Charges,,,,,39.17,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,52.22,,,,,,,Percent of Total Billed Charges,,,,,149.2,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,, O/R -- IV PORT FLUSH MAINTENANCE ,9652359,CPT,,Outpatient,,,103,82.4,76.94,,,,,,,Percent of Total Billed Charges,,76.94,76.94,,103,,,,,,,Percent of Total Billed Charges,,,,,98.88,,,,,,,Percent of Total Billed Charges,,,,,97.85,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,87.55,,,,,,,Percent of Total Billed Charges,,,,,21.63,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,28.84,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM TIME CLASS 2 ,250,RC,,Outpatient,,,1876,1500.8,1401.37,,,,,,,Percent of Total Billed Charges,,1401.37,1401.37,,1876,,,,,,,Percent of Total Billed Charges,,,,,1800.96,,,,,,,Percent of Total Billed Charges,,,,,1782.2,,,,,,,Percent of Total Billed Charges,,,,,375.2,,,,,,,Percent of Total Billed Charges,,,,,1594.6,,,,,,,Percent of Total Billed Charges,,,,,393.96,,,,,,,Percent of Total Billed Charges,,,,,1688.4,,,,,,,Percent of Total Billed Charges,,,,,1688.4,,,,,,,Percent of Total Billed Charges,,,,,375.2,,,,,,,Percent of Total Billed Charges,,,,,525.28,,,,,,,Percent of Total Billed Charges,,,,,1500.8,,,,,,,Percent of Total Billed Charges,,,,,375.2,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM TIME CLASS 2 EA ADD 30 MIN ,250,RC,,Outpatient,,,909.5,727.6,679.4,,,,,,,Percent of Total Billed Charges,,679.4,679.4,,909.5,,,,,,,Percent of Total Billed Charges,,,,,873.12,,,,,,,Percent of Total Billed Charges,,,,,864.03,,,,,,,Percent of Total Billed Charges,,,,,181.9,,,,,,,Percent of Total Billed Charges,,,,,773.08,,,,,,,Percent of Total Billed Charges,,,,,191,,,,,,,Percent of Total Billed Charges,,,,,818.55,,,,,,,Percent of Total Billed Charges,,,,,818.55,,,,,,,Percent of Total Billed Charges,,,,,181.9,,,,,,,Percent of Total Billed Charges,,,,,254.66,,,,,,,Percent of Total Billed Charges,,,,,727.6,,,,,,,Percent of Total Billed Charges,,,,,181.9,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM TIME CLASS 3 ,250,RC,,Outpatient,,,2732,2185.6,2040.8,,,,,,,Percent of Total Billed Charges,,2040.8,2040.8,,2732,,,,,,,Percent of Total Billed Charges,,,,,2622.72,,,,,,,Percent of Total Billed Charges,,,,,2595.4,,,,,,,Percent of Total Billed Charges,,,,,546.4,,,,,,,Percent of Total Billed Charges,,,,,2322.2,,,,,,,Percent of Total Billed Charges,,,,,573.72,,,,,,,Percent of Total Billed Charges,,,,,2458.8,,,,,,,Percent of Total Billed Charges,,,,,2458.8,,,,,,,Percent of Total Billed Charges,,,,,546.4,,,,,,,Percent of Total Billed Charges,,,,,764.96,,,,,,,Percent of Total Billed Charges,,,,,2185.6,,,,,,,Percent of Total Billed Charges,,,,,546.4,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM TIME CLASS 3 EA ADD 30 MIN ,250,RC,,Outpatient,,,1342,1073.6,1002.47,,,,,,,Percent of Total Billed Charges,,1002.47,1002.47,,1342,,,,,,,Percent of Total Billed Charges,,,,,1288.32,,,,,,,Percent of Total Billed Charges,,,,,1274.9,,,,,,,Percent of Total Billed Charges,,,,,268.4,,,,,,,Percent of Total Billed Charges,,,,,1140.7,,,,,,,Percent of Total Billed Charges,,,,,281.82,,,,,,,Percent of Total Billed Charges,,,,,1207.8,,,,,,,Percent of Total Billed Charges,,,,,1207.8,,,,,,,Percent of Total Billed Charges,,,,,268.4,,,,,,,Percent of Total Billed Charges,,,,,375.76,,,,,,,Percent of Total Billed Charges,,,,,1073.6,,,,,,,Percent of Total Billed Charges,,,,,268.4,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM TIME CLASS 4 ,250,RC,,Outpatient,,,2732,2185.6,2040.8,,,,,,,Percent of Total Billed Charges,,2040.8,2040.8,,2732,,,,,,,Percent of Total Billed Charges,,,,,2622.72,,,,,,,Percent of Total Billed Charges,,,,,2595.4,,,,,,,Percent of Total Billed Charges,,,,,546.4,,,,,,,Percent of Total Billed Charges,,,,,2322.2,,,,,,,Percent of Total Billed Charges,,,,,573.72,,,,,,,Percent of Total Billed Charges,,,,,2458.8,,,,,,,Percent of Total Billed Charges,,,,,2458.8,,,,,,,Percent of Total Billed Charges,,,,,546.4,,,,,,,Percent of Total Billed Charges,,,,,764.96,,,,,,,Percent of Total Billed Charges,,,,,2185.6,,,,,,,Percent of Total Billed Charges,,,,,546.4,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM TIME CLASS 4 EA ADD 30 MIN ,250,RC,,Outpatient,,,1342,1073.6,1002.47,,,,,,,Percent of Total Billed Charges,,1002.47,1002.47,,1342,,,,,,,Percent of Total Billed Charges,,,,,1288.32,,,,,,,Percent of Total Billed Charges,,,,,1274.9,,,,,,,Percent of Total Billed Charges,,,,,268.4,,,,,,,Percent of Total Billed Charges,,,,,1140.7,,,,,,,Percent of Total Billed Charges,,,,,281.82,,,,,,,Percent of Total Billed Charges,,,,,1207.8,,,,,,,Percent of Total Billed Charges,,,,,1207.8,,,,,,,Percent of Total Billed Charges,,,,,268.4,,,,,,,Percent of Total Billed Charges,,,,,375.76,,,,,,,Percent of Total Billed Charges,,,,,1073.6,,,,,,,Percent of Total Billed Charges,,,,,268.4,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM TIME CLASS 5 ,250,RC,,Outpatient,,,3432.5,2746,2564.08,,,,,,,Percent of Total Billed Charges,,2564.08,2564.08,,3432.5,,,,,,,Percent of Total Billed Charges,,,,,3295.2,,,,,,,Percent of Total Billed Charges,,,,,3260.88,,,,,,,Percent of Total Billed Charges,,,,,686.5,,,,,,,Percent of Total Billed Charges,,,,,2917.63,,,,,,,Percent of Total Billed Charges,,,,,720.83,,,,,,,Percent of Total Billed Charges,,,,,3089.25,,,,,,,Percent of Total Billed Charges,,,,,3089.25,,,,,,,Percent of Total Billed Charges,,,,,686.5,,,,,,,Percent of Total Billed Charges,,,,,961.1,,,,,,,Percent of Total Billed Charges,,,,,2746,,,,,,,Percent of Total Billed Charges,,,,,686.5,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM TIME CLASS 5 EA ADD 30 MIN ,250,RC,,Outpatient,,,1342,1073.6,1002.47,,,,,,,Percent of Total Billed Charges,,1002.47,1002.47,,1342,,,,,,,Percent of Total Billed Charges,,,,,1288.32,,,,,,,Percent of Total Billed Charges,,,,,1274.9,,,,,,,Percent of Total Billed Charges,,,,,268.4,,,,,,,Percent of Total Billed Charges,,,,,1140.7,,,,,,,Percent of Total Billed Charges,,,,,281.82,,,,,,,Percent of Total Billed Charges,,,,,1207.8,,,,,,,Percent of Total Billed Charges,,,,,1207.8,,,,,,,Percent of Total Billed Charges,,,,,268.4,,,,,,,Percent of Total Billed Charges,,,,,375.76,,,,,,,Percent of Total Billed Charges,,,,,1073.6,,,,,,,Percent of Total Billed Charges,,,,,268.4,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM TIME CLASS 6 ,250,RC,,Outpatient,,,3145,2516,2349.32,,,,,,,Percent of Total Billed Charges,,2349.32,2349.32,,3145,,,,,,,Percent of Total Billed Charges,,,,,3019.2,,,,,,,Percent of Total Billed Charges,,,,,2987.75,,,,,,,Percent of Total Billed Charges,,,,,629,,,,,,,Percent of Total Billed Charges,,,,,2673.25,,,,,,,Percent of Total Billed Charges,,,,,660.45,,,,,,,Percent of Total Billed Charges,,,,,2830.5,,,,,,,Percent of Total Billed Charges,,,,,2830.5,,,,,,,Percent of Total Billed Charges,,,,,629,,,,,,,Percent of Total Billed Charges,,,,,880.6,,,,,,,Percent of Total Billed Charges,,,,,2516,,,,,,,Percent of Total Billed Charges,,,,,629,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM TIME CLASS 6 EA ADD 30 MIN ,250,RC,,Outpatient,,,1342,1073.6,1002.47,,,,,,,Percent of Total Billed Charges,,1002.47,1002.47,,1342,,,,,,,Percent of Total Billed Charges,,,,,1288.32,,,,,,,Percent of Total Billed Charges,,,,,1274.9,,,,,,,Percent of Total Billed Charges,,,,,268.4,,,,,,,Percent of Total Billed Charges,,,,,1140.7,,,,,,,Percent of Total Billed Charges,,,,,281.82,,,,,,,Percent of Total Billed Charges,,,,,1207.8,,,,,,,Percent of Total Billed Charges,,,,,1207.8,,,,,,,Percent of Total Billed Charges,,,,,268.4,,,,,,,Percent of Total Billed Charges,,,,,375.76,,,,,,,Percent of Total Billed Charges,,,,,1073.6,,,,,,,Percent of Total Billed Charges,,,,,268.4,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM TIME CLASS 7 ,250,RC,,Outpatient,,,3610.5,2888.4,2697.04,,,,,,,Percent of Total Billed Charges,,2697.04,2697.04,,3610.5,,,,,,,Percent of Total Billed Charges,,,,,3466.08,,,,,,,Percent of Total Billed Charges,,,,,3429.98,,,,,,,Percent of Total Billed Charges,,,,,722.1,,,,,,,Percent of Total Billed Charges,,,,,3068.93,,,,,,,Percent of Total Billed Charges,,,,,758.21,,,,,,,Percent of Total Billed Charges,,,,,3249.45,,,,,,,Percent of Total Billed Charges,,,,,3249.45,,,,,,,Percent of Total Billed Charges,,,,,722.1,,,,,,,Percent of Total Billed Charges,,,,,1010.94,,,,,,,Percent of Total Billed Charges,,,,,2888.4,,,,,,,Percent of Total Billed Charges,,,,,722.1,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM TIME CLASS 7 EA ADD 30 MIN ,250,RC,,Outpatient,,,1773.5,1418.8,1324.8,,,,,,,Percent of Total Billed Charges,,1324.8,1324.8,,1773.5,,,,,,,Percent of Total Billed Charges,,,,,1702.56,,,,,,,Percent of Total Billed Charges,,,,,1684.83,,,,,,,Percent of Total Billed Charges,,,,,354.7,,,,,,,Percent of Total Billed Charges,,,,,1507.48,,,,,,,Percent of Total Billed Charges,,,,,372.44,,,,,,,Percent of Total Billed Charges,,,,,1596.15,,,,,,,Percent of Total Billed Charges,,,,,1596.15,,,,,,,Percent of Total Billed Charges,,,,,354.7,,,,,,,Percent of Total Billed Charges,,,,,496.58,,,,,,,Percent of Total Billed Charges,,,,,1418.8,,,,,,,Percent of Total Billed Charges,,,,,354.7,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM FLEX SIGMOID ,250,RC,,Outpatient,,,520.5,416.4,388.81,,,,,,,Percent of Total Billed Charges,,388.81,388.81,,520.5,,,,,,,Percent of Total Billed Charges,,,,,499.68,,,,,,,Percent of Total Billed Charges,,,,,494.48,,,,,,,Percent of Total Billed Charges,,,,,104.1,,,,,,,Percent of Total Billed Charges,,,,,442.43,,,,,,,Percent of Total Billed Charges,,,,,109.31,,,,,,,Percent of Total Billed Charges,,,,,468.45,,,,,,,Percent of Total Billed Charges,,,,,468.45,,,,,,,Percent of Total Billed Charges,,,,,104.1,,,,,,,Percent of Total Billed Charges,,,,,145.74,,,,,,,Percent of Total Billed Charges,,,,,416.4,,,,,,,Percent of Total Billed Charges,,,,,104.1,,,,,,,Percent of Total Billed Charges,,,, O/R CALL IN RN ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R CALL IN RN EA ADD 30 MIN ,250,RC,,Outpatient,,,186.5,149.2,139.32,,,,,,,Percent of Total Billed Charges,,139.32,139.32,,186.5,,,,,,,Percent of Total Billed Charges,,,,,179.04,,,,,,,Percent of Total Billed Charges,,,,,177.18,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,158.53,,,,,,,Percent of Total Billed Charges,,,,,39.17,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,52.22,,,,,,,Percent of Total Billed Charges,,,,,149.2,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,, O/R CALL IN TECH ,250,RC,,Outpatient,,,275.5,220.4,205.8,,,,,,,Percent of Total Billed Charges,,205.8,205.8,,275.5,,,,,,,Percent of Total Billed Charges,,,,,264.48,,,,,,,Percent of Total Billed Charges,,,,,261.73,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,57.86,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,77.14,,,,,,,Percent of Total Billed Charges,,,,,220.4,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,, O/R CALL IN TECH EA ADD 30 MIN ,250,RC,,Outpatient,,,154,123.2,115.04,,,,,,,Percent of Total Billed Charges,,115.04,115.04,,154,,,,,,,Percent of Total Billed Charges,,,,,147.84,,,,,,,Percent of Total Billed Charges,,,,,146.3,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,130.9,,,,,,,Percent of Total Billed Charges,,,,,32.34,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,43.12,,,,,,,Percent of Total Billed Charges,,,,,123.2,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM ENDO CLASS 1 ,250,RC,,Outpatient,,,275.5,220.4,205.8,,,,,,,Percent of Total Billed Charges,,205.8,205.8,,275.5,,,,,,,Percent of Total Billed Charges,,,,,264.48,,,,,,,Percent of Total Billed Charges,,,,,261.73,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,57.86,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,77.14,,,,,,,Percent of Total Billed Charges,,,,,220.4,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM ENDO CLASS 1 EA ADD 30 MIN ,250,RC,,Outpatient,,,186.5,149.2,139.32,,,,,,,Percent of Total Billed Charges,,139.32,139.32,,186.5,,,,,,,Percent of Total Billed Charges,,,,,179.04,,,,,,,Percent of Total Billed Charges,,,,,177.18,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,158.53,,,,,,,Percent of Total Billed Charges,,,,,39.17,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,52.22,,,,,,,Percent of Total Billed Charges,,,,,149.2,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM ENDO CLASS 2 ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM ENDO CLASS 2 EA ADD 30 MIN ,250,RC,,Outpatient,,,186.5,149.2,139.32,,,,,,,Percent of Total Billed Charges,,139.32,139.32,,186.5,,,,,,,Percent of Total Billed Charges,,,,,179.04,,,,,,,Percent of Total Billed Charges,,,,,177.18,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,158.53,,,,,,,Percent of Total Billed Charges,,,,,39.17,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,52.22,,,,,,,Percent of Total Billed Charges,,,,,149.2,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM ENDO CLASS 3 ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R ROOM ENDO CLASS E EA ADD 30 MIN ,250,RC,,Outpatient,,,186.5,149.2,139.32,,,,,,,Percent of Total Billed Charges,,139.32,139.32,,186.5,,,,,,,Percent of Total Billed Charges,,,,,179.04,,,,,,,Percent of Total Billed Charges,,,,,177.18,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,158.53,,,,,,,Percent of Total Billed Charges,,,,,39.17,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,52.22,,,,,,,Percent of Total Billed Charges,,,,,149.2,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,, O/R LITHOTRIPSY ,250,RC,,Outpatient,,,9360,7488,6991.92,,,,,,,Percent of Total Billed Charges,,6991.92,6991.92,,9360,,,,,,,Percent of Total Billed Charges,,,,,8985.6,,,,,,,Percent of Total Billed Charges,,,,,8892,,,,,,,Percent of Total Billed Charges,,,,,1872,,,,,,,Percent of Total Billed Charges,,,,,7956,,,,,,,Percent of Total Billed Charges,,,,,1965.6,,,,,,,Percent of Total Billed Charges,,,,,8424,,,,,,,Percent of Total Billed Charges,,,,,8424,,,,,,,Percent of Total Billed Charges,,,,,1872,,,,,,,Percent of Total Billed Charges,,,,,2620.8,,,,,,,Percent of Total Billed Charges,,,,,7488,,,,,,,Percent of Total Billed Charges,,,,,1872,,,,,,,Percent of Total Billed Charges,,,, HYSTEROSCOPY ,58558,CPT,,Outpatient,,,4766.5,3813.2,3560.58,,,,,,,Percent of Total Billed Charges,,3560.58,3560.58,,4766.5,,,,,,,Percent of Total Billed Charges,,,,,4575.84,,,,,,,Percent of Total Billed Charges,,,,,4528.18,,,,,,,Percent of Total Billed Charges,,,,,953.3,,,,,,,Percent of Total Billed Charges,,,,,4051.53,,,,,,,Percent of Total Billed Charges,,,,,1000.97,,,,,,,Percent of Total Billed Charges,,,,,4289.85,,,,,,,Percent of Total Billed Charges,,,,,4289.85,,,,,,,Percent of Total Billed Charges,,,,,953.3,,,,,,,Percent of Total Billed Charges,,,,,1334.62,,,,,,,Percent of Total Billed Charges,,,,,3813.2,,,,,,,Percent of Total Billed Charges,,,,,953.3,,,,,,,Percent of Total Billed Charges,,,, HYSTEROSCOPY WTH D&C ,58558,CPT,,Outpatient,,,4766.5,3813.2,3560.58,,,,,,,Percent of Total Billed Charges,,3560.58,3560.58,,4766.5,,,,,,,Percent of Total Billed Charges,,,,,4575.84,,,,,,,Percent of Total Billed Charges,,,,,4528.18,,,,,,,Percent of Total Billed Charges,,,,,953.3,,,,,,,Percent of Total Billed Charges,,,,,4051.53,,,,,,,Percent of Total Billed Charges,,,,,1000.97,,,,,,,Percent of Total Billed Charges,,,,,4289.85,,,,,,,Percent of Total Billed Charges,,,,,4289.85,,,,,,,Percent of Total Billed Charges,,,,,953.3,,,,,,,Percent of Total Billed Charges,,,,,1334.62,,,,,,,Percent of Total Billed Charges,,,,,3813.2,,,,,,,Percent of Total Billed Charges,,,,,953.3,,,,,,,Percent of Total Billed Charges,,,, CONIZATION OF CERVIX ,57522,CPT,,Outpatient,,,1077,861.6,804.52,,,,,,,Percent of Total Billed Charges,,804.52,804.52,,1077,,,,,,,Percent of Total Billed Charges,,,,,1033.92,,,,,,,Percent of Total Billed Charges,,,,,1023.15,,,,,,,Percent of Total Billed Charges,,,,,215.4,,,,,,,Percent of Total Billed Charges,,,,,915.45,,,,,,,Percent of Total Billed Charges,,,,,226.17,,,,,,,Percent of Total Billed Charges,,,,,969.3,,,,,,,Percent of Total Billed Charges,,,,,969.3,,,,,,,Percent of Total Billed Charges,,,,,215.4,,,,,,,Percent of Total Billed Charges,,,,,301.56,,,,,,,Percent of Total Billed Charges,,,,,861.6,,,,,,,Percent of Total Billed Charges,,,,,215.4,,,,,,,Percent of Total Billed Charges,,,, BIO OF CERVIX W/SCOPE ,57455,CPT,,Outpatient,,,571.5,457.2,426.91,,,,,,,Percent of Total Billed Charges,,426.91,426.91,,571.5,,,,,,,Percent of Total Billed Charges,,,,,548.64,,,,,,,Percent of Total Billed Charges,,,,,542.93,,,,,,,Percent of Total Billed Charges,,,,,114.3,,,,,,,Percent of Total Billed Charges,,,,,485.78,,,,,,,Percent of Total Billed Charges,,,,,120.02,,,,,,,Percent of Total Billed Charges,,,,,514.35,,,,,,,Percent of Total Billed Charges,,,,,514.35,,,,,,,Percent of Total Billed Charges,,,,,114.3,,,,,,,Percent of Total Billed Charges,,,,,160.02,,,,,,,Percent of Total Billed Charges,,,,,457.2,,,,,,,Percent of Total Billed Charges,,,,,114.3,,,,,,,Percent of Total Billed Charges,,,, VAGINAL HYSTERECTOMY ,58260,CPT,,Outpatient,,,2967,2373.6,2216.35,,,,,,,Percent of Total Billed Charges,,2216.35,2216.35,,2967,,,,,,,Percent of Total Billed Charges,,,,,2848.32,,,,,,,Percent of Total Billed Charges,,,,,2818.65,,,,,,,Percent of Total Billed Charges,,,,,593.4,,,,,,,Percent of Total Billed Charges,,,,,2521.95,,,,,,,Percent of Total Billed Charges,,,,,623.07,,,,,,,Percent of Total Billed Charges,,,,,2670.3,,,,,,,Percent of Total Billed Charges,,,,,2670.3,,,,,,,Percent of Total Billed Charges,,,,,593.4,,,,,,,Percent of Total Billed Charges,,,,,830.76,,,,,,,Percent of Total Billed Charges,,,,,2373.6,,,,,,,Percent of Total Billed Charges,,,,,593.4,,,,,,,Percent of Total Billed Charges,,,, TOTAL ABDOMINAL HYSTERECTOMY ,58150,CPT,,Outpatient,,,3573.5,2858.8,2669.4,,,,,,,Percent of Total Billed Charges,,2669.4,2669.4,,3573.5,,,,,,,Percent of Total Billed Charges,,,,,3430.56,,,,,,,Percent of Total Billed Charges,,,,,3394.83,,,,,,,Percent of Total Billed Charges,,,,,714.7,,,,,,,Percent of Total Billed Charges,,,,,3037.48,,,,,,,Percent of Total Billed Charges,,,,,750.44,,,,,,,Percent of Total Billed Charges,,,,,3216.15,,,,,,,Percent of Total Billed Charges,,,,,3216.15,,,,,,,Percent of Total Billed Charges,,,,,714.7,,,,,,,Percent of Total Billed Charges,,,,,1000.58,,,,,,,Percent of Total Billed Charges,,,,,2858.8,,,,,,,Percent of Total Billed Charges,,,,,714.7,,,,,,,Percent of Total Billed Charges,,,, DIAG LAPAROSCOPY W/POSSIBLE LAPAROTOMY ,58150,CPT,,Outpatient,,,1158,926.4,865.03,,,,,,,Percent of Total Billed Charges,,865.03,865.03,,1158,,,,,,,Percent of Total Billed Charges,,,,,1111.68,,,,,,,Percent of Total Billed Charges,,,,,1100.1,,,,,,,Percent of Total Billed Charges,,,,,231.6,,,,,,,Percent of Total Billed Charges,,,,,984.3,,,,,,,Percent of Total Billed Charges,,,,,243.18,,,,,,,Percent of Total Billed Charges,,,,,1042.2,,,,,,,Percent of Total Billed Charges,,,,,1042.2,,,,,,,Percent of Total Billed Charges,,,,,231.6,,,,,,,Percent of Total Billed Charges,,,,,324.24,,,,,,,Percent of Total Billed Charges,,,,,926.4,,,,,,,Percent of Total Billed Charges,,,,,231.6,,,,,,,Percent of Total Billed Charges,,,, DIAG LAPAROSCOPY ,59320,CPT,,Outpatient,,,533,426.4,398.15,,,,,,,Percent of Total Billed Charges,,398.15,398.15,,533,,,,,,,Percent of Total Billed Charges,,,,,511.68,,,,,,,Percent of Total Billed Charges,,,,,506.35,,,,,,,Percent of Total Billed Charges,,,,,106.6,,,,,,,Percent of Total Billed Charges,,,,,453.05,,,,,,,Percent of Total Billed Charges,,,,,111.93,,,,,,,Percent of Total Billed Charges,,,,,479.7,,,,,,,Percent of Total Billed Charges,,,,,479.7,,,,,,,Percent of Total Billed Charges,,,,,106.6,,,,,,,Percent of Total Billed Charges,,,,,149.24,,,,,,,Percent of Total Billed Charges,,,,,426.4,,,,,,,Percent of Total Billed Charges,,,,,106.6,,,,,,,Percent of Total Billed Charges,,,, ABORTION ,59840,CPT,,Outpatient,,,901,720.8,673.05,,,,,,,Percent of Total Billed Charges,,673.05,673.05,,901,,,,,,,Percent of Total Billed Charges,,,,,864.96,,,,,,,Percent of Total Billed Charges,,,,,855.95,,,,,,,Percent of Total Billed Charges,,,,,180.2,,,,,,,Percent of Total Billed Charges,,,,,765.85,,,,,,,Percent of Total Billed Charges,,,,,189.21,,,,,,,Percent of Total Billed Charges,,,,,810.9,,,,,,,Percent of Total Billed Charges,,,,,810.9,,,,,,,Percent of Total Billed Charges,,,,,180.2,,,,,,,Percent of Total Billed Charges,,,,,252.28,,,,,,,Percent of Total Billed Charges,,,,,720.8,,,,,,,Percent of Total Billed Charges,,,,,180.2,,,,,,,Percent of Total Billed Charges,,,, HYSTEROSOCPY ABLATION ,58563,CPT,,Outpatient,,,7585.5,6068.4,5666.37,,,,,,,Percent of Total Billed Charges,,5666.37,5666.37,,7585.5,,,,,,,Percent of Total Billed Charges,,,,,7282.08,,,,,,,Percent of Total Billed Charges,,,,,7206.23,,,,,,,Percent of Total Billed Charges,,,,,1517.1,,,,,,,Percent of Total Billed Charges,,,,,6447.68,,,,,,,Percent of Total Billed Charges,,,,,1592.96,,,,,,,Percent of Total Billed Charges,,,,,6826.95,,,,,,,Percent of Total Billed Charges,,,,,6826.95,,,,,,,Percent of Total Billed Charges,,,,,1517.1,,,,,,,Percent of Total Billed Charges,,,,,2123.94,,,,,,,Percent of Total Billed Charges,,,,,6068.4,,,,,,,Percent of Total Billed Charges,,,,,1517.1,,,,,,,Percent of Total Billed Charges,,,, CONIZATION OF CERVIX ,57520,CPT,,Outpatient,,,1255.5,1004.4,937.86,,,,,,,Percent of Total Billed Charges,,937.86,937.86,,1255.5,,,,,,,Percent of Total Billed Charges,,,,,1205.28,,,,,,,Percent of Total Billed Charges,,,,,1192.73,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,1067.18,,,,,,,Percent of Total Billed Charges,,,,,263.66,,,,,,,Percent of Total Billed Charges,,,,,1129.95,,,,,,,Percent of Total Billed Charges,,,,,1129.95,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,351.54,,,,,,,Percent of Total Billed Charges,,,,,1004.4,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,, LABIAL REDUCTION ,15839,CPT,,Outpatient,,,3151,2520.8,2353.8,,,,,,,Percent of Total Billed Charges,,2353.8,2353.8,,3151,,,,,,,Percent of Total Billed Charges,,,,,3024.96,,,,,,,Percent of Total Billed Charges,,,,,2993.45,,,,,,,Percent of Total Billed Charges,,,,,630.2,,,,,,,Percent of Total Billed Charges,,,,,2678.35,,,,,,,Percent of Total Billed Charges,,,,,661.71,,,,,,,Percent of Total Billed Charges,,,,,2835.9,,,,,,,Percent of Total Billed Charges,,,,,2835.9,,,,,,,Percent of Total Billed Charges,,,,,630.2,,,,,,,Percent of Total Billed Charges,,,,,882.28,,,,,,,Percent of Total Billed Charges,,,,,2520.8,,,,,,,Percent of Total Billed Charges,,,,,630.2,,,,,,,Percent of Total Billed Charges,,,, LABIAL POLYP REMOVAL ,57135,CPT,,Outpatient,,,883.5,706.8,659.97,,,,,,,Percent of Total Billed Charges,,659.97,659.97,,883.5,,,,,,,Percent of Total Billed Charges,,,,,848.16,,,,,,,Percent of Total Billed Charges,,,,,839.33,,,,,,,Percent of Total Billed Charges,,,,,176.7,,,,,,,Percent of Total Billed Charges,,,,,750.98,,,,,,,Percent of Total Billed Charges,,,,,185.54,,,,,,,Percent of Total Billed Charges,,,,,795.15,,,,,,,Percent of Total Billed Charges,,,,,795.15,,,,,,,Percent of Total Billed Charges,,,,,176.7,,,,,,,Percent of Total Billed Charges,,,,,247.38,,,,,,,Percent of Total Billed Charges,,,,,706.8,,,,,,,Percent of Total Billed Charges,,,,,176.7,,,,,,,Percent of Total Billed Charges,,,, VULVECTOMY ,56620,CPT,,Outpatient,,,2077.5,1662,1551.89,,,,,,,Percent of Total Billed Charges,,1551.89,1551.89,,2077.5,,,,,,,Percent of Total Billed Charges,,,,,1994.4,,,,,,,Percent of Total Billed Charges,,,,,1973.63,,,,,,,Percent of Total Billed Charges,,,,,415.5,,,,,,,Percent of Total Billed Charges,,,,,1765.88,,,,,,,Percent of Total Billed Charges,,,,,436.28,,,,,,,Percent of Total Billed Charges,,,,,1869.75,,,,,,,Percent of Total Billed Charges,,,,,1869.75,,,,,,,Percent of Total Billed Charges,,,,,415.5,,,,,,,Percent of Total Billed Charges,,,,,581.7,,,,,,,Percent of Total Billed Charges,,,,,1662,,,,,,,Percent of Total Billed Charges,,,,,415.5,,,,,,,Percent of Total Billed Charges,,,, CERVICAL POLYP REMOVAL ,57500,CPT,,Outpatient,,,548.5,438.8,409.73,,,,,,,Percent of Total Billed Charges,,409.73,409.73,,548.5,,,,,,,Percent of Total Billed Charges,,,,,526.56,,,,,,,Percent of Total Billed Charges,,,,,521.08,,,,,,,Percent of Total Billed Charges,,,,,109.7,,,,,,,Percent of Total Billed Charges,,,,,466.23,,,,,,,Percent of Total Billed Charges,,,,,115.19,,,,,,,Percent of Total Billed Charges,,,,,493.65,,,,,,,Percent of Total Billed Charges,,,,,493.65,,,,,,,Percent of Total Billed Charges,,,,,109.7,,,,,,,Percent of Total Billed Charges,,,,,153.58,,,,,,,Percent of Total Billed Charges,,,,,438.8,,,,,,,Percent of Total Billed Charges,,,,,109.7,,,,,,,Percent of Total Billed Charges,,,, EXPLORATORY LAPAROTOMY ,49320,CPT,,Outpatient,,,1158,926.4,865.03,,,,,,,Percent of Total Billed Charges,,865.03,865.03,,1158,,,,,,,Percent of Total Billed Charges,,,,,1111.68,,,,,,,Percent of Total Billed Charges,,,,,1100.1,,,,,,,Percent of Total Billed Charges,,,,,231.6,,,,,,,Percent of Total Billed Charges,,,,,984.3,,,,,,,Percent of Total Billed Charges,,,,,243.18,,,,,,,Percent of Total Billed Charges,,,,,1042.2,,,,,,,Percent of Total Billed Charges,,,,,1042.2,,,,,,,Percent of Total Billed Charges,,,,,231.6,,,,,,,Percent of Total Billed Charges,,,,,324.24,,,,,,,Percent of Total Billed Charges,,,,,926.4,,,,,,,Percent of Total Billed Charges,,,,,231.6,,,,,,,Percent of Total Billed Charges,,,, LAPAROSCOPIC TUBAL LIGATION ,58661,CPT,,Outpatient,,,2303,1842.4,1720.34,,,,,,,Percent of Total Billed Charges,,1720.34,1720.34,,2303,,,,,,,Percent of Total Billed Charges,,,,,2210.88,,,,,,,Percent of Total Billed Charges,,,,,2187.85,,,,,,,Percent of Total Billed Charges,,,,,460.6,,,,,,,Percent of Total Billed Charges,,,,,1957.55,,,,,,,Percent of Total Billed Charges,,,,,483.63,,,,,,,Percent of Total Billed Charges,,,,,2072.7,,,,,,,Percent of Total Billed Charges,,,,,2072.7,,,,,,,Percent of Total Billed Charges,,,,,460.6,,,,,,,Percent of Total Billed Charges,,,,,644.84,,,,,,,Percent of Total Billed Charges,,,,,1842.4,,,,,,,Percent of Total Billed Charges,,,,,460.6,,,,,,,Percent of Total Billed Charges,,,, "LAPARO TUBAL LIG, HYSTO,D&C ",58558,CPT,,Outpatient,,,4766.5,3813.2,3560.58,,,,,,,Percent of Total Billed Charges,,3560.58,3560.58,,4766.5,,,,,,,Percent of Total Billed Charges,,,,,4575.84,,,,,,,Percent of Total Billed Charges,,,,,4528.18,,,,,,,Percent of Total Billed Charges,,,,,953.3,,,,,,,Percent of Total Billed Charges,,,,,4051.53,,,,,,,Percent of Total Billed Charges,,,,,1000.97,,,,,,,Percent of Total Billed Charges,,,,,4289.85,,,,,,,Percent of Total Billed Charges,,,,,4289.85,,,,,,,Percent of Total Billed Charges,,,,,953.3,,,,,,,Percent of Total Billed Charges,,,,,1334.62,,,,,,,Percent of Total Billed Charges,,,,,3813.2,,,,,,,Percent of Total Billed Charges,,,,,953.3,,,,,,,Percent of Total Billed Charges,,,, ENDOMETRIAL THERMAL ABLATION ,58563,CPT,,Outpatient,,,7585.5,6068.4,5666.37,,,,,,,Percent of Total Billed Charges,,5666.37,5666.37,,7585.5,,,,,,,Percent of Total Billed Charges,,,,,7282.08,,,,,,,Percent of Total Billed Charges,,,,,7206.23,,,,,,,Percent of Total Billed Charges,,,,,1517.1,,,,,,,Percent of Total Billed Charges,,,,,6447.68,,,,,,,Percent of Total Billed Charges,,,,,1592.96,,,,,,,Percent of Total Billed Charges,,,,,6826.95,,,,,,,Percent of Total Billed Charges,,,,,6826.95,,,,,,,Percent of Total Billed Charges,,,,,1517.1,,,,,,,Percent of Total Billed Charges,,,,,2123.94,,,,,,,Percent of Total Billed Charges,,,,,6068.4,,,,,,,Percent of Total Billed Charges,,,,,1517.1,,,,,,,Percent of Total Billed Charges,,,, DILATION & CURETTAGE ,58558,CPT,,Outpatient,,,1057.5,846,789.95,,,,,,,Percent of Total Billed Charges,,789.95,789.95,,1057.5,,,,,,,Percent of Total Billed Charges,,,,,1015.2,,,,,,,Percent of Total Billed Charges,,,,,1004.63,,,,,,,Percent of Total Billed Charges,,,,,211.5,,,,,,,Percent of Total Billed Charges,,,,,898.88,,,,,,,Percent of Total Billed Charges,,,,,222.08,,,,,,,Percent of Total Billed Charges,,,,,951.75,,,,,,,Percent of Total Billed Charges,,,,,951.75,,,,,,,Percent of Total Billed Charges,,,,,211.5,,,,,,,Percent of Total Billed Charges,,,,,296.1,,,,,,,Percent of Total Billed Charges,,,,,846,,,,,,,Percent of Total Billed Charges,,,,,211.5,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET MAJOR ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET MINOR ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET PLASTIC ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET SM PKG ,250,RC,,Outpatient,,,211.5,169.2,157.99,,,,,,,Percent of Total Billed Charges,,157.99,157.99,,211.5,,,,,,,Percent of Total Billed Charges,,,,,203.04,,,,,,,Percent of Total Billed Charges,,,,,200.93,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,179.78,,,,,,,Percent of Total Billed Charges,,,,,44.42,,,,,,,Percent of Total Billed Charges,,,,,190.35,,,,,,,Percent of Total Billed Charges,,,,,190.35,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,59.22,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET GB ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET LONG ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET BOWEL ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET RCTL ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R MICRO/PHACEO/CAUTERY ,250,RC,,Outpatient,,,3321,2656.8,2480.79,,,,,,,Percent of Total Billed Charges,,2480.79,2480.79,,3321,,,,,,,Percent of Total Billed Charges,,,,,3188.16,,,,,,,Percent of Total Billed Charges,,,,,3154.95,,,,,,,Percent of Total Billed Charges,,,,,664.2,,,,,,,Percent of Total Billed Charges,,,,,2822.85,,,,,,,Percent of Total Billed Charges,,,,,697.41,,,,,,,Percent of Total Billed Charges,,,,,2988.9,,,,,,,Percent of Total Billed Charges,,,,,2988.9,,,,,,,Percent of Total Billed Charges,,,,,664.2,,,,,,,Percent of Total Billed Charges,,,,,929.88,,,,,,,Percent of Total Billed Charges,,,,,2656.8,,,,,,,Percent of Total Billed Charges,,,,,664.2,,,,,,,Percent of Total Billed Charges,,,, O/R EYE INSTRUMENTS ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R SM FRAGMENT TRAY ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R LARGE FRAGMENT TRAY ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R MINI DRILL SAW ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R WIRE SET ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET CHEST ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET TRACH ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET VASCULAR ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET CYSTO ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET URET DILATORS ,250,RC,,Outpatient,,,186.5,149.2,139.32,,,,,,,Percent of Total Billed Charges,,139.32,139.32,,186.5,,,,,,,Percent of Total Billed Charges,,,,,179.04,,,,,,,Percent of Total Billed Charges,,,,,177.18,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,158.53,,,,,,,Percent of Total Billed Charges,,,,,39.17,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,52.22,,,,,,,Percent of Total Billed Charges,,,,,149.2,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET PEDS FOLLOWERS ,250,RC,,Outpatient,,,186.5,149.2,139.32,,,,,,,Percent of Total Billed Charges,,139.32,139.32,,186.5,,,,,,,Percent of Total Billed Charges,,,,,179.04,,,,,,,Percent of Total Billed Charges,,,,,177.18,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,158.53,,,,,,,Percent of Total Billed Charges,,,,,39.17,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,52.22,,,,,,,Percent of Total Billed Charges,,,,,149.2,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET TUR ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R URETERO RENOSCOPE ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R HELPING HAND ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET BONE ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET AIR DRILL ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET AIR SAW ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R 7.3 CANNULATED SCREW ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R HUWMEDICA PROTHESIS ,250,RC,,Outpatient,,,1823.5,1458.8,1362.15,,,,,,,Percent of Total Billed Charges,,1362.15,1362.15,,1823.5,,,,,,,Percent of Total Billed Charges,,,,,1750.56,,,,,,,Percent of Total Billed Charges,,,,,1732.33,,,,,,,Percent of Total Billed Charges,,,,,364.7,,,,,,,Percent of Total Billed Charges,,,,,1549.98,,,,,,,Percent of Total Billed Charges,,,,,382.94,,,,,,,Percent of Total Billed Charges,,,,,1641.15,,,,,,,Percent of Total Billed Charges,,,,,1641.15,,,,,,,Percent of Total Billed Charges,,,,,364.7,,,,,,,Percent of Total Billed Charges,,,,,510.58,,,,,,,Percent of Total Billed Charges,,,,,1458.8,,,,,,,Percent of Total Billed Charges,,,,,364.7,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET COMPRESSION ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R ATS TOURNIQUET ,250,RC,,Outpatient,,,614,491.2,458.66,,,,,,,Percent of Total Billed Charges,,458.66,458.66,,614,,,,,,,Percent of Total Billed Charges,,,,,589.44,,,,,,,Percent of Total Billed Charges,,,,,583.3,,,,,,,Percent of Total Billed Charges,,,,,122.8,,,,,,,Percent of Total Billed Charges,,,,,521.9,,,,,,,Percent of Total Billed Charges,,,,,128.94,,,,,,,Percent of Total Billed Charges,,,,,552.6,,,,,,,Percent of Total Billed Charges,,,,,552.6,,,,,,,Percent of Total Billed Charges,,,,,122.8,,,,,,,Percent of Total Billed Charges,,,,,171.92,,,,,,,Percent of Total Billed Charges,,,,,491.2,,,,,,,Percent of Total Billed Charges,,,,,122.8,,,,,,,Percent of Total Billed Charges,,,, O/R OMNI RETRACTOR ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET DC ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET LTC ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET HYSTER ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET DENTAL DRILL ,250,RC,,Outpatient,,,376,300.8,280.87,,,,,,,Percent of Total Billed Charges,,280.87,280.87,,376,,,,,,,Percent of Total Billed Charges,,,,,360.96,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,319.6,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,105.28,,,,,,,Percent of Total Billed Charges,,,,,300.8,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET ANASCOP ,250,RC,,Outpatient,,,211.5,169.2,157.99,,,,,,,Percent of Total Billed Charges,,157.99,157.99,,211.5,,,,,,,Percent of Total Billed Charges,,,,,203.04,,,,,,,Percent of Total Billed Charges,,,,,200.93,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,179.78,,,,,,,Percent of Total Billed Charges,,,,,44.42,,,,,,,Percent of Total Billed Charges,,,,,190.35,,,,,,,Percent of Total Billed Charges,,,,,190.35,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,59.22,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET ARTHROSCOPE ,250,RC,,Outpatient,,,1773.5,1418.2,1324.8,,,,,,,Percent of Total Billed Charges,,1324.8,1324.8,,1773.5,,,,,,,Percent of Total Billed Charges,,,,,1702.56,,,,,,,Percent of Total Billed Charges,,,,,1684.83,,,,,,,Percent of Total Billed Charges,,,,,354.7,,,,,,,Percent of Total Billed Charges,,,,,1507.48,,,,,,,Percent of Total Billed Charges,,,,,372.44,,,,,,,Percent of Total Billed Charges,,,,,1596.15,,,,,,,Percent of Total Billed Charges,,,,,1596.15,,,,,,,Percent of Total Billed Charges,,,,,354.7,,,,,,,Percent of Total Billed Charges,,,,,496.58,,,,,,,Percent of Total Billed Charges,,,,,1418.8,,,,,,,Percent of Total Billed Charges,,,,,354.7,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET BRONCHOSCOPE ,250,RC,,Outpatient,,,1773.5,1418.2,1324.8,,,,,,,Percent of Total Billed Charges,,1324.8,1324.8,,1773.5,,,,,,,Percent of Total Billed Charges,,,,,1702.56,,,,,,,Percent of Total Billed Charges,,,,,1684.83,,,,,,,Percent of Total Billed Charges,,,,,354.7,,,,,,,Percent of Total Billed Charges,,,,,1507.48,,,,,,,Percent of Total Billed Charges,,,,,372.44,,,,,,,Percent of Total Billed Charges,,,,,1596.15,,,,,,,Percent of Total Billed Charges,,,,,1596.15,,,,,,,Percent of Total Billed Charges,,,,,354.7,,,,,,,Percent of Total Billed Charges,,,,,496.58,,,,,,,Percent of Total Billed Charges,,,,,1418.8,,,,,,,Percent of Total Billed Charges,,,,,354.7,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET COLONOSCOPE ,250,RC,,Outpatient,,,1773.5,1418.2,1324.8,,,,,,,Percent of Total Billed Charges,,1324.8,1324.8,,1773.5,,,,,,,Percent of Total Billed Charges,,,,,1702.56,,,,,,,Percent of Total Billed Charges,,,,,1684.83,,,,,,,Percent of Total Billed Charges,,,,,354.7,,,,,,,Percent of Total Billed Charges,,,,,1507.48,,,,,,,Percent of Total Billed Charges,,,,,372.44,,,,,,,Percent of Total Billed Charges,,,,,1596.15,,,,,,,Percent of Total Billed Charges,,,,,1596.15,,,,,,,Percent of Total Billed Charges,,,,,354.7,,,,,,,Percent of Total Billed Charges,,,,,496.58,,,,,,,Percent of Total Billed Charges,,,,,1418.8,,,,,,,Percent of Total Billed Charges,,,,,354.7,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET GASTROSCOPE ,250,RC,,Outpatient,,,1773.5,1418.2,1324.8,,,,,,,Percent of Total Billed Charges,,1324.8,1324.8,,1773.5,,,,,,,Percent of Total Billed Charges,,,,,1702.56,,,,,,,Percent of Total Billed Charges,,,,,1684.83,,,,,,,Percent of Total Billed Charges,,,,,354.7,,,,,,,Percent of Total Billed Charges,,,,,1507.48,,,,,,,Percent of Total Billed Charges,,,,,372.44,,,,,,,Percent of Total Billed Charges,,,,,1596.15,,,,,,,Percent of Total Billed Charges,,,,,1596.15,,,,,,,Percent of Total Billed Charges,,,,,354.7,,,,,,,Percent of Total Billed Charges,,,,,496.58,,,,,,,Percent of Total Billed Charges,,,,,1418.8,,,,,,,Percent of Total Billed Charges,,,,,354.7,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET PROCTOSCOPE ,250,RC,,Outpatient,,,211.5,169.2,157.99,,,,,,,Percent of Total Billed Charges,,157.99,157.99,,211.5,,,,,,,Percent of Total Billed Charges,,,,,203.04,,,,,,,Percent of Total Billed Charges,,,,,200.93,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,179.78,,,,,,,Percent of Total Billed Charges,,,,,44.42,,,,,,,Percent of Total Billed Charges,,,,,190.35,,,,,,,Percent of Total Billed Charges,,,,,190.35,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,59.22,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,, O/R INST SET SIGMOIDOSCOPE ,250,RC,,Outpatient,,,1342,1073.6,1002.47,,,,,,,Percent of Total Billed Charges,,1002.47,1002.47,,1342,,,,,,,Percent of Total Billed Charges,,,,,1288.32,,,,,,,Percent of Total Billed Charges,,,,,1274.9,,,,,,,Percent of Total Billed Charges,,,,,268.4,,,,,,,Percent of Total Billed Charges,,,,,1140.7,,,,,,,Percent of Total Billed Charges,,,,,281.82,,,,,,,Percent of Total Billed Charges,,,,,1207.8,,,,,,,Percent of Total Billed Charges,,,,,1207.8,,,,,,,Percent of Total Billed Charges,,,,,268.4,,,,,,,Percent of Total Billed Charges,,,,,375.76,,,,,,,Percent of Total Billed Charges,,,,,1073.6,,,,,,,Percent of Total Billed Charges,,,,,268.4,,,,,,,Percent of Total Billed Charges,,,, O/R INST LAPORASCOPIC CHOLE ,250,RC,,Outpatient,,,1524.5,1219.6,1138.8,,,,,,,Percent of Total Billed Charges,,1138.8,1138.8,,1524.5,,,,,,,Percent of Total Billed Charges,,,,,1463.52,,,,,,,Percent of Total Billed Charges,,,,,1448.28,,,,,,,Percent of Total Billed Charges,,,,,304.9,,,,,,,Percent of Total Billed Charges,,,,,1295.83,,,,,,,Percent of Total Billed Charges,,,,,320.15,,,,,,,Percent of Total Billed Charges,,,,,1372.05,,,,,,,Percent of Total Billed Charges,,,,,1372.05,,,,,,,Percent of Total Billed Charges,,,,,304.9,,,,,,,Percent of Total Billed Charges,,,,,426.86,,,,,,,Percent of Total Billed Charges,,,,,1219.6,,,,,,,Percent of Total Billed Charges,,,,,304.9,,,,,,,Percent of Total Billed Charges,,,, O/R ENDOSCOPIC VIDEO ,250,RC,,Outpatient,,,1524.5,1219.6,1138.8,,,,,,,Percent of Total Billed Charges,,1138.8,1138.8,,1524.5,,,,,,,Percent of Total Billed Charges,,,,,1463.52,,,,,,,Percent of Total Billed Charges,,,,,1448.28,,,,,,,Percent of Total Billed Charges,,,,,304.9,,,,,,,Percent of Total Billed Charges,,,,,1295.83,,,,,,,Percent of Total Billed Charges,,,,,320.15,,,,,,,Percent of Total Billed Charges,,,,,1372.05,,,,,,,Percent of Total Billed Charges,,,,,1372.05,,,,,,,Percent of Total Billed Charges,,,,,304.9,,,,,,,Percent of Total Billed Charges,,,,,426.86,,,,,,,Percent of Total Billed Charges,,,,,1219.6,,,,,,,Percent of Total Billed Charges,,,,,304.9,,,,,,,Percent of Total Billed Charges,,,, O/R EQUIP ESU ,250,RC,,Outpatient,,,450,360,336.15,,,,,,,Percent of Total Billed Charges,,336.15,336.15,,450,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,405,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,, O/R CMG ,250,RC,,Outpatient,,,1100,880,821.7,,,,,,,Percent of Total Billed Charges,,821.7,821.7,,1100,,,,,,,Percent of Total Billed Charges,,,,,1056,,,,,,,Percent of Total Billed Charges,,,,,1045,,,,,,,Percent of Total Billed Charges,,,,,220,,,,,,,Percent of Total Billed Charges,,,,,935,,,,,,,Percent of Total Billed Charges,,,,,231,,,,,,,Percent of Total Billed Charges,,,,,990,,,,,,,Percent of Total Billed Charges,,,,,990,,,,,,,Percent of Total Billed Charges,,,,,220,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,880,,,,,,,Percent of Total Billed Charges,,,,,220,,,,,,,Percent of Total Billed Charges,,,, O/R ASPIRATE CYST/ABSCESS ,10160,CPT,,Outpatient,,,430,334,321.21,,,,,,,Percent of Total Billed Charges,,321.21,321.21,,430,,,,,,,Percent of Total Billed Charges,,,,,412.8,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,365.5,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,344,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,, O/R THER INJECT CARP TUNNEL ,20526,CPT,,Outpatient,,,272.5,218,203.56,,,,,,,Percent of Total Billed Charges,,203.56,203.56,,272.5,,,,,,,Percent of Total Billed Charges,,,,,261.6,,,,,,,Percent of Total Billed Charges,,,,,258.88,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,231.63,,,,,,,Percent of Total Billed Charges,,,,,57.23,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,218,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,, O/R INJ TENDON SHEATH/LIGAMENT ,20550,CPT,,Outpatient,,,192.5,154,143.8,,,,,,,Percent of Total Billed Charges,,143.8,143.8,,192.5,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,182.88,,,,,,,Percent of Total Billed Charges,,,,,38.5,,,,,,,Percent of Total Billed Charges,,,,,163.63,,,,,,,Percent of Total Billed Charges,,,,,40.43,,,,,,,Percent of Total Billed Charges,,,,,173.25,,,,,,,Percent of Total Billed Charges,,,,,173.25,,,,,,,Percent of Total Billed Charges,,,,,38.5,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,,,154,,,,,,,Percent of Total Billed Charges,,,,,38.5,,,,,,,Percent of Total Billed Charges,,,, O/R INJ TRIGGER POINT 1/2 MUSCL ,20552,CPT,,Outpatient,,,174.5,139.6,130.35,,,,,,,Percent of Total Billed Charges,,130.35,130.35,,174.5,,,,,,,Percent of Total Billed Charges,,,,,167.52,,,,,,,Percent of Total Billed Charges,,,,,165.78,,,,,,,Percent of Total Billed Charges,,,,,34.9,,,,,,,Percent of Total Billed Charges,,,,,148.33,,,,,,,Percent of Total Billed Charges,,,,,36.65,,,,,,,Percent of Total Billed Charges,,,,,157.05,,,,,,,Percent of Total Billed Charges,,,,,157.05,,,,,,,Percent of Total Billed Charges,,,,,34.9,,,,,,,Percent of Total Billed Charges,,,,,48.86,,,,,,,Percent of Total Billed Charges,,,,,139.6,,,,,,,Percent of Total Billed Charges,,,,,34.9,,,,,,,Percent of Total Billed Charges,,,, O/R INJ TRIGGER POINT 1 OR 2 ,20552,CPT,,Outpatient,,,174.5,139.6,130.35,,,,,,,Percent of Total Billed Charges,,130.35,130.35,,174.5,,,,,,,Percent of Total Billed Charges,,,,,167.52,,,,,,,Percent of Total Billed Charges,,,,,165.78,,,,,,,Percent of Total Billed Charges,,,,,34.9,,,,,,,Percent of Total Billed Charges,,,,,148.33,,,,,,,Percent of Total Billed Charges,,,,,36.65,,,,,,,Percent of Total Billed Charges,,,,,157.05,,,,,,,Percent of Total Billed Charges,,,,,157.05,,,,,,,Percent of Total Billed Charges,,,,,34.9,,,,,,,Percent of Total Billed Charges,,,,,48.86,,,,,,,Percent of Total Billed Charges,,,,,139.6,,,,,,,Percent of Total Billed Charges,,,,,34.9,,,,,,,Percent of Total Billed Charges,,,, O/R INJ TRIGGER POINT 1/2 MUSCL ,20552RT ,CPT,RT,Outpatient,,,174.5,139.6,130.35,,,,,,,Percent of Total Billed Charges,,130.35,130.35,,174.5,,,,,,,Percent of Total Billed Charges,,,,,167.52,,,,,,,Percent of Total Billed Charges,,,,,165.78,,,,,,,Percent of Total Billed Charges,,,,,34.9,,,,,,,Percent of Total Billed Charges,,,,,148.33,,,,,,,Percent of Total Billed Charges,,,,,36.65,,,,,,,Percent of Total Billed Charges,,,,,157.05,,,,,,,Percent of Total Billed Charges,,,,,157.05,,,,,,,Percent of Total Billed Charges,,,,,34.9,,,,,,,Percent of Total Billed Charges,,,,,48.86,,,,,,,Percent of Total Billed Charges,,,,,139.6,,,,,,,Percent of Total Billed Charges,,,,,34.9,,,,,,,Percent of Total Billed Charges,,,, O/R DRAIN/INJ JOINT/BURSA W/O US ,20605,CPT,,Outpatient,,,183.5,146.8,137.07,,,,,,,Percent of Total Billed Charges,,137.07,137.07,,183.5,,,,,,,Percent of Total Billed Charges,,,,,176.16,,,,,,,Percent of Total Billed Charges,,,,,174.33,,,,,,,Percent of Total Billed Charges,,,,,36.7,,,,,,,Percent of Total Billed Charges,,,,,155.98,,,,,,,Percent of Total Billed Charges,,,,,38.54,,,,,,,Percent of Total Billed Charges,,,,,165.15,,,,,,,Percent of Total Billed Charges,,,,,165.15,,,,,,,Percent of Total Billed Charges,,,,,36.7,,,,,,,Percent of Total Billed Charges,,,,,51.38,,,,,,,Percent of Total Billed Charges,,,,,146.8,,,,,,,Percent of Total Billed Charges,,,,,36.7,,,,,,,Percent of Total Billed Charges,,,, O/R DRAIN/INJ JOINT/BURSA W/O US ,20605LT ,CPT,LT,Outpatient,,,183.5,146.8,137.07,,,,,,,Percent of Total Billed Charges,,137.07,137.07,,183.5,,,,,,,Percent of Total Billed Charges,,,,,176.16,,,,,,,Percent of Total Billed Charges,,,,,174.33,,,,,,,Percent of Total Billed Charges,,,,,36.7,,,,,,,Percent of Total Billed Charges,,,,,155.98,,,,,,,Percent of Total Billed Charges,,,,,38.54,,,,,,,Percent of Total Billed Charges,,,,,165.15,,,,,,,Percent of Total Billed Charges,,,,,165.15,,,,,,,Percent of Total Billed Charges,,,,,36.7,,,,,,,Percent of Total Billed Charges,,,,,51.38,,,,,,,Percent of Total Billed Charges,,,,,146.8,,,,,,,Percent of Total Billed Charges,,,,,36.7,,,,,,,Percent of Total Billed Charges,,,, O/R DRAIN/INJ JOINT/BURSA W/O US ,20605RT ,CPT,RT,Outpatient,,,183.5,146.8,137.07,,,,,,,Percent of Total Billed Charges,,137.07,137.07,,183.5,,,,,,,Percent of Total Billed Charges,,,,,176.16,,,,,,,Percent of Total Billed Charges,,,,,174.33,,,,,,,Percent of Total Billed Charges,,,,,36.7,,,,,,,Percent of Total Billed Charges,,,,,155.98,,,,,,,Percent of Total Billed Charges,,,,,38.54,,,,,,,Percent of Total Billed Charges,,,,,165.15,,,,,,,Percent of Total Billed Charges,,,,,165.15,,,,,,,Percent of Total Billed Charges,,,,,36.7,,,,,,,Percent of Total Billed Charges,,,,,51.38,,,,,,,Percent of Total Billed Charges,,,,,146.8,,,,,,,Percent of Total Billed Charges,,,,,36.7,,,,,,,Percent of Total Billed Charges,,,, O/R DRAIN/INJ JOINT/BURSA W/O US ,20610,CPT,,Outpatient,,,216.5,173.2,161.73,,,,,,,Percent of Total Billed Charges,,161.73,161.73,,216.5,,,,,,,Percent of Total Billed Charges,,,,,207.84,,,,,,,Percent of Total Billed Charges,,,,,205.68,,,,,,,Percent of Total Billed Charges,,,,,43.3,,,,,,,Percent of Total Billed Charges,,,,,184.03,,,,,,,Percent of Total Billed Charges,,,,,45.47,,,,,,,Percent of Total Billed Charges,,,,,194.85,,,,,,,Percent of Total Billed Charges,,,,,194.85,,,,,,,Percent of Total Billed Charges,,,,,43.3,,,,,,,Percent of Total Billed Charges,,,,,60.62,,,,,,,Percent of Total Billed Charges,,,,,173.2,,,,,,,Percent of Total Billed Charges,,,,,43.3,,,,,,,Percent of Total Billed Charges,,,, "O/R DRAIN/INJE, MJR JNT/BURSA ",20610LT ,CPT,LT,Outpatient,,,216.5,173.2,161.73,,,,,,,Percent of Total Billed Charges,,161.73,161.73,,216.5,,,,,,,Percent of Total Billed Charges,,,,,207.84,,,,,,,Percent of Total Billed Charges,,,,,205.68,,,,,,,Percent of Total Billed Charges,,,,,43.3,,,,,,,Percent of Total Billed Charges,,,,,184.03,,,,,,,Percent of Total Billed Charges,,,,,45.47,,,,,,,Percent of Total Billed Charges,,,,,194.85,,,,,,,Percent of Total Billed Charges,,,,,194.85,,,,,,,Percent of Total Billed Charges,,,,,43.3,,,,,,,Percent of Total Billed Charges,,,,,60.62,,,,,,,Percent of Total Billed Charges,,,,,173.2,,,,,,,Percent of Total Billed Charges,,,,,43.3,,,,,,,Percent of Total Billed Charges,,,, O/R DRAIN/INJ JOINT/BURSA W/O US ,20610RT ,CPT,RT,Outpatient,,,216.5,173.2,161.73,,,,,,,Percent of Total Billed Charges,,161.73,161.73,,216.5,,,,,,,Percent of Total Billed Charges,,,,,207.84,,,,,,,Percent of Total Billed Charges,,,,,205.68,,,,,,,Percent of Total Billed Charges,,,,,43.3,,,,,,,Percent of Total Billed Charges,,,,,184.03,,,,,,,Percent of Total Billed Charges,,,,,45.47,,,,,,,Percent of Total Billed Charges,,,,,194.85,,,,,,,Percent of Total Billed Charges,,,,,194.85,,,,,,,Percent of Total Billed Charges,,,,,43.3,,,,,,,Percent of Total Billed Charges,,,,,60.62,,,,,,,Percent of Total Billed Charges,,,,,173.2,,,,,,,Percent of Total Billed Charges,,,,,43.3,,,,,,,Percent of Total Billed Charges,,,, O/R DRAIN/INJ JOINT/BURSA W/O US ,20610RT ,CPT,RT,Outpatient,,,216.5,173.2,161.73,,,,,,,Percent of Total Billed Charges,,161.73,161.73,,216.5,,,,,,,Percent of Total Billed Charges,,,,,207.84,,,,,,,Percent of Total Billed Charges,,,,,205.68,,,,,,,Percent of Total Billed Charges,,,,,43.3,,,,,,,Percent of Total Billed Charges,,,,,184.03,,,,,,,Percent of Total Billed Charges,,,,,45.47,,,,,,,Percent of Total Billed Charges,,,,,194.85,,,,,,,Percent of Total Billed Charges,,,,,194.85,,,,,,,Percent of Total Billed Charges,,,,,43.3,,,,,,,Percent of Total Billed Charges,,,,,60.62,,,,,,,Percent of Total Billed Charges,,,,,173.2,,,,,,,Percent of Total Billed Charges,,,,,43.3,,,,,,,Percent of Total Billed Charges,,,, O/R INJECT SACROILIAC JOINT ,2709650,CPT,,Outpatient,,,543,434.4,405.62,,,,,,,Percent of Total Billed Charges,,405.62,405.62,,543,,,,,,,Percent of Total Billed Charges,,,,,521.28,,,,,,,Percent of Total Billed Charges,,,,,515.85,,,,,,,Percent of Total Billed Charges,,,,,108.6,,,,,,,Percent of Total Billed Charges,,,,,461.55,,,,,,,Percent of Total Billed Charges,,,,,114.03,,,,,,,Percent of Total Billed Charges,,,,,488.7,,,,,,,Percent of Total Billed Charges,,,,,488.7,,,,,,,Percent of Total Billed Charges,,,,,108.6,,,,,,,Percent of Total Billed Charges,,,,,152.04,,,,,,,Percent of Total Billed Charges,,,,,434.4,,,,,,,Percent of Total Billed Charges,,,,,108.6,,,,,,,Percent of Total Billed Charges,,,, O/R INJECT SACROILIAC JOINT ,27096LT ,CPT,LT,Outpatient,,,543,434.4,405.62,,,,,,,Percent of Total Billed Charges,,405.62,405.62,,543,,,,,,,Percent of Total Billed Charges,,,,,521.28,,,,,,,Percent of Total Billed Charges,,,,,515.85,,,,,,,Percent of Total Billed Charges,,,,,108.6,,,,,,,Percent of Total Billed Charges,,,,,461.55,,,,,,,Percent of Total Billed Charges,,,,,114.03,,,,,,,Percent of Total Billed Charges,,,,,488.7,,,,,,,Percent of Total Billed Charges,,,,,488.7,,,,,,,Percent of Total Billed Charges,,,,,108.6,,,,,,,Percent of Total Billed Charges,,,,,152.04,,,,,,,Percent of Total Billed Charges,,,,,434.4,,,,,,,Percent of Total Billed Charges,,,,,108.6,,,,,,,Percent of Total Billed Charges,,,, O/R INJECT SACROILIAC JOINT ,27096RT ,CPT,RT,Outpatient,,,543,434.4,405.62,,,,,,,Percent of Total Billed Charges,,405.62,405.62,,543,,,,,,,Percent of Total Billed Charges,,,,,521.28,,,,,,,Percent of Total Billed Charges,,,,,515.85,,,,,,,Percent of Total Billed Charges,,,,,108.6,,,,,,,Percent of Total Billed Charges,,,,,461.55,,,,,,,Percent of Total Billed Charges,,,,,114.03,,,,,,,Percent of Total Billed Charges,,,,,488.7,,,,,,,Percent of Total Billed Charges,,,,,488.7,,,,,,,Percent of Total Billed Charges,,,,,108.6,,,,,,,Percent of Total Billed Charges,,,,,152.04,,,,,,,Percent of Total Billed Charges,,,,,434.4,,,,,,,Percent of Total Billed Charges,,,,,108.6,,,,,,,Percent of Total Billed Charges,,,, O/R NJX INTERLAMINAR CRV/THRC ,62321,CPT,,Outpatient,,,869,695.2,649.14,,,,,,,Percent of Total Billed Charges,,649.14,649.14,,869,,,,,,,Percent of Total Billed Charges,,,,,834.24,,,,,,,Percent of Total Billed Charges,,,,,825.55,,,,,,,Percent of Total Billed Charges,,,,,173.8,,,,,,,Percent of Total Billed Charges,,,,,738.65,,,,,,,Percent of Total Billed Charges,,,,,182.49,,,,,,,Percent of Total Billed Charges,,,,,782.1,,,,,,,Percent of Total Billed Charges,,,,,782.1,,,,,,,Percent of Total Billed Charges,,,,,173.8,,,,,,,Percent of Total Billed Charges,,,,,243.32,,,,,,,Percent of Total Billed Charges,,,,,695.2,,,,,,,Percent of Total Billed Charges,,,,,173.8,,,,,,,Percent of Total Billed Charges,,,, O/R NJX INTERLAMINAR LMBR/SAC ,62323,CPT,,Outpatient,,,855,684,638.69,,,,,,,Percent of Total Billed Charges,,638.69,638.69,,855,,,,,,,Percent of Total Billed Charges,,,,,820.8,,,,,,,Percent of Total Billed Charges,,,,,812.25,,,,,,,Percent of Total Billed Charges,,,,,171,,,,,,,Percent of Total Billed Charges,,,,,726.75,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,769.5,,,,,,,Percent of Total Billed Charges,,,,,769.5,,,,,,,Percent of Total Billed Charges,,,,,171,,,,,,,Percent of Total Billed Charges,,,,,239.4,,,,,,,Percent of Total Billed Charges,,,,,684,,,,,,,Percent of Total Billed Charges,,,,,171,,,,,,,Percent of Total Billed Charges,,,, O/R IMPLANT SPINAL CANAL CATH ,62350,CPT,,Outpatient,,,1326,1060.8,990.52,,,,,,,Percent of Total Billed Charges,,990.52,990.52,,1326,,,,,,,Percent of Total Billed Charges,,,,,1272.96,,,,,,,Percent of Total Billed Charges,,,,,1259.7,,,,,,,Percent of Total Billed Charges,,,,,265.2,,,,,,,Percent of Total Billed Charges,,,,,1127.1,,,,,,,Percent of Total Billed Charges,,,,,278.46,,,,,,,Percent of Total Billed Charges,,,,,1193.4,,,,,,,Percent of Total Billed Charges,,,,,1193.4,,,,,,,Percent of Total Billed Charges,,,,,265.2,,,,,,,Percent of Total Billed Charges,,,,,371.28,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,265.2,,,,,,,Percent of Total Billed Charges,,,, O/R REMOVE SPINAL CANAL CATHERTER ,62355,CPT,,Outpatient,,,923,738.4,689.48,,,,,,,Percent of Total Billed Charges,,689.48,689.48,,923,,,,,,,Percent of Total Billed Charges,,,,,886.08,,,,,,,Percent of Total Billed Charges,,,,,876.85,,,,,,,Percent of Total Billed Charges,,,,,184.6,,,,,,,Percent of Total Billed Charges,,,,,784.55,,,,,,,Percent of Total Billed Charges,,,,,193.83,,,,,,,Percent of Total Billed Charges,,,,,830.7,,,,,,,Percent of Total Billed Charges,,,,,830.7,,,,,,,Percent of Total Billed Charges,,,,,184.6,,,,,,,Percent of Total Billed Charges,,,,,258.44,,,,,,,Percent of Total Billed Charges,,,,,738.4,,,,,,,Percent of Total Billed Charges,,,,,184.6,,,,,,,Percent of Total Billed Charges,,,, O/R IMPLANT SPINE INFUSION PUMP ,62362,CPT,,Outpatient,,,1286,1028.8,960.64,,,,,,,Percent of Total Billed Charges,,960.64,960.64,,1286,,,,,,,Percent of Total Billed Charges,,,,,1234.56,,,,,,,Percent of Total Billed Charges,,,,,1221.7,,,,,,,Percent of Total Billed Charges,,,,,257.2,,,,,,,Percent of Total Billed Charges,,,,,1093.1,,,,,,,Percent of Total Billed Charges,,,,,270.06,,,,,,,Percent of Total Billed Charges,,,,,1157.4,,,,,,,Percent of Total Billed Charges,,,,,1157.4,,,,,,,Percent of Total Billed Charges,,,,,257.2,,,,,,,Percent of Total Billed Charges,,,,,360.08,,,,,,,Percent of Total Billed Charges,,,,,1028.8,,,,,,,Percent of Total Billed Charges,,,,,257.2,,,,,,,Percent of Total Billed Charges,,,, O/R REMOVE SPINE INFUSION DEVICE ,62365,CPT,,Outpatient,,,998.5,798.8,745.88,,,,,,,Percent of Total Billed Charges,,745.88,745.88,,998.5,,,,,,,Percent of Total Billed Charges,,,,,958.56,,,,,,,Percent of Total Billed Charges,,,,,948.58,,,,,,,Percent of Total Billed Charges,,,,,199.7,,,,,,,Percent of Total Billed Charges,,,,,848.73,,,,,,,Percent of Total Billed Charges,,,,,209.69,,,,,,,Percent of Total Billed Charges,,,,,898.65,,,,,,,Percent of Total Billed Charges,,,,,898.65,,,,,,,Percent of Total Billed Charges,,,,,199.7,,,,,,,Percent of Total Billed Charges,,,,,279.58,,,,,,,Percent of Total Billed Charges,,,,,798.8,,,,,,,Percent of Total Billed Charges,,,,,199.7,,,,,,,Percent of Total Billed Charges,,,, O/R ANALYZE SP INF PUMP W/REPROG ,62368,CPT,,Outpatient,,,147,117.6,109.81,,,,,,,Percent of Total Billed Charges,,109.81,109.81,,147,,,,,,,Percent of Total Billed Charges,,,,,141.12,,,,,,,Percent of Total Billed Charges,,,,,139.65,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,124.95,,,,,,,Percent of Total Billed Charges,,,,,30.87,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,, O/R ANL SP INF PMP W/MDREPRG&FIL ,62370,CPT,,Outpatient,,,306,244.8,228.58,,,,,,,Percent of Total Billed Charges,,228.58,228.58,,306,,,,,,,Percent of Total Billed Charges,,,,,293.76,,,,,,,Percent of Total Billed Charges,,,,,290.7,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,260.1,,,,,,,Percent of Total Billed Charges,,,,,64.26,,,,,,,Percent of Total Billed Charges,,,,,275.4,,,,,,,Percent of Total Billed Charges,,,,,275.4,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,85.68,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,, O/R IMPLANT NEUROELECTRODES ,63650,CPT,,Outpatient,,,7521,6016.8,5618.19,,,,,,,Percent of Total Billed Charges,,5618.19,5618.19,,7521,,,,,,,Percent of Total Billed Charges,,,,,7220.16,,,,,,,Percent of Total Billed Charges,,,,,7144.95,,,,,,,Percent of Total Billed Charges,,,,,1504.2,,,,,,,Percent of Total Billed Charges,,,,,6392.85,,,,,,,Percent of Total Billed Charges,,,,,1579.41,,,,,,,Percent of Total Billed Charges,,,,,6768.9,,,,,,,Percent of Total Billed Charges,,,,,6768.9,,,,,,,Percent of Total Billed Charges,,,,,1504.2,,,,,,,Percent of Total Billed Charges,,,,,2105.88,,,,,,,Percent of Total Billed Charges,,,,,6016.8,,,,,,,Percent of Total Billed Charges,,,,,1504.2,,,,,,,Percent of Total Billed Charges,,,, O/R IMPLANT NEUROELECTRODES ,6365059,CPT,,Outpatient,,,7521,6016.8,5618.19,,,,,,,Percent of Total Billed Charges,,5618.19,5618.19,,7521,,,,,,,Percent of Total Billed Charges,,,,,7220.16,,,,,,,Percent of Total Billed Charges,,,,,7144.95,,,,,,,Percent of Total Billed Charges,,,,,1504.2,,,,,,,Percent of Total Billed Charges,,,,,6392.85,,,,,,,Percent of Total Billed Charges,,,,,1579.41,,,,,,,Percent of Total Billed Charges,,,,,6768.9,,,,,,,Percent of Total Billed Charges,,,,,6768.9,,,,,,,Percent of Total Billed Charges,,,,,1504.2,,,,,,,Percent of Total Billed Charges,,,,,2105.88,,,,,,,Percent of Total Billed Charges,,,,,6016.8,,,,,,,Percent of Total Billed Charges,,,,,1504.2,,,,,,,Percent of Total Billed Charges,,,, O/R IMPLANT NEUROELECTRODES ,63650XS ,CPT,,Outpatient,,,7521,6016.8,5618.19,,,,,,,Percent of Total Billed Charges,,5618.19,5618.19,,7521,,,,,,,Percent of Total Billed Charges,,,,,7220.16,,,,,,,Percent of Total Billed Charges,,,,,7144.95,,,,,,,Percent of Total Billed Charges,,,,,1504.2,,,,,,,Percent of Total Billed Charges,,,,,6392.85,,,,,,,Percent of Total Billed Charges,,,,,1579.41,,,,,,,Percent of Total Billed Charges,,,,,6768.9,,,,,,,Percent of Total Billed Charges,,,,,6768.9,,,,,,,Percent of Total Billed Charges,,,,,1504.2,,,,,,,Percent of Total Billed Charges,,,,,2105.88,,,,,,,Percent of Total Billed Charges,,,,,6016.8,,,,,,,Percent of Total Billed Charges,,,,,1504.2,,,,,,,Percent of Total Billed Charges,,,, O/R REMOVE SPINE ELTRD PERQ ARAY ,63661,CPT,,Outpatient,,,2270.5,1816.4,1696.06,,,,,,,Percent of Total Billed Charges,,1696.06,1696.06,,2270.5,,,,,,,Percent of Total Billed Charges,,,,,2179.68,,,,,,,Percent of Total Billed Charges,,,,,2156.98,,,,,,,Percent of Total Billed Charges,,,,,454.1,,,,,,,Percent of Total Billed Charges,,,,,1929.93,,,,,,,Percent of Total Billed Charges,,,,,476.81,,,,,,,Percent of Total Billed Charges,,,,,2043.45,,,,,,,Percent of Total Billed Charges,,,,,2043.45,,,,,,,Percent of Total Billed Charges,,,,,454.1,,,,,,,Percent of Total Billed Charges,,,,,635.74,,,,,,,Percent of Total Billed Charges,,,,,1816.4,,,,,,,Percent of Total Billed Charges,,,,,454.1,,,,,,,Percent of Total Billed Charges,,,, O/R REMOVE SPINE ELTRD PLATE ,63662,CPT,,Outpatient,,,2861.5,2289.2,2137.54,,,,,,,Percent of Total Billed Charges,,2137.54,2137.54,,2861.5,,,,,,,Percent of Total Billed Charges,,,,,2747.04,,,,,,,Percent of Total Billed Charges,,,,,2718.43,,,,,,,Percent of Total Billed Charges,,,,,572.3,,,,,,,Percent of Total Billed Charges,,,,,2432.28,,,,,,,Percent of Total Billed Charges,,,,,600.92,,,,,,,Percent of Total Billed Charges,,,,,2575.35,,,,,,,Percent of Total Billed Charges,,,,,2575.35,,,,,,,Percent of Total Billed Charges,,,,,572.3,,,,,,,Percent of Total Billed Charges,,,,,801.22,,,,,,,Percent of Total Billed Charges,,,,,2289.2,,,,,,,Percent of Total Billed Charges,,,,,572.3,,,,,,,Percent of Total Billed Charges,,,, O/R REVISE SPINE ELTRD PERQ ARAY ,63663,CPT,,Outpatient,,,2989.5,2391.6,2233.16,,,,,,,Percent of Total Billed Charges,,2233.16,2233.16,,2989.5,,,,,,,Percent of Total Billed Charges,,,,,2869.92,,,,,,,Percent of Total Billed Charges,,,,,2840.03,,,,,,,Percent of Total Billed Charges,,,,,597.9,,,,,,,Percent of Total Billed Charges,,,,,2541.08,,,,,,,Percent of Total Billed Charges,,,,,627.8,,,,,,,Percent of Total Billed Charges,,,,,2690.55,,,,,,,Percent of Total Billed Charges,,,,,2690.55,,,,,,,Percent of Total Billed Charges,,,,,597.9,,,,,,,Percent of Total Billed Charges,,,,,837.06,,,,,,,Percent of Total Billed Charges,,,,,2391.6,,,,,,,Percent of Total Billed Charges,,,,,597.9,,,,,,,Percent of Total Billed Charges,,,, O/R REVISE SPINE ELTRD PERQ ARAY ,63663XS ,CPT,,Outpatient,,,2989.5,2391.6,2233.16,,,,,,,Percent of Total Billed Charges,,2233.16,2233.16,,2989.5,,,,,,,Percent of Total Billed Charges,,,,,2869.92,,,,,,,Percent of Total Billed Charges,,,,,2840.03,,,,,,,Percent of Total Billed Charges,,,,,597.9,,,,,,,Percent of Total Billed Charges,,,,,2541.08,,,,,,,Percent of Total Billed Charges,,,,,627.8,,,,,,,Percent of Total Billed Charges,,,,,2690.55,,,,,,,Percent of Total Billed Charges,,,,,2690.55,,,,,,,Percent of Total Billed Charges,,,,,597.9,,,,,,,Percent of Total Billed Charges,,,,,837.06,,,,,,,Percent of Total Billed Charges,,,,,2391.6,,,,,,,Percent of Total Billed Charges,,,,,597.9,,,,,,,Percent of Total Billed Charges,,,, O/R IMPLANT NEURORECEIVER ,63685,CPT,,Outpatient,,,1132.5,906,845.98,,,,,,,Percent of Total Billed Charges,,845.98,845.98,,1132.5,,,,,,,Percent of Total Billed Charges,,,,,1087.2,,,,,,,Percent of Total Billed Charges,,,,,1075.88,,,,,,,Percent of Total Billed Charges,,,,,226.5,,,,,,,Percent of Total Billed Charges,,,,,962.63,,,,,,,Percent of Total Billed Charges,,,,,237.83,,,,,,,Percent of Total Billed Charges,,,,,1019.25,,,,,,,Percent of Total Billed Charges,,,,,1019.25,,,,,,,Percent of Total Billed Charges,,,,,226.5,,,,,,,Percent of Total Billed Charges,,,,,317.1,,,,,,,Percent of Total Billed Charges,,,,,906,,,,,,,Percent of Total Billed Charges,,,,,226.5,,,,,,,Percent of Total Billed Charges,,,, O/R INSRT/REDO SPINE N GENERATOR ,63685,CPT,,Outpatient,,,1132.5,906,845.98,,,,,,,Percent of Total Billed Charges,,845.98,845.98,,1132.5,,,,,,,Percent of Total Billed Charges,,,,,1087.2,,,,,,,Percent of Total Billed Charges,,,,,1075.88,,,,,,,Percent of Total Billed Charges,,,,,226.5,,,,,,,Percent of Total Billed Charges,,,,,962.63,,,,,,,Percent of Total Billed Charges,,,,,237.83,,,,,,,Percent of Total Billed Charges,,,,,1019.25,,,,,,,Percent of Total Billed Charges,,,,,1019.25,,,,,,,Percent of Total Billed Charges,,,,,226.5,,,,,,,Percent of Total Billed Charges,,,,,317.1,,,,,,,Percent of Total Billed Charges,,,,,906,,,,,,,Percent of Total Billed Charges,,,,,226.5,,,,,,,Percent of Total Billed Charges,,,, O/R REVISE/REMOVE NEURORECEIVER ,63688,CPT,,Outpatient,,,1001.5,801.2,748.12,,,,,,,Percent of Total Billed Charges,,748.12,748.12,,1001.5,,,,,,,Percent of Total Billed Charges,,,,,961.44,,,,,,,Percent of Total Billed Charges,,,,,951.43,,,,,,,Percent of Total Billed Charges,,,,,200.3,,,,,,,Percent of Total Billed Charges,,,,,851.28,,,,,,,Percent of Total Billed Charges,,,,,210.32,,,,,,,Percent of Total Billed Charges,,,,,901.35,,,,,,,Percent of Total Billed Charges,,,,,901.35,,,,,,,Percent of Total Billed Charges,,,,,200.3,,,,,,,Percent of Total Billed Charges,,,,,280.42,,,,,,,Percent of Total Billed Charges,,,,,801.2,,,,,,,Percent of Total Billed Charges,,,,,200.3,,,,,,,Percent of Total Billed Charges,,,, O/R REVISE/REMOVE NEURORECEIVER ,63688GW ,CPT,GW,Outpatient,,,1001.5,801.2,748.12,,,,,,,Percent of Total Billed Charges,,748.12,748.12,,1001.5,,,,,,,Percent of Total Billed Charges,,,,,961.44,,,,,,,Percent of Total Billed Charges,,,,,951.43,,,,,,,Percent of Total Billed Charges,,,,,200.3,,,,,,,Percent of Total Billed Charges,,,,,851.28,,,,,,,Percent of Total Billed Charges,,,,,210.32,,,,,,,Percent of Total Billed Charges,,,,,901.35,,,,,,,Percent of Total Billed Charges,,,,,901.35,,,,,,,Percent of Total Billed Charges,,,,,200.3,,,,,,,Percent of Total Billed Charges,,,,,280.42,,,,,,,Percent of Total Billed Charges,,,,,801.2,,,,,,,Percent of Total Billed Charges,,,,,200.3,,,,,,,Percent of Total Billed Charges,,,, O/R N BLOCK INJ ILIO-ING/HYPOGI ,64425LT ,CPT,LT,Outpatient,,,366.5,293.2,273.78,,,,,,,Percent of Total Billed Charges,,273.78,273.78,,366.5,,,,,,,Percent of Total Billed Charges,,,,,351.84,,,,,,,Percent of Total Billed Charges,,,,,348.18,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,311.53,,,,,,,Percent of Total Billed Charges,,,,,76.97,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,102.62,,,,,,,Percent of Total Billed Charges,,,,,293.2,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,, O/R N BLOCK INJ ILIO-ING/HYPOGI ,64425,CPT,,Outpatient,,,366.5,293.2,273.78,,,,,,,Percent of Total Billed Charges,,273.78,273.78,,366.5,,,,,,,Percent of Total Billed Charges,,,,,351.84,,,,,,,Percent of Total Billed Charges,,,,,348.18,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,311.53,,,,,,,Percent of Total Billed Charges,,,,,76.97,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,102.62,,,,,,,Percent of Total Billed Charges,,,,,293.2,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,, O/R N BLOCK INJ FEM SINGLE ,64447,CPT,,Outpatient,,,383,306.4,286.1,,,,,,,Percent of Total Billed Charges,,286.1,286.1,,383,,,,,,,Percent of Total Billed Charges,,,,,367.68,,,,,,,Percent of Total Billed Charges,,,,,363.85,,,,,,,Percent of Total Billed Charges,,,,,76.6,,,,,,,Percent of Total Billed Charges,,,,,325.55,,,,,,,Percent of Total Billed Charges,,,,,80.43,,,,,,,Percent of Total Billed Charges,,,,,344.7,,,,,,,Percent of Total Billed Charges,,,,,344.7,,,,,,,Percent of Total Billed Charges,,,,,76.6,,,,,,,Percent of Total Billed Charges,,,,,107.24,,,,,,,Percent of Total Billed Charges,,,,,306.4,,,,,,,Percent of Total Billed Charges,,,,,76.6,,,,,,,Percent of Total Billed Charges,,,, O/R N BLOCK OTHER PERIPHERAL ,64450RT ,CPT,RT,Outpatient,,,249.5,199.6,186.38,,,,,,,Percent of Total Billed Charges,,186.38,186.38,,249.5,,,,,,,Percent of Total Billed Charges,,,,,239.52,,,,,,,Percent of Total Billed Charges,,,,,237.03,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,,,212.08,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,224.55,,,,,,,Percent of Total Billed Charges,,,,,224.55,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,,,69.86,,,,,,,Percent of Total Billed Charges,,,,,199.6,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,, O/R N BLOCK OTHER PERIPHERAL ,64450LT ,CPT,LT,Outpatient,,,249.5,199.6,186.38,,,,,,,Percent of Total Billed Charges,,186.38,186.38,,249.5,,,,,,,Percent of Total Billed Charges,,,,,239.52,,,,,,,Percent of Total Billed Charges,,,,,237.03,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,,,212.08,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,224.55,,,,,,,Percent of Total Billed Charges,,,,,224.55,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,,,69.86,,,,,,,Percent of Total Billed Charges,,,,,199.6,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,, O/R NJX AA&/STRD NRV NRVTG SI JT ,64451,CPT,,Outpatient,,,753.5,602.8,562.86,,,,,,,Percent of Total Billed Charges,,562.86,562.86,,753.5,,,,,,,Percent of Total Billed Charges,,,,,723.36,,,,,,,Percent of Total Billed Charges,,,,,715.83,,,,,,,Percent of Total Billed Charges,,,,,150.7,,,,,,,Percent of Total Billed Charges,,,,,640.48,,,,,,,Percent of Total Billed Charges,,,,,158.24,,,,,,,Percent of Total Billed Charges,,,,,678.15,,,,,,,Percent of Total Billed Charges,,,,,678.15,,,,,,,Percent of Total Billed Charges,,,,,150.7,,,,,,,Percent of Total Billed Charges,,,,,210.98,,,,,,,Percent of Total Billed Charges,,,,,602.8,,,,,,,Percent of Total Billed Charges,,,,,150.7,,,,,,,Percent of Total Billed Charges,,,, O/R NJX AA&/STRD NRV NRVTG SI JT ,64451RT ,CPT,RT,Outpatient,,,753.5,602.8,562.86,,,,,,,Percent of Total Billed Charges,,562.86,562.86,,753.5,,,,,,,Percent of Total Billed Charges,,,,,723.36,,,,,,,Percent of Total Billed Charges,,,,,715.83,,,,,,,Percent of Total Billed Charges,,,,,150.7,,,,,,,Percent of Total Billed Charges,,,,,640.48,,,,,,,Percent of Total Billed Charges,,,,,158.24,,,,,,,Percent of Total Billed Charges,,,,,678.15,,,,,,,Percent of Total Billed Charges,,,,,678.15,,,,,,,Percent of Total Billed Charges,,,,,150.7,,,,,,,Percent of Total Billed Charges,,,,,210.98,,,,,,,Percent of Total Billed Charges,,,,,602.8,,,,,,,Percent of Total Billed Charges,,,,,150.7,,,,,,,Percent of Total Billed Charges,,,, O/R NJX AA&/STRD GNCLR NRV BRNCH ,64454RT ,CPT,RT,Outpatient,,,733.5,586.8,547.92,,,,,,,Percent of Total Billed Charges,,547.92,547.92,,733.5,,,,,,,Percent of Total Billed Charges,,,,,704.16,,,,,,,Percent of Total Billed Charges,,,,,696.83,,,,,,,Percent of Total Billed Charges,,,,,146.7,,,,,,,Percent of Total Billed Charges,,,,,623.48,,,,,,,Percent of Total Billed Charges,,,,,154.04,,,,,,,Percent of Total Billed Charges,,,,,660.15,,,,,,,Percent of Total Billed Charges,,,,,660.15,,,,,,,Percent of Total Billed Charges,,,,,146.7,,,,,,,Percent of Total Billed Charges,,,,,205.38,,,,,,,Percent of Total Billed Charges,,,,,586.8,,,,,,,Percent of Total Billed Charges,,,,,146.7,,,,,,,Percent of Total Billed Charges,,,, O/R INJ FORAMEN EPIDURAL C/T ,64479RT ,CPT,RT,Outpatient,,,879,703.2,656.61,,,,,,,Percent of Total Billed Charges,,656.61,656.61,,879,,,,,,,Percent of Total Billed Charges,,,,,843.84,,,,,,,Percent of Total Billed Charges,,,,,835.05,,,,,,,Percent of Total Billed Charges,,,,,175.8,,,,,,,Percent of Total Billed Charges,,,,,747.15,,,,,,,Percent of Total Billed Charges,,,,,184.59,,,,,,,Percent of Total Billed Charges,,,,,791.1,,,,,,,Percent of Total Billed Charges,,,,,791.1,,,,,,,Percent of Total Billed Charges,,,,,175.8,,,,,,,Percent of Total Billed Charges,,,,,246.12,,,,,,,Percent of Total Billed Charges,,,,,703.2,,,,,,,Percent of Total Billed Charges,,,,,175.8,,,,,,,Percent of Total Billed Charges,,,, O/R INJ FORAMEN EPIDURAL L/S ,64483LT ,CPT,LT,Outpatient,,,815,652,608.81,,,,,,,Percent of Total Billed Charges,,608.81,608.81,,815,,,,,,,Percent of Total Billed Charges,,,,,782.4,,,,,,,Percent of Total Billed Charges,,,,,774.25,,,,,,,Percent of Total Billed Charges,,,,,163,,,,,,,Percent of Total Billed Charges,,,,,692.75,,,,,,,Percent of Total Billed Charges,,,,,171.15,,,,,,,Percent of Total Billed Charges,,,,,733.5,,,,,,,Percent of Total Billed Charges,,,,,733.5,,,,,,,Percent of Total Billed Charges,,,,,163,,,,,,,Percent of Total Billed Charges,,,,,228.2,,,,,,,Percent of Total Billed Charges,,,,,652,,,,,,,Percent of Total Billed Charges,,,,,163,,,,,,,Percent of Total Billed Charges,,,, O/R INJ FORAMEN EPIDURAL L/S ,64483RT ,CPT,RT,Outpatient,,,815,652,608.81,,,,,,,Percent of Total Billed Charges,,608.81,608.81,,815,,,,,,,Percent of Total Billed Charges,,,,,782.4,,,,,,,Percent of Total Billed Charges,,,,,774.25,,,,,,,Percent of Total Billed Charges,,,,,163,,,,,,,Percent of Total Billed Charges,,,,,692.75,,,,,,,Percent of Total Billed Charges,,,,,171.15,,,,,,,Percent of Total Billed Charges,,,,,733.5,,,,,,,Percent of Total Billed Charges,,,,,733.5,,,,,,,Percent of Total Billed Charges,,,,,163,,,,,,,Percent of Total Billed Charges,,,,,228.2,,,,,,,Percent of Total Billed Charges,,,,,652,,,,,,,Percent of Total Billed Charges,,,,,163,,,,,,,Percent of Total Billed Charges,,,, O/R INJ FORAMEN EPIDURAL ADD-ON ,64484LT ,CPT,LT,Outpatient,,,369,295.2,275.64,,,,,,,Percent of Total Billed Charges,,275.64,275.64,,369,,,,,,,Percent of Total Billed Charges,,,,,354.24,,,,,,,Percent of Total Billed Charges,,,,,350.55,,,,,,,Percent of Total Billed Charges,,,,,73.8,,,,,,,Percent of Total Billed Charges,,,,,313.65,,,,,,,Percent of Total Billed Charges,,,,,77.49,,,,,,,Percent of Total Billed Charges,,,,,332.1,,,,,,,Percent of Total Billed Charges,,,,,332.1,,,,,,,Percent of Total Billed Charges,,,,,73.8,,,,,,,Percent of Total Billed Charges,,,,,103.32,,,,,,,Percent of Total Billed Charges,,,,,295.2,,,,,,,Percent of Total Billed Charges,,,,,73.8,,,,,,,Percent of Total Billed Charges,,,, O/R PARAVERT F JNT C/T 1 LEV ,6449050,CPT,,Outpatient,,,637.5,510,476.21,,,,,,,Percent of Total Billed Charges,,476.21,476.21,,637.5,,,,,,,Percent of Total Billed Charges,,,,,612,,,,,,,Percent of Total Billed Charges,,,,,605.63,,,,,,,Percent of Total Billed Charges,,,,,127.5,,,,,,,Percent of Total Billed Charges,,,,,541.88,,,,,,,Percent of Total Billed Charges,,,,,133.88,,,,,,,Percent of Total Billed Charges,,,,,573.75,,,,,,,Percent of Total Billed Charges,,,,,573.75,,,,,,,Percent of Total Billed Charges,,,,,127.5,,,,,,,Percent of Total Billed Charges,,,,,178.5,,,,,,,Percent of Total Billed Charges,,,,,510,,,,,,,Percent of Total Billed Charges,,,,,127.5,,,,,,,Percent of Total Billed Charges,,,, O/R PARAVERT F JNT C/T 1 LEV ,64490LT ,CPT,LT,Outpatient,,,637.5,510,476.21,,,,,,,Percent of Total Billed Charges,,476.21,476.21,,637.5,,,,,,,Percent of Total Billed Charges,,,,,612,,,,,,,Percent of Total Billed Charges,,,,,605.63,,,,,,,Percent of Total Billed Charges,,,,,127.5,,,,,,,Percent of Total Billed Charges,,,,,541.88,,,,,,,Percent of Total Billed Charges,,,,,133.88,,,,,,,Percent of Total Billed Charges,,,,,573.75,,,,,,,Percent of Total Billed Charges,,,,,573.75,,,,,,,Percent of Total Billed Charges,,,,,127.5,,,,,,,Percent of Total Billed Charges,,,,,178.5,,,,,,,Percent of Total Billed Charges,,,,,510,,,,,,,Percent of Total Billed Charges,,,,,127.5,,,,,,,Percent of Total Billed Charges,,,, O/R PARAVERT F JNT C/T 1 LEV ,64490RT ,CPT,RT,Outpatient,,,637.5,510,476.21,,,,,,,Percent of Total Billed Charges,,476.21,476.21,,637.5,,,,,,,Percent of Total Billed Charges,,,,,612,,,,,,,Percent of Total Billed Charges,,,,,605.63,,,,,,,Percent of Total Billed Charges,,,,,127.5,,,,,,,Percent of Total Billed Charges,,,,,541.88,,,,,,,Percent of Total Billed Charges,,,,,133.88,,,,,,,Percent of Total Billed Charges,,,,,573.75,,,,,,,Percent of Total Billed Charges,,,,,573.75,,,,,,,Percent of Total Billed Charges,,,,,127.5,,,,,,,Percent of Total Billed Charges,,,,,178.5,,,,,,,Percent of Total Billed Charges,,,,,510,,,,,,,Percent of Total Billed Charges,,,,,127.5,,,,,,,Percent of Total Billed Charges,,,, O/R PARAVERT F JNT C/T 2 LEV ,64491LT ,CPT,LT,Outpatient,,,322.5,258,240.91,,,,,,,Percent of Total Billed Charges,,240.91,240.91,,322.5,,,,,,,Percent of Total Billed Charges,,,,,309.6,,,,,,,Percent of Total Billed Charges,,,,,306.38,,,,,,,Percent of Total Billed Charges,,,,,64.5,,,,,,,Percent of Total Billed Charges,,,,,274.13,,,,,,,Percent of Total Billed Charges,,,,,67.73,,,,,,,Percent of Total Billed Charges,,,,,290.25,,,,,,,Percent of Total Billed Charges,,,,,290.25,,,,,,,Percent of Total Billed Charges,,,,,64.5,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,258,,,,,,,Percent of Total Billed Charges,,,,,64.5,,,,,,,Percent of Total Billed Charges,,,, O/R PARAVERT F JNT C/T 2 LEV ,64491RT ,CPT,RT,Outpatient,,,322.5,258,240.91,,,,,,,Percent of Total Billed Charges,,240.91,240.91,,322.5,,,,,,,Percent of Total Billed Charges,,,,,309.6,,,,,,,Percent of Total Billed Charges,,,,,306.38,,,,,,,Percent of Total Billed Charges,,,,,64.5,,,,,,,Percent of Total Billed Charges,,,,,274.13,,,,,,,Percent of Total Billed Charges,,,,,67.73,,,,,,,Percent of Total Billed Charges,,,,,290.25,,,,,,,Percent of Total Billed Charges,,,,,290.25,,,,,,,Percent of Total Billed Charges,,,,,64.5,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,258,,,,,,,Percent of Total Billed Charges,,,,,64.5,,,,,,,Percent of Total Billed Charges,,,, O/R PARAVERT F JNT L/S 1 LEV ,6449350,CPT,,Outpatient,,,587,469.6,438.49,,,,,,,Percent of Total Billed Charges,,438.49,438.49,,587,,,,,,,Percent of Total Billed Charges,,,,,563.52,,,,,,,Percent of Total Billed Charges,,,,,557.65,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,,,498.95,,,,,,,Percent of Total Billed Charges,,,,,123.27,,,,,,,Percent of Total Billed Charges,,,,,528.3,,,,,,,Percent of Total Billed Charges,,,,,528.3,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,,,164.36,,,,,,,Percent of Total Billed Charges,,,,,469.6,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,, O/R PARAVERT F JNT L/S 1 LEV ,64493LT ,CPT,LT,Outpatient,,,587,469.6,438.49,,,,,,,Percent of Total Billed Charges,,438.49,438.49,,587,,,,,,,Percent of Total Billed Charges,,,,,563.52,,,,,,,Percent of Total Billed Charges,,,,,557.65,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,,,498.95,,,,,,,Percent of Total Billed Charges,,,,,123.27,,,,,,,Percent of Total Billed Charges,,,,,528.3,,,,,,,Percent of Total Billed Charges,,,,,528.3,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,,,164.36,,,,,,,Percent of Total Billed Charges,,,,,469.6,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,, O/R PARAVERT F JNT L/S 1 LEV ,64493RT ,CPT,RT,Outpatient,,,587,469.6,438.49,,,,,,,Percent of Total Billed Charges,,438.49,438.49,,587,,,,,,,Percent of Total Billed Charges,,,,,563.52,,,,,,,Percent of Total Billed Charges,,,,,557.65,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,,,498.95,,,,,,,Percent of Total Billed Charges,,,,,123.27,,,,,,,Percent of Total Billed Charges,,,,,528.3,,,,,,,Percent of Total Billed Charges,,,,,528.3,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,,,164.36,,,,,,,Percent of Total Billed Charges,,,,,469.6,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,, O/R PARAVERT F JNT L/S 2 LEV ,64494LT ,CPT,LT,Outpatient,,,301.5,241.2,225.22,,,,,,,Percent of Total Billed Charges,,225.22,225.22,,301.5,,,,,,,Percent of Total Billed Charges,,,,,289.44,,,,,,,Percent of Total Billed Charges,,,,,286.43,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,256.28,,,,,,,Percent of Total Billed Charges,,,,,63.32,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,84.42,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,, O/R PARAVERT F JNT L/S 2 LEV ,64494RT ,CPT,RT,Outpatient,,,301.5,241.2,225.22,,,,,,,Percent of Total Billed Charges,,225.22,225.22,,301.5,,,,,,,Percent of Total Billed Charges,,,,,289.44,,,,,,,Percent of Total Billed Charges,,,,,286.43,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,256.28,,,,,,,Percent of Total Billed Charges,,,,,63.32,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,84.42,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,, O/R PARAVERT F JNT L/S 3 LEV ,64495LT ,CPT,LT,Outpatient,,,301.5,241.2,225.22,,,,,,,Percent of Total Billed Charges,,225.22,225.22,,301.5,,,,,,,Percent of Total Billed Charges,,,,,289.44,,,,,,,Percent of Total Billed Charges,,,,,286.43,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,256.28,,,,,,,Percent of Total Billed Charges,,,,,63.32,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,84.42,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,, O/R PARAVERT F JNT L/S 3 LEV ,64495RT ,CPT,RT,Outpatient,,,301.5,241.2,225.22,,,,,,,Percent of Total Billed Charges,,225.22,225.22,,301.5,,,,,,,Percent of Total Billed Charges,,,,,289.44,,,,,,,Percent of Total Billed Charges,,,,,286.43,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,256.28,,,,,,,Percent of Total Billed Charges,,,,,63.32,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,84.42,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,, O/R CHEMODENERV MUSC MIGRAINE ,64615,CPT,,Outpatient,,,511,408.8,381.72,,,,,,,Percent of Total Billed Charges,,381.72,381.72,,511,,,,,,,Percent of Total Billed Charges,,,,,490.56,,,,,,,Percent of Total Billed Charges,,,,,485.45,,,,,,,Percent of Total Billed Charges,,,,,102.2,,,,,,,Percent of Total Billed Charges,,,,,434.35,,,,,,,Percent of Total Billed Charges,,,,,107.31,,,,,,,Percent of Total Billed Charges,,,,,459.9,,,,,,,Percent of Total Billed Charges,,,,,459.9,,,,,,,Percent of Total Billed Charges,,,,,102.2,,,,,,,Percent of Total Billed Charges,,,,,143.08,,,,,,,Percent of Total Billed Charges,,,,,408.8,,,,,,,Percent of Total Billed Charges,,,,,102.2,,,,,,,Percent of Total Billed Charges,,,, O/R CHEMODENERV MUSC NECK SYSTON ,6461650,CPT,,Outpatient,,,461,368.8,344.37,,,,,,,Percent of Total Billed Charges,,344.37,344.37,,461,,,,,,,Percent of Total Billed Charges,,,,,442.56,,,,,,,Percent of Total Billed Charges,,,,,437.95,,,,,,,Percent of Total Billed Charges,,,,,92.2,,,,,,,Percent of Total Billed Charges,,,,,391.85,,,,,,,Percent of Total Billed Charges,,,,,96.81,,,,,,,Percent of Total Billed Charges,,,,,414.9,,,,,,,Percent of Total Billed Charges,,,,,414.9,,,,,,,Percent of Total Billed Charges,,,,,92.2,,,,,,,Percent of Total Billed Charges,,,,,129.08,,,,,,,Percent of Total Billed Charges,,,,,368.8,,,,,,,Percent of Total Billed Charges,,,,,92.2,,,,,,,Percent of Total Billed Charges,,,, O/R RF ABLTJ NRV NRVTG SI JT ,64625RT ,CPT,RT,Outpatient,,,1562.5,1250,1167.19,,,,,,,Percent of Total Billed Charges,,1167.19,1167.19,,1562.5,,,,,,,Percent of Total Billed Charges,,,,,1500,,,,,,,Percent of Total Billed Charges,,,,,1484.38,,,,,,,Percent of Total Billed Charges,,,,,312.5,,,,,,,Percent of Total Billed Charges,,,,,1328.13,,,,,,,Percent of Total Billed Charges,,,,,328.13,,,,,,,Percent of Total Billed Charges,,,,,1406.25,,,,,,,Percent of Total Billed Charges,,,,,1406.25,,,,,,,Percent of Total Billed Charges,,,,,312.5,,,,,,,Percent of Total Billed Charges,,,,,437.5,,,,,,,Percent of Total Billed Charges,,,,,1250,,,,,,,Percent of Total Billed Charges,,,,,312.5,,,,,,,Percent of Total Billed Charges,,,, O/R DESTROY CERV/THOR FACET JNT ,6463358,CPT,,Outpatient,,,1448,1158.4,1081.66,,,,,,,Percent of Total Billed Charges,,1081.66,1081.66,,1448,,,,,,,Percent of Total Billed Charges,,,,,1390.08,,,,,,,Percent of Total Billed Charges,,,,,1375.6,,,,,,,Percent of Total Billed Charges,,,,,289.6,,,,,,,Percent of Total Billed Charges,,,,,1230.8,,,,,,,Percent of Total Billed Charges,,,,,304.08,,,,,,,Percent of Total Billed Charges,,,,,1303.2,,,,,,,Percent of Total Billed Charges,,,,,1303.2,,,,,,,Percent of Total Billed Charges,,,,,289.6,,,,,,,Percent of Total Billed Charges,,,,,405.44,,,,,,,Percent of Total Billed Charges,,,,,1158.4,,,,,,,Percent of Total Billed Charges,,,,,289.6,,,,,,,Percent of Total Billed Charges,,,, O/R DESTROY CERV/THOR FACET JNT ,64633LT ,CPT,LT,Outpatient,,,1448,1158.4,1081.66,,,,,,,Percent of Total Billed Charges,,1081.66,1081.66,,1448,,,,,,,Percent of Total Billed Charges,,,,,1390.08,,,,,,,Percent of Total Billed Charges,,,,,1375.6,,,,,,,Percent of Total Billed Charges,,,,,289.6,,,,,,,Percent of Total Billed Charges,,,,,1230.8,,,,,,,Percent of Total Billed Charges,,,,,304.08,,,,,,,Percent of Total Billed Charges,,,,,1303.2,,,,,,,Percent of Total Billed Charges,,,,,1303.2,,,,,,,Percent of Total Billed Charges,,,,,289.6,,,,,,,Percent of Total Billed Charges,,,,,405.44,,,,,,,Percent of Total Billed Charges,,,,,1158.4,,,,,,,Percent of Total Billed Charges,,,,,289.6,,,,,,,Percent of Total Billed Charges,,,, O/R DESTROY CERV/THOR FACET JNT ,64633RT ,CPT,RT,Outpatient,,,1448,1158.4,1081.66,,,,,,,Percent of Total Billed Charges,,1081.66,1081.66,,1448,,,,,,,Percent of Total Billed Charges,,,,,1390.08,,,,,,,Percent of Total Billed Charges,,,,,1375.6,,,,,,,Percent of Total Billed Charges,,,,,289.6,,,,,,,Percent of Total Billed Charges,,,,,1230.8,,,,,,,Percent of Total Billed Charges,,,,,304.08,,,,,,,Percent of Total Billed Charges,,,,,1303.2,,,,,,,Percent of Total Billed Charges,,,,,1303.2,,,,,,,Percent of Total Billed Charges,,,,,289.6,,,,,,,Percent of Total Billed Charges,,,,,405.44,,,,,,,Percent of Total Billed Charges,,,,,1158.4,,,,,,,Percent of Total Billed Charges,,,,,289.6,,,,,,,Percent of Total Billed Charges,,,, O/R DESTROY C/TH FACET JNT ADDL ,6463458,CPT,,Outpatient,,,845,676,631.22,,,,,,,Percent of Total Billed Charges,,631.22,631.22,,845,,,,,,,Percent of Total Billed Charges,,,,,811.2,,,,,,,Percent of Total Billed Charges,,,,,802.75,,,,,,,Percent of Total Billed Charges,,,,,169,,,,,,,Percent of Total Billed Charges,,,,,718.25,,,,,,,Percent of Total Billed Charges,,,,,177.45,,,,,,,Percent of Total Billed Charges,,,,,760.5,,,,,,,Percent of Total Billed Charges,,,,,760.5,,,,,,,Percent of Total Billed Charges,,,,,169,,,,,,,Percent of Total Billed Charges,,,,,236.6,,,,,,,Percent of Total Billed Charges,,,,,676,,,,,,,Percent of Total Billed Charges,,,,,169,,,,,,,Percent of Total Billed Charges,,,, O/R DESTROY C/TH FACET JNT ADDL ,64634LT ,CPT,LT,Outpatient,,,845,676,631.22,,,,,,,Percent of Total Billed Charges,,631.22,631.22,,845,,,,,,,Percent of Total Billed Charges,,,,,811.2,,,,,,,Percent of Total Billed Charges,,,,,802.75,,,,,,,Percent of Total Billed Charges,,,,,169,,,,,,,Percent of Total Billed Charges,,,,,718.25,,,,,,,Percent of Total Billed Charges,,,,,177.45,,,,,,,Percent of Total Billed Charges,,,,,760.5,,,,,,,Percent of Total Billed Charges,,,,,760.5,,,,,,,Percent of Total Billed Charges,,,,,169,,,,,,,Percent of Total Billed Charges,,,,,236.6,,,,,,,Percent of Total Billed Charges,,,,,676,,,,,,,Percent of Total Billed Charges,,,,,169,,,,,,,Percent of Total Billed Charges,,,, O/R DESTROY C/TH FACET JNT ADDL ,64634RT ,CPT,RT,Outpatient,,,845,676,631.22,,,,,,,Percent of Total Billed Charges,,631.22,631.22,,845,,,,,,,Percent of Total Billed Charges,,,,,811.2,,,,,,,Percent of Total Billed Charges,,,,,802.75,,,,,,,Percent of Total Billed Charges,,,,,169,,,,,,,Percent of Total Billed Charges,,,,,718.25,,,,,,,Percent of Total Billed Charges,,,,,177.45,,,,,,,Percent of Total Billed Charges,,,,,760.5,,,,,,,Percent of Total Billed Charges,,,,,760.5,,,,,,,Percent of Total Billed Charges,,,,,169,,,,,,,Percent of Total Billed Charges,,,,,236.6,,,,,,,Percent of Total Billed Charges,,,,,676,,,,,,,Percent of Total Billed Charges,,,,,169,,,,,,,Percent of Total Billed Charges,,,, O/R DESTROY LUMB/SAC FACET JNT ,6463550,CPT,,Outpatient,,,1460.5,1168.4,1090.99,,,,,,,Percent of Total Billed Charges,,1090.99,1090.99,,1460.5,,,,,,,Percent of Total Billed Charges,,,,,1402.08,,,,,,,Percent of Total Billed Charges,,,,,1387.48,,,,,,,Percent of Total Billed Charges,,,,,292.1,,,,,,,Percent of Total Billed Charges,,,,,1241.43,,,,,,,Percent of Total Billed Charges,,,,,306.71,,,,,,,Percent of Total Billed Charges,,,,,1314.45,,,,,,,Percent of Total Billed Charges,,,,,1314.45,,,,,,,Percent of Total Billed Charges,,,,,292.1,,,,,,,Percent of Total Billed Charges,,,,,408.94,,,,,,,Percent of Total Billed Charges,,,,,1168.4,,,,,,,Percent of Total Billed Charges,,,,,292.1,,,,,,,Percent of Total Billed Charges,,,, O/R DESTROY LUMB/SAC FACET JNT ,64635LT ,CPT,LT,Outpatient,,,1460.5,1168.4,1090.99,,,,,,,Percent of Total Billed Charges,,1090.99,1090.99,,1460.5,,,,,,,Percent of Total Billed Charges,,,,,1402.08,,,,,,,Percent of Total Billed Charges,,,,,1387.48,,,,,,,Percent of Total Billed Charges,,,,,292.1,,,,,,,Percent of Total Billed Charges,,,,,1241.43,,,,,,,Percent of Total Billed Charges,,,,,306.71,,,,,,,Percent of Total Billed Charges,,,,,1314.45,,,,,,,Percent of Total Billed Charges,,,,,1314.45,,,,,,,Percent of Total Billed Charges,,,,,292.1,,,,,,,Percent of Total Billed Charges,,,,,408.94,,,,,,,Percent of Total Billed Charges,,,,,1168.4,,,,,,,Percent of Total Billed Charges,,,,,292.1,,,,,,,Percent of Total Billed Charges,,,, O/R DESTROY LUMB/SAC FACET JNT ,64635RT ,CPT,RT,Outpatient,,,1460.5,1168.4,1090.99,,,,,,,Percent of Total Billed Charges,,1090.99,1090.99,,1460.5,,,,,,,Percent of Total Billed Charges,,,,,1402.08,,,,,,,Percent of Total Billed Charges,,,,,1387.48,,,,,,,Percent of Total Billed Charges,,,,,292.1,,,,,,,Percent of Total Billed Charges,,,,,1241.43,,,,,,,Percent of Total Billed Charges,,,,,306.71,,,,,,,Percent of Total Billed Charges,,,,,1314.45,,,,,,,Percent of Total Billed Charges,,,,,1314.45,,,,,,,Percent of Total Billed Charges,,,,,292.1,,,,,,,Percent of Total Billed Charges,,,,,408.94,,,,,,,Percent of Total Billed Charges,,,,,1168.4,,,,,,,Percent of Total Billed Charges,,,,,292.1,,,,,,,Percent of Total Billed Charges,,,, O/R DESTROY L/S FACET JNT ADDL ,64636LT ,CPT,LT,Outpatient,,,793,634.4,592.37,,,,,,,Percent of Total Billed Charges,,592.37,592.37,,793,,,,,,,Percent of Total Billed Charges,,,,,761.28,,,,,,,Percent of Total Billed Charges,,,,,753.35,,,,,,,Percent of Total Billed Charges,,,,,158.6,,,,,,,Percent of Total Billed Charges,,,,,674.05,,,,,,,Percent of Total Billed Charges,,,,,166.53,,,,,,,Percent of Total Billed Charges,,,,,713.7,,,,,,,Percent of Total Billed Charges,,,,,713.7,,,,,,,Percent of Total Billed Charges,,,,,158.6,,,,,,,Percent of Total Billed Charges,,,,,222.04,,,,,,,Percent of Total Billed Charges,,,,,634.4,,,,,,,Percent of Total Billed Charges,,,,,158.6,,,,,,,Percent of Total Billed Charges,,,, O/R DESTROY L/S FACET JNT ADDL ,64636RT ,CPT,RT,Outpatient,,,793,634.4,592.37,,,,,,,Percent of Total Billed Charges,,592.37,592.37,,793,,,,,,,Percent of Total Billed Charges,,,,,761.28,,,,,,,Percent of Total Billed Charges,,,,,753.35,,,,,,,Percent of Total Billed Charges,,,,,158.6,,,,,,,Percent of Total Billed Charges,,,,,674.05,,,,,,,Percent of Total Billed Charges,,,,,166.53,,,,,,,Percent of Total Billed Charges,,,,,713.7,,,,,,,Percent of Total Billed Charges,,,,,713.7,,,,,,,Percent of Total Billed Charges,,,,,158.6,,,,,,,Percent of Total Billed Charges,,,,,222.04,,,,,,,Percent of Total Billed Charges,,,,,634.4,,,,,,,Percent of Total Billed Charges,,,,,158.6,,,,,,,Percent of Total Billed Charges,,,, O/R CHEMODENERV TRUNK NUSC 1/5 ,64646,CPT,,Outpatient,,,536.5,429.2,400.77,,,,,,,Percent of Total Billed Charges,,400.77,400.77,,536.5,,,,,,,Percent of Total Billed Charges,,,,,515.04,,,,,,,Percent of Total Billed Charges,,,,,509.68,,,,,,,Percent of Total Billed Charges,,,,,107.3,,,,,,,Percent of Total Billed Charges,,,,,456.03,,,,,,,Percent of Total Billed Charges,,,,,112.67,,,,,,,Percent of Total Billed Charges,,,,,482.85,,,,,,,Percent of Total Billed Charges,,,,,482.85,,,,,,,Percent of Total Billed Charges,,,,,107.3,,,,,,,Percent of Total Billed Charges,,,,,150.22,,,,,,,Percent of Total Billed Charges,,,,,429.2,,,,,,,Percent of Total Billed Charges,,,,,107.3,,,,,,,Percent of Total Billed Charges,,,, O/R NEEDLE LOCAL BY XRAY (PC) ,7700226,CPT,,Outpatient,,,384,307.2,286.85,,,,,,,Percent of Total Billed Charges,,286.85,286.85,,384,,,,,,,Percent of Total Billed Charges,,,,,368.64,,,,,,,Percent of Total Billed Charges,,,,,364.8,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,80.64,,,,,,,Percent of Total Billed Charges,,,,,345.6,,,,,,,Percent of Total Billed Charges,,,,,345.6,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,107.52,,,,,,,Percent of Total Billed Charges,,,,,307.2,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,, O/R ANALYZE NEUROSTIM COMPLEX ,9597259,CPT,,Outpatient,,,187.5,150,140.06,,,,,,,Percent of Total Billed Charges,,140.06,140.06,,187.5,,,,,,,Percent of Total Billed Charges,,,,,180,,,,,,,Percent of Total Billed Charges,,,,,178.13,,,,,,,Percent of Total Billed Charges,,,,,37.5,,,,,,,Percent of Total Billed Charges,,,,,159.38,,,,,,,Percent of Total Billed Charges,,,,,39.38,,,,,,,Percent of Total Billed Charges,,,,,168.75,,,,,,,Percent of Total Billed Charges,,,,,168.75,,,,,,,Percent of Total Billed Charges,,,,,37.5,,,,,,,Percent of Total Billed Charges,,,,,52.5,,,,,,,Percent of Total Billed Charges,,,,,150,,,,,,,Percent of Total Billed Charges,,,,,37.5,,,,,,,Percent of Total Billed Charges,,,, O/R SPIN/BRAIN PUMP REFIL & MAIN ,95991,CPT,,Outpatient,,,366.5,293.2,273.78,,,,,,,Percent of Total Billed Charges,,273.78,273.78,,366.5,,,,,,,Percent of Total Billed Charges,,,,,351.84,,,,,,,Percent of Total Billed Charges,,,,,348.18,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,311.53,,,,,,,Percent of Total Billed Charges,,,,,76.97,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,102.62,,,,,,,Percent of Total Billed Charges,,,,,293.2,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,, R/R ROOM TIME CLASS 1 ,250,RC,,Outpatient,,,548,438.4,409.36,,,,,,,Percent of Total Billed Charges,,409.36,409.36,,548,,,,,,,Percent of Total Billed Charges,,,,,526.08,,,,,,,Percent of Total Billed Charges,,,,,520.6,,,,,,,Percent of Total Billed Charges,,,,,109.6,,,,,,,Percent of Total Billed Charges,,,,,465.8,,,,,,,Percent of Total Billed Charges,,,,,115.08,,,,,,,Percent of Total Billed Charges,,,,,493.2,,,,,,,Percent of Total Billed Charges,,,,,493.2,,,,,,,Percent of Total Billed Charges,,,,,109.6,,,,,,,Percent of Total Billed Charges,,,,,153.44,,,,,,,Percent of Total Billed Charges,,,,,438.4,,,,,,,Percent of Total Billed Charges,,,,,109.6,,,,,,,Percent of Total Billed Charges,,,, R/R ROOM TIME CLASS 2 ,250,RC,,Outpatient,,,711.5,569.2,531.49,,,,,,,Percent of Total Billed Charges,,531.49,531.49,,711.5,,,,,,,Percent of Total Billed Charges,,,,,683.04,,,,,,,Percent of Total Billed Charges,,,,,675.93,,,,,,,Percent of Total Billed Charges,,,,,142.3,,,,,,,Percent of Total Billed Charges,,,,,604.78,,,,,,,Percent of Total Billed Charges,,,,,149.42,,,,,,,Percent of Total Billed Charges,,,,,640.35,,,,,,,Percent of Total Billed Charges,,,,,640.35,,,,,,,Percent of Total Billed Charges,,,,,142.3,,,,,,,Percent of Total Billed Charges,,,,,199.22,,,,,,,Percent of Total Billed Charges,,,,,569.2,,,,,,,Percent of Total Billed Charges,,,,,142.3,,,,,,,Percent of Total Billed Charges,,,, R/R ROOM TIME CLASS 3 ,99204,CPT,,Outpatient,,,879,703.2,656.61,,,,,,,Percent of Total Billed Charges,,656.61,656.61,,879,,,,,,,Percent of Total Billed Charges,,,,,843.84,,,,,,,Percent of Total Billed Charges,,,,,835.05,,,,,,,Percent of Total Billed Charges,,,,,175.8,,,,,,,Percent of Total Billed Charges,,,,,747.15,,,,,,,Percent of Total Billed Charges,,,,,184.59,,,,,,,Percent of Total Billed Charges,,,,,791.1,,,,,,,Percent of Total Billed Charges,,,,,791.1,,,,,,,Percent of Total Billed Charges,,,,,175.8,,,,,,,Percent of Total Billed Charges,,,,,246.12,,,,,,,Percent of Total Billed Charges,,,,,703.2,,,,,,,Percent of Total Billed Charges,,,,,175.8,,,,,,,Percent of Total Billed Charges,,,, R/R RM ADD 15MIN CLASS 1 ,250,RC,,Outpatient,,,79,63.2,59.01,,,,,,,Percent of Total Billed Charges,,59.01,59.01,,79,,,,,,,Percent of Total Billed Charges,,,,,75.84,,,,,,,Percent of Total Billed Charges,,,,,75.05,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,67.15,,,,,,,Percent of Total Billed Charges,,,,,16.59,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,22.12,,,,,,,Percent of Total Billed Charges,,,,,63.2,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,, R/R RM ADD 15MIN CLASS II ,250,RC,,Outpatient,,,135.5,108.4,101.22,,,,,,,Percent of Total Billed Charges,,101.22,101.22,,135.5,,,,,,,Percent of Total Billed Charges,,,,,130.08,,,,,,,Percent of Total Billed Charges,,,,,128.73,,,,,,,Percent of Total Billed Charges,,,,,27.1,,,,,,,Percent of Total Billed Charges,,,,,115.18,,,,,,,Percent of Total Billed Charges,,,,,28.46,,,,,,,Percent of Total Billed Charges,,,,,121.95,,,,,,,Percent of Total Billed Charges,,,,,121.95,,,,,,,Percent of Total Billed Charges,,,,,27.1,,,,,,,Percent of Total Billed Charges,,,,,37.94,,,,,,,Percent of Total Billed Charges,,,,,108.4,,,,,,,Percent of Total Billed Charges,,,,,27.1,,,,,,,Percent of Total Billed Charges,,,, R/R RM ADD 15MIN CLASS III ,250,RC,,Outpatient,,,205.5,164.4,153.51,,,,,,,Percent of Total Billed Charges,,153.51,153.51,,205.5,,,,,,,Percent of Total Billed Charges,,,,,197.28,,,,,,,Percent of Total Billed Charges,,,,,195.23,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,174.68,,,,,,,Percent of Total Billed Charges,,,,,43.16,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,57.54,,,,,,,Percent of Total Billed Charges,,,,,164.4,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,, R/R TAG BOTTLE ,250,RC,,Outpatient,,,75,60,56.03,,,,,,,Percent of Total Billed Charges,,56.03,56.03,,75,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,71.25,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,63.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,, R/R MONITORING #2 ,93041,CPT,,Outpatient,,,444,355.2,331.67,,,,,,,Percent of Total Billed Charges,,331.67,331.67,,444,,,,,,,Percent of Total Billed Charges,,,,,426.24,,,,,,,Percent of Total Billed Charges,,,,,421.8,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,,,377.4,,,,,,,Percent of Total Billed Charges,,,,,93.24,,,,,,,Percent of Total Billed Charges,,,,,399.6,,,,,,,Percent of Total Billed Charges,,,,,399.6,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,,,124.32,,,,,,,Percent of Total Billed Charges,,,,,355.2,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,, O/R PULSE OXIMETRY ,94760,CPT,,Outpatient,,,211.5,169.2,157.99,,,,,,,Percent of Total Billed Charges,,157.99,157.99,,211.5,,,,,,,Percent of Total Billed Charges,,,,,203.04,,,,,,,Percent of Total Billed Charges,,,,,200.93,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,179.78,,,,,,,Percent of Total Billed Charges,,,,,44.42,,,,,,,Percent of Total Billed Charges,,,,,190.35,,,,,,,Percent of Total Billed Charges,,,,,190.35,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,59.22,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,, "TEGADERM DRESSING 2"" ",250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, "TEGADERM DRESSING 4"" ",250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, "TEGADERM DRESSING 6"" ",250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, SHOWER GLOVE ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, SORBAVIEW SHIELD SMALL PERIPHERAL DRESS.,250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, "DRESSING,TEGADERM ABSORBENT CLEAR ",250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, "DRESSING,ALLEVYN COMPOSITE FOAM 4X4 ",250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, PERMAFOAM COMFORT ADHESIVE 4X4 ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, FLEXIGEL HYDROGEL SHEET DRESSING 4X4 ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, "DRESSING,BIOPATCH BLUE 1""X 4.0 ",250,RC,,Outpatient,,,38.5,30.8,28.76,,,,,,,Percent of Total Billed Charges,,28.76,28.76,,38.5,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,36.58,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,32.73,,,,,,,Percent of Total Billed Charges,,,,,8.09,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,10.78,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,, "DRESSING,WOUND CURAGEL HYDROGEL 4X4 ",250,RC,,Outpatient,,,35,28,26.15,,,,,,,Percent of Total Billed Charges,,26.15,26.15,,35,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,33.25,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,29.75,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,, "DRESSING,DUODERM CGF 4X4 ",250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, COMBIDERM ACD DRESSING 4X4 ,250,RC,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, "DRESSING, MEPILEX BORDER 4X12 ",250,RC,,Outpatient,,,22.5,18,16.81,,,,,,,Percent of Total Billed Charges,,16.81,16.81,,22.5,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,, "DRESSING, MEPILEX BORDER 4X4 ",250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, "DRESSING, MEPILEX BORDER 3X3 ",250,RC,,Outpatient,,,7.5,6,5.6,,,,,,,Percent of Total Billed Charges,,5.6,5.6,,7.5,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.13,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,, "DRESSING, MEPILEX BORDER 3X3 AG ",250,RC,,Outpatient,,,71,56.8,53.04,,,,,,,Percent of Total Billed Charges,,53.04,53.04,,71,,,,,,,Percent of Total Billed Charges,,,,,68.16,,,,,,,Percent of Total Billed Charges,,,,,67.45,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,60.35,,,,,,,Percent of Total Billed Charges,,,,,14.91,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,19.88,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,, "DRESSING, MEPILEX BORDER 4X4 AG ",250,RC,,Outpatient,,,34,27.2,25.4,,,,,,,Percent of Total Billed Charges,,25.4,25.4,,34,,,,,,,Percent of Total Billed Charges,,,,,32.64,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,9.52,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,, "DRESSING, MEPILEX AG 8x20 ",250,RC,,Outpatient,,,270.5,216.4,202.06,,,,,,,Percent of Total Billed Charges,,202.06,202.06,,270.5,,,,,,,Percent of Total Billed Charges,,,,,259.68,,,,,,,Percent of Total Billed Charges,,,,,256.98,,,,,,,Percent of Total Billed Charges,,,,,54.1,,,,,,,Percent of Total Billed Charges,,,,,229.93,,,,,,,Percent of Total Billed Charges,,,,,56.81,,,,,,,Percent of Total Billed Charges,,,,,243.45,,,,,,,Percent of Total Billed Charges,,,,,243.45,,,,,,,Percent of Total Billed Charges,,,,,54.1,,,,,,,Percent of Total Billed Charges,,,,,75.74,,,,,,,Percent of Total Billed Charges,,,,,216.4,,,,,,,Percent of Total Billed Charges,,,,,54.1,,,,,,,Percent of Total Billed Charges,,,, "DRESSING, MEPILEX FOAM 4X4 AG ",250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, HYDROFERA BLUE 2.5X2.5 ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, "DRESSING,OPTIFOAM GENTLE 7X7 ",250,RC,,Outpatient,,,36.5,29.2,27.27,,,,,,,Percent of Total Billed Charges,,27.27,27.27,,36.5,,,,,,,Percent of Total Billed Charges,,,,,35.04,,,,,,,Percent of Total Billed Charges,,,,,34.68,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,31.03,,,,,,,Percent of Total Billed Charges,,,,,7.67,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,, "DRESSING, MEPILEX SACRUM 6X7 ",250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, HYDROFERA BLUE 4X5 TRANSFER ,250,RC,,Outpatient,,,24.5,19.6,18.3,,,,,,,Percent of Total Billed Charges,,18.3,18.3,,24.5,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,23.28,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,20.83,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,6.86,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,, "DRESSING, MEPILEX BORDER 6X6 ",250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, "DRESSING PURACOL 1""X1"" ",250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, HYDROFERA BLUE 6X6 CLASSIC ,250,RC,,Outpatient,,,47,37.6,35.11,,,,,,,Percent of Total Billed Charges,,35.11,35.11,,47,,,,,,,Percent of Total Billed Charges,,,,,45.12,,,,,,,Percent of Total Billed Charges,,,,,44.65,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,39.95,,,,,,,Percent of Total Billed Charges,,,,,9.87,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,13.16,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,, HYDROFERA BLUE 8X8 TRANSFER ,250,RC,,Outpatient,,,50,40,37.35,,,,,,,Percent of Total Billed Charges,,37.35,37.35,,50,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,, HYDROFERA BLUE READY 4X5 ,250,RC,,Outpatient,,,21.5,17.2,16.06,,,,,,,Percent of Total Billed Charges,,16.06,16.06,,21.5,,,,,,,Percent of Total Billed Charges,,,,,20.64,,,,,,,Percent of Total Billed Charges,,,,,20.43,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,18.28,,,,,,,Percent of Total Billed Charges,,,,,4.52,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,6.02,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,, "DRESSING, MEPILEX TRANSFER 6X8 ",250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, ENDOFORM NATURAL 2X2 ,250,RC,,Outpatient,,,45,36,33.62,,,,,,,Percent of Total Billed Charges,,33.62,33.62,,45,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,42.75,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,38.25,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,, "DRESSING, V.A.C SMALL PEEL AND PLACE ",250,RC,,Outpatient,,,312,249.6,233.06,,,,,,,Percent of Total Billed Charges,,233.06,233.06,,312,,,,,,,Percent of Total Billed Charges,,,,,299.52,,,,,,,Percent of Total Billed Charges,,,,,296.4,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,,,265.2,,,,,,,Percent of Total Billed Charges,,,,,65.52,,,,,,,Percent of Total Billed Charges,,,,,280.8,,,,,,,Percent of Total Billed Charges,,,,,280.8,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,,,87.36,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,, "DRESSING, V.A.C MEDIUM PEEL AND PLACE ",250,RC,,Outpatient,,,393.5,314.8,293.94,,,,,,,Percent of Total Billed Charges,,293.94,293.94,,393.5,,,,,,,Percent of Total Billed Charges,,,,,377.76,,,,,,,Percent of Total Billed Charges,,,,,373.83,,,,,,,Percent of Total Billed Charges,,,,,78.7,,,,,,,Percent of Total Billed Charges,,,,,334.48,,,,,,,Percent of Total Billed Charges,,,,,82.64,,,,,,,Percent of Total Billed Charges,,,,,354.15,,,,,,,Percent of Total Billed Charges,,,,,354.15,,,,,,,Percent of Total Billed Charges,,,,,78.7,,,,,,,Percent of Total Billed Charges,,,,,110.18,,,,,,,Percent of Total Billed Charges,,,,,314.8,,,,,,,Percent of Total Billed Charges,,,,,78.7,,,,,,,Percent of Total Billed Charges,,,, "DRESSING, V.A.C LARGE PEEL AND PLACE ",250,RC,,Outpatient,,,407,325.6,304.03,,,,,,,Percent of Total Billed Charges,,304.03,304.03,,407,,,,,,,Percent of Total Billed Charges,,,,,390.72,,,,,,,Percent of Total Billed Charges,,,,,386.65,,,,,,,Percent of Total Billed Charges,,,,,81.4,,,,,,,Percent of Total Billed Charges,,,,,345.95,,,,,,,Percent of Total Billed Charges,,,,,85.47,,,,,,,Percent of Total Billed Charges,,,,,366.3,,,,,,,Percent of Total Billed Charges,,,,,366.3,,,,,,,Percent of Total Billed Charges,,,,,81.4,,,,,,,Percent of Total Billed Charges,,,,,113.96,,,,,,,Percent of Total Billed Charges,,,,,325.6,,,,,,,Percent of Total Billed Charges,,,,,81.4,,,,,,,Percent of Total Billed Charges,,,, "GAUZE,XEROFORM 4""X 9 YRDS ",250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, MAXORB EXTRA AG CMC/ALGINATE DRESSING ,250,RC,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, "GAUZE,PETROLATUM,XEROFORM 4X4 ",250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, "GAUZE,PETROLATUM,XEROFORM 5X9 ",250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, "AQUACEL AG HYDROFIBER RIBBON 3/4"" X 18"" ",250,RC,,Outpatient,,,50.5,40.4,37.72,,,,,,,Percent of Total Billed Charges,,37.72,37.72,,50.5,,,,,,,Percent of Total Billed Charges,,,,,48.48,,,,,,,Percent of Total Billed Charges,,,,,47.98,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,42.93,,,,,,,Percent of Total Billed Charges,,,,,10.61,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,14.14,,,,,,,Percent of Total Billed Charges,,,,,40.4,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,, O/R AQUACEL AG 3.5X10 ,250,RC,,Outpatient,,,119.5,95.6,89.27,,,,,,,Percent of Total Billed Charges,,89.27,89.27,,119.5,,,,,,,Percent of Total Billed Charges,,,,,114.72,,,,,,,Percent of Total Billed Charges,,,,,113.53,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,101.58,,,,,,,Percent of Total Billed Charges,,,,,25.1,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,33.46,,,,,,,Percent of Total Billed Charges,,,,,95.6,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,, TELFA 4 X 10 ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, OPTILOCK 4X4 DRESSING ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, OPTICEL AG 6X6 ,250,RC,,Outpatient,,,93,74.4,69.47,,,,,,,Percent of Total Billed Charges,,69.47,69.47,,93,,,,,,,Percent of Total Billed Charges,,,,,89.28,,,,,,,Percent of Total Billed Charges,,,,,88.35,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,79.05,,,,,,,Percent of Total Billed Charges,,,,,19.53,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,26.04,,,,,,,Percent of Total Billed Charges,,,,,74.4,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,, SORBACT CUTIMED 4X4 ,250,RC,,Outpatient,,,35,28,26.15,,,,,,,Percent of Total Billed Charges,,26.15,26.15,,35,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,33.25,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,29.75,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,, MAXORB II ALGINATE DRESSING 4X5 ,250,RC,,Outpatient,,,49.5,39.6,36.98,,,,,,,Percent of Total Billed Charges,,36.98,36.98,,49.5,,,,,,,Percent of Total Billed Charges,,,,,47.52,,,,,,,Percent of Total Billed Charges,,,,,47.03,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,42.08,,,,,,,Percent of Total Billed Charges,,,,,10.4,,,,,,,Percent of Total Billed Charges,,,,,44.55,,,,,,,Percent of Total Billed Charges,,,,,44.55,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,13.86,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,, OPTILOCK 8X12 DRESSING ,250,RC,,Outpatient,,,24.5,19.6,18.3,,,,,,,Percent of Total Billed Charges,,18.3,18.3,,24.5,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,23.28,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,20.83,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,6.86,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,, QWICK 4X4 DRESSING FENESTRATED ,250,RC,,Outpatient,,,49,39.2,36.6,,,,,,,Percent of Total Billed Charges,,36.6,36.6,,49,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,46.55,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,41.65,,,,,,,Percent of Total Billed Charges,,,,,10.29,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,13.72,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,, QWICK 6.125X8 DRESSING ,250,RC,,Outpatient,,,38,30.4,28.39,,,,,,,Percent of Total Billed Charges,,28.39,28.39,,38,,,,,,,Percent of Total Billed Charges,,,,,36.48,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,,,7.98,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,10.64,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,, DRAWTEX 6X8 DRESSING ,250,RC,,Outpatient,,,48.5,38.8,36.23,,,,,,,Percent of Total Billed Charges,,36.23,36.23,,48.5,,,,,,,Percent of Total Billed Charges,,,,,46.56,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,41.23,,,,,,,Percent of Total Billed Charges,,,,,10.19,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,13.58,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,, KERRA MAX 4X4 SUPER ABSORB ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, ADAPTIC 3X3 ,250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, ADAPTIC 3X8 ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, "NU-GAUZE, 1/4"" PLAIN ",250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, "NU-GAUZE 1/2"" PLAIN ",250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, "NU-GAUZE 1"" PLAIN ",250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, "NU-GAUZE 2"" PLAIN ",250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, "NU-GAUZE 1/4"" IODOFORM ",250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, "NU-GAUZE 1/2"" IODOFORM ",250,RC,,Outpatient,,,13.5,10.8,10.08,,,,,,,Percent of Total Billed Charges,,10.08,10.08,,13.5,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,, "NU-GAUZE 1"" IODOFORM ",250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, "NU-GAUZE 2"" IODOFORM ",250,RC,,Outpatient,,,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, DUODERM 4X4 ,250,RC,,Outpatient,,,46.5,37.2,34.74,,,,,,,Percent of Total Billed Charges,,34.74,34.74,,46.5,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,,,44.18,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,39.53,,,,,,,Percent of Total Billed Charges,,,,,9.77,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,, "ARTERY CATHETER SET 20 GAX1.5"" ",250,RC,,Outpatient,,,32.5,26,24.28,,,,,,,Percent of Total Billed Charges,,24.28,24.28,,32.5,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,30.88,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,27.63,,,,,,,Percent of Total Billed Charges,,,,,6.83,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,, "DRESSING, AQUACEL SURGICAL, 3.5""X10 ",250,RC,,Outpatient,,,141.5,113.2,105.7,,,,,,,Percent of Total Billed Charges,,105.7,105.7,,141.5,,,,,,,Percent of Total Billed Charges,,,,,135.84,,,,,,,Percent of Total Billed Charges,,,,,134.43,,,,,,,Percent of Total Billed Charges,,,,,28.3,,,,,,,Percent of Total Billed Charges,,,,,120.28,,,,,,,Percent of Total Billed Charges,,,,,29.72,,,,,,,Percent of Total Billed Charges,,,,,127.35,,,,,,,Percent of Total Billed Charges,,,,,127.35,,,,,,,Percent of Total Billed Charges,,,,,28.3,,,,,,,Percent of Total Billed Charges,,,,,39.62,,,,,,,Percent of Total Billed Charges,,,,,113.2,,,,,,,Percent of Total Billed Charges,,,,,28.3,,,,,,,Percent of Total Billed Charges,,,, ADAPTOR EMERSON PUMP ,250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, AIRWAY NASAL 6.5MM ,250,RC,,Outpatient,,,13.5,10.8,10.08,,,,,,,Percent of Total Billed Charges,,10.08,10.08,,13.5,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,, AIRWAY NASAL 7.0MM ,250,RC,,Outpatient,,,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, AIRWAY NASAL 7.5MM ,250,RC,,Outpatient,,,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, AIRWAY NASAL 8.0MM ,250,RC,,Outpatient,,,13.5,10.8,10.08,,,,,,,Percent of Total Billed Charges,,10.08,10.08,,13.5,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,, AIRWAY NASAL 36FR ,250,RC,,Outpatient,,,13.5,10.8,10.08,,,,,,,Percent of Total Billed Charges,,10.08,10.08,,13.5,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,, "ARMBOARD,DISP. INFANT, 2"" X 9"" ",250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, "ARMBOARD,DISP. PED. 3"" X 9"" ",250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, "ARMBOARD,DISPOSABLE, ADULT ",250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, "INTERDRY AG, 10X12' COLOPLAST ",250,RC,,Outpatient,,,169.8,135.84,126.84,,,,,,,Percent of Total Billed Charges,,126.84,126.84,,169.8,,,,,,,Percent of Total Billed Charges,,,,,163.01,,,,,,,Percent of Total Billed Charges,,,,,161.31,,,,,,,Percent of Total Billed Charges,,,,,33.96,,,,,,,Percent of Total Billed Charges,,,,,144.33,,,,,,,Percent of Total Billed Charges,,,,,35.66,,,,,,,Percent of Total Billed Charges,,,,,152.82,,,,,,,Percent of Total Billed Charges,,,,,152.82,,,,,,,Percent of Total Billed Charges,,,,,33.96,,,,,,,Percent of Total Billed Charges,,,,,47.54,,,,,,,Percent of Total Billed Charges,,,,,135.84,,,,,,,Percent of Total Billed Charges,,,,,33.96,,,,,,,Percent of Total Billed Charges,,,, "BANDAGE 2"" ELASTIC ",250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "BANDAGE 3"" ELASTIC ",250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, "BANDAGE 4"" ELASTIC ",250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, "BANDAGE 6"" ELASTIC ",250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, "BANDAGE 2"" KLING ",250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, "BANDAGE 3"" KLING ",250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, "BANDAGE 4"" KLING ",250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, "BANDAGE 6"" KLING ",250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, BANDAGE TRIANGULAR ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, BAG BILE ,250,RC,,Outpatient,,,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, BAG ENEMA ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, O/R BASIN KIT ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, BOOT TRACTION UNIVERSAL ,250,RC,,Outpatient,,,73.5,58.8,54.9,,,,,,,Percent of Total Billed Charges,,54.9,54.9,,73.5,,,,,,,Percent of Total Billed Charges,,,,,70.56,,,,,,,Percent of Total Billed Charges,,,,,69.83,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,62.48,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,66.15,,,,,,,Percent of Total Billed Charges,,,,,66.15,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,58.8,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,, "SUCTION CANISTER, 2500ML ",250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, CATH DELEE SUCTION 10FR ,250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, CATH 8 FR 3CC BALLOON PED ,250,RC,,Outpatient,,,28,22.4,20.92,,,,,,,Percent of Total Billed Charges,,20.92,20.92,,28,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,, CATH 10FR 3CC BALLOON PED ,250,RC,,Outpatient,,,28,22.4,20.92,,,,,,,Percent of Total Billed Charges,,20.92,20.92,,28,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,, CATH 12 FR 5CC BALLOON ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, CATH 14 FR 5CC BALLOON ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, CATH 16 FR 5CC BALLOON ,250,RC,,Outpatient,,,26.5,21.2,19.8,,,,,,,Percent of Total Billed Charges,,19.8,19.8,,26.5,,,,,,,Percent of Total Billed Charges,,,,,25.44,,,,,,,Percent of Total Billed Charges,,,,,25.18,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,22.53,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,7.42,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,, CATH 18 FR 5CC BALLOON ,250,RC,,Outpatient,,,21,16.8,15.69,,,,,,,Percent of Total Billed Charges,,15.69,15.69,,21,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,19.95,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,, "CATHETER,12FR. SILICONE FOLEY 10ML ",250,RC,,Outpatient,,,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, "CATHETER,12FR. URETHRAL RED RUBBER ",250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, CATH 20FR 10ML BALLOON ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "CATHETER,FOLEY COUDE 5CC 24FR 2-PORT ",250,RC,,Outpatient,,,64.5,51.6,48.18,,,,,,,Percent of Total Billed Charges,,48.18,48.18,,64.5,,,,,,,Percent of Total Billed Charges,,,,,61.92,,,,,,,Percent of Total Billed Charges,,,,,61.28,,,,,,,Percent of Total Billed Charges,,,,,12.9,,,,,,,Percent of Total Billed Charges,,,,,54.83,,,,,,,Percent of Total Billed Charges,,,,,13.55,,,,,,,Percent of Total Billed Charges,,,,,58.05,,,,,,,Percent of Total Billed Charges,,,,,58.05,,,,,,,Percent of Total Billed Charges,,,,,12.9,,,,,,,Percent of Total Billed Charges,,,,,18.06,,,,,,,Percent of Total Billed Charges,,,,,51.6,,,,,,,Percent of Total Billed Charges,,,,,12.9,,,,,,,Percent of Total Billed Charges,,,, "CATHETER,FOLEY 30CC 24FR 2-PORT ",250,RC,,Outpatient,,,77,61.6,57.52,,,,,,,Percent of Total Billed Charges,,57.52,57.52,,77,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,73.15,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,65.45,,,,,,,Percent of Total Billed Charges,,,,,16.17,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,21.56,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,, FOLEY CATH SHORT TIP 16FR ,250,RC,,Outpatient,,,93,74.4,69.47,,,,,,,Percent of Total Billed Charges,,69.47,69.47,,93,,,,,,,Percent of Total Billed Charges,,,,,89.28,,,,,,,Percent of Total Billed Charges,,,,,88.35,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,79.05,,,,,,,Percent of Total Billed Charges,,,,,19.53,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,26.04,,,,,,,Percent of Total Billed Charges,,,,,74.4,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,, FOLEY CATH SHORT TIP 18FR ,250,RC,,Outpatient,,,93,74.4,69.47,,,,,,,Percent of Total Billed Charges,,69.47,69.47,,93,,,,,,,Percent of Total Billed Charges,,,,,89.28,,,,,,,Percent of Total Billed Charges,,,,,88.35,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,79.05,,,,,,,Percent of Total Billed Charges,,,,,19.53,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,26.04,,,,,,,Percent of Total Billed Charges,,,,,74.4,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,, FOLEY CATH 22 FR ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, CATH 24 FR 30CC CONT IRRIG ,250,RC,,Outpatient,,,62.5,50,46.69,,,,,,,Percent of Total Billed Charges,,46.69,46.69,,62.5,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,,,59.38,,,,,,,Percent of Total Billed Charges,,,,,12.5,,,,,,,Percent of Total Billed Charges,,,,,53.13,,,,,,,Percent of Total Billed Charges,,,,,13.13,,,,,,,Percent of Total Billed Charges,,,,,56.25,,,,,,,Percent of Total Billed Charges,,,,,56.25,,,,,,,Percent of Total Billed Charges,,,,,12.5,,,,,,,Percent of Total Billed Charges,,,,,17.5,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,,,12.5,,,,,,,Percent of Total Billed Charges,,,, "CATHETER, COUDE FOLEY 14FR 30CC ",250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, "CATHETER , COUDE 16FR 30CC ",250,RC,,Outpatient,,,79.5,63.6,59.39,,,,,,,Percent of Total Billed Charges,,59.39,59.39,,79.5,,,,,,,Percent of Total Billed Charges,,,,,76.32,,,,,,,Percent of Total Billed Charges,,,,,75.53,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,67.58,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,71.55,,,,,,,Percent of Total Billed Charges,,,,,71.55,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,63.6,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,, FOLEY CATH 8FR ,250,RC,,Outpatient,,,25,20,18.68,,,,,,,Percent of Total Billed Charges,,18.68,18.68,,25,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,23.75,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,21.25,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,, "CATHETER,FOLEY , SILICONE 16FR 5CC BALLO",250,RC,,Outpatient,,,28,22.4,20.92,,,,,,,Percent of Total Billed Charges,,20.92,20.92,,28,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,, "CATHETER,FOLEY, SILICONE 18FR 5CC BALLOO",250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, "CATHETER, FOLEY, SILICONE 3WAY, 22FR ",250,RC,,Outpatient,,,39.5,31.6,29.51,,,,,,,Percent of Total Billed Charges,,29.51,29.51,,39.5,,,,,,,Percent of Total Billed Charges,,,,,37.92,,,,,,,Percent of Total Billed Charges,,,,,37.53,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,33.58,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,11.06,,,,,,,Percent of Total Billed Charges,,,,,31.6,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,, CATH SUCTION WHISTLE TIP 10 FR ,250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, CATH SUCTION WHISTLE TIP 12 FR ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, CATH SUCTION WHISTLE TIP 14 FR ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, CATH SUCTION WHISTLE TIP 16 FR ,250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, CATH SUCTION WHISTLE TIP 18FR ,250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, "CATHETER, FEMALE EXTERNAL ",250,RC,,Outpatient,,,47,37.6,35.11,,,,,,,Percent of Total Billed Charges,,35.11,35.11,,47,,,,,,,Percent of Total Billed Charges,,,,,45.12,,,,,,,Percent of Total Billed Charges,,,,,44.65,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,39.95,,,,,,,Percent of Total Billed Charges,,,,,9.87,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,13.16,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,, "CATHETER, MALE EXTERNAL ",250,RC,,Outpatient,,,118,94.4,88.15,,,,,,,Percent of Total Billed Charges,,88.15,88.15,,118,,,,,,,Percent of Total Billed Charges,,,,,113.28,,,,,,,Percent of Total Billed Charges,,,,,112.1,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,33.04,,,,,,,Percent of Total Billed Charges,,,,,94.4,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,, "CATHETER,THORACIC 12FR ",250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, "CATHETER,THORACIC 16FR ",250,RC,,Outpatient,,,52,41.6,38.84,,,,,,,Percent of Total Billed Charges,,38.84,38.84,,52,,,,,,,Percent of Total Billed Charges,,,,,49.92,,,,,,,Percent of Total Billed Charges,,,,,49.4,,,,,,,Percent of Total Billed Charges,,,,,10.4,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,,,10.92,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,10.4,,,,,,,Percent of Total Billed Charges,,,,,14.56,,,,,,,Percent of Total Billed Charges,,,,,41.6,,,,,,,Percent of Total Billed Charges,,,,,10.4,,,,,,,Percent of Total Billed Charges,,,, "CATHETER,THORACIC 20FR ",250,RC,,Outpatient,,,35,28,26.15,,,,,,,Percent of Total Billed Charges,,26.15,26.15,,35,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,33.25,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,29.75,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,, "CATHETER,THORACIC 24FR ",250,RC,,Outpatient,,,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, "CATHETER,THORACIC 28FR ",250,RC,,Outpatient,,,21,16.8,15.69,,,,,,,Percent of Total Billed Charges,,15.69,15.69,,21,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,19.95,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,, "CATHETER,THORACIC 32FR ",250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, "CATHETER,THORACIC 36FR ",250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, "CATHETER,THORACIC 40FR ",250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, "VALVE, CHEST DRAIN, HEIMLICH ",250,RC,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, "CATHETER, UMBILICAL 5FR DOUBLE LUMEN ",250,RC,,Outpatient,,,152.5,122,113.92,,,,,,,Percent of Total Billed Charges,,113.92,113.92,,152.5,,,,,,,Percent of Total Billed Charges,,,,,146.4,,,,,,,Percent of Total Billed Charges,,,,,144.88,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,,,129.63,,,,,,,Percent of Total Billed Charges,,,,,32.03,,,,,,,Percent of Total Billed Charges,,,,,137.25,,,,,,,Percent of Total Billed Charges,,,,,137.25,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,,,42.7,,,,,,,Percent of Total Billed Charges,,,,,122,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,, "CATHETER, UMBILICAL 5FR DOUBLE LUMEN ",250,RC,,Outpatient,,,152.5,122,113.92,,,,,,,Percent of Total Billed Charges,,113.92,113.92,,152.5,,,,,,,Percent of Total Billed Charges,,,,,146.4,,,,,,,Percent of Total Billed Charges,,,,,144.88,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,,,129.63,,,,,,,Percent of Total Billed Charges,,,,,32.03,,,,,,,Percent of Total Billed Charges,,,,,137.25,,,,,,,Percent of Total Billed Charges,,,,,137.25,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,,,42.7,,,,,,,Percent of Total Billed Charges,,,,,122,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,, "CATHETER, COUDE FOLEY 16FR 5CC BALLOON ",250,RC,,Outpatient,,,77.5,62,57.89,,,,,,,Percent of Total Billed Charges,,57.89,57.89,,77.5,,,,,,,Percent of Total Billed Charges,,,,,74.4,,,,,,,Percent of Total Billed Charges,,,,,73.63,,,,,,,Percent of Total Billed Charges,,,,,15.5,,,,,,,Percent of Total Billed Charges,,,,,65.88,,,,,,,Percent of Total Billed Charges,,,,,16.28,,,,,,,Percent of Total Billed Charges,,,,,69.75,,,,,,,Percent of Total Billed Charges,,,,,69.75,,,,,,,Percent of Total Billed Charges,,,,,15.5,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,,,15.5,,,,,,,Percent of Total Billed Charges,,,, "CATHETER, LEG BAG HOLDER ",250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, "BAG, LEG CATH ",250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, CATH SUCTION 8FR ,250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, "BAG,URINARY DRAINAGE ",250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, CATHETER SUCTION 5FR (DISCONTINUE 4/12) ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, CATH PLUG & DRAIN ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, CYSTO BLADDER IRRIGATION KIT ,250,RC,,Outpatient,,,21,16.8,15.69,,,,,,,Percent of Total Billed Charges,,15.69,15.69,,21,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,19.95,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,, LUER LOCK CAP MALE NON-VENTED ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, CHEST DRAINAGE UNIT ,250,RC,,Outpatient,,,159,127.2,118.77,,,,,,,Percent of Total Billed Charges,,118.77,118.77,,159,,,,,,,Percent of Total Billed Charges,,,,,152.64,,,,,,,Percent of Total Billed Charges,,,,,151.05,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,135.15,,,,,,,Percent of Total Billed Charges,,,,,33.39,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,127.2,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,, SPECIMEN URINE ADULT STR ,250,RC,,Outpatient,,,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, COLLECTOR URINE ADULT STR ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, MIDSTREAM URINE SPECIMEN(MALE & FEMALE) ,250,RC,,Outpatient,,,7.5,6,5.6,,,,,,,Percent of Total Billed Charges,,5.6,5.6,,7.5,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.13,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,, COLLECTOR URINE PEDS ,250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, COLLECTOR SPECIMEN STOOL ,250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, "ANCHOR, FOLEY CATHETER ",250,RC,,Outpatient,,,13.5,10.8,10.08,,,,,,,Percent of Total Billed Charges,,10.08,10.08,,13.5,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,, CAUTERY ACCU-TEMP ,250,RC,,Outpatient,,,29.5,23.6,22.04,,,,,,,Percent of Total Billed Charges,,22.04,22.04,,29.5,,,,,,,Percent of Total Billed Charges,,,,,28.32,,,,,,,Percent of Total Billed Charges,,,,,28.03,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,25.08,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,8.26,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,, "DRAIN, PENROSE 1/4"" X 18""L ",250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, "DRAIN,PENROSE 3/4"" X 12""L ",250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, "DRAIN, PENROSE 1"" X 18""L ",250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, "TOURNI-COT, MEDIUM, ORANGE ",250,RC,,Outpatient,,,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, "TOURNI-COT, LARGE, GREEN ",250,RC,,Outpatient,,,10.43,8.34,7.79,,,,,,,Percent of Total Billed Charges,,7.79,7.79,,10.43,,,,,,,Percent of Total Billed Charges,,,,,10.01,,,,,,,Percent of Total Billed Charges,,,,,9.91,,,,,,,Percent of Total Billed Charges,,,,,2.086,,,,,,,Percent of Total Billed Charges,,,,,8.87,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,9.39,,,,,,,Percent of Total Billed Charges,,,,,9.39,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,2.92,,,,,,,Percent of Total Billed Charges,,,,,8.34,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,, "DRESSING ABD SURGICAL 8"" X 10"" ",250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, PICC DRESSING CHANGE KIT ,250,RC,,Outpatient,,,62,49.6,46.31,,,,,,,Percent of Total Billed Charges,,46.31,46.31,,62,,,,,,,Percent of Total Billed Charges,,,,,59.52,,,,,,,Percent of Total Billed Charges,,,,,58.9,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,17.36,,,,,,,Percent of Total Billed Charges,,,,,49.6,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,, "CONFORM GAUZE 1""X75 ",250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, KERLIX DRESSING ,250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, KERLIX AMD DRESSING ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, "DRESSING MULTI-TRAUMA 10"" X 2.5"" ",250,RC,,Outpatient,,,24,19.2,17.93,,,,,,,Percent of Total Billed Charges,,17.93,17.93,,24,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,, DRESSING SOF-WICK 2 X 2 ,250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, DRESSING SOF-WICK 4 X 4 ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, "GAUZE SPONGE, QUIKCLOT EMERG ",250,RC,,Outpatient,,,81,64.8,60.51,,,,,,,Percent of Total Billed Charges,,60.51,60.51,,81,,,,,,,Percent of Total Billed Charges,,,,,77.76,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,17.01,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,, "DRESSING,POLYMEM WOUND CARE 4X4 ",250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, DURAPREP SURGICAL SOLUTION ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, ELECTRODE ADULT ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, ELECTRODE ADULT BULK ,250,RC,,Outpatient,,,14,11.2,10.46,,,,,,,Percent of Total Billed Charges,,10.46,10.46,,14,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,, ELECTRODE INFANT(3M) ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, ENEMA ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, ENEMA W/MINERAL OIL ,250,RC,,Outpatient,,,7.5,6,5.6,,,,,,,Percent of Total Billed Charges,,5.6,5.6,,7.5,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.13,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,, "ENTRIFLEX TUBE 8FR 43"" W/STYLET ",250,RC,,Outpatient,,,39,31.2,29.13,,,,,,,Percent of Total Billed Charges,,29.13,29.13,,39,,,,,,,Percent of Total Billed Charges,,,,,37.44,,,,,,,Percent of Total Billed Charges,,,,,37.05,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,33.15,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,10.92,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,, STAPLE EXTRACTOR ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, SKIN STAPLER ,250,RC,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, PORT ACCESS TRAY ,250,RC,,Outpatient,,,118,94.4,88.15,,,,,,,Percent of Total Billed Charges,,88.15,88.15,,118,,,,,,,Percent of Total Billed Charges,,,,,113.28,,,,,,,Percent of Total Billed Charges,,,,,112.1,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,33.04,,,,,,,Percent of Total Billed Charges,,,,,94.4,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,, BEDPAN FRACTURE ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, GLOVES STR SZ 6 ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, GLOVES STR SZ 6 (LATEX FREE) ,250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, GLOVES STR SZ 6 1/2 ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, GLOVES STR SZ 7 ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, GLOVES STR SZ 6 1/2 (LATEX FREE) ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, GLOVES STR SZ 7 (LATEX FREE) ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, GLOVES STR SZ 7 1/2 ,250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, GLOVES STR SZ 7 1/2 (LATEX FREE) ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, GLOVES STR SZ 8 (LATEX FREE) ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, GLOVES STR SZ 8 1/2 (LATEX FREE) ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, GLOVES STR SZ 8 ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, GLOVES STR SZ 8 1/2 ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, SENSICARE PI RADIATION GLOVES SIZE 8 ,250,RC,,Outpatient,,,168,134.4,125.5,,,,,,,Percent of Total Billed Charges,,125.5,125.5,,168,,,,,,,Percent of Total Billed Charges,,,,,161.28,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,142.8,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,151.2,,,,,,,Percent of Total Billed Charges,,,,,151.2,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,, GOWNS STERILE 2XL-LARGE ,250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, GOWNS STERILE X-LARGE ,250,RC,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, GOWNS STERILE LARGE ,250,RC,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, GAUZE STR 4X4 ,250,RC,,Outpatient,,,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, GAUZE VASELINE 1X8 ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, GAUZE VASELINE 1/2 X 72 ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, GAUZE VASELINE 1X36 ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, "XEROFORM, 1""X8 ",250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, "XEROFORM, 2X2 ",250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, GAUZE VASELINE 3X9 ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, GAUZE VASELINE 6X36 ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, "GUIDE WIRE 17 3/4"" ",250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, "GUIDE WIRE 26"" ",250,RC,,Outpatient,,,39,31.2,29.13,,,,,,,Percent of Total Billed Charges,,29.13,29.13,,39,,,,,,,Percent of Total Billed Charges,,,,,37.44,,,,,,,Percent of Total Billed Charges,,,,,37.05,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,33.15,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,10.92,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,, INTUBATING STYLET 6FR ,250,RC,,Outpatient,,,28,22.4,20.92,,,,,,,Percent of Total Billed Charges,,20.92,20.92,,28,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,, ENDOTRACHEAL TUBE INTRODUCER 10FR INF ,250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, ENDOTRACHEAL TUBE INTRODUCER 15FR ADULT ,250,RC,,Outpatient,,,48.5,38.8,36.23,,,,,,,Percent of Total Billed Charges,,36.23,36.23,,48.5,,,,,,,Percent of Total Billed Charges,,,,,46.56,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,41.23,,,,,,,Percent of Total Billed Charges,,,,,10.19,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,13.58,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,, INTUBATING STYLET 14FR ,250,RC,,Outpatient,,,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, PER-Q-CATH SINGLE LUME 3FR 20GA ,250,RC,,Outpatient,,,241,192.8,180.03,,,,,,,Percent of Total Billed Charges,,180.03,180.03,,241,,,,,,,Percent of Total Billed Charges,,,,,231.36,,,,,,,Percent of Total Billed Charges,,,,,228.95,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,204.85,,,,,,,Percent of Total Billed Charges,,,,,50.61,,,,,,,Percent of Total Billed Charges,,,,,216.9,,,,,,,Percent of Total Billed Charges,,,,,216.9,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,67.48,,,,,,,Percent of Total Billed Charges,,,,,192.8,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,, SPLITTING INTRODUCER NEEDLE 17ga X 1 1/4,250,RC,,Outpatient,,,44.5,35.6,33.24,,,,,,,Percent of Total Billed Charges,,33.24,33.24,,44.5,,,,,,,Percent of Total Billed Charges,,,,,42.72,,,,,,,Percent of Total Billed Charges,,,,,42.28,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,,,37.83,,,,,,,Percent of Total Billed Charges,,,,,9.35,,,,,,,Percent of Total Billed Charges,,,,,40.05,,,,,,,Percent of Total Billed Charges,,,,,40.05,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,,,12.46,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,, CATHETER STABILIZATION DEVICE ,250,RC,,Outpatient,,,55,44,41.09,,,,,,,Percent of Total Billed Charges,,41.09,41.09,,55,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,52.25,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,46.75,,,,,,,Percent of Total Billed Charges,,,,,11.55,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,, EXCALIBUR INTRODUCER NEEDLE 3FR ,250,RC,,Outpatient,,,108.5,86.8,81.05,,,,,,,Percent of Total Billed Charges,,81.05,81.05,,108.5,,,,,,,Percent of Total Billed Charges,,,,,104.16,,,,,,,Percent of Total Billed Charges,,,,,103.08,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,92.23,,,,,,,Percent of Total Billed Charges,,,,,22.79,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,30.38,,,,,,,Percent of Total Billed Charges,,,,,86.8,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,, INTRODUCER NEEDLE PEELABLE 2FR ,250,RC,,Outpatient,,,44.5,35.6,33.24,,,,,,,Percent of Total Billed Charges,,33.24,33.24,,44.5,,,,,,,Percent of Total Billed Charges,,,,,42.72,,,,,,,Percent of Total Billed Charges,,,,,42.28,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,,,37.83,,,,,,,Percent of Total Billed Charges,,,,,9.35,,,,,,,Percent of Total Billed Charges,,,,,40.05,,,,,,,Percent of Total Billed Charges,,,,,40.05,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,,,12.46,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,, "CATHETER 20GA 3FR X 22"" W/3FR INTRO ",250,RC,,Outpatient,,,44.5,35.6,33.24,,,,,,,Percent of Total Billed Charges,,33.24,33.24,,44.5,,,,,,,Percent of Total Billed Charges,,,,,42.72,,,,,,,Percent of Total Billed Charges,,,,,42.28,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,,,37.83,,,,,,,Percent of Total Billed Charges,,,,,9.35,,,,,,,Percent of Total Billed Charges,,,,,40.05,,,,,,,Percent of Total Billed Charges,,,,,40.05,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,,,12.46,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,, PICC CATHETER TRAY 5FR ,250,RC,,Outpatient,,,347.5,278,259.58,,,,,,,Percent of Total Billed Charges,,259.58,259.58,,347.5,,,,,,,Percent of Total Billed Charges,,,,,333.6,,,,,,,Percent of Total Billed Charges,,,,,330.13,,,,,,,Percent of Total Billed Charges,,,,,69.5,,,,,,,Percent of Total Billed Charges,,,,,295.38,,,,,,,Percent of Total Billed Charges,,,,,72.98,,,,,,,Percent of Total Billed Charges,,,,,312.75,,,,,,,Percent of Total Billed Charges,,,,,312.75,,,,,,,Percent of Total Billed Charges,,,,,69.5,,,,,,,Percent of Total Billed Charges,,,,,97.3,,,,,,,Percent of Total Billed Charges,,,,,278,,,,,,,Percent of Total Billed Charges,,,,,69.5,,,,,,,Percent of Total Billed Charges,,,, CENTRAL VEIN CATH KIT ,250,RC,,Outpatient,,,330.5,264.4,246.88,,,,,,,Percent of Total Billed Charges,,246.88,246.88,,330.5,,,,,,,Percent of Total Billed Charges,,,,,317.28,,,,,,,Percent of Total Billed Charges,,,,,313.98,,,,,,,Percent of Total Billed Charges,,,,,66.1,,,,,,,Percent of Total Billed Charges,,,,,280.93,,,,,,,Percent of Total Billed Charges,,,,,69.41,,,,,,,Percent of Total Billed Charges,,,,,297.45,,,,,,,Percent of Total Billed Charges,,,,,297.45,,,,,,,Percent of Total Billed Charges,,,,,66.1,,,,,,,Percent of Total Billed Charges,,,,,92.54,,,,,,,Percent of Total Billed Charges,,,,,264.4,,,,,,,Percent of Total Billed Charges,,,,,66.1,,,,,,,Percent of Total Billed Charges,,,, IRRIGATION KIT ,250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, KIT CATH URETHRAL 14FR ,250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, KIT DELEE SUCTION CATH 14FR ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, KIT CATHETER FEMALE ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, KIT MONITORING W/DISP TRANSCDUC ,250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, "KIT, SEMIFLOATING PACING ",250,RC,,Outpatient,,,376.5,301.2,281.25,,,,,,,Percent of Total Billed Charges,,281.25,281.25,,376.5,,,,,,,Percent of Total Billed Charges,,,,,361.44,,,,,,,Percent of Total Billed Charges,,,,,357.68,,,,,,,Percent of Total Billed Charges,,,,,75.3,,,,,,,Percent of Total Billed Charges,,,,,320.03,,,,,,,Percent of Total Billed Charges,,,,,79.07,,,,,,,Percent of Total Billed Charges,,,,,338.85,,,,,,,Percent of Total Billed Charges,,,,,338.85,,,,,,,Percent of Total Billed Charges,,,,,75.3,,,,,,,Percent of Total Billed Charges,,,,,105.42,,,,,,,Percent of Total Billed Charges,,,,,301.2,,,,,,,Percent of Total Billed Charges,,,,,75.3,,,,,,,Percent of Total Billed Charges,,,, GAUZE VASELINE 3X36 ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, KIT SUTURE REMOVAL ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, MATTRESS EGG CRATE ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, PEAK FLOW METER ,250,RC,,Outpatient,,,30.5,24.4,22.78,,,,,,,Percent of Total Billed Charges,,22.78,22.78,,30.5,,,,,,,Percent of Total Billed Charges,,,,,29.28,,,,,,,Percent of Total Billed Charges,,,,,28.98,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,25.93,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,8.54,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,, PEAK FLOW METER (LOW RANGE) ,250,RC,,Outpatient,,,80,64,59.76,,,,,,,Percent of Total Billed Charges,,59.76,59.76,,80,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,76,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,64,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,, 1.2 MICRON FILTER ,250,RC,,Outpatient,,,14,11.2,10.46,,,,,,,Percent of Total Billed Charges,,10.46,10.46,,14,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,, METER URINE W/ASPIRATING PORT ,250,RC,,Outpatient,,,28,22.4,20.92,,,,,,,Percent of Total Billed Charges,,20.92,20.92,,28,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,, "TRAY, NOSEBLEED, CUSTOM ",250,RC,,Outpatient,,,100.5,80.4,75.07,,,,,,,Percent of Total Billed Charges,,75.07,75.07,,100.5,,,,,,,Percent of Total Billed Charges,,,,,96.48,,,,,,,Percent of Total Billed Charges,,,,,95.48,,,,,,,Percent of Total Billed Charges,,,,,20.1,,,,,,,Percent of Total Billed Charges,,,,,85.43,,,,,,,Percent of Total Billed Charges,,,,,21.11,,,,,,,Percent of Total Billed Charges,,,,,90.45,,,,,,,Percent of Total Billed Charges,,,,,90.45,,,,,,,Percent of Total Billed Charges,,,,,20.1,,,,,,,Percent of Total Billed Charges,,,,,28.14,,,,,,,Percent of Total Billed Charges,,,,,80.4,,,,,,,Percent of Total Billed Charges,,,,,20.1,,,,,,,Percent of Total Billed Charges,,,, EPISTAT II NASAL CATHETER ,250,RC,,Outpatient,,,212.5,170,158.74,,,,,,,Percent of Total Billed Charges,,158.74,158.74,,212.5,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,,,201.88,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,180.63,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,191.25,,,,,,,Percent of Total Billed Charges,,,,,191.25,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,59.5,,,,,,,Percent of Total Billed Charges,,,,,170,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,, "RHINO ROCKET, X-LARGE ",250,RC,,Outpatient,,,65,52,48.56,,,,,,,Percent of Total Billed Charges,,48.56,48.56,,65,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,,,61.75,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,55.25,,,,,,,Percent of Total Billed Charges,,,,,13.65,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,52,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,, PACK COLD INSTANT ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, ICE PACK W/CLIP CLOSURE ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, PACK HOT INSTANT HEAT ,250,RC,,Outpatient,,,13.5,10.8,10.08,,,,,,,Percent of Total Billed Charges,,10.08,10.08,,13.5,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,, PAD OB SINGLE ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, OB PACK ,250,RC,,Outpatient,,,70,56,52.29,,,,,,,Percent of Total Billed Charges,,52.29,52.29,,70,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,59.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,56,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,, PAD EYE OVAL ,250,RC,,Outpatient,,,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, "TELFA PAD 3"" X 4"" ",250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, "TELFA PAD 8"" X 3"" ",250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, NASAL PAC 4.5CM ANTERIOR ,250,RC,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, NASAL PAC 7.5CM ANTERIOR-POSTERIOR ,250,RC,,Outpatient,,,154,123.2,115.04,,,,,,,Percent of Total Billed Charges,,115.04,115.04,,154,,,,,,,Percent of Total Billed Charges,,,,,147.84,,,,,,,Percent of Total Billed Charges,,,,,146.3,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,130.9,,,,,,,Percent of Total Billed Charges,,,,,32.34,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,43.12,,,,,,,Percent of Total Billed Charges,,,,,123.2,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,, NASAL PAC 5.5 CM ANTERIOR AIRWAY ,250,RC,,Outpatient,,,158.5,126.8,118.4,,,,,,,Percent of Total Billed Charges,,118.4,118.4,,158.5,,,,,,,Percent of Total Billed Charges,,,,,152.16,,,,,,,Percent of Total Billed Charges,,,,,150.58,,,,,,,Percent of Total Billed Charges,,,,,31.7,,,,,,,Percent of Total Billed Charges,,,,,134.73,,,,,,,Percent of Total Billed Charges,,,,,33.29,,,,,,,Percent of Total Billed Charges,,,,,142.65,,,,,,,Percent of Total Billed Charges,,,,,142.65,,,,,,,Percent of Total Billed Charges,,,,,31.7,,,,,,,Percent of Total Billed Charges,,,,,44.38,,,,,,,Percent of Total Billed Charges,,,,,126.8,,,,,,,Percent of Total Billed Charges,,,,,31.7,,,,,,,Percent of Total Billed Charges,,,, NASAL PAC 5.5 CM ANTERIOR INFLATE ,250,RC,,Outpatient,,,146,116.8,109.06,,,,,,,Percent of Total Billed Charges,,109.06,109.06,,146,,,,,,,Percent of Total Billed Charges,,,,,140.16,,,,,,,Percent of Total Billed Charges,,,,,138.7,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,124.1,,,,,,,Percent of Total Billed Charges,,,,,30.66,,,,,,,Percent of Total Billed Charges,,,,,131.4,,,,,,,Percent of Total Billed Charges,,,,,131.4,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,40.88,,,,,,,Percent of Total Billed Charges,,,,,116.8,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,, NASAL PAC 5.5 CM ANTERIOR RAPID PAC ,250,RC,,Outpatient,,,108.5,86.8,81.05,,,,,,,Percent of Total Billed Charges,,81.05,81.05,,108.5,,,,,,,Percent of Total Billed Charges,,,,,104.16,,,,,,,Percent of Total Billed Charges,,,,,103.08,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,92.23,,,,,,,Percent of Total Billed Charges,,,,,22.79,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,30.38,,,,,,,Percent of Total Billed Charges,,,,,86.8,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,, RING INVALID ,250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, SUCTION CATH KIT 8FR PEDIATRIC ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, "SUCTION CATHETER, PEDIATRIC 6FR ",250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, NASOGASTRIC TUBE 8FR W/O STYLET ,250,RC,,Outpatient,,,46.5,37.2,34.74,,,,,,,Percent of Total Billed Charges,,34.74,34.74,,46.5,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,,,44.18,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,39.53,,,,,,,Percent of Total Billed Charges,,,,,9.77,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,, SALEM SUMP 14FR ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, SALEM SUMP 16FR ,250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, SALEM SUMP 18FR ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, SCALPEL #10 ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, SCALPEL #11 ,250,RC,,Outpatient,,,7.5,6,5.6,,,,,,,Percent of Total Billed Charges,,5.6,5.6,,7.5,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.13,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,, SCALPEL #15 ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, SET CENTRAL VENOUS MULTI LUMEN ,250,RC,,Outpatient,,,127.5,102,95.24,,,,,,,Percent of Total Billed Charges,,95.24,95.24,,127.5,,,,,,,Percent of Total Billed Charges,,,,,122.4,,,,,,,Percent of Total Billed Charges,,,,,121.13,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,108.38,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,114.75,,,,,,,Percent of Total Billed Charges,,,,,114.75,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,102,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,, "NEEDLE,INTRODUCER EXCALIBUR 3FR ",250,RC,,Outpatient,,,149,119.2,111.3,,,,,,,Percent of Total Billed Charges,,111.3,111.3,,149,,,,,,,Percent of Total Billed Charges,,,,,143.04,,,,,,,Percent of Total Billed Charges,,,,,141.55,,,,,,,Percent of Total Billed Charges,,,,,29.8,,,,,,,Percent of Total Billed Charges,,,,,126.65,,,,,,,Percent of Total Billed Charges,,,,,31.29,,,,,,,Percent of Total Billed Charges,,,,,134.1,,,,,,,Percent of Total Billed Charges,,,,,134.1,,,,,,,Percent of Total Billed Charges,,,,,29.8,,,,,,,Percent of Total Billed Charges,,,,,41.72,,,,,,,Percent of Total Billed Charges,,,,,119.2,,,,,,,Percent of Total Billed Charges,,,,,29.8,,,,,,,Percent of Total Billed Charges,,,, MULTI-LUMEN CENTRAL VENOUS CATH KIT ,250,RC,,Outpatient,,,193,154.4,144.17,,,,,,,Percent of Total Billed Charges,,144.17,144.17,,193,,,,,,,Percent of Total Billed Charges,,,,,185.28,,,,,,,Percent of Total Billed Charges,,,,,183.35,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,,,164.05,,,,,,,Percent of Total Billed Charges,,,,,40.53,,,,,,,Percent of Total Billed Charges,,,,,173.7,,,,,,,Percent of Total Billed Charges,,,,,173.7,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,,,54.04,,,,,,,Percent of Total Billed Charges,,,,,154.4,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,, SPECIMEN COLLECTOR W/20CC TRAP ,250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, VAGINAL IRRIGATION SET ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, "MONITORING KIT, COMPARTMENT PRESSURE ",250,RC,,Outpatient,,,239,191.2,178.53,,,,,,,Percent of Total Billed Charges,,178.53,178.53,,239,,,,,,,Percent of Total Billed Charges,,,,,229.44,,,,,,,Percent of Total Billed Charges,,,,,227.05,,,,,,,Percent of Total Billed Charges,,,,,47.8,,,,,,,Percent of Total Billed Charges,,,,,203.15,,,,,,,Percent of Total Billed Charges,,,,,50.19,,,,,,,Percent of Total Billed Charges,,,,,215.1,,,,,,,Percent of Total Billed Charges,,,,,215.1,,,,,,,Percent of Total Billed Charges,,,,,47.8,,,,,,,Percent of Total Billed Charges,,,,,66.92,,,,,,,Percent of Total Billed Charges,,,,,191.2,,,,,,,Percent of Total Billed Charges,,,,,47.8,,,,,,,Percent of Total Billed Charges,,,, CLEAR T-PIECE DIRECTIONAL TIP ,250,RC,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, BALLARD SUCT 16FR ,250,RC,,Outpatient,,,69.5,55.6,51.92,,,,,,,Percent of Total Billed Charges,,51.92,51.92,,69.5,,,,,,,Percent of Total Billed Charges,,,,,66.72,,,,,,,Percent of Total Billed Charges,,,,,66.03,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,,,59.08,,,,,,,Percent of Total Billed Charges,,,,,14.6,,,,,,,Percent of Total Billed Charges,,,,,62.55,,,,,,,Percent of Total Billed Charges,,,,,62.55,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,,,19.46,,,,,,,Percent of Total Billed Charges,,,,,55.6,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,, DOUBLE CLOSED SUCT 12FR ,250,RC,,Outpatient,,,97.5,78,72.83,,,,,,,Percent of Total Billed Charges,,72.83,72.83,,97.5,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,92.63,,,,,,,Percent of Total Billed Charges,,,,,19.5,,,,,,,Percent of Total Billed Charges,,,,,82.88,,,,,,,Percent of Total Billed Charges,,,,,20.48,,,,,,,Percent of Total Billed Charges,,,,,87.75,,,,,,,Percent of Total Billed Charges,,,,,87.75,,,,,,,Percent of Total Billed Charges,,,,,19.5,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,78,,,,,,,Percent of Total Billed Charges,,,,,19.5,,,,,,,Percent of Total Billed Charges,,,, SHEET BURN ,250,RC,,Outpatient,,,28,22.4,20.92,,,,,,,Percent of Total Billed Charges,,20.92,20.92,,28,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,, "SLIDE, HEMOCCULT SINGLE ",250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, SIGMOIDOSCOPE DISPOSABLE LONG ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, DO NOT USE HEMOCCULT II SLIDES ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, GASTROCCULT SLIDES ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, "SOF-BAND 3"" ",250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, "SOF-BAND 4"" ",250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, SOAP CASTILE 9ML POUCH ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, SPECULUM VAGINAL (SMALL) ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, SPECULUM VAGINAL (MEDIUM) ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, "TRAY, PELVIC EXAM ",250,RC,,Outpatient,,,41,32.8,30.63,,,,,,,Percent of Total Billed Charges,,30.63,30.63,,41,,,,,,,Percent of Total Billed Charges,,,,,39.36,,,,,,,Percent of Total Billed Charges,,,,,38.95,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,34.85,,,,,,,Percent of Total Billed Charges,,,,,8.61,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,, DISPOSABLE LED VAGINAL SPECULUM (SMALL) ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, SEIZURE STICK ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, DISPOSABLE LED VAGINAL SPECULUM (MEDIUM),250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, DISPOSABLE LED VAGINAL SPECULUM (LARGE) ,250,RC,,Outpatient,,,27,21.6,20.17,,,,,,,Percent of Total Billed Charges,,20.17,20.17,,27,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,, STRAINER URINE ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, STRIP STERI 1/8 ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, STRIP STERI 1/4 ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, STRIP STERI 1/2 ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, STERI STRIP COMPOUND BENZOIN ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, DERMABOND ADHESIVE MINI ,250,RC,,Outpatient,,,75,60,56.03,,,,,,,Percent of Total Billed Charges,,56.03,56.03,,75,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,71.25,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,63.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,, T.E.D HOSIERY KNEE LENGTH/SMALL ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, T.E.D. HOSIERY KNEE MEDIUM-REGULAR ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, T.E.D. HOSIERY KNEE LARGE-REGULAR ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, T.E.D HOSE KNEE LENGTH-XLARGE ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, STOCKINGS THIGH HIGH SMALL ,250,RC,,Outpatient,,,34.5,27.6,25.77,,,,,,,Percent of Total Billed Charges,,25.77,25.77,,34.5,,,,,,,Percent of Total Billed Charges,,,,,33.12,,,,,,,Percent of Total Billed Charges,,,,,32.78,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,29.33,,,,,,,Percent of Total Billed Charges,,,,,7.25,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,9.66,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,, STOCKINGS THIGH HIGH MEDIUM ,250,RC,,Outpatient,,,34.5,27.6,25.77,,,,,,,Percent of Total Billed Charges,,25.77,25.77,,34.5,,,,,,,Percent of Total Billed Charges,,,,,33.12,,,,,,,Percent of Total Billed Charges,,,,,32.78,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,29.33,,,,,,,Percent of Total Billed Charges,,,,,7.25,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,9.66,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,, STOCKINGS THIGH HIGH LARGE ,250,RC,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, STOCKINGS THIGH HIGH XL LARGE ,250,RC,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, "HOSIERY, FAST-FIT WAIST HIGH ",250,RC,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, SCD SLEEVE (KNEE LENGTH) ,250,RC,,Outpatient,,,192,153.6,143.42,,,,,,,Percent of Total Billed Charges,,143.42,143.42,,192,,,,,,,Percent of Total Billed Charges,,,,,184.32,,,,,,,Percent of Total Billed Charges,,,,,182.4,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,53.76,,,,,,,Percent of Total Billed Charges,,,,,153.6,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,, "FLOWTRON GARMENT, LOWER LEG LENGTH ",250,RC,,Outpatient,,,114.5,91.6,85.53,,,,,,,Percent of Total Billed Charges,,85.53,85.53,,114.5,,,,,,,Percent of Total Billed Charges,,,,,109.92,,,,,,,Percent of Total Billed Charges,,,,,108.78,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,,,97.33,,,,,,,Percent of Total Billed Charges,,,,,24.05,,,,,,,Percent of Total Billed Charges,,,,,103.05,,,,,,,Percent of Total Billed Charges,,,,,103.05,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,,,32.06,,,,,,,Percent of Total Billed Charges,,,,,91.6,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,, "FLOWTRON GARMENT, LARGE CALF LENGTH ",250,RC,,Outpatient,,,92.5,74,69.1,,,,,,,Percent of Total Billed Charges,,69.1,69.1,,92.5,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,,,87.88,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,,,78.63,,,,,,,Percent of Total Billed Charges,,,,,19.43,,,,,,,Percent of Total Billed Charges,,,,,83.25,,,,,,,Percent of Total Billed Charges,,,,,83.25,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,74,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,, "FLOWTRON GARMENT, THIGH LENGTH ",250,RC,,Outpatient,,,182,145.6,135.95,,,,,,,Percent of Total Billed Charges,,135.95,135.95,,182,,,,,,,Percent of Total Billed Charges,,,,,174.72,,,,,,,Percent of Total Billed Charges,,,,,172.9,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,,,154.7,,,,,,,Percent of Total Billed Charges,,,,,38.22,,,,,,,Percent of Total Billed Charges,,,,,163.8,,,,,,,Percent of Total Billed Charges,,,,,163.8,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,,,50.96,,,,,,,Percent of Total Billed Charges,,,,,145.6,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,, "FLOWTRON GARMENT, LARGE THIGH LENGTH ",250,RC,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, "SUPPORTER, MEDIUM 3"" WAISTBAND ",250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, "SUPPORTER, LARGE 3"" WAISTBAND ",250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, SPONGE KERLIX SUPER FLUFF ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, SPONGE TOPPER 4X4 ,250,RC,,Outpatient,,,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, "SPONGES, NEURO ",250,RC,,Outpatient,,,22.5,18,16.81,,,,,,,Percent of Total Billed Charges,,16.81,16.81,,22.5,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,, SWAN-GANZ CATHETER 7FR ,250,RC,,Outpatient,,,308,246.4,230.08,,,,,,,Percent of Total Billed Charges,,230.08,230.08,,308,,,,,,,Percent of Total Billed Charges,,,,,295.68,,,,,,,Percent of Total Billed Charges,,,,,292.6,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,261.8,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,86.24,,,,,,,Percent of Total Billed Charges,,,,,246.4,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,, SYRINGE ASEPTO 60CC ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, SYRINGE CATHETER TIP 60CC ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, SYRINGE ENFIT 60ML ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, SYRINGE TOOMEY 70CC ,250,RC,,Outpatient,,,13.5,10.8,10.08,,,,,,,Percent of Total Billed Charges,,10.08,10.08,,13.5,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,, SYRINGE EAR & ULCER (ADULT-LARGE) ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, SYRINGE EAR & ULCER (INFANT) ,250,RC,,Outpatient,,,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, TRAY LUMBAR PUNCT INFANT ,250,RC,,Outpatient,,,83.5,66.8,62.37,,,,,,,Percent of Total Billed Charges,,62.37,62.37,,83.5,,,,,,,Percent of Total Billed Charges,,,,,80.16,,,,,,,Percent of Total Billed Charges,,,,,79.33,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,70.98,,,,,,,Percent of Total Billed Charges,,,,,17.54,,,,,,,Percent of Total Billed Charges,,,,,75.15,,,,,,,Percent of Total Billed Charges,,,,,75.15,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,, CHEST TUBE TRAY ,250,RC,,Outpatient,,,262.5,210,196.09,,,,,,,Percent of Total Billed Charges,,196.09,196.09,,262.5,,,,,,,Percent of Total Billed Charges,,,,,252,,,,,,,Percent of Total Billed Charges,,,,,249.38,,,,,,,Percent of Total Billed Charges,,,,,52.5,,,,,,,Percent of Total Billed Charges,,,,,223.13,,,,,,,Percent of Total Billed Charges,,,,,55.13,,,,,,,Percent of Total Billed Charges,,,,,236.25,,,,,,,Percent of Total Billed Charges,,,,,236.25,,,,,,,Percent of Total Billed Charges,,,,,52.5,,,,,,,Percent of Total Billed Charges,,,,,73.5,,,,,,,Percent of Total Billed Charges,,,,,210,,,,,,,Percent of Total Billed Charges,,,,,52.5,,,,,,,Percent of Total Billed Charges,,,, ASPIRA PLEURX DRAINAGE KIT BULB ,250,RC,,Outpatient,,,231,184.8,172.56,,,,,,,Percent of Total Billed Charges,,172.56,172.56,,231,,,,,,,Percent of Total Billed Charges,,,,,221.76,,,,,,,Percent of Total Billed Charges,,,,,219.45,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,196.35,,,,,,,Percent of Total Billed Charges,,,,,48.51,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,, TRAY LUMBAR PUNCT PEDS ,250,RC,,Outpatient,,,90,72,67.23,,,,,,,Percent of Total Billed Charges,,67.23,67.23,,90,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,85.5,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,81,,,,,,,Percent of Total Billed Charges,,,,,81,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,, ASPIRA PLEURX DRESSING KIT ,250,RC,,Outpatient,,,76.5,61.2,57.15,,,,,,,Percent of Total Billed Charges,,57.15,57.15,,76.5,,,,,,,Percent of Total Billed Charges,,,,,73.44,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,65.03,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,, TRAY CATHETER PREMIUM 16FR ,250,RC,,Outpatient,,,91,72.8,67.98,,,,,,,Percent of Total Billed Charges,,67.98,67.98,,91,,,,,,,Percent of Total Billed Charges,,,,,87.36,,,,,,,Percent of Total Billed Charges,,,,,86.45,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,77.35,,,,,,,Percent of Total Billed Charges,,,,,19.11,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,25.48,,,,,,,Percent of Total Billed Charges,,,,,72.8,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,, TRAY LUMBAR PUNCTURE (ADULT) ,250,RC,,Outpatient,,,83.5,66.8,62.37,,,,,,,Percent of Total Billed Charges,,62.37,62.37,,83.5,,,,,,,Percent of Total Billed Charges,,,,,80.16,,,,,,,Percent of Total Billed Charges,,,,,79.33,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,70.98,,,,,,,Percent of Total Billed Charges,,,,,17.54,,,,,,,Percent of Total Billed Charges,,,,,75.15,,,,,,,Percent of Total Billed Charges,,,,,75.15,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,, TRAY PREMIUM 18 FR ,250,RC,,Outpatient,,,61.5,49.2,45.94,,,,,,,Percent of Total Billed Charges,,45.94,45.94,,61.5,,,,,,,Percent of Total Billed Charges,,,,,59.04,,,,,,,Percent of Total Billed Charges,,,,,58.43,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,52.28,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,55.35,,,,,,,Percent of Total Billed Charges,,,,,55.35,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,17.22,,,,,,,Percent of Total Billed Charges,,,,,49.2,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,, TRAY INTRODUCER 8.5FR ,250,RC,,Outpatient,,,150.5,120.4,112.42,,,,,,,Percent of Total Billed Charges,,112.42,112.42,,150.5,,,,,,,Percent of Total Billed Charges,,,,,144.48,,,,,,,Percent of Total Billed Charges,,,,,142.98,,,,,,,Percent of Total Billed Charges,,,,,30.1,,,,,,,Percent of Total Billed Charges,,,,,127.93,,,,,,,Percent of Total Billed Charges,,,,,31.61,,,,,,,Percent of Total Billed Charges,,,,,135.45,,,,,,,Percent of Total Billed Charges,,,,,135.45,,,,,,,Percent of Total Billed Charges,,,,,30.1,,,,,,,Percent of Total Billed Charges,,,,,42.14,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,30.1,,,,,,,Percent of Total Billed Charges,,,, TRAY PERITONEAL LAVAGE ,250,RC,,Outpatient,,,83.5,66.8,62.37,,,,,,,Percent of Total Billed Charges,,62.37,62.37,,83.5,,,,,,,Percent of Total Billed Charges,,,,,80.16,,,,,,,Percent of Total Billed Charges,,,,,79.33,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,70.98,,,,,,,Percent of Total Billed Charges,,,,,17.54,,,,,,,Percent of Total Billed Charges,,,,,75.15,,,,,,,Percent of Total Billed Charges,,,,,75.15,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,, TRAY LACERATION ,250,RC,,Outpatient,,,70,56,52.29,,,,,,,Percent of Total Billed Charges,,52.29,52.29,,70,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,59.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,56,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,, TRAY LACERATION STERILIZED ,250,RC,,Outpatient,,,28,22.4,20.92,,,,,,,Percent of Total Billed Charges,,20.92,20.92,,28,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,, DISP PREP BASIN E/R ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, "TRAY, PARACENTESIS ",250,RC,,Outpatient,,,197,157.6,147.16,,,,,,,Percent of Total Billed Charges,,147.16,147.16,,197,,,,,,,Percent of Total Billed Charges,,,,,189.12,,,,,,,Percent of Total Billed Charges,,,,,187.15,,,,,,,Percent of Total Billed Charges,,,,,39.4,,,,,,,Percent of Total Billed Charges,,,,,167.45,,,,,,,Percent of Total Billed Charges,,,,,41.37,,,,,,,Percent of Total Billed Charges,,,,,177.3,,,,,,,Percent of Total Billed Charges,,,,,177.3,,,,,,,Percent of Total Billed Charges,,,,,39.4,,,,,,,Percent of Total Billed Charges,,,,,55.16,,,,,,,Percent of Total Billed Charges,,,,,157.6,,,,,,,Percent of Total Billed Charges,,,,,39.4,,,,,,,Percent of Total Billed Charges,,,, "TRAY, PARACENTESIS ",250,RC,,Outpatient,,,273,218.4,203.93,,,,,,,Percent of Total Billed Charges,,203.93,203.93,,273,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,259.35,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,232.05,,,,,,,Percent of Total Billed Charges,,,,,57.33,,,,,,,Percent of Total Billed Charges,,,,,245.7,,,,,,,Percent of Total Billed Charges,,,,,245.7,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,76.44,,,,,,,Percent of Total Billed Charges,,,,,218.4,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,, "TRAY, THORACENTESIS ",250,RC,,Outpatient,,,196,156.8,146.41,,,,,,,Percent of Total Billed Charges,,146.41,146.41,,196,,,,,,,Percent of Total Billed Charges,,,,,188.16,,,,,,,Percent of Total Billed Charges,,,,,186.2,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,166.6,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,54.88,,,,,,,Percent of Total Billed Charges,,,,,156.8,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,, TRACHEOSTOMY CARE KIT ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, TRACHEOSTOMY TUBE HOLDER ,250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, "PNEUMOTHORAX SET,EMERGENCY ",250,RC,,Outpatient,,,459,367.2,342.87,,,,,,,Percent of Total Billed Charges,,342.87,342.87,,459,,,,,,,Percent of Total Billed Charges,,,,,440.64,,,,,,,Percent of Total Billed Charges,,,,,436.05,,,,,,,Percent of Total Billed Charges,,,,,91.8,,,,,,,Percent of Total Billed Charges,,,,,390.15,,,,,,,Percent of Total Billed Charges,,,,,96.39,,,,,,,Percent of Total Billed Charges,,,,,413.1,,,,,,,Percent of Total Billed Charges,,,,,413.1,,,,,,,Percent of Total Billed Charges,,,,,91.8,,,,,,,Percent of Total Billed Charges,,,,,128.52,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,91.8,,,,,,,Percent of Total Billed Charges,,,, WAYNE PNEUMOTHORAX TRAY ,250,RC,,Outpatient,,,293.5,234.8,219.24,,,,,,,Percent of Total Billed Charges,,219.24,219.24,,293.5,,,,,,,Percent of Total Billed Charges,,,,,281.76,,,,,,,Percent of Total Billed Charges,,,,,278.83,,,,,,,Percent of Total Billed Charges,,,,,58.7,,,,,,,Percent of Total Billed Charges,,,,,249.48,,,,,,,Percent of Total Billed Charges,,,,,61.64,,,,,,,Percent of Total Billed Charges,,,,,264.15,,,,,,,Percent of Total Billed Charges,,,,,264.15,,,,,,,Percent of Total Billed Charges,,,,,58.7,,,,,,,Percent of Total Billed Charges,,,,,82.18,,,,,,,Percent of Total Billed Charges,,,,,234.8,,,,,,,Percent of Total Billed Charges,,,,,58.7,,,,,,,Percent of Total Billed Charges,,,, TRAY (DO NOT REORDER) ,250,RC,,Outpatient,,,108.5,86.8,81.05,,,,,,,Percent of Total Billed Charges,,81.05,81.05,,108.5,,,,,,,Percent of Total Billed Charges,,,,,104.16,,,,,,,Percent of Total Billed Charges,,,,,103.08,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,92.23,,,,,,,Percent of Total Billed Charges,,,,,22.79,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,30.38,,,,,,,Percent of Total Billed Charges,,,,,86.8,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,, TRIPLE LUMEN SUMP DRAIN ,250,RC,,Outpatient,,,90,72,67.23,,,,,,,Percent of Total Billed Charges,,67.23,67.23,,90,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,85.5,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,81,,,,,,,Percent of Total Billed Charges,,,,,81,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,, GASTRIC LAVAGE TUBE 18FR ,250,RC,,Outpatient,,,24,19.2,17.93,,,,,,,Percent of Total Billed Charges,,17.93,17.93,,24,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,, "TUBE GASTRIC LAVAGE 24FR X 35"" ",250,RC,,Outpatient,,,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, GLIDESCOPE GVL 4 STAT ,250,RC,,Outpatient,,,62.5,50,46.69,,,,,,,Percent of Total Billed Charges,,46.69,46.69,,62.5,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,,,59.38,,,,,,,Percent of Total Billed Charges,,,,,12.5,,,,,,,Percent of Total Billed Charges,,,,,53.13,,,,,,,Percent of Total Billed Charges,,,,,13.13,,,,,,,Percent of Total Billed Charges,,,,,56.25,,,,,,,Percent of Total Billed Charges,,,,,56.25,,,,,,,Percent of Total Billed Charges,,,,,12.5,,,,,,,Percent of Total Billed Charges,,,,,17.5,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,,,12.5,,,,,,,Percent of Total Billed Charges,,,, "TUBE GASTRIC LAVAGE 34FR 36"" ",250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, TUBE LUKI ,250,RC,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, BLAKEMORE TUBE ADULT 16FR ,250,RC,,Outpatient,,,593.5,474.8,443.34,,,,,,,Percent of Total Billed Charges,,443.34,443.34,,593.5,,,,,,,Percent of Total Billed Charges,,,,,569.76,,,,,,,Percent of Total Billed Charges,,,,,563.83,,,,,,,Percent of Total Billed Charges,,,,,118.7,,,,,,,Percent of Total Billed Charges,,,,,504.48,,,,,,,Percent of Total Billed Charges,,,,,124.64,,,,,,,Percent of Total Billed Charges,,,,,534.15,,,,,,,Percent of Total Billed Charges,,,,,534.15,,,,,,,Percent of Total Billed Charges,,,,,118.7,,,,,,,Percent of Total Billed Charges,,,,,166.18,,,,,,,Percent of Total Billed Charges,,,,,474.8,,,,,,,Percent of Total Billed Charges,,,,,118.7,,,,,,,Percent of Total Billed Charges,,,, "TUBE RECTAL 24FR 20"" ",250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, CRICOTHYROTOMY CATHETER SET ,250,RC,,Outpatient,,,587,469.6,438.49,,,,,,,Percent of Total Billed Charges,,438.49,438.49,,587,,,,,,,Percent of Total Billed Charges,,,,,563.52,,,,,,,Percent of Total Billed Charges,,,,,557.65,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,,,498.95,,,,,,,Percent of Total Billed Charges,,,,,123.27,,,,,,,Percent of Total Billed Charges,,,,,528.3,,,,,,,Percent of Total Billed Charges,,,,,528.3,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,,,164.36,,,,,,,Percent of Total Billed Charges,,,,,469.6,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,, "COMBITUBE ROLLUP 41FR, ADULT ",250,RC,,Outpatient,,,250.5,200.4,187.12,,,,,,,Percent of Total Billed Charges,,187.12,187.12,,250.5,,,,,,,Percent of Total Billed Charges,,,,,240.48,,,,,,,Percent of Total Billed Charges,,,,,237.98,,,,,,,Percent of Total Billed Charges,,,,,50.1,,,,,,,Percent of Total Billed Charges,,,,,212.93,,,,,,,Percent of Total Billed Charges,,,,,52.61,,,,,,,Percent of Total Billed Charges,,,,,225.45,,,,,,,Percent of Total Billed Charges,,,,,225.45,,,,,,,Percent of Total Billed Charges,,,,,50.1,,,,,,,Percent of Total Billed Charges,,,,,70.14,,,,,,,Percent of Total Billed Charges,,,,,200.4,,,,,,,Percent of Total Billed Charges,,,,,50.1,,,,,,,Percent of Total Billed Charges,,,, TRACH TUBE 2.0MM (UNCUFFED) ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, "TRACHEAL TUBE,2.5MM (UNCUFFED) ",250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, "TRACHEAL TUBE,3.0MM (UNCUFFED) ",250,RC,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, "TRACHEAL TUBE,3.5MM (UNCUFFED) ",250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, TUBING NONCONDUCTIVE ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, "TRACHEAL TUBE,4.0MM (UNCUFFED) ",250,RC,,Outpatient,,,7.5,6,5.6,,,,,,,Percent of Total Billed Charges,,5.6,5.6,,7.5,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.13,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,, "TRACHEAL TUBE,4.5MM (UNCUFFED) ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "TRACHEAL TUBE,5.0MM (UNCUFFED) ",250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, "TRACHEAL TUBE,5.5MM (UNCUFFED) ",250,RC,,Outpatient,,,7.5,6,5.6,,,,,,,Percent of Total Billed Charges,,5.6,5.6,,7.5,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.13,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,, "TRACHEAL TUBE,5.5MM (CUFFED) ",250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, TRACHEAL TUBE 6.0MM (UNCUFFED) ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "TRACEAL TUBE,6.0MM (CUFFED) ",250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, TRACHEAL TUBE 6.5MM (CUFFED) ,250,RC,,Outpatient,,,10,8,7.47,,,,,,,Percent of Total Billed Charges,,7.47,7.47,,10,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,, "TRACHEAL TUBE,6.5MM (UNCUFFED) ",250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, TRACHEAL TUBE 7.0MM (CUFFED) ,250,RC,,Outpatient,,,10,8,7.47,,,,,,,Percent of Total Billed Charges,,7.47,7.47,,10,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,, TRACHEAL TUBE 7.5MM (CUFFED) ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, "TRACHEAL TUBE,8.0MM (CUFFED) ",250,RC,,Outpatient,,,10,8,7.47,,,,,,,Percent of Total Billed Charges,,7.47,7.47,,10,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,, "TRACHEAL TUBE,8.5MM (CUFFED) ",250,RC,,Outpatient,,,10,8,7.47,,,,,,,Percent of Total Billed Charges,,7.47,7.47,,10,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,, "TRACHEAL TUBE,9.0MM (CUFFED) ",250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, TRACHEAL TUBE 9.5MM (CUFFED) ,250,RC,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, "TRACHEAL TUBE,10.0MM (CUFFED) ",250,RC,,Outpatient,,,22.5,18,16.81,,,,,,,Percent of Total Billed Charges,,16.81,16.81,,22.5,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,, LMA-FASTRACH ETT SIZE 7.0 ,250,RC,,Outpatient,,,222.5,178,166.21,,,,,,,Percent of Total Billed Charges,,166.21,166.21,,222.5,,,,,,,Percent of Total Billed Charges,,,,,213.6,,,,,,,Percent of Total Billed Charges,,,,,211.38,,,,,,,Percent of Total Billed Charges,,,,,44.5,,,,,,,Percent of Total Billed Charges,,,,,189.13,,,,,,,Percent of Total Billed Charges,,,,,46.73,,,,,,,Percent of Total Billed Charges,,,,,200.25,,,,,,,Percent of Total Billed Charges,,,,,200.25,,,,,,,Percent of Total Billed Charges,,,,,44.5,,,,,,,Percent of Total Billed Charges,,,,,62.3,,,,,,,Percent of Total Billed Charges,,,,,178,,,,,,,Percent of Total Billed Charges,,,,,44.5,,,,,,,Percent of Total Billed Charges,,,, LMA-FASTRACH ETT SIZE 7.5 ,250,RC,,Outpatient,,,222.5,178,166.21,,,,,,,Percent of Total Billed Charges,,166.21,166.21,,222.5,,,,,,,Percent of Total Billed Charges,,,,,213.6,,,,,,,Percent of Total Billed Charges,,,,,211.38,,,,,,,Percent of Total Billed Charges,,,,,44.5,,,,,,,Percent of Total Billed Charges,,,,,189.13,,,,,,,Percent of Total Billed Charges,,,,,46.73,,,,,,,Percent of Total Billed Charges,,,,,200.25,,,,,,,Percent of Total Billed Charges,,,,,200.25,,,,,,,Percent of Total Billed Charges,,,,,44.5,,,,,,,Percent of Total Billed Charges,,,,,62.3,,,,,,,Percent of Total Billed Charges,,,,,178,,,,,,,Percent of Total Billed Charges,,,,,44.5,,,,,,,Percent of Total Billed Charges,,,, LMA-FASTRACH ETT SIZE 8.0 ,250,RC,,Outpatient,,,222.5,178,166.21,,,,,,,Percent of Total Billed Charges,,166.21,166.21,,222.5,,,,,,,Percent of Total Billed Charges,,,,,213.6,,,,,,,Percent of Total Billed Charges,,,,,211.38,,,,,,,Percent of Total Billed Charges,,,,,44.5,,,,,,,Percent of Total Billed Charges,,,,,189.13,,,,,,,Percent of Total Billed Charges,,,,,46.73,,,,,,,Percent of Total Billed Charges,,,,,200.25,,,,,,,Percent of Total Billed Charges,,,,,200.25,,,,,,,Percent of Total Billed Charges,,,,,44.5,,,,,,,Percent of Total Billed Charges,,,,,62.3,,,,,,,Percent of Total Billed Charges,,,,,178,,,,,,,Percent of Total Billed Charges,,,,,44.5,,,,,,,Percent of Total Billed Charges,,,, TUBING BLOOD WARMER ,250,RC,,Outpatient,,,58.5,46.8,43.7,,,,,,,Percent of Total Billed Charges,,43.7,43.7,,58.5,,,,,,,Percent of Total Billed Charges,,,,,56.16,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,49.73,,,,,,,Percent of Total Billed Charges,,,,,12.29,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,, TUBING SIGMOIDOSCOPE SUCTION ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, "FEEDING TUBE,PREMATURE INFANT 3.5FR ",250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, "FEEDING TUBE,INFANT 5FR.16""LENGTH ",250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, "FEEDING TUBE 8FR 16"" LENGTH ",250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, NG TUBE 10FR ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, NG TUBE 12FR ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, NASAL FASTENER ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, TUBING CONNECTOR ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, SALEM SUMP ANTI-REFLUX VALVE ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, YANKAUER TIP W/O CONTROL VENT ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, STOP COCK THREE-WAY ,250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, "ARTERIAL PRESSURE TUBING-60""MALE/MALE ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, CENTRAL VEIN CATH SET ,250,RC,,Outpatient,,,69.5,55.6,51.92,,,,,,,Percent of Total Billed Charges,,51.92,51.92,,69.5,,,,,,,Percent of Total Billed Charges,,,,,66.72,,,,,,,Percent of Total Billed Charges,,,,,66.03,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,,,59.08,,,,,,,Percent of Total Billed Charges,,,,,14.6,,,,,,,Percent of Total Billed Charges,,,,,62.55,,,,,,,Percent of Total Billed Charges,,,,,62.55,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,,,19.46,,,,,,,Percent of Total Billed Charges,,,,,55.6,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,, DRAPE STERI-3M ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, SKINMARKER ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, EAR WICKS ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, TRACHEOSTOMY TUBE LOW PRESS SIZE 4 ,250,RC,,Outpatient,,,254,203.2,189.74,,,,,,,Percent of Total Billed Charges,,189.74,189.74,,254,,,,,,,Percent of Total Billed Charges,,,,,243.84,,,,,,,Percent of Total Billed Charges,,,,,241.3,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,,,215.9,,,,,,,Percent of Total Billed Charges,,,,,53.34,,,,,,,Percent of Total Billed Charges,,,,,228.6,,,,,,,Percent of Total Billed Charges,,,,,228.6,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,,,71.12,,,,,,,Percent of Total Billed Charges,,,,,203.2,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,, TRACHEOSTOMY TUBE LOW PRESS SIZE 6 ,250,RC,,Outpatient,,,254,203.2,189.74,,,,,,,Percent of Total Billed Charges,,189.74,189.74,,254,,,,,,,Percent of Total Billed Charges,,,,,243.84,,,,,,,Percent of Total Billed Charges,,,,,241.3,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,,,215.9,,,,,,,Percent of Total Billed Charges,,,,,53.34,,,,,,,Percent of Total Billed Charges,,,,,228.6,,,,,,,Percent of Total Billed Charges,,,,,228.6,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,,,71.12,,,,,,,Percent of Total Billed Charges,,,,,203.2,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,, TRACHEOSTOMY TUBE LOW PRESSURE SIZE 8 ,250,RC,,Outpatient,,,254,203.2,189.74,,,,,,,Percent of Total Billed Charges,,189.74,189.74,,254,,,,,,,Percent of Total Billed Charges,,,,,243.84,,,,,,,Percent of Total Billed Charges,,,,,241.3,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,,,215.9,,,,,,,Percent of Total Billed Charges,,,,,53.34,,,,,,,Percent of Total Billed Charges,,,,,228.6,,,,,,,Percent of Total Billed Charges,,,,,228.6,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,,,71.12,,,,,,,Percent of Total Billed Charges,,,,,203.2,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,, SHILEY TRACHEOSTOMY TUBE SIZE 4 ,250,RC,,Outpatient,,,254,203.2,189.74,,,,,,,Percent of Total Billed Charges,,189.74,189.74,,254,,,,,,,Percent of Total Billed Charges,,,,,243.84,,,,,,,Percent of Total Billed Charges,,,,,241.3,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,,,215.9,,,,,,,Percent of Total Billed Charges,,,,,53.34,,,,,,,Percent of Total Billed Charges,,,,,228.6,,,,,,,Percent of Total Billed Charges,,,,,228.6,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,,,71.12,,,,,,,Percent of Total Billed Charges,,,,,203.2,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,, SHILEY TRACH TUBE SZ 7 ,250,RC,,Outpatient,,,97.5,78,72.83,,,,,,,Percent of Total Billed Charges,,72.83,72.83,,97.5,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,92.63,,,,,,,Percent of Total Billed Charges,,,,,19.5,,,,,,,Percent of Total Billed Charges,,,,,82.88,,,,,,,Percent of Total Billed Charges,,,,,20.48,,,,,,,Percent of Total Billed Charges,,,,,87.75,,,,,,,Percent of Total Billed Charges,,,,,87.75,,,,,,,Percent of Total Billed Charges,,,,,19.5,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,78,,,,,,,Percent of Total Billed Charges,,,,,19.5,,,,,,,Percent of Total Billed Charges,,,, SHILEY TRACH TUBE SZ 5 ,250,RC,,Outpatient,,,113,90.4,84.41,,,,,,,Percent of Total Billed Charges,,84.41,84.41,,113,,,,,,,Percent of Total Billed Charges,,,,,108.48,,,,,,,Percent of Total Billed Charges,,,,,107.35,,,,,,,Percent of Total Billed Charges,,,,,22.6,,,,,,,Percent of Total Billed Charges,,,,,96.05,,,,,,,Percent of Total Billed Charges,,,,,23.73,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,22.6,,,,,,,Percent of Total Billed Charges,,,,,31.64,,,,,,,Percent of Total Billed Charges,,,,,90.4,,,,,,,Percent of Total Billed Charges,,,,,22.6,,,,,,,Percent of Total Billed Charges,,,, SHILEY TRACH TUBE SZ 8 ,250,RC,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, SHILEY TRACH TUBE SZ 6.5 ,250,RC,,Outpatient,,,259.5,207.6,193.85,,,,,,,Percent of Total Billed Charges,,193.85,193.85,,259.5,,,,,,,Percent of Total Billed Charges,,,,,249.12,,,,,,,Percent of Total Billed Charges,,,,,246.53,,,,,,,Percent of Total Billed Charges,,,,,51.9,,,,,,,Percent of Total Billed Charges,,,,,220.58,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,233.55,,,,,,,Percent of Total Billed Charges,,,,,233.55,,,,,,,Percent of Total Billed Charges,,,,,51.9,,,,,,,Percent of Total Billed Charges,,,,,72.66,,,,,,,Percent of Total Billed Charges,,,,,207.6,,,,,,,Percent of Total Billed Charges,,,,,51.9,,,,,,,Percent of Total Billed Charges,,,, TRACHEOSTOMY TUBE DISPOSABLE 6 ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, BEDPAN - DISPOSABLE ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, "BEDPAN,BARIATRIC ",250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, DRAPE LARGE 60X76 ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, "DRAPE, POLY-LINED STERILE 18"" X 26"" ",250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, DRAPE FENESTRATED 18X26 (STERILE) ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, "TAPE,MEDIPORE,3""X 10YD ",250,RC,,Outpatient,,,22.5,18,16.81,,,,,,,Percent of Total Billed Charges,,16.81,16.81,,22.5,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,, O/R BETADINE SCRUB 4OZ ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, HIBICLENS CHLORHEXIDINE SKIN CLEANER ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, CHLORHEXIDINE WIPES ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, "THERMOMETER, DIGITAL ORAL/RECTAL ",250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, "O/R CIV-FLEX 36"" STERILE PROBE COVER ",250,RC,,Outpatient,,,28.5,22.8,21.29,,,,,,,Percent of Total Billed Charges,,21.29,21.29,,28.5,,,,,,,Percent of Total Billed Charges,,,,,27.36,,,,,,,Percent of Total Billed Charges,,,,,27.08,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.99,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,7.98,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,, PROBE COVERS ORAL DIGITAL ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, SPINAL NEEDLE 22G X 3 1/2 ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "SPINAL NEEDLE, 20GA X 3 1/2"" ",250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, "SPINAL NEEDLE, 18GA X 3 1/2"" ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "CT SUPPLY SAFETY INFUSION SET 20GA X 1"" ",250,RC,,Outpatient,,,51,40.8,38.1,,,,,,,Percent of Total Billed Charges,,38.1,38.1,,51,,,,,,,Percent of Total Billed Charges,,,,,48.96,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,43.35,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,, "O/R SPINAL NEEDLE,QUINCKE DISP.22G X 5"" ",250,RC,,Outpatient,,,34,27.2,25.4,,,,,,,Percent of Total Billed Charges,,25.4,25.4,,34,,,,,,,Percent of Total Billed Charges,,,,,32.64,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,9.52,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,, "SPINAL NEEDLE,PENCAN 22GA X 3 1/2"" ",250,RC,,Outpatient,,,24,19.2,17.93,,,,,,,Percent of Total Billed Charges,,17.93,17.93,,24,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,, OPTHAMOLIC BURR ,250,RC,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, "SPINAL NEEDLE 25G X 3.5"" ",250,RC,,Outpatient,,,10,8,7.47,,,,,,,Percent of Total Billed Charges,,7.47,7.47,,10,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,, SPINAL NEEDLE 22G 1.5 PEDS ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "PORT INFUSION SET 20GAX 3/4"" ",250,RC,,Outpatient,,,21,16.8,15.69,,,,,,,Percent of Total Billed Charges,,15.69,15.69,,21,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,19.95,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,, "PORT INFUSION SET 20GA X 1"" ",250,RC,,Outpatient,,,22.5,18,16.81,,,,,,,Percent of Total Billed Charges,,16.81,16.81,,22.5,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,, "INFUSION SET, SAFETY (POWER LOC) 20GX1"" ",250,RC,,Outpatient,,,50.5,40.4,37.72,,,,,,,Percent of Total Billed Charges,,37.72,37.72,,50.5,,,,,,,Percent of Total Billed Charges,,,,,48.48,,,,,,,Percent of Total Billed Charges,,,,,47.98,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,42.93,,,,,,,Percent of Total Billed Charges,,,,,10.61,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,14.14,,,,,,,Percent of Total Billed Charges,,,,,40.4,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,, "INFUSION SET, SAFETY (POW. LOC) 20GX3/4""",250,RC,,Outpatient,,,50.5,40.4,37.72,,,,,,,Percent of Total Billed Charges,,37.72,37.72,,50.5,,,,,,,Percent of Total Billed Charges,,,,,48.48,,,,,,,Percent of Total Billed Charges,,,,,47.98,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,42.93,,,,,,,Percent of Total Billed Charges,,,,,10.61,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,14.14,,,,,,,Percent of Total Billed Charges,,,,,40.4,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,, "INFUSION SET, SAFETY (POWER LOC) 19GX.75",250,RC,,Outpatient,,,46,36.8,34.36,,,,,,,Percent of Total Billed Charges,,34.36,34.36,,46,,,,,,,Percent of Total Billed Charges,,,,,44.16,,,,,,,Percent of Total Billed Charges,,,,,43.7,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,39.1,,,,,,,Percent of Total Billed Charges,,,,,9.66,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,12.88,,,,,,,Percent of Total Billed Charges,,,,,36.8,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,, "SKIN BARRIER, HOLLI-HESIVE ",250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, KARAYA POWDER ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, "LEG BAG URINARY,MED,19OZ ",250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, "SKIN BARRIER, CENTERPOINT ",250,RC,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, "OSTOMY DURAHESIVE NATURA 2 1/4"" ",250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, "TWO PIECE OSTOMY POUCH 2 1/4"" ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "TWO PIECE OSTOMY POUCH 2 1/4"" ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, SKIN BARRIER TWO-PIECE ,250,RC,,Outpatient,,,46.5,37.2,34.74,,,,,,,Percent of Total Billed Charges,,34.74,34.74,,46.5,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,,,44.18,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,39.53,,,,,,,Percent of Total Billed Charges,,,,,9.77,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,, CATH SUCTION WHISTLE TIP 10 FR ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, "OSTOMY DURAHESIVE NATURA 2 3/4"" ",250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, "SKIN BARRIER,PREMIER 2 3/4"" ",250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, "TWO PIECE OSTOMY POUCH 4"" ",250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, POUCH CLAMP (QUIET FILM POUCHES) ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, PREMIER DRAINABLE POUCH CUT-TO-FIT ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, "SKIN BARRIER,GUARDIAN(DISCON 09/01) ",250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, "TWO-PIECE OSTOMY POUCH 2 1/2"" ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "TWO PIECE SKIN BARRIER 2 1/4"" ",250,RC,,Outpatient,,,17.5,17,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, "TWO PIECE SKIN BARRIER 2 3/4"" ",250,RC,,Outpatient,,,78.5,62.8,58.64,,,,,,,Percent of Total Billed Charges,,58.64,58.64,,78.5,,,,,,,Percent of Total Billed Charges,,,,,75.36,,,,,,,Percent of Total Billed Charges,,,,,74.58,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,66.73,,,,,,,Percent of Total Billed Charges,,,,,16.49,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,21.98,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,, "TWO PIECE OSTOMY SYSTEM 4"" ",250,RC,,Outpatient,,,22.5,18,16.81,,,,,,,Percent of Total Billed Charges,,16.81,16.81,,22.5,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,, STOMAHESIVE PASTE ,250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, OSTOMY BELT MEDIUM ,250,RC,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, OSTOMY BELT LARGE ,250,RC,,Outpatient,,,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, TAIL CLOSURE ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, IRRIGATOR KIT ,250,RC,,Outpatient,,,109.5,87.6,81.8,,,,,,,Percent of Total Billed Charges,,81.8,81.8,,109.5,,,,,,,Percent of Total Billed Charges,,,,,105.12,,,,,,,Percent of Total Billed Charges,,,,,104.03,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,93.08,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,30.66,,,,,,,Percent of Total Billed Charges,,,,,87.6,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,, "NEEDLE,CALDWELL PARACENTESIS 15GA X 3.25",250,RC,,Outpatient,,,81.5,65.2,60.88,,,,,,,Percent of Total Billed Charges,,60.88,60.88,,81.5,,,,,,,Percent of Total Billed Charges,,,,,78.24,,,,,,,Percent of Total Billed Charges,,,,,77.43,,,,,,,Percent of Total Billed Charges,,,,,16.3,,,,,,,Percent of Total Billed Charges,,,,,69.28,,,,,,,Percent of Total Billed Charges,,,,,17.12,,,,,,,Percent of Total Billed Charges,,,,,73.35,,,,,,,Percent of Total Billed Charges,,,,,73.35,,,,,,,Percent of Total Billed Charges,,,,,16.3,,,,,,,Percent of Total Billed Charges,,,,,22.82,,,,,,,Percent of Total Billed Charges,,,,,65.2,,,,,,,Percent of Total Billed Charges,,,,,16.3,,,,,,,Percent of Total Billed Charges,,,, INTRAOSSEOUS NEEDLE 15GAX45MM(ADULT) ,250,RC,,Outpatient,,,472.5,378,352.96,,,,,,,Percent of Total Billed Charges,,352.96,352.96,,472.5,,,,,,,Percent of Total Billed Charges,,,,,453.6,,,,,,,Percent of Total Billed Charges,,,,,448.88,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,401.63,,,,,,,Percent of Total Billed Charges,,,,,99.23,,,,,,,Percent of Total Billed Charges,,,,,425.25,,,,,,,Percent of Total Billed Charges,,,,,425.25,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,378,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOSSEOUS NEEDLE 15GX25MM (ADULT) ,250,RC,,Outpatient,,,496.5,397.2,370.89,,,,,,,Percent of Total Billed Charges,,370.89,370.89,,496.5,,,,,,,Percent of Total Billed Charges,,,,,476.64,,,,,,,Percent of Total Billed Charges,,,,,471.68,,,,,,,Percent of Total Billed Charges,,,,,99.3,,,,,,,Percent of Total Billed Charges,,,,,422.03,,,,,,,Percent of Total Billed Charges,,,,,104.27,,,,,,,Percent of Total Billed Charges,,,,,446.85,,,,,,,Percent of Total Billed Charges,,,,,446.85,,,,,,,Percent of Total Billed Charges,,,,,99.3,,,,,,,Percent of Total Billed Charges,,,,,139.02,,,,,,,Percent of Total Billed Charges,,,,,397.2,,,,,,,Percent of Total Billed Charges,,,,,99.3,,,,,,,Percent of Total Billed Charges,,,, INTRAOSSEUS NEEDLE 15GX15MM (PEDIATRIC) ,250,RC,,Outpatient,,,446,356.8,333.16,,,,,,,Percent of Total Billed Charges,,333.16,333.16,,446,,,,,,,Percent of Total Billed Charges,,,,,428.16,,,,,,,Percent of Total Billed Charges,,,,,423.7,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,379.1,,,,,,,Percent of Total Billed Charges,,,,,93.66,,,,,,,Percent of Total Billed Charges,,,,,401.4,,,,,,,Percent of Total Billed Charges,,,,,401.4,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,124.88,,,,,,,Percent of Total Billed Charges,,,,,356.8,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,, EZ-IO STABILIZER DRESSING ,250,RC,,Outpatient,,,102.5,82,76.57,,,,,,,Percent of Total Billed Charges,,76.57,76.57,,102.5,,,,,,,Percent of Total Billed Charges,,,,,98.4,,,,,,,Percent of Total Billed Charges,,,,,97.38,,,,,,,Percent of Total Billed Charges,,,,,20.5,,,,,,,Percent of Total Billed Charges,,,,,87.13,,,,,,,Percent of Total Billed Charges,,,,,21.53,,,,,,,Percent of Total Billed Charges,,,,,92.25,,,,,,,Percent of Total Billed Charges,,,,,92.25,,,,,,,Percent of Total Billed Charges,,,,,20.5,,,,,,,Percent of Total Billed Charges,,,,,28.7,,,,,,,Percent of Total Billed Charges,,,,,82,,,,,,,Percent of Total Billed Charges,,,,,20.5,,,,,,,Percent of Total Billed Charges,,,, STERNAL/ILIAC ASP.NEEDLE ILLINOIS ,250,RC,,Outpatient,,,60.5,48.4,45.19,,,,,,,Percent of Total Billed Charges,,45.19,45.19,,60.5,,,,,,,Percent of Total Billed Charges,,,,,58.08,,,,,,,Percent of Total Billed Charges,,,,,57.48,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,51.43,,,,,,,Percent of Total Billed Charges,,,,,12.71,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,16.94,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,, "BUTTERFLY,19GA X 7/8"" ",250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, "BUTTERFLY,21GA X 3/4"" ",250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, "BUTTERFLY 23GA X 3/4"" ",250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, "BUTTERFLY 25GA X 3/4"" ",250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, SUTURE 0 SILK (ICU ONLY) STRAIGHT NEEDLE,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, SURGIFOAM SPONGE 12-7 ,250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, SURGIFOAM SPONGE AGS 100 ,250,RC,,Outpatient,,,94.5,75.6,70.59,,,,,,,Percent of Total Billed Charges,,70.59,70.59,,94.5,,,,,,,Percent of Total Billed Charges,,,,,90.72,,,,,,,Percent of Total Billed Charges,,,,,89.78,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,80.33,,,,,,,Percent of Total Billed Charges,,,,,19.85,,,,,,,Percent of Total Billed Charges,,,,,85.05,,,,,,,Percent of Total Billed Charges,,,,,85.05,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,26.46,,,,,,,Percent of Total Billed Charges,,,,,75.6,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,, SURGICEL ABSORABLE HEMOSTAT ,250,RC,,Outpatient,,,80,64,59.76,,,,,,,Percent of Total Billed Charges,,59.76,59.76,,80,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,76,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,64,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,SURGIGUT 2/0 30 V-20 ",250,RC,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONOSOF 6/0 18 BLACK C-12 ",250,RC,,Outpatient,,,30.5,24.4,22.78,,,,,,,Percent of Total Billed Charges,,22.78,22.78,,30.5,,,,,,,Percent of Total Billed Charges,,,,,29.28,,,,,,,Percent of Total Billed Charges,,,,,28.98,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,25.93,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,8.54,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONOSOF 6/0 18 BLACK P-13 ",250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONOSOF 5/0 18 BLACK C-13 ",250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONOSOF 3/0 18 BLACK C-14 ",250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONOSOF 5/0 18"" PLAIN FAST ABSORB",250,RC,,Outpatient,,,65,52,48.56,,,,,,,Percent of Total Billed Charges,,48.56,48.56,,65,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,,,61.75,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,55.25,,,,,,,Percent of Total Billed Charges,,,,,13.65,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,52,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONOSOF 6/0 18"" PLAIN FAST ABSORB",250,RC,,Outpatient,,,75.5,60.4,56.4,,,,,,,Percent of Total Billed Charges,,56.4,56.4,,75.5,,,,,,,Percent of Total Billed Charges,,,,,72.48,,,,,,,Percent of Total Billed Charges,,,,,71.73,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,64.18,,,,,,,Percent of Total Billed Charges,,,,,15.86,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,60.4,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,SOFSILK 1 30 BLACK V-20 ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,SOFSILK 3/0 18 BLACK C-14 ",250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,SURGIGUT 3/0 30 V-20 ",250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,CHROMIC GUT 5/0 27 FS-2 ",250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,CHROMIC GUT 5/0 30 C-13 ",250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONOSOF 5/0 18 BLACK P-12 ",250,RC,,Outpatient,,,14,11.2,10.46,,,,,,,Percent of Total Billed Charges,,10.46,10.46,,14,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,PROLENE 4-0 18"" FS-1 ",250,RC,,Outpatient,,,36.5,29.2,27.27,,,,,,,Percent of Total Billed Charges,,27.27,27.27,,36.5,,,,,,,Percent of Total Billed Charges,,,,,35.04,,,,,,,Percent of Total Billed Charges,,,,,34.68,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,31.03,,,,,,,Percent of Total Billed Charges,,,,,7.67,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,PROLENE 5-0 18"" FS-2 ",250,RC,,Outpatient,,,13.5,10.8,10.08,,,,,,,Percent of Total Billed Charges,,10.08,10.08,,13.5,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,PROLENE 6/0 18"" PC-3 ",250,RC,,Outpatient,,,71,56.8,53.04,,,,,,,Percent of Total Billed Charges,,53.04,53.04,,71,,,,,,,Percent of Total Billed Charges,,,,,68.16,,,,,,,Percent of Total Billed Charges,,,,,67.45,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,60.35,,,,,,,Percent of Total Billed Charges,,,,,14.91,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,19.88,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONOSOF 3/0 18 BLACK P-12 ",250,RC,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONOSOF 4/0 18 BLACK P-24 ",250,RC,,Outpatient,,,30.5,24.4,22.78,,,,,,,Percent of Total Billed Charges,,22.78,22.78,,30.5,,,,,,,Percent of Total Billed Charges,,,,,29.28,,,,,,,Percent of Total Billed Charges,,,,,28.98,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,25.93,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,8.54,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONOSOF 4/0 18 BLACK P-12 ",250,RC,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,SURGIGUT 4/0 30 V-20H ",250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONOSOF 5/0 BLACK PC-11 ",250,RC,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONO NYLON 5/0 18 BLACK PS-2 ",250,RC,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONOSOF 4/0 CLEAR P-24 ",250,RC,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,ETHILON 5/0 18 GREEN P-3 ",250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,SOFSILK 4/0 18 BLACK P-12 ",250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONOSOF 6/0 18 BLACK P-24 ",250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,SURGIPRO 5/0 18 BLUE P-13 ",250,RC,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,SURGIPRO 3/0 18 BLUE C-13 ",250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,SURGIPRO 6/0 18 BLUE P-1 ",250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,POLYSORB 6/0 VIOLET CV-2 ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,POLYSORB 4/0 27 VIOLET CV-2 ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,POLYSORB 4/0 27 U/D C-13 ",250,RC,,Outpatient,,,23.5,18.8,17.55,,,,,,,Percent of Total Billed Charges,,17.55,17.55,,23.5,,,,,,,Percent of Total Billed Charges,,,,,22.56,,,,,,,Percent of Total Billed Charges,,,,,22.33,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,19.98,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,, INDERMIL TISSUE ADHESIVE ,G0168 ,CPT,,Outpatient,,,108.5,86.8,81.05,,,,,,,Percent of Total Billed Charges,,81.05,81.05,,108.5,,,,,,,Percent of Total Billed Charges,,,,,104.16,,,,,,,Percent of Total Billed Charges,,,,,103.08,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,92.23,,,,,,,Percent of Total Billed Charges,,,,,22.79,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,30.38,,,,,,,Percent of Total Billed Charges,,,,,86.8,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,, HISTOCRYL TOPICAL SKIN ADHESIVE ,G0168 ,CPT,,Outpatient,,,108.5,86.8,81.05,,,,,,,Percent of Total Billed Charges,,81.05,81.05,,108.5,,,,,,,Percent of Total Billed Charges,,,,,104.16,,,,,,,Percent of Total Billed Charges,,,,,103.08,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,92.23,,,,,,,Percent of Total Billed Charges,,,,,22.79,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,30.38,,,,,,,Percent of Total Billed Charges,,,,,86.8,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,, DERMABOND ADHESIVE ,250,RC,,Outpatient,,,61.5,49.2,45.94,,,,,,,Percent of Total Billed Charges,,45.94,45.94,,61.5,,,,,,,Percent of Total Billed Charges,,,,,59.04,,,,,,,Percent of Total Billed Charges,,,,,58.43,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,52.28,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,55.35,,,,,,,Percent of Total Billed Charges,,,,,55.35,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,17.22,,,,,,,Percent of Total Billed Charges,,,,,49.2,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,, "INFLUENZA KIT, CHILD ",250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, "INFLUENZA KIT, ADULT ",250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, MASK AEROSOL (ADULT) ,250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, OXYGEN CONNECTIVE TUBING 14' ,250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, AQUA PAKS ,250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, "HUMIDIFIER, HIGH FLOW, DISPOSABLE, 350CC",250,RC,,Outpatient,,,32.5,26,24.28,,,,,,,Percent of Total Billed Charges,,24.28,24.28,,32.5,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,30.88,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,27.63,,,,,,,Percent of Total Billed Charges,,,,,6.83,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,, OXYGEN CONNECTIVE TUBING 7' ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, MASK MULTI-VENT (ADULT) ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, HUDSON HUMIDIFIER ADAPTOR ,250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, CANNULA NASAL (ADULT) ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, CANNULA NASAL (ADULT-HIFLOW) ,250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, VENTILATOR CIRCUITS ,250,RC,,Outpatient,,,356.5,285.2,266.31,,,,,,,Percent of Total Billed Charges,,266.31,266.31,,356.5,,,,,,,Percent of Total Billed Charges,,,,,342.24,,,,,,,Percent of Total Billed Charges,,,,,338.68,,,,,,,Percent of Total Billed Charges,,,,,71.3,,,,,,,Percent of Total Billed Charges,,,,,303.03,,,,,,,Percent of Total Billed Charges,,,,,74.87,,,,,,,Percent of Total Billed Charges,,,,,320.85,,,,,,,Percent of Total Billed Charges,,,,,320.85,,,,,,,Percent of Total Billed Charges,,,,,71.3,,,,,,,Percent of Total Billed Charges,,,,,99.82,,,,,,,Percent of Total Billed Charges,,,,,285.2,,,,,,,Percent of Total Billed Charges,,,,,71.3,,,,,,,Percent of Total Billed Charges,,,, MASK OXYGEN (ADULT) ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, VOLDYNE 4000 ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, MASK REBREATHER OXYGEN (ADULT) ,250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, FLOW SENSOR ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, "FILTER,HYGROSTER ",250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, CONNECTING TUBE RESPIRDYNE (DISPOSABLE) ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, HYGROSTER FILTER ,250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, ENDO TUBE ADAPTER ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, MASK REBREATHER (INFANT) ,250,RC,,Outpatient,,,25,20,18.68,,,,,,,Percent of Total Billed Charges,,18.68,18.68,,25,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,23.75,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,21.25,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,, MASK NON-REBREATHER OXYGEN (PEDIATRIC) ,250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, MASK AEROSOL (PEDIATRIC) ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, CANNULA NASAL (PEDIATRIC) ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, PALM CUP MED.60mm ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, PERCUSSOR (PEDIATRIC) ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, ACAPELLA PEP DEVICE (ADULT-BLUE) ,250,RC,,Outpatient,,,153,122.4,114.29,,,,,,,Percent of Total Billed Charges,,114.29,114.29,,153,,,,,,,Percent of Total Billed Charges,,,,,146.88,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,32.13,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,122.4,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,, MASK TRACHEOSTOMY ,250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, SWIVEL ADAPTER-PORTEX ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, AIRLIFE OMNI ADAPTER ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, ADAPTER MULTI HUDSON ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, AEROSOL EFFUSION SYSTEM ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, PRESSURE LINE ADAPTOR ,250,RC,,Outpatient,,,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, MASK OXYGEN (PEDIATRIC) ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, MASK OXGEN MED.CONCENTRATION (INFANT) ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, NEBULIZER-HUDSON ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, "MASK, MINI-HEART HIFLO ",250,RC,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, CAPONE NASAL/ORAL AIRWAY ADAPT.NON-INT ,250,RC,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, CAPONE AIRWAY ADAPTER - INTUBATED ,250,RC,,Outpatient,,,38.5,30.8,28.76,,,,,,,Percent of Total Billed Charges,,28.76,28.76,,38.5,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,36.58,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,32.73,,,,,,,Percent of Total Billed Charges,,,,,8.09,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,10.78,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,, PREFILLED NEBULIZER 500 ML ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, FACE TENT OXYGEN ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, BVM RESESUCTATOR (INFANT) ,250,RC,,Outpatient,,,99,79.2,73.95,,,,,,,Percent of Total Billed Charges,,73.95,73.95,,99,,,,,,,Percent of Total Billed Charges,,,,,95.04,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,20.79,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,27.72,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,, PEEP VALVE DISPOSABLE ADJUSTABLE ,250,RC,,Outpatient,,,10,8,7.47,,,,,,,Percent of Total Billed Charges,,7.47,7.47,,10,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,, BVM RESUSCITATOR (PED-DISP) ,250,RC,,Outpatient,,,99,79.2,73.95,,,,,,,Percent of Total Billed Charges,,73.95,73.95,,99,,,,,,,Percent of Total Billed Charges,,,,,95.04,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,20.79,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,27.72,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,, MASK AMBU MEDIUM (ADULT) ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, "MASK,POCKET ADULT ",250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, BVM RESUSCITATOR (ADULT-DISPOSABLE) ,250,RC,,Outpatient,,,99,79.2,73.95,,,,,,,Percent of Total Billed Charges,,73.95,73.95,,99,,,,,,,Percent of Total Billed Charges,,,,,95.04,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,20.79,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,27.72,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,, AIRWAY ORAL #5 BLUE (CATH-GUIDE) ,250,RC,,Outpatient,,,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, AIRWAY ORAL #6 BLACK (CATH-GUIDE) ,250,RC,,Outpatient,,,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, AIRWAY ORAL #7 WHITE (CATH-GUIDE) ,250,RC,,Outpatient,,,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, AIRWAY ORAL #8 GREEN (CATH-GUIDE) ,250,RC,,Outpatient,,,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, AIRWAY ORAL #9 YELLOW (CATH-GUIDE) ,250,RC,,Outpatient,,,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, AIRWAY ORAL #10 RED (CATH-GUIDE) ,250,RC,,Outpatient,,,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, AIRWAY ORAL #11 ORANGE (CATH-GUIDE) ,250,RC,,Outpatient,,,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, AIRWAY ORAL #12 (CATH-GUIDE) ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, ELEVATED TOILET SEAT W/ HANDLES ,250,RC,,Outpatient,,,176,140.8,131.47,,,,,,,Percent of Total Billed Charges,,131.47,131.47,,176,,,,,,,Percent of Total Billed Charges,,,,,168.96,,,,,,,Percent of Total Billed Charges,,,,,167.2,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,149.6,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,158.4,,,,,,,Percent of Total Billed Charges,,,,,158.4,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,49.28,,,,,,,Percent of Total Billed Charges,,,,,140.8,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,, NEBULIZER HI-FLO CONTINUOUS ,250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, CANNULA NASAL (INFANT) ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, "DETECTOR, NG CO2 ",250,RC,,Outpatient,,,32.5,26,24.28,,,,,,,Percent of Total Billed Charges,,24.28,24.28,,32.5,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,30.88,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,27.63,,,,,,,Percent of Total Billed Charges,,,,,6.83,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,, "DETECTOR, CO2 EASYCAP ADULT ",250,RC,,Outpatient,,,38.5,30.8,28.76,,,,,,,Percent of Total Billed Charges,,28.76,28.76,,38.5,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,36.58,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,32.73,,,,,,,Percent of Total Billed Charges,,,,,8.09,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,10.78,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,, "DETECTOR, CO2 PEDIATRIC ",250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, "MASK, BIPAP SOFTFIT SMALL ",250,RC,,Outpatient,,,235,188,175.55,,,,,,,Percent of Total Billed Charges,,175.55,175.55,,235,,,,,,,Percent of Total Billed Charges,,,,,225.6,,,,,,,Percent of Total Billed Charges,,,,,223.25,,,,,,,Percent of Total Billed Charges,,,,,47,,,,,,,Percent of Total Billed Charges,,,,,199.75,,,,,,,Percent of Total Billed Charges,,,,,49.35,,,,,,,Percent of Total Billed Charges,,,,,211.5,,,,,,,Percent of Total Billed Charges,,,,,211.5,,,,,,,Percent of Total Billed Charges,,,,,47,,,,,,,Percent of Total Billed Charges,,,,,65.8,,,,,,,Percent of Total Billed Charges,,,,,188,,,,,,,Percent of Total Billed Charges,,,,,47,,,,,,,Percent of Total Billed Charges,,,, "MASK, BIPAP SOFTFIT MEDIUM ",250,RC,,Outpatient,,,235,188,175.55,,,,,,,Percent of Total Billed Charges,,175.55,175.55,,235,,,,,,,Percent of Total Billed Charges,,,,,225.6,,,,,,,Percent of Total Billed Charges,,,,,223.25,,,,,,,Percent of Total Billed Charges,,,,,47,,,,,,,Percent of Total Billed Charges,,,,,199.75,,,,,,,Percent of Total Billed Charges,,,,,49.35,,,,,,,Percent of Total Billed Charges,,,,,211.5,,,,,,,Percent of Total Billed Charges,,,,,211.5,,,,,,,Percent of Total Billed Charges,,,,,47,,,,,,,Percent of Total Billed Charges,,,,,65.8,,,,,,,Percent of Total Billed Charges,,,,,188,,,,,,,Percent of Total Billed Charges,,,,,47,,,,,,,Percent of Total Billed Charges,,,, "MASK, BIPAP SOFTFIT LARGE ",250,RC,,Outpatient,,,235,188,175.55,,,,,,,Percent of Total Billed Charges,,175.55,175.55,,235,,,,,,,Percent of Total Billed Charges,,,,,225.6,,,,,,,Percent of Total Billed Charges,,,,,223.25,,,,,,,Percent of Total Billed Charges,,,,,47,,,,,,,Percent of Total Billed Charges,,,,,199.75,,,,,,,Percent of Total Billed Charges,,,,,49.35,,,,,,,Percent of Total Billed Charges,,,,,211.5,,,,,,,Percent of Total Billed Charges,,,,,211.5,,,,,,,Percent of Total Billed Charges,,,,,47,,,,,,,Percent of Total Billed Charges,,,,,65.8,,,,,,,Percent of Total Billed Charges,,,,,188,,,,,,,Percent of Total Billed Charges,,,,,47,,,,,,,Percent of Total Billed Charges,,,, "TUBING, BIPAP 6' SMOOTHBORE DISP. ",250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, IV PRESSURE INFUSER BAG (DISPOSABLE) ,250,RC,,Outpatient,,,60,48,44.82,,,,,,,Percent of Total Billed Charges,,44.82,44.82,,60,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,57,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,, BIPAP ADAM/STANDARD/SNUGFIT KIT ,250,RC,,Outpatient,,,346,276.8,258.46,,,,,,,Percent of Total Billed Charges,,258.46,258.46,,346,,,,,,,Percent of Total Billed Charges,,,,,332.16,,,,,,,Percent of Total Billed Charges,,,,,328.7,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,294.1,,,,,,,Percent of Total Billed Charges,,,,,72.66,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,96.88,,,,,,,Percent of Total Billed Charges,,,,,276.8,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,, "MASK, FULL FACE PEDI - DISPOSABLE ",250,RC,,Outpatient,,,118,94.4,88.15,,,,,,,Percent of Total Billed Charges,,88.15,88.15,,118,,,,,,,Percent of Total Billed Charges,,,,,113.28,,,,,,,Percent of Total Billed Charges,,,,,112.1,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,33.04,,,,,,,Percent of Total Billed Charges,,,,,94.4,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,, "MASK, FULL FACE SMALL - DISPOSABLE ",250,RC,,Outpatient,,,118,94.4,88.15,,,,,,,Percent of Total Billed Charges,,88.15,88.15,,118,,,,,,,Percent of Total Billed Charges,,,,,113.28,,,,,,,Percent of Total Billed Charges,,,,,112.1,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,33.04,,,,,,,Percent of Total Billed Charges,,,,,94.4,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,, "MASK,IMAGE 3 W/HEADGEAR ",250,RC,,Outpatient,,,102,81.6,76.19,,,,,,,Percent of Total Billed Charges,,76.19,76.19,,102,,,,,,,Percent of Total Billed Charges,,,,,97.92,,,,,,,Percent of Total Billed Charges,,,,,96.9,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,86.7,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,91.8,,,,,,,Percent of Total Billed Charges,,,,,91.8,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,28.56,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,, "MASK, FULL FACE LARGE - DISPOSABLE ",250,RC,,Outpatient,,,176.5,141.2,131.85,,,,,,,Percent of Total Billed Charges,,131.85,131.85,,176.5,,,,,,,Percent of Total Billed Charges,,,,,169.44,,,,,,,Percent of Total Billed Charges,,,,,167.68,,,,,,,Percent of Total Billed Charges,,,,,35.3,,,,,,,Percent of Total Billed Charges,,,,,150.03,,,,,,,Percent of Total Billed Charges,,,,,37.07,,,,,,,Percent of Total Billed Charges,,,,,158.85,,,,,,,Percent of Total Billed Charges,,,,,158.85,,,,,,,Percent of Total Billed Charges,,,,,35.3,,,,,,,Percent of Total Billed Charges,,,,,49.42,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,,,35.3,,,,,,,Percent of Total Billed Charges,,,, "SWIVEL, WHISPER EXHALATION PORT ",250,RC,,Outpatient,,,111.5,89.2,83.29,,,,,,,Percent of Total Billed Charges,,83.29,83.29,,111.5,,,,,,,Percent of Total Billed Charges,,,,,107.04,,,,,,,Percent of Total Billed Charges,,,,,105.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,31.22,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,, ET TUBE HOLDER ADULT THOMAS ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, TUBECHEK - AMBU BULB STYLE ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, "CARE CUBE, 12"" X 12"" CLOSED BOTTOM ",250,RC,,Outpatient,,,50.5,40.4,37.72,,,,,,,Percent of Total Billed Charges,,37.72,37.72,,50.5,,,,,,,Percent of Total Billed Charges,,,,,48.48,,,,,,,Percent of Total Billed Charges,,,,,47.98,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,42.93,,,,,,,Percent of Total Billed Charges,,,,,10.61,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,14.14,,,,,,,Percent of Total Billed Charges,,,,,40.4,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,, "CARE CUBE,24"" X 24"",CLOSED BOTTOM ",250,RC,,Outpatient,,,71,56.8,53.04,,,,,,,Percent of Total Billed Charges,,53.04,53.04,,71,,,,,,,Percent of Total Billed Charges,,,,,68.16,,,,,,,Percent of Total Billed Charges,,,,,67.45,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,60.35,,,,,,,Percent of Total Billed Charges,,,,,14.91,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,19.88,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,, "BELT UNIV RIB MENS 8"" 2721-008 (6/BOX) ",250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, PROFORE COMPRESSION ,250,RC,,Outpatient,,,38.5,30.8,28.76,,,,,,,Percent of Total Billed Charges,,28.76,28.76,,38.5,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,36.58,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,32.73,,,,,,,Percent of Total Billed Charges,,,,,8.09,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,10.78,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,, "BELT UNIV RIB W 6"" 2722-06 (6/BOX) ",250,RC,,Outpatient,,,32.5,26,24.28,,,,,,,Percent of Total Billed Charges,,24.28,24.28,,32.5,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,30.88,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,27.63,,,,,,,Percent of Total Billed Charges,,,,,6.83,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,, BRACE DX ANKLE SM Z 1767-03 ,250,RC,,Outpatient,,,58.5,46.8,43.7,,,,,,,Percent of Total Billed Charges,,43.7,43.7,,58.5,,,,,,,Percent of Total Billed Charges,,,,,56.16,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,49.73,,,,,,,Percent of Total Billed Charges,,,,,12.29,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,, BRACE DX ANKLE MED ,250,RC,,Outpatient,,,58.5,46.8,43.7,,,,,,,Percent of Total Billed Charges,,43.7,43.7,,58.5,,,,,,,Percent of Total Billed Charges,,,,,56.16,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,49.73,,,,,,,Percent of Total Billed Charges,,,,,12.29,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,, BRACE DX ANKLE LRG ,250,RC,,Outpatient,,,58.5,46.8,43.7,,,,,,,Percent of Total Billed Charges,,43.7,43.7,,58.5,,,,,,,Percent of Total Billed Charges,,,,,56.16,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,49.73,,,,,,,Percent of Total Billed Charges,,,,,12.29,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,, BRACE DX ANKLE XLRG ,250,RC,,Outpatient,,,65.5,52.4,48.93,,,,,,,Percent of Total Billed Charges,,48.93,48.93,,65.5,,,,,,,Percent of Total Billed Charges,,,,,62.88,,,,,,,Percent of Total Billed Charges,,,,,62.23,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,,,55.68,,,,,,,Percent of Total Billed Charges,,,,,13.76,,,,,,,Percent of Total Billed Charges,,,,,58.95,,,,,,,Percent of Total Billed Charges,,,,,58.95,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,,,18.34,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,, BRACE ANKLE LA LOCK (L)1424-001 ,250,RC,,Outpatient,,,133.5,106.8,99.72,,,,,,,Percent of Total Billed Charges,,99.72,99.72,,133.5,,,,,,,Percent of Total Billed Charges,,,,,128.16,,,,,,,Percent of Total Billed Charges,,,,,126.83,,,,,,,Percent of Total Billed Charges,,,,,26.7,,,,,,,Percent of Total Billed Charges,,,,,113.48,,,,,,,Percent of Total Billed Charges,,,,,28.04,,,,,,,Percent of Total Billed Charges,,,,,120.15,,,,,,,Percent of Total Billed Charges,,,,,120.15,,,,,,,Percent of Total Billed Charges,,,,,26.7,,,,,,,Percent of Total Billed Charges,,,,,37.38,,,,,,,Percent of Total Billed Charges,,,,,106.8,,,,,,,Percent of Total Billed Charges,,,,,26.7,,,,,,,Percent of Total Billed Charges,,,, BRACE ANKLE LA LOCK (R)1424-002 ,250,RC,,Outpatient,,,111.5,89.2,83.29,,,,,,,Percent of Total Billed Charges,,83.29,83.29,,111.5,,,,,,,Percent of Total Billed Charges,,,,,107.04,,,,,,,Percent of Total Billed Charges,,,,,105.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,31.22,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,, BRACE ANKLE P.L.L.(L)1425-001 ,250,RC,,Outpatient,,,111.5,89.2,83.29,,,,,,,Percent of Total Billed Charges,,83.29,83.29,,111.5,,,,,,,Percent of Total Billed Charges,,,,,107.04,,,,,,,Percent of Total Billed Charges,,,,,105.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,31.22,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,, BRACE ANKLE P.L.L.(R)1425-002 ,250,RC,,Outpatient,,,111.5,89.2,83.29,,,,,,,Percent of Total Billed Charges,,83.29,83.29,,111.5,,,,,,,Percent of Total Billed Charges,,,,,107.04,,,,,,,Percent of Total Billed Charges,,,,,105.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,31.22,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,, "CAST SYNTHETIC PADDING 2"" ",250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, "CAST SYNTHETIC PADDING 3"" ",250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, "CAST SYNTHETIC PADDING 4"" ",250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, "CAST PADDING 5"" 8890-05 ",250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, "CAST SYNTHETIC PADDING 6"" ",250,RC,,Outpatient,,,10,8,7.47,,,,,,,Percent of Total Billed Charges,,7.47,7.47,,10,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,, CAST SYNTHETIC TAPE 2 INCH ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, "CAST SYNTHETIC TAPE 3"" ",250,RC,,Outpatient,,,26.5,21.2,19.8,,,,,,,Percent of Total Billed Charges,,19.8,19.8,,26.5,,,,,,,Percent of Total Billed Charges,,,,,25.44,,,,,,,Percent of Total Billed Charges,,,,,25.18,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,22.53,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,7.42,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,, "SCOTCHCAST 2 TAPE WHITE 5"" X 4YD ",250,RC,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, "CAST SYNTHETIC TAPE 4"" ",250,RC,,Outpatient,,,23.5,18.8,17.55,,,,,,,Percent of Total Billed Charges,,17.55,17.55,,23.5,,,,,,,Percent of Total Billed Charges,,,,,22.56,,,,,,,Percent of Total Billed Charges,,,,,22.33,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,19.98,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,, "WEBRIL UNDERCAST PADDING 2"" ",250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, "WEBRIL UNDERCAST PADDING 3"" ",250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, "WEBRIL UNDERCAST PADDING 4"" ",250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "WEBRIL UNDERCAST PADDING 6"" ",250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, "PLASTER BANDAGE 2"" EXTRA FAST ",250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "PLASTER BANDAGE 3"" EXTRA FAST ",250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, "PLASTER BANDAGE 4"" EXTRA FAST ",250,RC,,Outpatient,,,7.5,6,5.6,,,,,,,Percent of Total Billed Charges,,5.6,5.6,,7.5,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.13,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,, COLLAR PHIL SM Z 1741-10 ,250,RC,,Outpatient,,,60,48,44.82,,,,,,,Percent of Total Billed Charges,,44.82,44.82,,60,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,57,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,, "PLASTER BANDAGE 6"" EXTRA FAST ",250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, COLLAR PHILADELPHIA MED 1737-03 ,250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, COLLAR PHIL LG Z 1741-12 ,250,RC,,Outpatient,,,60,48,44.82,,,,,,,Percent of Total Billed Charges,,44.82,44.82,,60,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,57,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,, "COLLAR,CERVICAL ADULT,ADJUSTABLE ",250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, COLLAR SERP SM X WIDE 1737-01 ,250,RC,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, COLLAR SERP SM 1737-02 ,250,RC,,Outpatient,,,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, COLLAR SERP MED 1737-03 ,250,RC,,Outpatient,,,29.5,23.6,22.04,,,,,,,Percent of Total Billed Charges,,22.04,22.04,,29.5,,,,,,,Percent of Total Billed Charges,,,,,28.32,,,,,,,Percent of Total Billed Charges,,,,,28.03,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,25.08,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,8.26,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,, COLLAR SERP LG 1737-04 ,250,RC,,Outpatient,,,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, O/R PAIN MNGMNT JOCKSTRAP SZ MEDIUM ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, O/R PAIN MNGMNT JOCKSTRAP SZ LARGE ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, O/R PAIN MNGMNT JOCKSTRAP SZ X-LARGE ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, IMMOBILIZER KNEE SMALL 1876-503-19 ,250,RC,,Outpatient,,,87,69.6,64.99,,,,,,,Percent of Total Billed Charges,,64.99,64.99,,87,,,,,,,Percent of Total Billed Charges,,,,,83.52,,,,,,,Percent of Total Billed Charges,,,,,82.65,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,73.95,,,,,,,Percent of Total Billed Charges,,,,,18.27,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,24.36,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,, IMMOBILIZER KNEE UN.1883-500-22 ,250,RC,,Outpatient,,,92,73.6,68.72,,,,,,,Percent of Total Billed Charges,,68.72,68.72,,92,,,,,,,Percent of Total Billed Charges,,,,,88.32,,,,,,,Percent of Total Billed Charges,,,,,87.4,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,78.2,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,82.8,,,,,,,Percent of Total Billed Charges,,,,,82.8,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,25.76,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,, IMMOBILIZER KNEE MD 1876-504-19 ,250,RC,,Outpatient,,,85,68,63.5,,,,,,,Percent of Total Billed Charges,,63.5,63.5,,85,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,80.75,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,72.25,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,, IMMOBILIZER KNEE LG ,250,RC,,Outpatient,,,122.5,98,91.51,,,,,,,Percent of Total Billed Charges,,91.51,91.51,,122.5,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,,,116.38,,,,,,,Percent of Total Billed Charges,,,,,24.5,,,,,,,Percent of Total Billed Charges,,,,,104.13,,,,,,,Percent of Total Billed Charges,,,,,25.73,,,,,,,Percent of Total Billed Charges,,,,,110.25,,,,,,,Percent of Total Billed Charges,,,,,110.25,,,,,,,Percent of Total Billed Charges,,,,,24.5,,,,,,,Percent of Total Billed Charges,,,,,34.3,,,,,,,Percent of Total Billed Charges,,,,,98,,,,,,,Percent of Total Billed Charges,,,,,24.5,,,,,,,Percent of Total Billed Charges,,,, IMMOBILIZER KNEE XLG ,250,RC,,Outpatient,,,73.5,58.8,54.9,,,,,,,Percent of Total Billed Charges,,54.9,54.9,,73.5,,,,,,,Percent of Total Billed Charges,,,,,70.56,,,,,,,Percent of Total Billed Charges,,,,,69.83,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,62.48,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,66.15,,,,,,,Percent of Total Billed Charges,,,,,66.15,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,58.8,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,, DRESS DX-KNEE LGE 1876-505-19 ,250,RC,,Outpatient,,,61,48.8,45.57,,,,,,,Percent of Total Billed Charges,,45.57,45.57,,61,,,,,,,Percent of Total Billed Charges,,,,,58.56,,,,,,,Percent of Total Billed Charges,,,,,57.95,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,,,51.85,,,,,,,Percent of Total Billed Charges,,,,,12.81,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,,,17.08,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,, DRESS DX-KNEE X-LGE 1876-506-19 ,250,RC,,Outpatient,,,64,51.2,47.81,,,,,,,Percent of Total Billed Charges,,47.81,47.81,,64,,,,,,,Percent of Total Billed Charges,,,,,61.44,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,17.92,,,,,,,Percent of Total Billed Charges,,,,,51.2,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,, ONESTEP DEFIB ELECTRODE PADS ADULT ,250,RC,,Outpatient,,,64.5,51.6,48.18,,,,,,,Percent of Total Billed Charges,,48.18,48.18,,64.5,,,,,,,Percent of Total Billed Charges,,,,,61.92,,,,,,,Percent of Total Billed Charges,,,,,61.28,,,,,,,Percent of Total Billed Charges,,,,,12.9,,,,,,,Percent of Total Billed Charges,,,,,54.83,,,,,,,Percent of Total Billed Charges,,,,,13.55,,,,,,,Percent of Total Billed Charges,,,,,58.05,,,,,,,Percent of Total Billed Charges,,,,,58.05,,,,,,,Percent of Total Billed Charges,,,,,12.9,,,,,,,Percent of Total Billed Charges,,,,,18.06,,,,,,,Percent of Total Billed Charges,,,,,51.6,,,,,,,Percent of Total Billed Charges,,,,,12.9,,,,,,,Percent of Total Billed Charges,,,, ONESTEP DEFIB/MONITORING PADS PEDS ,250,RC,,Outpatient,,,85,68,63.5,,,,,,,Percent of Total Billed Charges,,63.5,63.5,,85,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,80.75,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,72.25,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,, HEELS CAST SM 994-12 (12/BX) ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, MAINSTREAM AIRWAY ADAPTER ,250,RC,,Outpatient,,,30.5,24.4,22.78,,,,,,,Percent of Total Billed Charges,,22.78,22.78,,30.5,,,,,,,Percent of Total Billed Charges,,,,,29.28,,,,,,,Percent of Total Billed Charges,,,,,28.98,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,25.93,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,8.54,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,, HEELS CAST MED 993-12 (12/BX) ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, HEELS CAST LGE 992-12 (12/BX) ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, SHOE CUSHION CAST X-S 1995-11 ,250,RC,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, SHOE CUSH CAST SM 1995-12 ,250,RC,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, SHOE CUSH CAST MED 1995-13 ,250,RC,,Outpatient,,,50,40,37.35,,,,,,,Percent of Total Billed Charges,,37.35,37.35,,50,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,, SHOE CUSH CAST LGE ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, SHOE CUSH CAST X-LGE 1995-15 ,250,RC,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, SHOE POSTOP MEN'S LGE ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, SHOE POSTOP MEN'S MED ,250,RC,,Outpatient,,,39.5,31.6,29.51,,,,,,,Percent of Total Billed Charges,,29.51,29.51,,39.5,,,,,,,Percent of Total Billed Charges,,,,,37.92,,,,,,,Percent of Total Billed Charges,,,,,37.53,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,33.58,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,11.06,,,,,,,Percent of Total Billed Charges,,,,,31.6,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,, SHOE POSTOP MEN'S SM ,250,RC,,Outpatient,,,36,28.8,26.89,,,,,,,Percent of Total Billed Charges,,26.89,26.89,,36,,,,,,,Percent of Total Billed Charges,,,,,34.56,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,32.4,,,,,,,Percent of Total Billed Charges,,,,,32.4,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,, SHOE POSTOP WOMEN'S X-SMALL ,250,RC,,Outpatient,,,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, SHOE POSTOP WOMEN'S SM ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, SHOE POSTOP WOMEN'S MD ,250,RC,,Outpatient,,,24.5,19.6,18.3,,,,,,,Percent of Total Billed Charges,,18.3,18.3,,24.5,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,23.28,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,20.83,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,6.86,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,, SLING ARM INFANT XX-SMALL ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, SHOE POSTOP WOMEN'S LG ,250,RC,,Outpatient,,,38,30.4,28.39,,,,,,,Percent of Total Billed Charges,,28.39,28.39,,38,,,,,,,Percent of Total Billed Charges,,,,,36.48,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,,,7.98,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,10.64,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,, SLING ARM TODDLER X-SM ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, SLING ARM SM CHILD ,250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, SLING ARM SM ADULT ,250,RC,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, SLING ARM MED ADULT ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, SLING ARM LARGE ADULT ,250,RC,,Outpatient,,,25,20,18.68,,,,,,,Percent of Total Billed Charges,,18.68,18.68,,25,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,23.75,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,21.25,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,, SLING ARM X-LG ADULT ,250,RC,,Outpatient,,,10,8,7.47,,,,,,,Percent of Total Billed Charges,,7.47,7.47,,10,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,, SPLINT FROG SM 756-11 (12/BX) ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, SPLINT FROG MED (12/BX) ,250,RC,,Outpatient,,,13.5,10.8,10.08,,,,,,,Percent of Total Billed Charges,,10.08,10.08,,13.5,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,, SPLINT FROG LG 756-02 (12/BX) ,250,RC,,Outpatient,,,10,8,7.47,,,,,,,Percent of Total Billed Charges,,7.47,7.47,,10,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,, SLING & SWATHE SM 3898-05 ,250,RC,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, SLING D&SWATHE MD 3898-006 ,250,RC,,Outpatient,,,46.5,37.2,34.74,,,,,,,Percent of Total Billed Charges,,34.74,34.74,,46.5,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,,,44.18,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,39.53,,,,,,,Percent of Total Billed Charges,,,,,9.77,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,, SLING D&SWATHE LG 3898-007 ,250,RC,,Outpatient,,,54,43.2,40.34,,,,,,,Percent of Total Billed Charges,,40.34,40.34,,54,,,,,,,Percent of Total Billed Charges,,,,,51.84,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,, SLING DX & SWATHE XLGE 3898-008 ,250,RC,,Outpatient,,,37,29.6,27.64,,,,,,,Percent of Total Billed Charges,,27.64,27.64,,37,,,,,,,Percent of Total Billed Charges,,,,,35.52,,,,,,,Percent of Total Billed Charges,,,,,35.15,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,,,31.45,,,,,,,Percent of Total Billed Charges,,,,,7.77,,,,,,,Percent of Total Billed Charges,,,,,33.3,,,,,,,Percent of Total Billed Charges,,,,,33.3,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,,,10.36,,,,,,,Percent of Total Billed Charges,,,,,29.6,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,, SLING & SWATHE XLGE ,250,RC,,Outpatient,,,37,29.6,27.64,,,,,,,Percent of Total Billed Charges,,27.64,27.64,,37,,,,,,,Percent of Total Billed Charges,,,,,35.52,,,,,,,Percent of Total Billed Charges,,,,,35.15,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,,,31.45,,,,,,,Percent of Total Billed Charges,,,,,7.77,,,,,,,Percent of Total Billed Charges,,,,,33.3,,,,,,,Percent of Total Billed Charges,,,,,33.3,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,,,10.36,,,,,,,Percent of Total Billed Charges,,,,,29.6,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,, TENNIS ELBOW SUPPORT X-LGE ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, SPLINT CLAVICLE XXSM 8711-001-01 ,250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, SPLINT CLAVICLE XSM ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, SPLINT CLAVICLE SMALL 735-02 ,250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, SPLINT CLAVICLE MEDIUM 8711-003 ,250,RC,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, SPLINT CLAVICLE LGE 8711-004 ,250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, SPLINT CLAVICLE X-LGE 735-05 ,250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, CLAVICLE STRAP (LARGE) ,250,RC,,Outpatient,,,48.5,38.8,36.23,,,,,,,Percent of Total Billed Charges,,36.23,36.23,,48.5,,,,,,,Percent of Total Billed Charges,,,,,46.56,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,41.23,,,,,,,Percent of Total Billed Charges,,,,,10.19,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,13.58,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,, SPLINT COCKUP LT SM ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, SPLINT COCKUP RT SM ,250,RC,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, SPLINT COCKUP LFT MED ,250,RC,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, SPLINT COCKUP RT MD ,250,RC,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, SPLINT COCKUP LFT LRG ,250,RC,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, SPLINT COCKUP RT LG ,250,RC,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, SPLINT COCKUP LT XLG ,250,RC,,Outpatient,,,48.5,38.8,36.23,,,,,,,Percent of Total Billed Charges,,36.23,36.23,,48.5,,,,,,,Percent of Total Billed Charges,,,,,46.56,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,41.23,,,,,,,Percent of Total Billed Charges,,,,,10.19,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,13.58,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,, WRIST & FOREARM SPLINT SZ M (L) ,250,RC,,Outpatient,,,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, WRIST & FOREARM SPLINT SZ L (L) ,250,RC,,Outpatient,,,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, WRIST & FOREARM SPLINT SZ M (R) ,250,RC,,Outpatient,,,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, SPLINT COCKUP RT XLG ,250,RC,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, SPLINT COCKUP W.(L) UNIV ,250,RC,,Outpatient,,,39.5,31.6,29.51,,,,,,,Percent of Total Billed Charges,,29.51,29.51,,39.5,,,,,,,Percent of Total Billed Charges,,,,,37.92,,,,,,,Percent of Total Billed Charges,,,,,37.53,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,33.58,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,11.06,,,,,,,Percent of Total Billed Charges,,,,,31.6,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,, SPLINT COCKUP WR.(R) UNIV ,250,RC,,Outpatient,,,39.5,31.6,29.51,,,,,,,Percent of Total Billed Charges,,29.51,29.51,,39.5,,,,,,,Percent of Total Billed Charges,,,,,37.92,,,,,,,Percent of Total Billed Charges,,,,,37.53,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,33.58,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,11.06,,,,,,,Percent of Total Billed Charges,,,,,31.6,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,, WRIST & FOREARM SPLINT SZ L (R) ,250,RC,,Outpatient,,,50,40,37.35,,,,,,,Percent of Total Billed Charges,,37.35,37.35,,50,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,, "SPLINT FINGER 1 5/8"" 66-0017-01 (12/BX) ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "SPLINT FINGER 2 5/8"" 66-0017-02 (12/BX) ",250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, "SPLINT FINGER 6"" (12/BX) ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, FINGER COT W/PAD 1 INCH ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, "FINGER COT PADDED 2"" ",250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "SPLINT LEWIN SPLINTS, SIZE 4 ",250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, "SPLINT LEWIN SPLINTS, SIZE 5 ",250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, SPLINT THUMB 66-80-01 ,250,RC,,Outpatient,,,77,61.6,57.52,,,,,,,Percent of Total Billed Charges,,57.52,57.52,,77,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,73.15,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,65.45,,,,,,,Percent of Total Billed Charges,,,,,16.17,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,21.56,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,, "FINGER COT, PADDED 3 1/2"" ",250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, "SPLINT,FINGER,STAX SIZE 1 ",250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, "SPLINT,FINGER,STAX SIZE 2 ",250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, "SPLINT,FINGER,STAX SIZE 3 ",250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "SPLINT,FINGER,STAX SIZE 4 ",250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, "SPLINT,FINGER,STAX SIZE 5 ",250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "SPLINT,FINGER,STAX SIZE 5 1/2 ",250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "SPLINT,FINGER,STAX SIZE 6 ",250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "SPLINT,FINGER,STAX SIZE 7 ",250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, WRAP ELAST ANKLE LGE 762-03 ,250,RC,,Outpatient,,,22.5,18,16.81,,,,,,,Percent of Total Billed Charges,,16.81,16.81,,22.5,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,, SPLINT FINGER 4 PRONG MED ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, SPLINT FINGER 4 PRONG LRG ,250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, PARAGUARD 380A IUD ,250,RC,,Outpatient,,,514.5,411.6,384.33,,,,,,,Percent of Total Billed Charges,,384.33,384.33,,514.5,,,,,,,Percent of Total Billed Charges,,,,,493.92,,,,,,,Percent of Total Billed Charges,,,,,488.78,,,,,,,Percent of Total Billed Charges,,,,,102.9,,,,,,,Percent of Total Billed Charges,,,,,437.33,,,,,,,Percent of Total Billed Charges,,,,,108.05,,,,,,,Percent of Total Billed Charges,,,,,463.05,,,,,,,Percent of Total Billed Charges,,,,,463.05,,,,,,,Percent of Total Billed Charges,,,,,102.9,,,,,,,Percent of Total Billed Charges,,,,,144.06,,,,,,,Percent of Total Billed Charges,,,,,411.6,,,,,,,Percent of Total Billed Charges,,,,,102.9,,,,,,,Percent of Total Billed Charges,,,, UNIVERAL RIB BELT WOMENS ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, "WRAP,COLASTIC ,2"" COLORED ",250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, "WRAP,ELASTIC,COHESIVE,COBAN 2"" ",250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, "WRAP,ELASTIC,COHESIVE,COBAN,4"" ",250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, "DRAPE,IOBAN 2 35 3/8"" X 17 5/8"" ",250,RC,,Outpatient,,,26.5,21.2,19.8,,,,,,,Percent of Total Billed Charges,,19.8,19.8,,26.5,,,,,,,Percent of Total Billed Charges,,,,,25.44,,,,,,,Percent of Total Billed Charges,,,,,25.18,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,22.53,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,7.42,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,, "SPLINT 3"" ORTHOGLASS ",250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, "SPLINT 4"" ORTHOGLASS ",250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, "SPLINT 6"" ORTHOGLASS ",250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, "SPLINT 3"" OCL/INCH ",250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, "SPLINT 4"" OCL/INCH ",250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, "SPLINT 6"" OCL/INCH ",250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, "STOCKINETTE, TUBULAR 2"" ",250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "STOCKINETTE, TUBULAR 3"" ",250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, "STOCKINETTE, TUBULAR 4"" ",250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, "STOCKINETTE,TUBULAR,SINGLE PLY 5"" ",250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, WALKING HEEL SM 1900-12 (12/BX) ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, WALKING HEEL MD 1900-22 (12/BX) ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, WALKING HEEL LG 992-12 (12/BX) ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, APP MATTRESS ,250,RC,,Outpatient,,,88.5,70.8,66.11,,,,,,,Percent of Total Billed Charges,,66.11,66.11,,88.5,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,84.08,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,75.23,,,,,,,Percent of Total Billed Charges,,,,,18.59,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,, ALLEVYN ADHESIVE DRESSING 5 X 5 ,250,RC,,Outpatient,,,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, "DRESSING, BRIDGE XG ",250,RC,,Outpatient,,,257.5,206,192.35,,,,,,,Percent of Total Billed Charges,,192.35,192.35,,257.5,,,,,,,Percent of Total Billed Charges,,,,,247.2,,,,,,,Percent of Total Billed Charges,,,,,244.63,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,,,218.88,,,,,,,Percent of Total Billed Charges,,,,,54.08,,,,,,,Percent of Total Billed Charges,,,,,231.75,,,,,,,Percent of Total Billed Charges,,,,,231.75,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,,,72.1,,,,,,,Percent of Total Billed Charges,,,,,206,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,, "LIMB HOLDER, QUICK RELEASE ",250,RC,,Outpatient,,,23.5,18.8,17.55,,,,,,,Percent of Total Billed Charges,,17.55,17.55,,23.5,,,,,,,Percent of Total Billed Charges,,,,,22.56,,,,,,,Percent of Total Billed Charges,,,,,22.33,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,19.98,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,, "LIMB HOLDER, W/SINGLE Q/R STRAP ",250,RC,,Outpatient,,,24,19.2,17.93,,,,,,,Percent of Total Billed Charges,,17.93,17.93,,24,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,, CUROS DISINFECTANT IV CAP ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, CUROS IV TUBING LUER LOCK CAP ,250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, "IV CATHETER 14GA X 1 1/4"" ",250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, "IV CATHETER 16GA X 1 1/4"" ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "IV CATHETER 18GA X 1 1/4"" ",250,RC,,Outpatient,,,7.5,6,5.6,,,,,,,Percent of Total Billed Charges,,5.6,5.6,,7.5,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.13,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,, "IV CATHETER, 18GA X 2.5"" ",250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, "IV CATHETER 20GA X 1 1/4"" ",250,RC,,Outpatient,,,7.5,6,5.6,,,,,,,Percent of Total Billed Charges,,5.6,5.6,,7.5,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.13,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,, "IV CATHETER 20GA X 2"" ",250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, "IV CATHETER 22GA X 1"" ",250,RC,,Outpatient,,,7.5,6,5.6,,,,,,,Percent of Total Billed Charges,,5.6,5.6,,7.5,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.13,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,, "IV CATHETER 24GA X 3/4"" ",250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, TWIN CATH 20/22 ,250,RC,,Outpatient,,,75,60,56.03,,,,,,,Percent of Total Billed Charges,,56.03,56.03,,75,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,71.25,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,63.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,, CATHETER ADAPTER ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, "CONNECTOR, ADD-VANTAGE ADDAPTOR ",250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, CANNULA LUER LOCK ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, VIAL2BAG 20MM ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, VIAL2BAG 13MM ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, INTERLINK VIAL ACCESS CANNULA ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, ADAPTER PLUG PRN ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, CATHETER EXT. ST J-LOOP ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, ULTRASITE VALVE ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, BLUNTIP VIAL ACCESS PIN ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, VIAL ADAPTER 20MM ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, CONT FLO SOLNT SET ,250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, IV START KIT WITH EXT SET ,250,RC,,Outpatient,,,29.5,23.6,22.04,,,,,,,Percent of Total Billed Charges,,22.04,22.04,,29.5,,,,,,,Percent of Total Billed Charges,,,,,28.32,,,,,,,Percent of Total Billed Charges,,,,,28.03,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,25.08,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,8.26,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,, CONT FLO INJ SITE ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, BASIC SOLN SET ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, MICRO DRIP SET ,250,RC,,Outpatient,,,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, SECONDARY MED SET ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, EXTENSION SET ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, VENTED MED SET (DISCONTINUED 5/04) ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "CADD ADMINISTRATION SET 267CM/105"" ",250,RC,,Outpatient,,,131,104.8,97.86,,,,,,,Percent of Total Billed Charges,,97.86,97.86,,131,,,,,,,Percent of Total Billed Charges,,,,,125.76,,,,,,,Percent of Total Billed Charges,,,,,124.45,,,,,,,Percent of Total Billed Charges,,,,,26.2,,,,,,,Percent of Total Billed Charges,,,,,111.35,,,,,,,Percent of Total Billed Charges,,,,,27.51,,,,,,,Percent of Total Billed Charges,,,,,117.9,,,,,,,Percent of Total Billed Charges,,,,,117.9,,,,,,,Percent of Total Billed Charges,,,,,26.2,,,,,,,Percent of Total Billed Charges,,,,,36.68,,,,,,,Percent of Total Billed Charges,,,,,104.8,,,,,,,Percent of Total Billed Charges,,,,,26.2,,,,,,,Percent of Total Billed Charges,,,, INTERLINK EXTENSION SET 2/.22 MICRO ,250,RC,,Outpatient,,,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, IV ADMINISTRATION SET 1.2MICRON ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, PCA PUMP SET ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, PCA PUMP SET (BBRAUN) ,250,RC,,Outpatient,,,77,61.6,57.52,,,,,,,Percent of Total Billed Charges,,57.52,57.52,,77,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,73.15,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,65.45,,,,,,,Percent of Total Billed Charges,,,,,16.17,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,21.56,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,, VENTED SOLN SET ,250,RC,,Outpatient,,,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, BURETROL SOLN SET ,250,RC,,Outpatient,,,61,48.8,45.57,,,,,,,Percent of Total Billed Charges,,45.57,45.57,,61,,,,,,,Percent of Total Billed Charges,,,,,58.56,,,,,,,Percent of Total Billed Charges,,,,,57.95,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,,,51.85,,,,,,,Percent of Total Billed Charges,,,,,12.81,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,,,17.08,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,, BLOOD Y-TYPE SET W/PUMP(DO NOT USE) ,250,RC,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, BLOOD SET Y-TYPE ,250,RC,,Outpatient,,,55,44,41.09,,,,,,,Percent of Total Billed Charges,,41.09,41.09,,55,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,52.25,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,46.75,,,,,,,Percent of Total Billed Charges,,,,,11.55,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,, BLOOD/FLUID WARMING SET ,250,RC,,Outpatient,,,46.5,37.2,34.74,,,,,,,Percent of Total Billed Charges,,34.74,34.74,,46.5,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,,,44.18,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,39.53,,,,,,,Percent of Total Billed Charges,,,,,9.77,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,, SCREW CAP ADAPTER 38MM ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, KANGAROO PUMP SET ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, KANGAROO PUMP SET N/S Y-SITE EXTENSION ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, ENTERAL VALVE LOPEZ ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, NITROGLYCERINE TUBING SET ,250,RC,,Outpatient,,,73.5,58.8,54.9,,,,,,,Percent of Total Billed Charges,,54.9,54.9,,73.5,,,,,,,Percent of Total Billed Charges,,,,,70.56,,,,,,,Percent of Total Billed Charges,,,,,69.83,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,62.48,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,66.15,,,,,,,Percent of Total Billed Charges,,,,,66.15,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,58.8,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,, "ACCESS DEVICE, LUER-LOK ADAPTER ",250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, CONT EPIDURAL ANESTH TRAY ,250,RC,,Outpatient,,,159,127.2,118.77,,,,,,,Percent of Total Billed Charges,,118.77,118.77,,159,,,,,,,Percent of Total Billed Charges,,,,,152.64,,,,,,,Percent of Total Billed Charges,,,,,151.05,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,135.15,,,,,,,Percent of Total Billed Charges,,,,,33.39,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,127.2,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,, SADDLE BLOCK TRAY ,250,RC,,Outpatient,,,122.5,98,91.51,,,,,,,Percent of Total Billed Charges,,91.51,91.51,,122.5,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,,,116.38,,,,,,,Percent of Total Billed Charges,,,,,24.5,,,,,,,Percent of Total Billed Charges,,,,,104.13,,,,,,,Percent of Total Billed Charges,,,,,25.73,,,,,,,Percent of Total Billed Charges,,,,,110.25,,,,,,,Percent of Total Billed Charges,,,,,110.25,,,,,,,Percent of Total Billed Charges,,,,,24.5,,,,,,,Percent of Total Billed Charges,,,,,34.3,,,,,,,Percent of Total Billed Charges,,,,,98,,,,,,,Percent of Total Billed Charges,,,,,24.5,,,,,,,Percent of Total Billed Charges,,,, PERITONEAL DIALYSIS TRAY ,250,RC,,Outpatient,,,258.5,206.8,193.1,,,,,,,Percent of Total Billed Charges,,193.1,193.1,,258.5,,,,,,,Percent of Total Billed Charges,,,,,248.16,,,,,,,Percent of Total Billed Charges,,,,,245.58,,,,,,,Percent of Total Billed Charges,,,,,51.7,,,,,,,Percent of Total Billed Charges,,,,,219.73,,,,,,,Percent of Total Billed Charges,,,,,54.29,,,,,,,Percent of Total Billed Charges,,,,,232.65,,,,,,,Percent of Total Billed Charges,,,,,232.65,,,,,,,Percent of Total Billed Charges,,,,,51.7,,,,,,,Percent of Total Billed Charges,,,,,72.38,,,,,,,Percent of Total Billed Charges,,,,,206.8,,,,,,,Percent of Total Billed Charges,,,,,51.7,,,,,,,Percent of Total Billed Charges,,,, CO-SET ROOM INJECTATE DELIVERY SYSTEM ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, "FAN, HEALTHCARE PORTABLE ",250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, HUMIDIFIER COOL MIST ,250,RC,,Outpatient,,,90,72,67.23,,,,,,,Percent of Total Billed Charges,,67.23,67.23,,90,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,85.5,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,81,,,,,,,Percent of Total Billed Charges,,,,,81,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,, BLOOD WARMER TUBING SET ,250,RC,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, RESTING EKG ELECTRODES ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, LARYNGOSCOPE BLADE MILLER 2 SINGLE USE ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, LARYNGOSCOPE BLADE MILLER 3 SINGLE USE ,250,RC,,Outpatient,,,21.5,17.2,16.06,,,,,,,Percent of Total Billed Charges,,16.06,16.06,,21.5,,,,,,,Percent of Total Billed Charges,,,,,20.64,,,,,,,Percent of Total Billed Charges,,,,,20.43,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,18.28,,,,,,,Percent of Total Billed Charges,,,,,4.52,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,6.02,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,, LARYNGOSCOPE BLADE MAC 3 SINGLE USE ,250,RC,,Outpatient,,,21.5,17.2,16.06,,,,,,,Percent of Total Billed Charges,,16.06,16.06,,21.5,,,,,,,Percent of Total Billed Charges,,,,,20.64,,,,,,,Percent of Total Billed Charges,,,,,20.43,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,18.28,,,,,,,Percent of Total Billed Charges,,,,,4.52,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,6.02,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,, LARYNGOSCOPE BLADE MAC 4 SINGLE USE ,250,RC,,Outpatient,,,21.5,17.2,16.06,,,,,,,Percent of Total Billed Charges,,16.06,16.06,,21.5,,,,,,,Percent of Total Billed Charges,,,,,20.64,,,,,,,Percent of Total Billed Charges,,,,,20.43,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,18.28,,,,,,,Percent of Total Billed Charges,,,,,4.52,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,6.02,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,, "PROBES, ADULT/NEONATE (DO NOT USE) ",250,RC,,Outpatient,,,86,68.8,64.24,,,,,,,Percent of Total Billed Charges,,64.24,64.24,,86,,,,,,,Percent of Total Billed Charges,,,,,82.56,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,,,18.06,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,24.08,,,,,,,Percent of Total Billed Charges,,,,,68.8,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,, "PROBES,NIHON KHODEN ADULT/NEONATE ",250,RC,,Outpatient,,,86,68.8,64.24,,,,,,,Percent of Total Billed Charges,,64.24,64.24,,86,,,,,,,Percent of Total Billed Charges,,,,,82.56,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,,,18.06,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,24.08,,,,,,,Percent of Total Billed Charges,,,,,68.8,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,, MAX-N NEONATE/ADULT PULSE-OX SENSOR ,250,RC,,Outpatient,,,47,37.6,35.11,,,,,,,Percent of Total Billed Charges,,35.11,35.11,,47,,,,,,,Percent of Total Billed Charges,,,,,45.12,,,,,,,Percent of Total Billed Charges,,,,,44.65,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,39.95,,,,,,,Percent of Total Billed Charges,,,,,9.87,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,13.16,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,, MINDRAY NEONATE PULSE OX SENSOR ,250,RC,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, NEONATE/ADULT NIHON KOHDEN ,250,RC,,Outpatient,,,65,52,48.56,,,,,,,Percent of Total Billed Charges,,48.56,48.56,,65,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,,,61.75,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,55.25,,,,,,,Percent of Total Billed Charges,,,,,13.65,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,52,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,, FILTER MICROGARD ,250,RC,,Outpatient,,,24,19.2,17.93,,,,,,,Percent of Total Billed Charges,,17.93,17.93,,24,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,, "DURASENSOR ADULT,DIGIT ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "CUFF,DISP.LGE.ADULT ",250,RC,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, "CUFF,DISP.,ADULT ",250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, "CUFF,DISP.,SM ADULT ",250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, "CUFF,DISP.,CHILD ",250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, "CUFF,DISP.,INFANT ",250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, "STETHOSCOPE, DISPOSABLE (YELLOW) ",250,RC,,Outpatient,,,10,8,7.47,,,,,,,Percent of Total Billed Charges,,7.47,7.47,,10,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,, "CUFF,DISP.,ADULT LONG ",250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, THE DENTAL BOX ,250,RC,,Outpatient,,,93,74.4,69.47,,,,,,,Percent of Total Billed Charges,,69.47,69.47,,93,,,,,,,Percent of Total Billed Charges,,,,,89.28,,,,,,,Percent of Total Billed Charges,,,,,88.35,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,79.05,,,,,,,Percent of Total Billed Charges,,,,,19.53,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,26.04,,,,,,,Percent of Total Billed Charges,,,,,74.4,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,, TENNIS ELBOW STRAP LARGE ,250,RC,,Outpatient,,,85.5,68.4,63.87,,,,,,,Percent of Total Billed Charges,,63.87,63.87,,85.5,,,,,,,Percent of Total Billed Charges,,,,,82.08,,,,,,,Percent of Total Billed Charges,,,,,81.23,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,23.94,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,, TENNIS ELBOW STRAP MED ,250,RC,,Outpatient,,,85.5,68.4,63.87,,,,,,,Percent of Total Billed Charges,,63.87,63.87,,85.5,,,,,,,Percent of Total Billed Charges,,,,,82.08,,,,,,,Percent of Total Billed Charges,,,,,81.23,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,23.94,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,, TENNIS ELBOW STRAP SM ,250,RC,,Outpatient,,,65,52,48.56,,,,,,,Percent of Total Billed Charges,,48.56,48.56,,65,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,,,61.75,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,55.25,,,,,,,Percent of Total Billed Charges,,,,,13.65,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,52,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,, DR M.C. CARTILEDGE ,250,RC,,Outpatient,,,145,116,108.32,,,,,,,Percent of Total Billed Charges,,108.32,108.32,,145,,,,,,,Percent of Total Billed Charges,,,,,139.2,,,,,,,Percent of Total Billed Charges,,,,,137.75,,,,,,,Percent of Total Billed Charges,,,,,29,,,,,,,Percent of Total Billed Charges,,,,,123.25,,,,,,,Percent of Total Billed Charges,,,,,30.45,,,,,,,Percent of Total Billed Charges,,,,,130.5,,,,,,,Percent of Total Billed Charges,,,,,130.5,,,,,,,Percent of Total Billed Charges,,,,,29,,,,,,,Percent of Total Billed Charges,,,,,40.6,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,,,29,,,,,,,Percent of Total Billed Charges,,,, OSGOOD SCHLAUGHTERS STRAP ,250,RC,,Outpatient,,,56.5,45.2,42.21,,,,,,,Percent of Total Billed Charges,,42.21,42.21,,56.5,,,,,,,Percent of Total Billed Charges,,,,,54.24,,,,,,,Percent of Total Billed Charges,,,,,53.68,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,48.03,,,,,,,Percent of Total Billed Charges,,,,,11.87,,,,,,,Percent of Total Billed Charges,,,,,50.85,,,,,,,Percent of Total Billed Charges,,,,,50.85,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,15.82,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,, DR M PATELLA BRACE ,250,RC,,Outpatient,,,136.5,109.2,101.97,,,,,,,Percent of Total Billed Charges,,101.97,101.97,,136.5,,,,,,,Percent of Total Billed Charges,,,,,131.04,,,,,,,Percent of Total Billed Charges,,,,,129.68,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,116.03,,,,,,,Percent of Total Billed Charges,,,,,28.67,,,,,,,Percent of Total Billed Charges,,,,,122.85,,,,,,,Percent of Total Billed Charges,,,,,122.85,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,38.22,,,,,,,Percent of Total Billed Charges,,,,,109.2,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,, KNEE HINGED STABILIZER BRACE ,250,RC,,Outpatient,,,119.5,95.6,89.27,,,,,,,Percent of Total Billed Charges,,89.27,89.27,,119.5,,,,,,,Percent of Total Billed Charges,,,,,114.72,,,,,,,Percent of Total Billed Charges,,,,,113.53,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,101.58,,,,,,,Percent of Total Billed Charges,,,,,25.1,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,33.46,,,,,,,Percent of Total Billed Charges,,,,,95.6,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,, AKTON HEEL WEDGE ,250,RC,,Outpatient,,,32.5,26,24.28,,,,,,,Percent of Total Billed Charges,,24.28,24.28,,32.5,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,30.88,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,27.63,,,,,,,Percent of Total Billed Charges,,,,,6.83,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,, LONG LEG IMMOBILIZER ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, SWEDO ANKLE BRACE ,250,RC,,Outpatient,,,65.5,52.4,48.93,,,,,,,Percent of Total Billed Charges,,48.93,48.93,,65.5,,,,,,,Percent of Total Billed Charges,,,,,62.88,,,,,,,Percent of Total Billed Charges,,,,,62.23,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,,,55.68,,,,,,,Percent of Total Billed Charges,,,,,13.76,,,,,,,Percent of Total Billed Charges,,,,,58.95,,,,,,,Percent of Total Billed Charges,,,,,58.95,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,,,18.34,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,, ANKLE BRACE ,250,RC,,Outpatient,,,88.5,70.8,66.11,,,,,,,Percent of Total Billed Charges,,66.11,66.11,,88.5,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,84.08,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,75.23,,,,,,,Percent of Total Billed Charges,,,,,18.59,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,, SPENCO 3/4 LENGTH ARCH SUPPORT ,250,RC,,Outpatient,,,44,35.2,32.87,,,,,,,Percent of Total Billed Charges,,32.87,32.87,,44,,,,,,,Percent of Total Billed Charges,,,,,42.24,,,,,,,Percent of Total Billed Charges,,,,,41.8,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,9.24,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,12.32,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,, TULIS HEEL CUP ,250,RC,,Outpatient,,,22.5,18,16.81,,,,,,,Percent of Total Billed Charges,,16.81,16.81,,22.5,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,, NON PADDED HEEL CUPS ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, EXERCISE TUBING/FOOT ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, SUPPORT SACRO LUMBAR SMALL ,250,RC,,Outpatient,,,99.5,79.6,74.33,,,,,,,Percent of Total Billed Charges,,74.33,74.33,,99.5,,,,,,,Percent of Total Billed Charges,,,,,95.52,,,,,,,Percent of Total Billed Charges,,,,,94.53,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,84.58,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,27.86,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,, SUPPORT SACRO LUMBAR MED ,250,RC,,Outpatient,,,99.5,79.6,74.33,,,,,,,Percent of Total Billed Charges,,74.33,74.33,,99.5,,,,,,,Percent of Total Billed Charges,,,,,95.52,,,,,,,Percent of Total Billed Charges,,,,,94.53,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,84.58,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,27.86,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,, SUPPORT SACRO LUMBAR SZ LRG ,250,RC,,Outpatient,,,72,57.6,53.78,,,,,,,Percent of Total Billed Charges,,53.78,53.78,,72,,,,,,,Percent of Total Billed Charges,,,,,69.12,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,, SUPPORT SACRO LUMBAR SZ XLRG ,250,RC,,Outpatient,,,72,57.6,53.78,,,,,,,Percent of Total Billed Charges,,53.78,53.78,,72,,,,,,,Percent of Total Billed Charges,,,,,69.12,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,, SUPPORT SACRO LUMBAR SZ ,250,RC,,Outpatient,,,83.5,66.8,62.37,,,,,,,Percent of Total Billed Charges,,62.37,62.37,,83.5,,,,,,,Percent of Total Billed Charges,,,,,80.16,,,,,,,Percent of Total Billed Charges,,,,,79.33,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,70.98,,,,,,,Percent of Total Billed Charges,,,,,17.54,,,,,,,Percent of Total Billed Charges,,,,,75.15,,,,,,,Percent of Total Billed Charges,,,,,75.15,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,, BELT WOMENS SZ 30-36 Z 722-12 ,250,RC,,Outpatient,,,44,35.2,32.87,,,,,,,Percent of Total Billed Charges,,32.87,32.87,,44,,,,,,,Percent of Total Billed Charges,,,,,42.24,,,,,,,Percent of Total Billed Charges,,,,,41.8,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,9.24,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,12.32,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,, POLY LINE DISPOS STERILE TOWEL ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, "ABDOMINAL BINDER 9"" L/XL ",250,RC,,Outpatient,,,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, "ABDOMINAL BINDER 12"" ",250,RC,,Outpatient,,,79,63.2,59.01,,,,,,,Percent of Total Billed Charges,,59.01,59.01,,79,,,,,,,Percent of Total Billed Charges,,,,,75.84,,,,,,,Percent of Total Billed Charges,,,,,75.05,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,67.15,,,,,,,Percent of Total Billed Charges,,,,,16.59,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,22.12,,,,,,,Percent of Total Billed Charges,,,,,63.2,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,, HELPING HAND ,250,RC,,Outpatient,,,60,48,44.82,,,,,,,Percent of Total Billed Charges,,44.82,44.82,,60,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,57,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,, AOA TENNIS ELBOW SPLINT ,250,RC,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, CUSHION CRUTCH-EZE ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, UNIVERSAL WRISLET LIFETEC ,250,RC,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, BELT PELVIC SZ 30-45 46-62 ,250,RC,,Outpatient,,,66.5,53.2,49.68,,,,,,,Percent of Total Billed Charges,,49.68,49.68,,66.5,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,63.18,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,56.53,,,,,,,Percent of Total Billed Charges,,,,,13.97,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,18.62,,,,,,,Percent of Total Billed Charges,,,,,53.2,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,, AIRCAST ANKLE BRACE (RIGHT) ,L4350 ,CPT,,Outpatient,,,81,64.8,60.51,,,,,,,Percent of Total Billed Charges,,60.51,60.51,,81,,,,,,,Percent of Total Billed Charges,,,,,77.76,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,17.01,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,, UNIVERSAL SACRO-LUMBAR SUPPORT ,250,RC,,Outpatient,,,108.5,86.8,81.05,,,,,,,Percent of Total Billed Charges,,81.05,81.05,,108.5,,,,,,,Percent of Total Billed Charges,,,,,104.16,,,,,,,Percent of Total Billed Charges,,,,,103.08,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,92.23,,,,,,,Percent of Total Billed Charges,,,,,22.79,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,30.38,,,,,,,Percent of Total Billed Charges,,,,,86.8,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,, DISKARD HEAD HALTER ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, HAND SPLINT FUNCTIONAL-ADA ,250,RC,,Outpatient,,,99.5,79.6,74.33,,,,,,,Percent of Total Billed Charges,,74.33,74.33,,99.5,,,,,,,Percent of Total Billed Charges,,,,,95.52,,,,,,,Percent of Total Billed Charges,,,,,94.53,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,84.58,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,27.86,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,, EXERCISER THERA-BAND ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, ANKLE STIRUP ,250,RC,,Outpatient,,,108.5,86.8,81.05,,,,,,,Percent of Total Billed Charges,,81.05,81.05,,108.5,,,,,,,Percent of Total Billed Charges,,,,,104.16,,,,,,,Percent of Total Billed Charges,,,,,103.08,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,92.23,,,,,,,Percent of Total Billed Charges,,,,,22.79,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,30.38,,,,,,,Percent of Total Billed Charges,,,,,86.8,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,, CO-FLEX BANDAGE ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "CRUTCHES, ADULT ",250,RC,,Outpatient,,,44,35.2,32.87,,,,,,,Percent of Total Billed Charges,,32.87,32.87,,44,,,,,,,Percent of Total Billed Charges,,,,,42.24,,,,,,,Percent of Total Billed Charges,,,,,41.8,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,9.24,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,12.32,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,, "CRUTCHES,YOUTH ",250,RC,,Outpatient,,,49,39.2,36.6,,,,,,,Percent of Total Billed Charges,,36.6,36.6,,49,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,46.55,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,41.65,,,,,,,Percent of Total Billed Charges,,,,,10.29,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,13.72,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,, "CRUTCHES,ADULT (TALL) ",250,RC,,Outpatient,,,49,39.2,36.6,,,,,,,Percent of Total Billed Charges,,36.6,36.6,,49,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,46.55,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,41.65,,,,,,,Percent of Total Billed Charges,,,,,10.29,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,13.72,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,, AIRCAST ANKLE BRACE (LEFT) ,L4350 ,CPT,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, ASPEN COLLAR (ADULT-REGULAR) ,250,RC,,Outpatient,,,112.5,90,84.04,,,,,,,Percent of Total Billed Charges,,84.04,84.04,,112.5,,,,,,,Percent of Total Billed Charges,,,,,108,,,,,,,Percent of Total Billed Charges,,,,,106.88,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,95.63,,,,,,,Percent of Total Billed Charges,,,,,23.63,,,,,,,Percent of Total Billed Charges,,,,,101.25,,,,,,,Percent of Total Billed Charges,,,,,101.25,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,, ASPEN COLLAR (ADULT-TALL) ,250,RC,,Outpatient,,,139.5,111.6,104.21,,,,,,,Percent of Total Billed Charges,,104.21,104.21,,139.5,,,,,,,Percent of Total Billed Charges,,,,,133.92,,,,,,,Percent of Total Billed Charges,,,,,132.53,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,118.58,,,,,,,Percent of Total Billed Charges,,,,,29.3,,,,,,,Percent of Total Billed Charges,,,,,125.55,,,,,,,Percent of Total Billed Charges,,,,,125.55,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,39.06,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,, GRADIENT COMP STOCKING/SLEEVE LEVEL II ,A6549 ,CPT,,Outpatient,,,500.1,400.08,373.57,,,,,,,Percent of Total Billed Charges,,373.57,373.57,,500.1,,,,,,,Percent of Total Billed Charges,,,,,480.1,,,,,,,Percent of Total Billed Charges,,,,,475.1,,,,,,,Percent of Total Billed Charges,,,,,100.02,,,,,,,Percent of Total Billed Charges,,,,,425.09,,,,,,,Percent of Total Billed Charges,,,,,105.02,,,,,,,Percent of Total Billed Charges,,,,,450.09,,,,,,,Percent of Total Billed Charges,,,,,450.09,,,,,,,Percent of Total Billed Charges,,,,,100.02,,,,,,,Percent of Total Billed Charges,,,,,140.03,,,,,,,Percent of Total Billed Charges,,,,,400.08,,,,,,,Percent of Total Billed Charges,,,,,100.02,,,,,,,Percent of Total Billed Charges,,,, GRADIENT COMP STOCKING BELOWKNEE 18-30 ,A6530 ,CPT,,Outpatient,,,600,480,448.2,,,,,,,Percent of Total Billed Charges,,448.2,448.2,,600,,,,,,,Percent of Total Billed Charges,,,,,576,,,,,,,Percent of Total Billed Charges,,,,,570,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,510,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,540,,,,,,,Percent of Total Billed Charges,,,,,540,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,168,,,,,,,Percent of Total Billed Charges,,,,,480,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,, "STOCKINGS,RELIEF,20-30,SMALL THIGH HIGH ",250,RC,,Outpatient,,,69,55.2,51.54,,,,,,,Percent of Total Billed Charges,,51.54,51.54,,69,,,,,,,Percent of Total Billed Charges,,,,,66.24,,,,,,,Percent of Total Billed Charges,,,,,65.55,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,58.65,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,, "STOCKINGS,RELIEF,20-30,MEDIUM THIGH HIGH",250,RC,,Outpatient,,,69,55.2,51.54,,,,,,,Percent of Total Billed Charges,,51.54,51.54,,69,,,,,,,Percent of Total Billed Charges,,,,,66.24,,,,,,,Percent of Total Billed Charges,,,,,65.55,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,58.65,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,, "STOCKINGS,RELIEF,20-30,LARGE THIGH HIGH ",250,RC,,Outpatient,,,69,55.2,51.54,,,,,,,Percent of Total Billed Charges,,51.54,51.54,,69,,,,,,,Percent of Total Billed Charges,,,,,66.24,,,,,,,Percent of Total Billed Charges,,,,,65.55,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,58.65,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,, "STOCKINGS,RELIEF,20-30,X-LARG THIGH HIGH",250,RC,,Outpatient,,,69,55.2,51.54,,,,,,,Percent of Total Billed Charges,,51.54,51.54,,69,,,,,,,Percent of Total Billed Charges,,,,,66.24,,,,,,,Percent of Total Billed Charges,,,,,65.55,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,58.65,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,, "PETITE,RELIEF,20-30,SMALL THIGH HIGH ",250,RC,,Outpatient,,,69,55.2,51.54,,,,,,,Percent of Total Billed Charges,,51.54,51.54,,69,,,,,,,Percent of Total Billed Charges,,,,,66.24,,,,,,,Percent of Total Billed Charges,,,,,65.55,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,58.65,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,, "PETITE,RELIEF,20-30,MEDIUM THIGH HIGH ",250,RC,,Outpatient,,,69,55.2,51.54,,,,,,,Percent of Total Billed Charges,,51.54,51.54,,69,,,,,,,Percent of Total Billed Charges,,,,,66.24,,,,,,,Percent of Total Billed Charges,,,,,65.55,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,58.65,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,, "PETITE,RELIEF,20-30,LARGE THIGH HIGH ",250,RC,,Outpatient,,,69,55.2,51.54,,,,,,,Percent of Total Billed Charges,,51.54,51.54,,69,,,,,,,Percent of Total Billed Charges,,,,,66.24,,,,,,,Percent of Total Billed Charges,,,,,65.55,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,58.65,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,, "PETITE,RELIEF,20-30,XLARGE THIGH HIGH ",250,RC,,Outpatient,,,69,55.2,51.54,,,,,,,Percent of Total Billed Charges,,51.54,51.54,,69,,,,,,,Percent of Total Billed Charges,,,,,66.24,,,,,,,Percent of Total Billed Charges,,,,,65.55,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,58.65,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,, ADULT DIVIDED CANNULA NASAL ,250,RC,,Outpatient,,,14,11.2,10.46,,,,,,,Percent of Total Billed Charges,,10.46,10.46,,14,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,, PEDS DIVIDED CANNULA NASAL ,250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, EN CO SAMPLING LINE 7' ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, DRYLINE AIRWAY ADAPTER ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, PHASEAL INJECTOR TRANSFER N35 ,250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, ARISURE 13MM ADPT W/SPKIE ,250,RC,,Outpatient,,,23.5,18.8,17.55,,,,,,,Percent of Total Billed Charges,,17.55,17.55,,23.5,,,,,,,Percent of Total Billed Charges,,,,,22.56,,,,,,,Percent of Total Billed Charges,,,,,22.33,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,19.98,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,, PHASEAL PROTECTOR P21 VIAL ADAPTER ,250,RC,,Outpatient,,,27,21.6,20.17,,,,,,,Percent of Total Billed Charges,,20.17,20.17,,27,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,, ARISURE CLOSED MALE LL/CAP ,250,RC,,Outpatient,,,10,8,7.47,,,,,,,Percent of Total Billed Charges,,7.47,7.47,,10,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,, GVL #3 GLIDESCOPE COVER ,250,RC,,Outpatient,,,69.5,55.6,51.92,,,,,,,Percent of Total Billed Charges,,51.92,51.92,,69.5,,,,,,,Percent of Total Billed Charges,,,,,66.72,,,,,,,Percent of Total Billed Charges,,,,,66.03,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,,,59.08,,,,,,,Percent of Total Billed Charges,,,,,14.6,,,,,,,Percent of Total Billed Charges,,,,,62.55,,,,,,,Percent of Total Billed Charges,,,,,62.55,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,,,19.46,,,,,,,Percent of Total Billed Charges,,,,,55.6,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,, GVL #4 GLIDESCOPE COVER ,250,RC,,Outpatient,,,69.5,55.6,51.92,,,,,,,Percent of Total Billed Charges,,51.92,51.92,,69.5,,,,,,,Percent of Total Billed Charges,,,,,66.72,,,,,,,Percent of Total Billed Charges,,,,,66.03,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,,,59.08,,,,,,,Percent of Total Billed Charges,,,,,14.6,,,,,,,Percent of Total Billed Charges,,,,,62.55,,,,,,,Percent of Total Billed Charges,,,,,62.55,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,,,19.46,,,,,,,Percent of Total Billed Charges,,,,,55.6,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,, GLIDESCOPE STYLET DISP ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, O/R GS SPECTRUM HYPERANGLE S3 ,250,RC,,Outpatient,,,115.5,92.4,86.28,,,,,,,Percent of Total Billed Charges,,86.28,86.28,,115.5,,,,,,,Percent of Total Billed Charges,,,,,110.88,,,,,,,Percent of Total Billed Charges,,,,,109.73,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,98.18,,,,,,,Percent of Total Billed Charges,,,,,24.26,,,,,,,Percent of Total Billed Charges,,,,,103.95,,,,,,,Percent of Total Billed Charges,,,,,103.95,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,32.34,,,,,,,Percent of Total Billed Charges,,,,,92.4,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,, O/R GS SPECTRUM HYPERANGLE S4 ,250,RC,,Outpatient,,,115.5,92.4,86.28,,,,,,,Percent of Total Billed Charges,,86.28,86.28,,115.5,,,,,,,Percent of Total Billed Charges,,,,,110.88,,,,,,,Percent of Total Billed Charges,,,,,109.73,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,98.18,,,,,,,Percent of Total Billed Charges,,,,,24.26,,,,,,,Percent of Total Billed Charges,,,,,103.95,,,,,,,Percent of Total Billed Charges,,,,,103.95,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,32.34,,,,,,,Percent of Total Billed Charges,,,,,92.4,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,, "EXTENSION SET SMALLBORE 60"" ",250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SYNTHETIC MESH HERNIA 10CM X 7CM ,250,RC,,Outpatient,,,943.5,754.8,704.79,,,,,,,Percent of Total Billed Charges,,704.79,704.79,,943.5,,,,,,,Percent of Total Billed Charges,,,,,905.76,,,,,,,Percent of Total Billed Charges,,,,,896.33,,,,,,,Percent of Total Billed Charges,,,,,188.7,,,,,,,Percent of Total Billed Charges,,,,,801.98,,,,,,,Percent of Total Billed Charges,,,,,198.14,,,,,,,Percent of Total Billed Charges,,,,,849.15,,,,,,,Percent of Total Billed Charges,,,,,849.15,,,,,,,Percent of Total Billed Charges,,,,,188.7,,,,,,,Percent of Total Billed Charges,,,,,264.18,,,,,,,Percent of Total Billed Charges,,,,,754.8,,,,,,,Percent of Total Billed Charges,,,,,188.7,,,,,,,Percent of Total Billed Charges,,,, O/R BARD PERFIX MESH 4.1X4.8CM ,250,RC,,Outpatient,,,347.5,278,259.58,,,,,,,Percent of Total Billed Charges,,259.58,259.58,,347.5,,,,,,,Percent of Total Billed Charges,,,,,333.6,,,,,,,Percent of Total Billed Charges,,,,,330.13,,,,,,,Percent of Total Billed Charges,,,,,69.5,,,,,,,Percent of Total Billed Charges,,,,,295.38,,,,,,,Percent of Total Billed Charges,,,,,72.98,,,,,,,Percent of Total Billed Charges,,,,,312.75,,,,,,,Percent of Total Billed Charges,,,,,312.75,,,,,,,Percent of Total Billed Charges,,,,,69.5,,,,,,,Percent of Total Billed Charges,,,,,97.3,,,,,,,Percent of Total Billed Charges,,,,,278,,,,,,,Percent of Total Billed Charges,,,,,69.5,,,,,,,Percent of Total Billed Charges,,,, "O/R POLYPROPYLENE CIRCLE MESH 4.5"" ",250,RC,,Outpatient,,,1435.5,1148.4,1072.32,,,,,,,Percent of Total Billed Charges,,1072.32,1072.32,,1435.5,,,,,,,Percent of Total Billed Charges,,,,,1378.08,,,,,,,Percent of Total Billed Charges,,,,,1363.73,,,,,,,Percent of Total Billed Charges,,,,,287.1,,,,,,,Percent of Total Billed Charges,,,,,1220.18,,,,,,,Percent of Total Billed Charges,,,,,301.46,,,,,,,Percent of Total Billed Charges,,,,,1291.95,,,,,,,Percent of Total Billed Charges,,,,,1291.95,,,,,,,Percent of Total Billed Charges,,,,,287.1,,,,,,,Percent of Total Billed Charges,,,,,401.94,,,,,,,Percent of Total Billed Charges,,,,,1148.4,,,,,,,Percent of Total Billed Charges,,,,,287.1,,,,,,,Percent of Total Billed Charges,,,, O/R VENTRALIGHT ST MESH 4X6 ,250,RC,,Outpatient,,,1435.5,1148.4,1072.32,,,,,,,Percent of Total Billed Charges,,1072.32,1072.32,,1435.5,,,,,,,Percent of Total Billed Charges,,,,,1378.08,,,,,,,Percent of Total Billed Charges,,,,,1363.73,,,,,,,Percent of Total Billed Charges,,,,,287.1,,,,,,,Percent of Total Billed Charges,,,,,1220.18,,,,,,,Percent of Total Billed Charges,,,,,301.46,,,,,,,Percent of Total Billed Charges,,,,,1291.95,,,,,,,Percent of Total Billed Charges,,,,,1291.95,,,,,,,Percent of Total Billed Charges,,,,,287.1,,,,,,,Percent of Total Billed Charges,,,,,401.94,,,,,,,Percent of Total Billed Charges,,,,,1148.4,,,,,,,Percent of Total Billed Charges,,,,,287.1,,,,,,,Percent of Total Billed Charges,,,, O/R POLYPROPYLENE LEFT 3X5 MESH ,250,RC,,Outpatient,,,219,175.2,163.59,,,,,,,Percent of Total Billed Charges,,163.59,163.59,,219,,,,,,,Percent of Total Billed Charges,,,,,210.24,,,,,,,Percent of Total Billed Charges,,,,,208.05,,,,,,,Percent of Total Billed Charges,,,,,43.8,,,,,,,Percent of Total Billed Charges,,,,,186.15,,,,,,,Percent of Total Billed Charges,,,,,45.99,,,,,,,Percent of Total Billed Charges,,,,,197.1,,,,,,,Percent of Total Billed Charges,,,,,197.1,,,,,,,Percent of Total Billed Charges,,,,,43.8,,,,,,,Percent of Total Billed Charges,,,,,61.32,,,,,,,Percent of Total Billed Charges,,,,,175.2,,,,,,,Percent of Total Billed Charges,,,,,43.8,,,,,,,Percent of Total Billed Charges,,,, O/R 6FR VENOUS INTRO SHEATH ,250,RC,,Outpatient,,,80.5,64.4,60.13,,,,,,,Percent of Total Billed Charges,,60.13,60.13,,80.5,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,76.48,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,68.43,,,,,,,Percent of Total Billed Charges,,,,,16.91,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,22.54,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,, "MESH,C-QUR 6"" X 8"" ",250,RC,,Outpatient,,,1469,1175.2,1097.34,,,,,,,Percent of Total Billed Charges,,1097.34,1097.34,,1469,,,,,,,Percent of Total Billed Charges,,,,,1410.24,,,,,,,Percent of Total Billed Charges,,,,,1395.55,,,,,,,Percent of Total Billed Charges,,,,,293.8,,,,,,,Percent of Total Billed Charges,,,,,1248.65,,,,,,,Percent of Total Billed Charges,,,,,308.49,,,,,,,Percent of Total Billed Charges,,,,,1322.1,,,,,,,Percent of Total Billed Charges,,,,,1322.1,,,,,,,Percent of Total Billed Charges,,,,,293.8,,,,,,,Percent of Total Billed Charges,,,,,411.32,,,,,,,Percent of Total Billed Charges,,,,,1175.2,,,,,,,Percent of Total Billed Charges,,,,,293.8,,,,,,,Percent of Total Billed Charges,,,, "O/R 3D MAX MESH, LEFT/LARGE 4X6 ",250,RC,,Outpatient,,,769,615.2,574.44,,,,,,,Percent of Total Billed Charges,,574.44,574.44,,769,,,,,,,Percent of Total Billed Charges,,,,,738.24,,,,,,,Percent of Total Billed Charges,,,,,730.55,,,,,,,Percent of Total Billed Charges,,,,,153.8,,,,,,,Percent of Total Billed Charges,,,,,653.65,,,,,,,Percent of Total Billed Charges,,,,,161.49,,,,,,,Percent of Total Billed Charges,,,,,692.1,,,,,,,Percent of Total Billed Charges,,,,,692.1,,,,,,,Percent of Total Billed Charges,,,,,153.8,,,,,,,Percent of Total Billed Charges,,,,,215.32,,,,,,,Percent of Total Billed Charges,,,,,615.2,,,,,,,Percent of Total Billed Charges,,,,,153.8,,,,,,,Percent of Total Billed Charges,,,, "MARLEX MESH 6"" X 6"" ",250,RC,,Outpatient,,,430,344,321.21,,,,,,,Percent of Total Billed Charges,,321.21,321.21,,430,,,,,,,Percent of Total Billed Charges,,,,,412.8,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,365.5,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,344,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,, O/R 3D MAX MESH LEFT MEDIUM 3X5 ,250,RC,,Outpatient,,,347.5,278,259.58,,,,,,,Percent of Total Billed Charges,,259.58,259.58,,347.5,,,,,,,Percent of Total Billed Charges,,,,,333.6,,,,,,,Percent of Total Billed Charges,,,,,330.13,,,,,,,Percent of Total Billed Charges,,,,,69.5,,,,,,,Percent of Total Billed Charges,,,,,295.38,,,,,,,Percent of Total Billed Charges,,,,,72.98,,,,,,,Percent of Total Billed Charges,,,,,312.75,,,,,,,Percent of Total Billed Charges,,,,,312.75,,,,,,,Percent of Total Billed Charges,,,,,69.5,,,,,,,Percent of Total Billed Charges,,,,,97.3,,,,,,,Percent of Total Billed Charges,,,,,278,,,,,,,Percent of Total Billed Charges,,,,,69.5,,,,,,,Percent of Total Billed Charges,,,, O/R 3D MAX MESH RIGHT MEDIUM 3X5 ,250,RC,,Outpatient,,,347.5,278,259.58,,,,,,,Percent of Total Billed Charges,,259.58,259.58,,347.5,,,,,,,Percent of Total Billed Charges,,,,,333.6,,,,,,,Percent of Total Billed Charges,,,,,330.13,,,,,,,Percent of Total Billed Charges,,,,,69.5,,,,,,,Percent of Total Billed Charges,,,,,295.38,,,,,,,Percent of Total Billed Charges,,,,,72.98,,,,,,,Percent of Total Billed Charges,,,,,312.75,,,,,,,Percent of Total Billed Charges,,,,,312.75,,,,,,,Percent of Total Billed Charges,,,,,69.5,,,,,,,Percent of Total Billed Charges,,,,,97.3,,,,,,,Percent of Total Billed Charges,,,,,278,,,,,,,Percent of Total Billed Charges,,,,,69.5,,,,,,,Percent of Total Billed Charges,,,, O/R 3D MAX MESH RIGHT LARGE 4 X 6 ,250,RC,,Outpatient,,,646,516.8,482.56,,,,,,,Percent of Total Billed Charges,,482.56,482.56,,646,,,,,,,Percent of Total Billed Charges,,,,,620.16,,,,,,,Percent of Total Billed Charges,,,,,613.7,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,,,549.1,,,,,,,Percent of Total Billed Charges,,,,,135.66,,,,,,,Percent of Total Billed Charges,,,,,581.4,,,,,,,Percent of Total Billed Charges,,,,,581.4,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,,,180.88,,,,,,,Percent of Total Billed Charges,,,,,516.8,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,, "O/R SM.CIRCLE PATCH 1.7"" X 1.7"" ",250,RC,,Outpatient,,,1061.7,849.36,793.09,,,,,,,Percent of Total Billed Charges,,793.09,793.09,,1061.7,,,,,,,Percent of Total Billed Charges,,,,,1019.23,,,,,,,Percent of Total Billed Charges,,,,,1008.62,,,,,,,Percent of Total Billed Charges,,,,,212.34,,,,,,,Percent of Total Billed Charges,,,,,902.45,,,,,,,Percent of Total Billed Charges,,,,,222.96,,,,,,,Percent of Total Billed Charges,,,,,955.53,,,,,,,Percent of Total Billed Charges,,,,,955.53,,,,,,,Percent of Total Billed Charges,,,,,212.34,,,,,,,Percent of Total Billed Charges,,,,,297.28,,,,,,,Percent of Total Billed Charges,,,,,849.36,,,,,,,Percent of Total Billed Charges,,,,,212.34,,,,,,,Percent of Total Billed Charges,,,, "O/R MEDIUM CIRCLE VENTRALEX 2.5"" X 2.5"" ",250,RC,,Outpatient,,,1270.2,1016.16,948.84,,,,,,,Percent of Total Billed Charges,,948.84,948.84,,1270.2,,,,,,,Percent of Total Billed Charges,,,,,1219.39,,,,,,,Percent of Total Billed Charges,,,,,1206.69,,,,,,,Percent of Total Billed Charges,,,,,254.04,,,,,,,Percent of Total Billed Charges,,,,,1079.67,,,,,,,Percent of Total Billed Charges,,,,,266.74,,,,,,,Percent of Total Billed Charges,,,,,1143.18,,,,,,,Percent of Total Billed Charges,,,,,1143.18,,,,,,,Percent of Total Billed Charges,,,,,254.04,,,,,,,Percent of Total Billed Charges,,,,,355.66,,,,,,,Percent of Total Billed Charges,,,,,1016.16,,,,,,,Percent of Total Billed Charges,,,,,254.04,,,,,,,Percent of Total Billed Charges,,,, "MESH,VENTRIO SMALL 8"" X 12"" ",250,RC,,Outpatient,,,1158,926.4,865.03,,,,,,,Percent of Total Billed Charges,,865.03,865.03,,1158,,,,,,,Percent of Total Billed Charges,,,,,1111.68,,,,,,,Percent of Total Billed Charges,,,,,1100.1,,,,,,,Percent of Total Billed Charges,,,,,231.6,,,,,,,Percent of Total Billed Charges,,,,,984.3,,,,,,,Percent of Total Billed Charges,,,,,243.18,,,,,,,Percent of Total Billed Charges,,,,,1042.2,,,,,,,Percent of Total Billed Charges,,,,,1042.2,,,,,,,Percent of Total Billed Charges,,,,,231.6,,,,,,,Percent of Total Billed Charges,,,,,324.24,,,,,,,Percent of Total Billed Charges,,,,,926.4,,,,,,,Percent of Total Billed Charges,,,,,231.6,,,,,,,Percent of Total Billed Charges,,,, "MESH,VENTRIO SMALL 11"" X 14"" ",250,RC,,Outpatient,,,1707.5,1366,1275.5,,,,,,,Percent of Total Billed Charges,,1275.5,1275.5,,1707.5,,,,,,,Percent of Total Billed Charges,,,,,1639.2,,,,,,,Percent of Total Billed Charges,,,,,1622.13,,,,,,,Percent of Total Billed Charges,,,,,341.5,,,,,,,Percent of Total Billed Charges,,,,,1451.38,,,,,,,Percent of Total Billed Charges,,,,,358.58,,,,,,,Percent of Total Billed Charges,,,,,1536.75,,,,,,,Percent of Total Billed Charges,,,,,1536.75,,,,,,,Percent of Total Billed Charges,,,,,341.5,,,,,,,Percent of Total Billed Charges,,,,,478.1,,,,,,,Percent of Total Billed Charges,,,,,1366,,,,,,,Percent of Total Billed Charges,,,,,341.5,,,,,,,Percent of Total Billed Charges,,,, O/R LARGE CIRCLE VENTRALEX 3.2X3.2 ,250,RC,,Outpatient,,,1443.3,1154.64,1078.15,,,,,,,Percent of Total Billed Charges,,1078.15,1078.15,,1443.3,,,,,,,Percent of Total Billed Charges,,,,,1385.57,,,,,,,Percent of Total Billed Charges,,,,,1371.14,,,,,,,Percent of Total Billed Charges,,,,,288.66,,,,,,,Percent of Total Billed Charges,,,,,1226.81,,,,,,,Percent of Total Billed Charges,,,,,303.09,,,,,,,Percent of Total Billed Charges,,,,,1298.97,,,,,,,Percent of Total Billed Charges,,,,,1298.97,,,,,,,Percent of Total Billed Charges,,,,,288.66,,,,,,,Percent of Total Billed Charges,,,,,404.12,,,,,,,Percent of Total Billed Charges,,,,,1154.64,,,,,,,Percent of Total Billed Charges,,,,,288.66,,,,,,,Percent of Total Billed Charges,,,, "MESH,VENTRIO X-LARGE 19CM X 24CM ",250,RC,,Outpatient,,,4395.5,3516.4,3283.44,,,,,,,Percent of Total Billed Charges,,3283.44,3283.44,,4395.5,,,,,,,Percent of Total Billed Charges,,,,,4219.68,,,,,,,Percent of Total Billed Charges,,,,,4175.73,,,,,,,Percent of Total Billed Charges,,,,,879.1,,,,,,,Percent of Total Billed Charges,,,,,3736.18,,,,,,,Percent of Total Billed Charges,,,,,923.06,,,,,,,Percent of Total Billed Charges,,,,,3955.95,,,,,,,Percent of Total Billed Charges,,,,,3955.95,,,,,,,Percent of Total Billed Charges,,,,,879.1,,,,,,,Percent of Total Billed Charges,,,,,1230.74,,,,,,,Percent of Total Billed Charges,,,,,3516.4,,,,,,,Percent of Total Billed Charges,,,,,879.1,,,,,,,Percent of Total Billed Charges,,,, O/R 3D MID MESH RIGHT LARGE 4X6 ,250,RC,,Outpatient,,,646,516.8,482.56,,,,,,,Percent of Total Billed Charges,,482.56,482.56,,646,,,,,,,Percent of Total Billed Charges,,,,,620.16,,,,,,,Percent of Total Billed Charges,,,,,613.7,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,,,549.1,,,,,,,Percent of Total Billed Charges,,,,,135.66,,,,,,,Percent of Total Billed Charges,,,,,581.4,,,,,,,Percent of Total Billed Charges,,,,,581.4,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,,,180.88,,,,,,,Percent of Total Billed Charges,,,,,516.8,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,, O/R 3D MID MESH LEFT LARGE 4X6 ,250,RC,,Outpatient,,,646,516.8,482.56,,,,,,,Percent of Total Billed Charges,,482.56,482.56,,646,,,,,,,Percent of Total Billed Charges,,,,,620.16,,,,,,,Percent of Total Billed Charges,,,,,613.7,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,,,549.1,,,,,,,Percent of Total Billed Charges,,,,,135.66,,,,,,,Percent of Total Billed Charges,,,,,581.4,,,,,,,Percent of Total Billed Charges,,,,,581.4,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,,,180.88,,,,,,,Percent of Total Billed Charges,,,,,516.8,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,, O/R CAPSURE SYSTEM W/ FASTENERS ,250,RC,,Outpatient,,,1159.5,927.6,866.15,,,,,,,Percent of Total Billed Charges,,866.15,866.15,,1159.5,,,,,,,Percent of Total Billed Charges,,,,,1113.12,,,,,,,Percent of Total Billed Charges,,,,,1101.53,,,,,,,Percent of Total Billed Charges,,,,,231.9,,,,,,,Percent of Total Billed Charges,,,,,985.58,,,,,,,Percent of Total Billed Charges,,,,,243.5,,,,,,,Percent of Total Billed Charges,,,,,1043.55,,,,,,,Percent of Total Billed Charges,,,,,1043.55,,,,,,,Percent of Total Billed Charges,,,,,231.9,,,,,,,Percent of Total Billed Charges,,,,,324.66,,,,,,,Percent of Total Billed Charges,,,,,927.6,,,,,,,Percent of Total Billed Charges,,,,,231.9,,,,,,,Percent of Total Billed Charges,,,, O/R 3D MID MESH RIGHT MED 8CM X 14CM ,250,RC,,Outpatient,,,255.5,204.4,190.86,,,,,,,Percent of Total Billed Charges,,190.86,190.86,,255.5,,,,,,,Percent of Total Billed Charges,,,,,245.28,,,,,,,Percent of Total Billed Charges,,,,,242.73,,,,,,,Percent of Total Billed Charges,,,,,51.1,,,,,,,Percent of Total Billed Charges,,,,,217.18,,,,,,,Percent of Total Billed Charges,,,,,53.66,,,,,,,Percent of Total Billed Charges,,,,,229.95,,,,,,,Percent of Total Billed Charges,,,,,229.95,,,,,,,Percent of Total Billed Charges,,,,,51.1,,,,,,,Percent of Total Billed Charges,,,,,71.54,,,,,,,Percent of Total Billed Charges,,,,,204.4,,,,,,,Percent of Total Billed Charges,,,,,51.1,,,,,,,Percent of Total Billed Charges,,,, O/R CAPSURE PERMANENT SYSTEM ,250,RC,,Outpatient,,,766,612.8,572.2,,,,,,,Percent of Total Billed Charges,,572.2,572.2,,766,,,,,,,Percent of Total Billed Charges,,,,,735.36,,,,,,,Percent of Total Billed Charges,,,,,727.7,,,,,,,Percent of Total Billed Charges,,,,,153.2,,,,,,,Percent of Total Billed Charges,,,,,651.1,,,,,,,Percent of Total Billed Charges,,,,,160.86,,,,,,,Percent of Total Billed Charges,,,,,689.4,,,,,,,Percent of Total Billed Charges,,,,,689.4,,,,,,,Percent of Total Billed Charges,,,,,153.2,,,,,,,Percent of Total Billed Charges,,,,,214.48,,,,,,,Percent of Total Billed Charges,,,,,612.8,,,,,,,Percent of Total Billed Charges,,,,,153.2,,,,,,,Percent of Total Billed Charges,,,, O/R 60CM CATHETER CLOSUREFAST ,250,RC,,Outpatient,,,1516,1212.8,1132.45,,,,,,,Percent of Total Billed Charges,,1132.45,1132.45,,1516,,,,,,,Percent of Total Billed Charges,,,,,1455.36,,,,,,,Percent of Total Billed Charges,,,,,1440.2,,,,,,,Percent of Total Billed Charges,,,,,303.2,,,,,,,Percent of Total Billed Charges,,,,,1288.6,,,,,,,Percent of Total Billed Charges,,,,,318.36,,,,,,,Percent of Total Billed Charges,,,,,1364.4,,,,,,,Percent of Total Billed Charges,,,,,1364.4,,,,,,,Percent of Total Billed Charges,,,,,303.2,,,,,,,Percent of Total Billed Charges,,,,,424.48,,,,,,,Percent of Total Billed Charges,,,,,1212.8,,,,,,,Percent of Total Billed Charges,,,,,303.2,,,,,,,Percent of Total Billed Charges,,,, O/R VENOUS PROCEDURE PACK ,250,RC,,Outpatient,,,188,150.4,140.44,,,,,,,Percent of Total Billed Charges,,140.44,140.44,,188,,,,,,,Percent of Total Billed Charges,,,,,180.48,,,,,,,Percent of Total Billed Charges,,,,,178.6,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,,,159.8,,,,,,,Percent of Total Billed Charges,,,,,39.48,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,,,52.64,,,,,,,Percent of Total Billed Charges,,,,,150.4,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,, O/R 7FR VENOUS INTRO SHEATH ,250,RC,,Outpatient,,,80.5,64.4,60.13,,,,,,,Percent of Total Billed Charges,,60.13,60.13,,80.5,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,76.48,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,68.43,,,,,,,Percent of Total Billed Charges,,,,,16.91,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,22.54,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,, O/R TUBING INFILTRATION KLEIN ,250,RC,,Outpatient,,,67,53.6,50.05,,,,,,,Percent of Total Billed Charges,,50.05,50.05,,67,,,,,,,Percent of Total Billed Charges,,,,,64.32,,,,,,,Percent of Total Billed Charges,,,,,63.65,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,56.95,,,,,,,Percent of Total Billed Charges,,,,,14.07,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,18.76,,,,,,,Percent of Total Billed Charges,,,,,53.6,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,, O/R OPTIFIX ABSORBABLE SYSTEM ,250,RC,,Outpatient,,,1352.5,1082,1010.32,,,,,,,Percent of Total Billed Charges,,1010.32,1010.32,,1352.5,,,,,,,Percent of Total Billed Charges,,,,,1298.4,,,,,,,Percent of Total Billed Charges,,,,,1284.88,,,,,,,Percent of Total Billed Charges,,,,,270.5,,,,,,,Percent of Total Billed Charges,,,,,1149.63,,,,,,,Percent of Total Billed Charges,,,,,284.03,,,,,,,Percent of Total Billed Charges,,,,,1217.25,,,,,,,Percent of Total Billed Charges,,,,,1217.25,,,,,,,Percent of Total Billed Charges,,,,,270.5,,,,,,,Percent of Total Billed Charges,,,,,378.7,,,,,,,Percent of Total Billed Charges,,,,,1082,,,,,,,Percent of Total Billed Charges,,,,,270.5,,,,,,,Percent of Total Billed Charges,,,, ACRYLSOF FOLDABLE 10L (10.0) ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, ACRYLSOF FOLDABLE 10L (10.5) ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (11.0) ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (11.5) ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (12.0) ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF 10L (12.5) ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF 10L (13.0) ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (13.5) ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE (14.0) ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (14.5) ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (15.0) ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (15.5) ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (16.0) ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (16.5) ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (17.0) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (19.0) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (19.5) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (20.5) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (21.0) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (25.0) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (25.5) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, ACYRL SOF FOLDABLE 10L (26.0) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (26.5) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (27.0) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (27.5) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (28.0) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (28.5) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (29.0) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (29.5) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, ACRYL SOF FOLDABLE 10L (30.0) ,250,RC,,Outpatient,,,385,308,287.6,,,,,,,Percent of Total Billed Charges,,287.6,287.6,,385,,,,,,,Percent of Total Billed Charges,,,,,369.6,,,,,,,Percent of Total Billed Charges,,,,,365.75,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,327.25,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,308,,,,,,,Percent of Total Billed Charges,,,,,77,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 15.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 15.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 16.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 16.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 17.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 17.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 18.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 18.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 19.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 19.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 20.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 20.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 21.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 21.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 22.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 22.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-ANTERIOR 23.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 10.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-PSOTERIOR 10.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 11.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 11.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 12.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 12.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 13.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 13.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 14.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 14.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 15.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 15.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 16.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 16.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 17.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 17.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR18.00 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 18.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 19.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 19.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 20.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 20.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 21.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-PSOTERIOR 21.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 22.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 22.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 23.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 23.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 24.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 25.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 25.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 26.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 26.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 27.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 27.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 28.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 28.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 29.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 29.5 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS-POSTERIOR 30.0 ,250,RC,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, ADULT NASAL CANNULA W/7' TUBING FEMALE ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, ANESTHESIA SAMPLING LINE ,250,RC,,Outpatient,,,10,8,7.47,,,,,,,Percent of Total Billed Charges,,7.47,7.47,,10,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR G112H ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR G113H ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR G121H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR G122H ,250,RC,,Outpatient,,,30.5,24.4,22.78,,,,,,,Percent of Total Billed Charges,,22.78,22.78,,30.5,,,,,,,Percent of Total Billed Charges,,,,,29.28,,,,,,,Percent of Total Billed Charges,,,,,28.98,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,25.93,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,8.54,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,, O/R SURGIGUT 2/0 ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR G126H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT 3-0 CHR G122H ,250,RC,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT 4-0 POLYPRO V-5 ,250,RC,,Outpatient,,,40.5,32.4,30.25,,,,,,,Percent of Total Billed Charges,,30.25,30.25,,40.5,,,,,,,Percent of Total Billed Charges,,,,,38.88,,,,,,,Percent of Total Billed Charges,,,,,38.48,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,34.43,,,,,,,Percent of Total Billed Charges,,,,,8.51,,,,,,,Percent of Total Billed Charges,,,,,36.45,,,,,,,Percent of Total Billed Charges,,,,,36.45,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,32.4,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR L111G ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR L112G ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR L113G ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR L114G ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR L115G ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR U302H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR U245H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR 7255H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR U256H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR 5-0 U202 ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR 5-O 687 ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE, 10/0 VICRYL CS-B-6 ",250,RC,,Outpatient,,,109.5,87.6,81.8,,,,,,,Percent of Total Billed Charges,,81.8,81.8,,109.5,,,,,,,Percent of Total Billed Charges,,,,,105.12,,,,,,,Percent of Total Billed Charges,,,,,104.03,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,93.08,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,30.66,,,,,,,Percent of Total Billed Charges,,,,,87.6,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT 1 48IN PDS II VIO TP-1 ,250,RC,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR 48G ,250,RC,,Outpatient,,,22.5,18,16.81,,,,,,,Percent of Total Billed Charges,,16.81,16.81,,22.5,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR 494-61 ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR 802H ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR 810H ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR 1654G ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR 3-802T ,250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR 3-813G ,250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT CHR 811H ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT DERMALON 1695-82 ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT DEX 1695-82 ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT DEX 2-0 9232-51 ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT DEX 3-0 9232-41 ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT DEX 9536-21 ,250,RC,,Outpatient,,,104.5,83.6,78.06,,,,,,,Percent of Total Billed Charges,,78.06,78.06,,104.5,,,,,,,Percent of Total Billed Charges,,,,,100.32,,,,,,,Percent of Total Billed Charges,,,,,99.28,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,21.95,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,29.26,,,,,,,Percent of Total Billed Charges,,,,,83.6,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT DEX 3-0 9116-41 ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT DEX 7003-31 ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT DEX 7008-52 ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "O/R SUT DEX 7204,21 ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT DEX 7204-31 ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT DEX 7232-31 ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT DEX 7232-41 ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT DEX 7232-51 ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT DEX 7266-51 ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT DEX 7612-31 ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT 4-0 DEXON TIE 5008-32 ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT DEXON TIE 5008-42 ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT 2-0 DEXON TIE 5008-52 ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, O/R DEXON 7266-41 ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHB B191G ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHB B192G ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHB B412H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHB B831H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHB CB21T ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE ETHIBOND SZ 2 ,250,RC,,Outpatient,,,28.5,22.8,21.29,,,,,,,Percent of Total Billed Charges,,21.29,21.29,,28.5,,,,,,,Percent of Total Billed Charges,,,,,27.36,,,,,,,Percent of Total Billed Charges,,,,,27.08,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.99,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,7.98,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHB CX12T ,250,RC,,Outpatient,,,76.5,61.2,57.15,,,,,,,Percent of Total Billed Charges,,57.15,57.15,,76.5,,,,,,,Percent of Total Billed Charges,,,,,73.44,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,65.03,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETH CX22T ,250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE ETHIBOND SZ 0 ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE ETHIBOND SZ 5 ,250,RC,,Outpatient,,,71.5,57.2,53.41,,,,,,,Percent of Total Billed Charges,,53.41,53.41,,71.5,,,,,,,Percent of Total Billed Charges,,,,,68.64,,,,,,,Percent of Total Billed Charges,,,,,67.93,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,,,60.78,,,,,,,Percent of Total Billed Charges,,,,,15.02,,,,,,,Percent of Total Billed Charges,,,,,64.35,,,,,,,Percent of Total Billed Charges,,,,,64.35,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,,,20.02,,,,,,,Percent of Total Billed Charges,,,,,57.2,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHF 6563H ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE ETHIBOND EXCEL SZ 2/0 ,250,RC,,Outpatient,,,51,40.8,38.1,,,,,,,Percent of Total Billed Charges,,38.1,38.1,,51,,,,,,,Percent of Total Billed Charges,,,,,48.96,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,43.35,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE ETHIBOND EXCEL UR-6 SZ 0 ,250,RC,,Outpatient,,,118.5,94.8,88.52,,,,,,,Percent of Total Billed Charges,,88.52,88.52,,118.5,,,,,,,Percent of Total Billed Charges,,,,,113.76,,,,,,,Percent of Total Billed Charges,,,,,112.58,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,,,100.73,,,,,,,Percent of Total Billed Charges,,,,,24.89,,,,,,,Percent of Total Billed Charges,,,,,106.65,,,,,,,Percent of Total Billed Charges,,,,,106.65,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,,,33.18,,,,,,,Percent of Total Billed Charges,,,,,94.8,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHL 660G ,250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONOSOF 3/0 30 BLACK C-25 ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHL 660H ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHL 611G ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHL 661G ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHL 662H ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHL 663G ,250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE,MONOSOF 3/0 18 BL C-14 ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE,MONOSOF 2/0 18"" BLACK ",250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHL 668G ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHL 698G ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT EHTL 698H ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHL 699H ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, O/R SUT MONOSOF 5/0 18 BLACK PS-2 ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHL 1667H ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE, MONOSOF 5/O 18 BLACK P-11 ",250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHL 1670H ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHL 1673H ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHL 1698G ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHL D6865 ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ETHL U237H ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE MONOSOF 10/0 12 BLK SE-CC ,250,RC,,Outpatient,,,126,100.8,94.12,,,,,,,Percent of Total Billed Charges,,94.12,94.12,,126,,,,,,,Percent of Total Billed Charges,,,,,120.96,,,,,,,Percent of Total Billed Charges,,,,,119.7,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,107.1,,,,,,,Percent of Total Billed Charges,,,,,26.46,,,,,,,Percent of Total Billed Charges,,,,,113.4,,,,,,,Percent of Total Billed Charges,,,,,113.4,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,, POLYSORB CLOSURE SUTURE ,250,RC,,Outpatient,,,26.5,21.2,19.8,,,,,,,Percent of Total Billed Charges,,19.8,19.8,,26.5,,,,,,,Percent of Total Billed Charges,,,,,25.44,,,,,,,Percent of Total Billed Charges,,,,,25.18,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,22.53,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,7.42,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,, SUTURE MONOSOF 3-0 ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "MONOSOF, 6-0 P-13 18"" ",250,RC,,Outpatient,,,77,61.6,57.52,,,,,,,Percent of Total Billed Charges,,57.52,57.52,,77,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,73.15,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,65.45,,,,,,,Percent of Total Billed Charges,,,,,16.17,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,21.56,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,, SUTURE MONOSOF 2-0 ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, SUTURE POLYSORB 6-0 ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE,2 27"",VICRYL UND BR CP ",250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, SUTURE POLYSORB 3-0 ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SURGIGUT 2/0 GS-21 ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT POLYSORB 5/0 C-12 ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE,VICRYL 2-0 UR-6 ",250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT NUR C-512T ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT NUR C-513T ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT NUR C-514T ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT NUR C-521T ,250,RC,,Outpatient,,,52.5,42,39.22,,,,,,,Percent of Total Billed Charges,,39.22,39.22,,52.5,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,11.03,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,42,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,, O/R MEDIPORE DRESS-IT ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT NUR C-595T ,250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT NUR N-185H ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT PDS Z-305H ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT PDS Z-432H ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE MAXON 1 GREEN 30"" GS-21 ",250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT PLA 53G ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT PLA L-102G ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT PLA H-821H ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT PLA H-822H ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT PLA 872H ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT PLA 873H ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE 2/0 30IN PROLENE BL CT ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE DEXON II BG O 27 T-19 ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE,0 18IN PROLENE BL CR CT-1 ",250,RC,,Outpatient,,,90,72,67.23,,,,,,,Percent of Total Billed Charges,,67.23,67.23,,90,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,85.5,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,81,,,,,,,Percent of Total Billed Charges,,,,,81,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE, 4/0 18IN VICRYL VIO BR CR SH",250,RC,,Outpatient,,,108.5,86.8,81.05,,,,,,,Percent of Total Billed Charges,,81.05,81.05,,108.5,,,,,,,Percent of Total Billed Charges,,,,,104.16,,,,,,,Percent of Total Billed Charges,,,,,103.08,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,92.23,,,,,,,Percent of Total Billed Charges,,,,,22.79,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,30.38,,,,,,,Percent of Total Billed Charges,,,,,86.8,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE, 4/0 18IN MONOCRYL UND PC-5 ",250,RC,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE, 4/0 18IN MONOCRYL UND PC-1 ",250,RC,,Outpatient,,,41,32.8,30.63,,,,,,,Percent of Total Billed Charges,,30.63,30.63,,41,,,,,,,Percent of Total Billed Charges,,,,,39.36,,,,,,,Percent of Total Billed Charges,,,,,38.95,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,34.85,,,,,,,Percent of Total Billed Charges,,,,,8.61,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE 2/0 27"" VICRYL VIO BR CT-2 ",250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE,2/0 30"" ETHIBOND GRN BR D/A ",250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE, 3/0 27"" MONOCRYL SH UNDYED ",250,RC,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE 2-0 36"" MONOCRYL SH UNDYED ",250,RC,,Outpatient,,,89.5,71.6,66.86,,,,,,,Percent of Total Billed Charges,,66.86,66.86,,89.5,,,,,,,Percent of Total Billed Charges,,,,,85.92,,,,,,,Percent of Total Billed Charges,,,,,85.03,,,,,,,Percent of Total Billed Charges,,,,,17.9,,,,,,,Percent of Total Billed Charges,,,,,76.08,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,80.55,,,,,,,Percent of Total Billed Charges,,,,,80.55,,,,,,,Percent of Total Billed Charges,,,,,17.9,,,,,,,Percent of Total Billed Charges,,,,,25.06,,,,,,,Percent of Total Billed Charges,,,,,71.6,,,,,,,Percent of Total Billed Charges,,,,,17.9,,,,,,,Percent of Total Billed Charges,,,, "SUTURE, SURGIPRO 0 24 BLUE GS-26 ",250,RC,,Outpatient,,,46.5,37.2,34.74,,,,,,,Percent of Total Billed Charges,,34.74,34.74,,46.5,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,,,44.18,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,39.53,,,,,,,Percent of Total Billed Charges,,,,,9.77,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE, 1 PROLENE CTX 30"" ",250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, O/R SURGIPRO 6/0 18 BLUE P-10 ,250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE CT-1 VICRYL 1 COATED UNDYED ,250,RC,,Outpatient,,,53.5,42.8,39.96,,,,,,,Percent of Total Billed Charges,,39.96,39.96,,53.5,,,,,,,Percent of Total Billed Charges,,,,,51.36,,,,,,,Percent of Total Billed Charges,,,,,50.83,,,,,,,Percent of Total Billed Charges,,,,,10.7,,,,,,,Percent of Total Billed Charges,,,,,45.48,,,,,,,Percent of Total Billed Charges,,,,,11.24,,,,,,,Percent of Total Billed Charges,,,,,48.15,,,,,,,Percent of Total Billed Charges,,,,,48.15,,,,,,,Percent of Total Billed Charges,,,,,10.7,,,,,,,Percent of Total Billed Charges,,,,,14.98,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,,,10.7,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE,SURGIPRO 5/0 30 BLUE CV-23 ",250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE, 4/0 18"" PROLENE BL D/A PS-2 ",250,RC,,Outpatient,,,66.5,53.2,49.68,,,,,,,Percent of Total Billed Charges,,49.68,49.68,,66.5,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,63.18,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,56.53,,,,,,,Percent of Total Billed Charges,,,,,13.97,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,18.62,,,,,,,Percent of Total Billed Charges,,,,,53.2,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE 2-0 48"" PROLENE SH ",250,RC,,Outpatient,,,28,22.4,20.92,,,,,,,Percent of Total Billed Charges,,20.92,20.92,,28,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,, "SUTURE, SURGIPRO 3/0 30 BLACK ",250,RC,,Outpatient,,,24,19.2,17.93,,,,,,,Percent of Total Billed Charges,,17.93,17.93,,24,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,, O/R SURGIPRO 2-0 SUTURE ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE,STRATAFIX PDS,0 CT,12"",VIOLET",250,RC,,Outpatient,,,132,105.6,98.6,,,,,,,Percent of Total Billed Charges,,98.6,98.6,,132,,,,,,,Percent of Total Billed Charges,,,,,126.72,,,,,,,Percent of Total Billed Charges,,,,,125.4,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,112.2,,,,,,,Percent of Total Billed Charges,,,,,27.72,,,,,,,Percent of Total Billed Charges,,,,,118.8,,,,,,,Percent of Total Billed Charges,,,,,118.8,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,105.6,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SIL C-12T ,250,RC,,Outpatient,,,44.5,35.6,33.24,,,,,,,Percent of Total Billed Charges,,33.24,33.24,,44.5,,,,,,,Percent of Total Billed Charges,,,,,42.72,,,,,,,Percent of Total Billed Charges,,,,,42.28,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,,,37.83,,,,,,,Percent of Total Billed Charges,,,,,9.35,,,,,,,Percent of Total Billed Charges,,,,,40.05,,,,,,,Percent of Total Billed Charges,,,,,40.05,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,,,12.46,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SIL C-013T ,250,RC,,Outpatient,,,24,19.2,17.93,,,,,,,Percent of Total Billed Charges,,17.93,17.93,,24,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SIL AUT GS64M ,250,RC,,Outpatient,,,23.5,18.8,17.55,,,,,,,Percent of Total Billed Charges,,17.55,17.55,,23.5,,,,,,,Percent of Total Billed Charges,,,,,22.56,,,,,,,Percent of Total Billed Charges,,,,,22.33,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,19.98,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SIL C-054T ,250,RC,,Outpatient,,,39,31.2,29.13,,,,,,,Percent of Total Billed Charges,,29.13,29.13,,39,,,,,,,Percent of Total Billed Charges,,,,,37.44,,,,,,,Percent of Total Billed Charges,,,,,37.05,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,33.15,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,10.92,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SIL SA63H ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SIL SA64H ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SIL SA65H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SIL SA86G ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SIL A303H ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE 3/0 PERMA-HAND SILK BLACK ,250,RC,,Outpatient,,,94.5,75.6,70.59,,,,,,,Percent of Total Billed Charges,,70.59,70.59,,94.5,,,,,,,Percent of Total Billed Charges,,,,,90.72,,,,,,,Percent of Total Billed Charges,,,,,89.78,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,80.33,,,,,,,Percent of Total Billed Charges,,,,,19.85,,,,,,,Percent of Total Billed Charges,,,,,85.05,,,,,,,Percent of Total Billed Charges,,,,,85.05,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,26.46,,,,,,,Percent of Total Billed Charges,,,,,75.6,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE SOFSILK 2-0 ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, "SUTURE, SOFSILK 3/0 30 BLK V-20 ",250,RC,,Outpatient,,,24,19.2,17.93,,,,,,,Percent of Total Billed Charges,,17.93,17.93,,24,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,, SUTURE 6-0 SILK (P-10 NEEDLE CUTTING) ,250,RC,,Outpatient,,,44.5,35.6,33.24,,,,,,,Percent of Total Billed Charges,,33.24,33.24,,44.5,,,,,,,Percent of Total Billed Charges,,,,,42.72,,,,,,,Percent of Total Billed Charges,,,,,42.28,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,,,37.83,,,,,,,Percent of Total Billed Charges,,,,,9.35,,,,,,,Percent of Total Billed Charges,,,,,40.05,,,,,,,Percent of Total Billed Charges,,,,,40.05,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,,,12.46,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE 2/0 PERMA-HAND SILK BLACK ,250,RC,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SIL 405G ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE,SOFSILK 2/0 30 BLACK V-20 ",250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE,SOFSILK 2/0 BL GS-18 ",250,RC,,Outpatient,,,22.5,18,16.81,,,,,,,Percent of Total Billed Charges,,16.81,16.81,,22.5,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SIL 632H ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SIL 680H ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SIL 684G ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SIL 684H ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SIL K832H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE, VICRYL 3-0 SH 27"" ",250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE, VICRYL 2-0 SH 27"" BRAIDED ",250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE, VICRYL 2-0 CP-1 ",250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, O/R SUT STE SS-26G ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT STE SS-28G ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT STE M-417G ,250,RC,,Outpatient,,,60,48,44.82,,,,,,,Percent of Total Billed Charges,,44.82,44.82,,60,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,57,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,, O/R SUT STE 469G ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUR STE 540G ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, O/R SUT STE 561G ,250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT STE 568G ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, O/R SUT STE ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SUR 1962-51 ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SUR 1970-51 ,250,RC,,Outpatient,,,50.5,40.4,37.72,,,,,,,Percent of Total Billed Charges,,37.72,37.72,,50.5,,,,,,,Percent of Total Billed Charges,,,,,48.48,,,,,,,Percent of Total Billed Charges,,,,,47.98,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,42.93,,,,,,,Percent of Total Billed Charges,,,,,10.61,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,14.14,,,,,,,Percent of Total Billed Charges,,,,,40.4,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SUR 1993-51 ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT TICRON 3026-71 ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, "SUTURE, PDS II Z334H ",250,RC,,Outpatient,,,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, "SUTURE,MONO 4-0 PS-2 Y496G ",250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, O/R ENDOLOOP PDS II EZ10G ,250,RC,,Outpatient,,,327,261.6,244.27,,,,,,,Percent of Total Billed Charges,,244.27,244.27,,327,,,,,,,Percent of Total Billed Charges,,,,,313.92,,,,,,,Percent of Total Billed Charges,,,,,310.65,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,,,277.95,,,,,,,Percent of Total Billed Charges,,,,,68.67,,,,,,,Percent of Total Billed Charges,,,,,294.3,,,,,,,Percent of Total Billed Charges,,,,,294.3,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,,,91.56,,,,,,,Percent of Total Billed Charges,,,,,261.6,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,, O/R MAXI VESSEL LOOP 2.5MM ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R COMPASS THORACENTESIS ,250,RC,,Outpatient,,,197,157.6,147.16,,,,,,,Percent of Total Billed Charges,,147.16,147.16,,197,,,,,,,Percent of Total Billed Charges,,,,,189.12,,,,,,,Percent of Total Billed Charges,,,,,187.15,,,,,,,Percent of Total Billed Charges,,,,,39.4,,,,,,,Percent of Total Billed Charges,,,,,167.45,,,,,,,Percent of Total Billed Charges,,,,,41.37,,,,,,,Percent of Total Billed Charges,,,,,177.3,,,,,,,Percent of Total Billed Charges,,,,,177.3,,,,,,,Percent of Total Billed Charges,,,,,39.4,,,,,,,Percent of Total Billed Charges,,,,,55.16,,,,,,,Percent of Total Billed Charges,,,,,157.6,,,,,,,Percent of Total Billed Charges,,,,,39.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J204G ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J205G ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J206G ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J207G ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J208G ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "SUTURE, POLYSORB 3/0 27 VIOT V-20 ",250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, SUTURE POLYSORB (CV-11 TAPER) ,250,RC,,Outpatient,,,36.5,29.2,27.27,,,,,,,Percent of Total Billed Charges,,27.27,27.27,,36.5,,,,,,,Percent of Total Billed Charges,,,,,35.04,,,,,,,Percent of Total Billed Charges,,,,,34.68,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,31.03,,,,,,,Percent of Total Billed Charges,,,,,7.67,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE, VICRYL 3-0 RB-1 27"" UNDYED ",250,RC,,Outpatient,,,22.5,18,16.81,,,,,,,Percent of Total Billed Charges,,16.81,16.81,,22.5,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE, VICRYL 2-0 RB-1 27"" UNDYED ",250,RC,,Outpatient,,,22.5,18,16.81,,,,,,,Percent of Total Billed Charges,,16.81,16.81,,22.5,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE 2-0 VICRYL PLUS CT-2 ,250,RC,,Outpatient,,,130.5,104.4,97.48,,,,,,,Percent of Total Billed Charges,,97.48,97.48,,130.5,,,,,,,Percent of Total Billed Charges,,,,,125.28,,,,,,,Percent of Total Billed Charges,,,,,123.98,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,110.93,,,,,,,Percent of Total Billed Charges,,,,,27.41,,,,,,,Percent of Total Billed Charges,,,,,117.45,,,,,,,Percent of Total Billed Charges,,,,,117.45,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,36.54,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J303H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT POLYSORB CV15 ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J305H ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J306H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC O 27IN VIO BR UR-6 ,250,RC,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J310H ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J318H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE VICRYL 3-0 POLYSORB ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J327H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J328H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J329H ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VICRYL 4-0 J284G ,250,RC,,Outpatient,,,25,20,18.68,,,,,,,Percent of Total Billed Charges,,18.68,18.68,,25,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,23.75,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,21.25,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J338H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J339H ,250,RC,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, O/R SUT POLYSORB O ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J341H ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC 0 CT VIOLET BRAIDED VCP358H,250,RC,,Outpatient,,,21,16.8,15.69,,,,,,,Percent of Total Billed Charges,,15.69,15.69,,21,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,19.95,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J376H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J392H ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J405G ,250,RC,,Outpatient,,,50.5,40.4,37.72,,,,,,,Percent of Total Billed Charges,,37.72,37.72,,50.5,,,,,,,Percent of Total Billed Charges,,,,,48.48,,,,,,,Percent of Total Billed Charges,,,,,47.98,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,42.93,,,,,,,Percent of Total Billed Charges,,,,,10.61,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,14.14,,,,,,,Percent of Total Billed Charges,,,,,40.4,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J433H ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J434H ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, "O/R SUT VIC J497G 3-0 PS-2 18"" ",250,RC,,Outpatient,,,46,36.8,34.36,,,,,,,Percent of Total Billed Charges,,34.36,34.36,,46,,,,,,,Percent of Total Billed Charges,,,,,44.16,,,,,,,Percent of Total Billed Charges,,,,,43.7,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,39.1,,,,,,,Percent of Total Billed Charges,,,,,9.66,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,12.88,,,,,,,Percent of Total Billed Charges,,,,,36.8,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J603H ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J608H ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE VICRYL 12X18 TIES ,250,RC,,Outpatient,,,13,10.4,9.71,,,,,,,Percent of Total Billed Charges,,9.71,9.71,,13,,,,,,,Percent of Total Billed Charges,,,,,12.48,,,,,,,Percent of Total Billed Charges,,,,,12.35,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,11.05,,,,,,,Percent of Total Billed Charges,,,,,2.73,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,10.4,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J773T ,250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VIC J774T ,250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE POLYSORB 37MM HGS-21 ,250,RC,,Outpatient,,,109.5,87.6,81.8,,,,,,,Percent of Total Billed Charges,,81.8,81.8,,109.5,,,,,,,Percent of Total Billed Charges,,,,,105.12,,,,,,,Percent of Total Billed Charges,,,,,104.03,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,93.08,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,30.66,,,,,,,Percent of Total Billed Charges,,,,,87.6,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE, 5/0 12IN VICRYL VIO BR S ",250,RC,,Outpatient,,,78.5,62.8,58.64,,,,,,,Percent of Total Billed Charges,,58.64,58.64,,78.5,,,,,,,Percent of Total Billed Charges,,,,,75.36,,,,,,,Percent of Total Billed Charges,,,,,74.58,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,66.73,,,,,,,Percent of Total Billed Charges,,,,,16.49,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,21.98,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,, "O/R SUTURE, 2 30IN ETHILON BLK D/A LR ",250,RC,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE 4-0 CUTTING NEEDLE ,250,RC,,Outpatient,,,26.5,21.2,19.8,,,,,,,Percent of Total Billed Charges,,19.8,19.8,,26.5,,,,,,,Percent of Total Billed Charges,,,,,25.44,,,,,,,Percent of Total Billed Charges,,,,,25.18,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,22.53,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,7.42,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE 2-0 CUTTING ,250,RC,,Outpatient,,,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, O/R ADULT BITE BLOCK ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, O/R SYRINGE CONTROL 10ML STERILE ,250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, O/R LOSS OF RESISTANCE SYRINGE ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, O/R SYRINGE FILTER 0.22 MILLEX-GS ,250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT UMB U-11T ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, ENDOPATH NEEDLE PNEUMOPERITON ,250,RC,,Outpatient,,,166.5,133.2,124.38,,,,,,,Percent of Total Billed Charges,,124.38,124.38,,166.5,,,,,,,Percent of Total Billed Charges,,,,,159.84,,,,,,,Percent of Total Billed Charges,,,,,158.18,,,,,,,Percent of Total Billed Charges,,,,,33.3,,,,,,,Percent of Total Billed Charges,,,,,141.53,,,,,,,Percent of Total Billed Charges,,,,,34.97,,,,,,,Percent of Total Billed Charges,,,,,149.85,,,,,,,Percent of Total Billed Charges,,,,,149.85,,,,,,,Percent of Total Billed Charges,,,,,33.3,,,,,,,Percent of Total Billed Charges,,,,,46.62,,,,,,,Percent of Total Billed Charges,,,,,133.2,,,,,,,Percent of Total Billed Charges,,,,,33.3,,,,,,,Percent of Total Billed Charges,,,, TROCAR NONBLDED OBTURATOR ,250,RC,,Outpatient,,,458,366.4,342.13,,,,,,,Percent of Total Billed Charges,,342.13,342.13,,458,,,,,,,Percent of Total Billed Charges,,,,,439.68,,,,,,,Percent of Total Billed Charges,,,,,435.1,,,,,,,Percent of Total Billed Charges,,,,,91.6,,,,,,,Percent of Total Billed Charges,,,,,389.3,,,,,,,Percent of Total Billed Charges,,,,,96.18,,,,,,,Percent of Total Billed Charges,,,,,412.2,,,,,,,Percent of Total Billed Charges,,,,,412.2,,,,,,,Percent of Total Billed Charges,,,,,91.6,,,,,,,Percent of Total Billed Charges,,,,,128.24,,,,,,,Percent of Total Billed Charges,,,,,366.4,,,,,,,Percent of Total Billed Charges,,,,,91.6,,,,,,,Percent of Total Billed Charges,,,, TROCAR NONBLD OBTURATOR 12mm ,250,RC,,Outpatient,,,249.5,199.6,186.38,,,,,,,Percent of Total Billed Charges,,186.38,186.38,,249.5,,,,,,,Percent of Total Billed Charges,,,,,239.52,,,,,,,Percent of Total Billed Charges,,,,,237.03,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,,,212.08,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,224.55,,,,,,,Percent of Total Billed Charges,,,,,224.55,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,,,69.86,,,,,,,Percent of Total Billed Charges,,,,,199.6,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,, O/R TROCAR SHIELDED BLADE 5MM X 100MM ,250,RC,,Outpatient,,,258,206.4,192.73,,,,,,,Percent of Total Billed Charges,,192.73,192.73,,258,,,,,,,Percent of Total Billed Charges,,,,,247.68,,,,,,,Percent of Total Billed Charges,,,,,245.1,,,,,,,Percent of Total Billed Charges,,,,,51.6,,,,,,,Percent of Total Billed Charges,,,,,219.3,,,,,,,Percent of Total Billed Charges,,,,,54.18,,,,,,,Percent of Total Billed Charges,,,,,232.2,,,,,,,Percent of Total Billed Charges,,,,,232.2,,,,,,,Percent of Total Billed Charges,,,,,51.6,,,,,,,Percent of Total Billed Charges,,,,,72.24,,,,,,,Percent of Total Billed Charges,,,,,206.4,,,,,,,Percent of Total Billed Charges,,,,,51.6,,,,,,,Percent of Total Billed Charges,,,, STRUCTURAL BALLOON TROCAR 10MM ,250,RC,,Outpatient,,,738,590.4,551.29,,,,,,,Percent of Total Billed Charges,,551.29,551.29,,738,,,,,,,Percent of Total Billed Charges,,,,,708.48,,,,,,,Percent of Total Billed Charges,,,,,701.1,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,627.3,,,,,,,Percent of Total Billed Charges,,,,,154.98,,,,,,,Percent of Total Billed Charges,,,,,664.2,,,,,,,Percent of Total Billed Charges,,,,,664.2,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,206.64,,,,,,,Percent of Total Billed Charges,,,,,590.4,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,, PDB STERILE BALLOON (KIDNEY SHAPE) ,250,RC,,Outpatient,,,733.5,586.8,547.92,,,,,,,Percent of Total Billed Charges,,547.92,547.92,,733.5,,,,,,,Percent of Total Billed Charges,,,,,704.16,,,,,,,Percent of Total Billed Charges,,,,,696.83,,,,,,,Percent of Total Billed Charges,,,,,146.7,,,,,,,Percent of Total Billed Charges,,,,,623.48,,,,,,,Percent of Total Billed Charges,,,,,154.04,,,,,,,Percent of Total Billed Charges,,,,,660.15,,,,,,,Percent of Total Billed Charges,,,,,660.15,,,,,,,Percent of Total Billed Charges,,,,,146.7,,,,,,,Percent of Total Billed Charges,,,,,205.38,,,,,,,Percent of Total Billed Charges,,,,,586.8,,,,,,,Percent of Total Billed Charges,,,,,146.7,,,,,,,Percent of Total Billed Charges,,,, ENDOPATH REDUCER CAP MULTISEAL 5MM ,250,RC,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, "APPLIER,ENDOPATH MULTIPLE CLIP ",250,RC,,Outpatient,,,615.5,492.4,459.78,,,,,,,Percent of Total Billed Charges,,459.78,459.78,,615.5,,,,,,,Percent of Total Billed Charges,,,,,590.88,,,,,,,Percent of Total Billed Charges,,,,,584.73,,,,,,,Percent of Total Billed Charges,,,,,123.1,,,,,,,Percent of Total Billed Charges,,,,,523.18,,,,,,,Percent of Total Billed Charges,,,,,129.26,,,,,,,Percent of Total Billed Charges,,,,,553.95,,,,,,,Percent of Total Billed Charges,,,,,553.95,,,,,,,Percent of Total Billed Charges,,,,,123.1,,,,,,,Percent of Total Billed Charges,,,,,172.34,,,,,,,Percent of Total Billed Charges,,,,,492.4,,,,,,,Percent of Total Billed Charges,,,,,123.1,,,,,,,Percent of Total Billed Charges,,,, HARMONIC LCS ,250,RC,,Outpatient,,,929,743.2,693.96,,,,,,,Percent of Total Billed Charges,,693.96,693.96,,929,,,,,,,Percent of Total Billed Charges,,,,,891.84,,,,,,,Percent of Total Billed Charges,,,,,882.55,,,,,,,Percent of Total Billed Charges,,,,,185.8,,,,,,,Percent of Total Billed Charges,,,,,789.65,,,,,,,Percent of Total Billed Charges,,,,,195.09,,,,,,,Percent of Total Billed Charges,,,,,836.1,,,,,,,Percent of Total Billed Charges,,,,,836.1,,,,,,,Percent of Total Billed Charges,,,,,185.8,,,,,,,Percent of Total Billed Charges,,,,,260.12,,,,,,,Percent of Total Billed Charges,,,,,743.2,,,,,,,Percent of Total Billed Charges,,,,,185.8,,,,,,,Percent of Total Billed Charges,,,, ON-Q PAIN MANAGEMENT SYSTEM ,250,RC,,Outpatient,,,801,640.8,598.35,,,,,,,Percent of Total Billed Charges,,598.35,598.35,,801,,,,,,,Percent of Total Billed Charges,,,,,768.96,,,,,,,Percent of Total Billed Charges,,,,,760.95,,,,,,,Percent of Total Billed Charges,,,,,160.2,,,,,,,Percent of Total Billed Charges,,,,,680.85,,,,,,,Percent of Total Billed Charges,,,,,168.21,,,,,,,Percent of Total Billed Charges,,,,,720.9,,,,,,,Percent of Total Billed Charges,,,,,720.9,,,,,,,Percent of Total Billed Charges,,,,,160.2,,,,,,,Percent of Total Billed Charges,,,,,224.28,,,,,,,Percent of Total Billed Charges,,,,,640.8,,,,,,,Percent of Total Billed Charges,,,,,160.2,,,,,,,Percent of Total Billed Charges,,,, O/R ENDO CLIP APPLIER 5MM ,250,RC,,Outpatient,,,193,154.4,144.17,,,,,,,Percent of Total Billed Charges,,144.17,144.17,,193,,,,,,,Percent of Total Billed Charges,,,,,185.28,,,,,,,Percent of Total Billed Charges,,,,,183.35,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,,,164.05,,,,,,,Percent of Total Billed Charges,,,,,40.53,,,,,,,Percent of Total Billed Charges,,,,,173.7,,,,,,,Percent of Total Billed Charges,,,,,173.7,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,,,54.04,,,,,,,Percent of Total Billed Charges,,,,,154.4,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,, SENSICLIP CLIPPER BLADE ,250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, SURGICAL CLIPPER BLADE ,250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, "O/R BAG,RETRIEVAL INZII ",250,RC,,Outpatient,,,238,190.4,177.79,,,,,,,Percent of Total Billed Charges,,177.79,177.79,,238,,,,,,,Percent of Total Billed Charges,,,,,228.48,,,,,,,Percent of Total Billed Charges,,,,,226.1,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,,,202.3,,,,,,,Percent of Total Billed Charges,,,,,49.98,,,,,,,Percent of Total Billed Charges,,,,,214.2,,,,,,,Percent of Total Billed Charges,,,,,214.2,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,,,66.64,,,,,,,Percent of Total Billed Charges,,,,,190.4,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,, ENDO BABCOCK 10MM ,250,RC,,Outpatient,,,357,285.6,266.68,,,,,,,Percent of Total Billed Charges,,266.68,266.68,,357,,,,,,,Percent of Total Billed Charges,,,,,342.72,,,,,,,Percent of Total Billed Charges,,,,,339.15,,,,,,,Percent of Total Billed Charges,,,,,71.4,,,,,,,Percent of Total Billed Charges,,,,,303.45,,,,,,,Percent of Total Billed Charges,,,,,74.97,,,,,,,Percent of Total Billed Charges,,,,,321.3,,,,,,,Percent of Total Billed Charges,,,,,321.3,,,,,,,Percent of Total Billed Charges,,,,,71.4,,,,,,,Percent of Total Billed Charges,,,,,99.96,,,,,,,Percent of Total Billed Charges,,,,,285.6,,,,,,,Percent of Total Billed Charges,,,,,71.4,,,,,,,Percent of Total Billed Charges,,,, "RETRIEVER, ROTH NET 360 ",250,RC,,Outpatient,,,234.5,187.6,175.17,,,,,,,Percent of Total Billed Charges,,175.17,175.17,,234.5,,,,,,,Percent of Total Billed Charges,,,,,225.12,,,,,,,Percent of Total Billed Charges,,,,,222.78,,,,,,,Percent of Total Billed Charges,,,,,46.9,,,,,,,Percent of Total Billed Charges,,,,,199.33,,,,,,,Percent of Total Billed Charges,,,,,49.25,,,,,,,Percent of Total Billed Charges,,,,,211.05,,,,,,,Percent of Total Billed Charges,,,,,211.05,,,,,,,Percent of Total Billed Charges,,,,,46.9,,,,,,,Percent of Total Billed Charges,,,,,65.66,,,,,,,Percent of Total Billed Charges,,,,,187.6,,,,,,,Percent of Total Billed Charges,,,,,46.9,,,,,,,Percent of Total Billed Charges,,,, UNIVERSAL CLIP APPLIER 10MM ,250,RC,,Outpatient,,,623.5,498.8,465.75,,,,,,,Percent of Total Billed Charges,,465.75,465.75,,623.5,,,,,,,Percent of Total Billed Charges,,,,,598.56,,,,,,,Percent of Total Billed Charges,,,,,592.33,,,,,,,Percent of Total Billed Charges,,,,,124.7,,,,,,,Percent of Total Billed Charges,,,,,529.98,,,,,,,Percent of Total Billed Charges,,,,,130.94,,,,,,,Percent of Total Billed Charges,,,,,561.15,,,,,,,Percent of Total Billed Charges,,,,,561.15,,,,,,,Percent of Total Billed Charges,,,,,124.7,,,,,,,Percent of Total Billed Charges,,,,,174.58,,,,,,,Percent of Total Billed Charges,,,,,498.8,,,,,,,Percent of Total Billed Charges,,,,,124.7,,,,,,,Percent of Total Billed Charges,,,, O/R TROCAR SHIELDED BLADED 5MM X 100MM ,250,RC,,Outpatient,,,258,206.4,192.73,,,,,,,Percent of Total Billed Charges,,192.73,192.73,,258,,,,,,,Percent of Total Billed Charges,,,,,247.68,,,,,,,Percent of Total Billed Charges,,,,,245.1,,,,,,,Percent of Total Billed Charges,,,,,51.6,,,,,,,Percent of Total Billed Charges,,,,,219.3,,,,,,,Percent of Total Billed Charges,,,,,54.18,,,,,,,Percent of Total Billed Charges,,,,,232.2,,,,,,,Percent of Total Billed Charges,,,,,232.2,,,,,,,Percent of Total Billed Charges,,,,,51.6,,,,,,,Percent of Total Billed Charges,,,,,72.24,,,,,,,Percent of Total Billed Charges,,,,,206.4,,,,,,,Percent of Total Billed Charges,,,,,51.6,,,,,,,Percent of Total Billed Charges,,,, O/R ENDO CARRY ON KIT ,250,RC,,Outpatient,,,87,69.6,64.99,,,,,,,Percent of Total Billed Charges,,64.99,64.99,,87,,,,,,,Percent of Total Billed Charges,,,,,83.52,,,,,,,Percent of Total Billed Charges,,,,,82.65,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,73.95,,,,,,,Percent of Total Billed Charges,,,,,18.27,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,24.36,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,, O/R ASCENDO LIFTING AGENT ,250,RC,,Outpatient,,,131.5,105.2,98.23,,,,,,,Percent of Total Billed Charges,,98.23,98.23,,131.5,,,,,,,Percent of Total Billed Charges,,,,,126.24,,,,,,,Percent of Total Billed Charges,,,,,124.93,,,,,,,Percent of Total Billed Charges,,,,,26.3,,,,,,,Percent of Total Billed Charges,,,,,111.78,,,,,,,Percent of Total Billed Charges,,,,,27.62,,,,,,,Percent of Total Billed Charges,,,,,118.35,,,,,,,Percent of Total Billed Charges,,,,,118.35,,,,,,,Percent of Total Billed Charges,,,,,26.3,,,,,,,Percent of Total Billed Charges,,,,,36.82,,,,,,,Percent of Total Billed Charges,,,,,105.2,,,,,,,Percent of Total Billed Charges,,,,,26.3,,,,,,,Percent of Total Billed Charges,,,, O/R ENDOGATOR TUBING W/SMARTCAP ,250,RC,,Outpatient,,,92,73.6,68.72,,,,,,,Percent of Total Billed Charges,,68.72,68.72,,92,,,,,,,Percent of Total Billed Charges,,,,,88.32,,,,,,,Percent of Total Billed Charges,,,,,87.4,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,78.2,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,82.8,,,,,,,Percent of Total Billed Charges,,,,,82.8,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,25.76,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,, O/R PAINBUSTER ON-Q KIT 100ML ,250,RC,,Outpatient,,,488.5,390.8,364.91,,,,,,,Percent of Total Billed Charges,,364.91,364.91,,488.5,,,,,,,Percent of Total Billed Charges,,,,,468.96,,,,,,,Percent of Total Billed Charges,,,,,464.08,,,,,,,Percent of Total Billed Charges,,,,,97.7,,,,,,,Percent of Total Billed Charges,,,,,415.23,,,,,,,Percent of Total Billed Charges,,,,,102.59,,,,,,,Percent of Total Billed Charges,,,,,439.65,,,,,,,Percent of Total Billed Charges,,,,,439.65,,,,,,,Percent of Total Billed Charges,,,,,97.7,,,,,,,Percent of Total Billed Charges,,,,,136.78,,,,,,,Percent of Total Billed Charges,,,,,390.8,,,,,,,Percent of Total Billed Charges,,,,,97.7,,,,,,,Percent of Total Billed Charges,,,, O/R PAINBUSTER ON-Q KIT ,250,RC,,Outpatient,,,1388,1110.4,1036.84,,,,,,,Percent of Total Billed Charges,,1036.84,1036.84,,1388,,,,,,,Percent of Total Billed Charges,,,,,1332.48,,,,,,,Percent of Total Billed Charges,,,,,1318.6,,,,,,,Percent of Total Billed Charges,,,,,277.6,,,,,,,Percent of Total Billed Charges,,,,,1179.8,,,,,,,Percent of Total Billed Charges,,,,,291.48,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,277.6,,,,,,,Percent of Total Billed Charges,,,,,388.64,,,,,,,Percent of Total Billed Charges,,,,,1110.4,,,,,,,Percent of Total Billed Charges,,,,,277.6,,,,,,,Percent of Total Billed Charges,,,, O/R GYNE FLUENT DISP PACK ,250,RC,,Outpatient,,,600,480,448.2,,,,,,,Percent of Total Billed Charges,,448.2,448.2,,600,,,,,,,Percent of Total Billed Charges,,,,,576,,,,,,,Percent of Total Billed Charges,,,,,570,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,510,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,540,,,,,,,Percent of Total Billed Charges,,,,,540,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,168,,,,,,,Percent of Total Billed Charges,,,,,480,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,, O/R GYNE SINGLE USE SEAL SET ,250,RC,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, O/R GYNE ELECTRODE BALL 5MM ,250,RC,,Outpatient,,,80,64,59.76,,,,,,,Percent of Total Billed Charges,,59.76,59.76,,80,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,76,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,64,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,, O/R GYNE MYOSURE TISSUE REMOVAL ,250,RC,,Outpatient,,,1085.5,868.4,810.87,,,,,,,Percent of Total Billed Charges,,810.87,810.87,,1085.5,,,,,,,Percent of Total Billed Charges,,,,,1042.08,,,,,,,Percent of Total Billed Charges,,,,,1031.23,,,,,,,Percent of Total Billed Charges,,,,,217.1,,,,,,,Percent of Total Billed Charges,,,,,922.68,,,,,,,Percent of Total Billed Charges,,,,,227.96,,,,,,,Percent of Total Billed Charges,,,,,976.95,,,,,,,Percent of Total Billed Charges,,,,,976.95,,,,,,,Percent of Total Billed Charges,,,,,217.1,,,,,,,Percent of Total Billed Charges,,,,,303.94,,,,,,,Percent of Total Billed Charges,,,,,868.4,,,,,,,Percent of Total Billed Charges,,,,,217.1,,,,,,,Percent of Total Billed Charges,,,, O/R GYNE ELECTRODE LOOP 15MMX12MM ,250,RC,,Outpatient,,,84,67.2,62.75,,,,,,,Percent of Total Billed Charges,,62.75,62.75,,84,,,,,,,Percent of Total Billed Charges,,,,,80.64,,,,,,,Percent of Total Billed Charges,,,,,79.8,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,71.4,,,,,,,Percent of Total Billed Charges,,,,,17.64,,,,,,,Percent of Total Billed Charges,,,,,75.6,,,,,,,Percent of Total Billed Charges,,,,,75.6,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,, O/R GYNE MYOSURE REACH TISSUE REMOVAL ,250,RC,,Outpatient,,,1447.5,1158,1081.28,,,,,,,Percent of Total Billed Charges,,1081.28,1081.28,,1447.5,,,,,,,Percent of Total Billed Charges,,,,,1389.6,,,,,,,Percent of Total Billed Charges,,,,,1375.13,,,,,,,Percent of Total Billed Charges,,,,,289.5,,,,,,,Percent of Total Billed Charges,,,,,1230.38,,,,,,,Percent of Total Billed Charges,,,,,303.98,,,,,,,Percent of Total Billed Charges,,,,,1302.75,,,,,,,Percent of Total Billed Charges,,,,,1302.75,,,,,,,Percent of Total Billed Charges,,,,,289.5,,,,,,,Percent of Total Billed Charges,,,,,405.3,,,,,,,Percent of Total Billed Charges,,,,,1158,,,,,,,Percent of Total Billed Charges,,,,,289.5,,,,,,,Percent of Total Billed Charges,,,, O/R GYNE ELECTRODE LOOP 20MMX12MM ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, O/R GYNE MYOSURE FMS-XL TISSUE REMOVAL ,250,RC,,Outpatient,,,1809.5,1447.6,1351.7,,,,,,,Percent of Total Billed Charges,,1351.7,1351.7,,1809.5,,,,,,,Percent of Total Billed Charges,,,,,1737.12,,,,,,,Percent of Total Billed Charges,,,,,1719.03,,,,,,,Percent of Total Billed Charges,,,,,361.9,,,,,,,Percent of Total Billed Charges,,,,,1538.08,,,,,,,Percent of Total Billed Charges,,,,,380,,,,,,,Percent of Total Billed Charges,,,,,1628.55,,,,,,,Percent of Total Billed Charges,,,,,1628.55,,,,,,,Percent of Total Billed Charges,,,,,361.9,,,,,,,Percent of Total Billed Charges,,,,,506.66,,,,,,,Percent of Total Billed Charges,,,,,1447.6,,,,,,,Percent of Total Billed Charges,,,,,361.9,,,,,,,Percent of Total Billed Charges,,,, O/R GYNE NOVASURE STERILE DEVICE ,250,RC,,Outpatient,,,1940.5,1552.4,1449.55,,,,,,,Percent of Total Billed Charges,,1449.55,1449.55,,1940.5,,,,,,,Percent of Total Billed Charges,,,,,1862.88,,,,,,,Percent of Total Billed Charges,,,,,1843.48,,,,,,,Percent of Total Billed Charges,,,,,388.1,,,,,,,Percent of Total Billed Charges,,,,,1649.43,,,,,,,Percent of Total Billed Charges,,,,,407.51,,,,,,,Percent of Total Billed Charges,,,,,1746.45,,,,,,,Percent of Total Billed Charges,,,,,1746.45,,,,,,,Percent of Total Billed Charges,,,,,388.1,,,,,,,Percent of Total Billed Charges,,,,,543.34,,,,,,,Percent of Total Billed Charges,,,,,1552.4,,,,,,,Percent of Total Billed Charges,,,,,388.1,,,,,,,Percent of Total Billed Charges,,,, O/R LAP/PELVIS PACK ,250,RC,,Outpatient,,,45.5,36.4,33.99,,,,,,,Percent of Total Billed Charges,,33.99,33.99,,45.5,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,43.23,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,38.68,,,,,,,Percent of Total Billed Charges,,,,,9.56,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,12.74,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,, O/R PELVIS PACK ,250,RC,,Outpatient,,,76,60.8,56.77,,,,,,,Percent of Total Billed Charges,,56.77,56.77,,76,,,,,,,Percent of Total Billed Charges,,,,,72.96,,,,,,,Percent of Total Billed Charges,,,,,72.2,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,64.6,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,21.28,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,, O/R GYNE / PELVIC DRAPE STERILE ,250,RC,,Outpatient,,,26,20.8,19.42,,,,,,,Percent of Total Billed Charges,,19.42,19.42,,26,,,,,,,Percent of Total Billed Charges,,,,,24.96,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,7.28,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,, O/R GYNE PUDENDAL BLOCK TRAY ,250,RC,,Outpatient,,,53.5,42.8,39.96,,,,,,,Percent of Total Billed Charges,,39.96,39.96,,53.5,,,,,,,Percent of Total Billed Charges,,,,,51.36,,,,,,,Percent of Total Billed Charges,,,,,50.83,,,,,,,Percent of Total Billed Charges,,,,,10.7,,,,,,,Percent of Total Billed Charges,,,,,45.48,,,,,,,Percent of Total Billed Charges,,,,,11.24,,,,,,,Percent of Total Billed Charges,,,,,48.15,,,,,,,Percent of Total Billed Charges,,,,,48.15,,,,,,,Percent of Total Billed Charges,,,,,10.7,,,,,,,Percent of Total Billed Charges,,,,,14.98,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,,,10.7,,,,,,,Percent of Total Billed Charges,,,, O/R GYNE ASTRINGYN/MONSELS ,250,RC,,Outpatient,,,58,46.4,43.33,,,,,,,Percent of Total Billed Charges,,43.33,43.33,,58,,,,,,,Percent of Total Billed Charges,,,,,55.68,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,16.24,,,,,,,Percent of Total Billed Charges,,,,,46.4,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,, O/R GYNE LUGOLS ,250,RC,,Outpatient,,,58,46.4,43.33,,,,,,,Percent of Total Billed Charges,,43.33,43.33,,58,,,,,,,Percent of Total Billed Charges,,,,,55.68,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,16.24,,,,,,,Percent of Total Billed Charges,,,,,46.4,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,, O/R GYNE ACETIC ACID 5% ,250,RC,,Outpatient,,,60,48,44.82,,,,,,,Percent of Total Billed Charges,,44.82,44.82,,60,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,57,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,, STRANGE COMMON DUCT EXPLORATION SET ,250,RC,,Outpatient,,,824,659.2,615.53,,,,,,,Percent of Total Billed Charges,,615.53,615.53,,824,,,,,,,Percent of Total Billed Charges,,,,,791.04,,,,,,,Percent of Total Billed Charges,,,,,782.8,,,,,,,Percent of Total Billed Charges,,,,,164.8,,,,,,,Percent of Total Billed Charges,,,,,700.4,,,,,,,Percent of Total Billed Charges,,,,,173.04,,,,,,,Percent of Total Billed Charges,,,,,741.6,,,,,,,Percent of Total Billed Charges,,,,,741.6,,,,,,,Percent of Total Billed Charges,,,,,164.8,,,,,,,Percent of Total Billed Charges,,,,,230.72,,,,,,,Percent of Total Billed Charges,,,,,659.2,,,,,,,Percent of Total Billed Charges,,,,,164.8,,,,,,,Percent of Total Billed Charges,,,, COOK MEDICAL FISTULA PLUG ,250,RC,,Outpatient,,,1850,1480,1381.95,,,,,,,Percent of Total Billed Charges,,1381.95,1381.95,,1850,,,,,,,Percent of Total Billed Charges,,,,,1776,,,,,,,Percent of Total Billed Charges,,,,,1757.5,,,,,,,Percent of Total Billed Charges,,,,,370,,,,,,,Percent of Total Billed Charges,,,,,1572.5,,,,,,,Percent of Total Billed Charges,,,,,388.5,,,,,,,Percent of Total Billed Charges,,,,,1665,,,,,,,Percent of Total Billed Charges,,,,,1665,,,,,,,Percent of Total Billed Charges,,,,,370,,,,,,,Percent of Total Billed Charges,,,,,518,,,,,,,Percent of Total Billed Charges,,,,,1480,,,,,,,Percent of Total Billed Charges,,,,,370,,,,,,,Percent of Total Billed Charges,,,, O/R MULTIBAND LIGATOR KIT ,250,RC,,Outpatient,,,468.5,374.8,349.97,,,,,,,Percent of Total Billed Charges,,349.97,349.97,,468.5,,,,,,,Percent of Total Billed Charges,,,,,449.76,,,,,,,Percent of Total Billed Charges,,,,,445.08,,,,,,,Percent of Total Billed Charges,,,,,93.7,,,,,,,Percent of Total Billed Charges,,,,,398.23,,,,,,,Percent of Total Billed Charges,,,,,98.39,,,,,,,Percent of Total Billed Charges,,,,,421.65,,,,,,,Percent of Total Billed Charges,,,,,421.65,,,,,,,Percent of Total Billed Charges,,,,,93.7,,,,,,,Percent of Total Billed Charges,,,,,131.18,,,,,,,Percent of Total Billed Charges,,,,,374.8,,,,,,,Percent of Total Billed Charges,,,,,93.7,,,,,,,Percent of Total Billed Charges,,,, O/R SHORTSHOT HEMMORROID LIGATOR BAND ,250,RC,,Outpatient,,,146.5,117.2,109.44,,,,,,,Percent of Total Billed Charges,,109.44,109.44,,146.5,,,,,,,Percent of Total Billed Charges,,,,,140.64,,,,,,,Percent of Total Billed Charges,,,,,139.18,,,,,,,Percent of Total Billed Charges,,,,,29.3,,,,,,,Percent of Total Billed Charges,,,,,124.53,,,,,,,Percent of Total Billed Charges,,,,,30.77,,,,,,,Percent of Total Billed Charges,,,,,131.85,,,,,,,Percent of Total Billed Charges,,,,,131.85,,,,,,,Percent of Total Billed Charges,,,,,29.3,,,,,,,Percent of Total Billed Charges,,,,,41.02,,,,,,,Percent of Total Billed Charges,,,,,117.2,,,,,,,Percent of Total Billed Charges,,,,,29.3,,,,,,,Percent of Total Billed Charges,,,, O/R LAP SMOKE SUCTION KITS ,250,RC,,Outpatient,,,51,40.8,38.1,,,,,,,Percent of Total Billed Charges,,38.1,38.1,,51,,,,,,,Percent of Total Billed Charges,,,,,48.96,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,43.35,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,, O/R WIRE DILATION BALLON 8-9-10MM ,250,RC,,Outpatient,,,413,330.4,308.51,,,,,,,Percent of Total Billed Charges,,308.51,308.51,,413,,,,,,,Percent of Total Billed Charges,,,,,396.48,,,,,,,Percent of Total Billed Charges,,,,,392.35,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,,,351.05,,,,,,,Percent of Total Billed Charges,,,,,86.73,,,,,,,Percent of Total Billed Charges,,,,,371.7,,,,,,,Percent of Total Billed Charges,,,,,371.7,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,,,115.64,,,,,,,Percent of Total Billed Charges,,,,,330.4,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,, O/R WIRE DILATION BALLON 10-11-12MM ,250,RC,,Outpatient,,,413,330.4,308.51,,,,,,,Percent of Total Billed Charges,,308.51,308.51,,413,,,,,,,Percent of Total Billed Charges,,,,,396.48,,,,,,,Percent of Total Billed Charges,,,,,392.35,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,,,351.05,,,,,,,Percent of Total Billed Charges,,,,,86.73,,,,,,,Percent of Total Billed Charges,,,,,371.7,,,,,,,Percent of Total Billed Charges,,,,,371.7,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,,,115.64,,,,,,,Percent of Total Billed Charges,,,,,330.4,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,, O/R SUT VERUS NEEDLE ,250,RC,,Outpatient,,,102.5,82,76.57,,,,,,,Percent of Total Billed Charges,,76.57,76.57,,102.5,,,,,,,Percent of Total Billed Charges,,,,,98.4,,,,,,,Percent of Total Billed Charges,,,,,97.38,,,,,,,Percent of Total Billed Charges,,,,,20.5,,,,,,,Percent of Total Billed Charges,,,,,87.13,,,,,,,Percent of Total Billed Charges,,,,,21.53,,,,,,,Percent of Total Billed Charges,,,,,92.25,,,,,,,Percent of Total Billed Charges,,,,,92.25,,,,,,,Percent of Total Billed Charges,,,,,20.5,,,,,,,Percent of Total Billed Charges,,,,,28.7,,,,,,,Percent of Total Billed Charges,,,,,82,,,,,,,Percent of Total Billed Charges,,,,,20.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ENDO SHEARS ,250,RC,,Outpatient,,,375,300,280.13,,,,,,,Percent of Total Billed Charges,,280.13,280.13,,375,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,356.25,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,318.75,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,105,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,, O/R SUT AUTO TROCAR/CLIP SET ,250,RC,,Outpatient,,,1094,875.2,817.22,,,,,,,Percent of Total Billed Charges,,817.22,817.22,,1094,,,,,,,Percent of Total Billed Charges,,,,,1050.24,,,,,,,Percent of Total Billed Charges,,,,,1039.3,,,,,,,Percent of Total Billed Charges,,,,,218.8,,,,,,,Percent of Total Billed Charges,,,,,929.9,,,,,,,Percent of Total Billed Charges,,,,,229.74,,,,,,,Percent of Total Billed Charges,,,,,984.6,,,,,,,Percent of Total Billed Charges,,,,,984.6,,,,,,,Percent of Total Billed Charges,,,,,218.8,,,,,,,Percent of Total Billed Charges,,,,,306.32,,,,,,,Percent of Total Billed Charges,,,,,875.2,,,,,,,Percent of Total Billed Charges,,,,,218.8,,,,,,,Percent of Total Billed Charges,,,, O/R SURGICLIP SMALL ,250,RC,,Outpatient,,,469,375.2,350.34,,,,,,,Percent of Total Billed Charges,,350.34,350.34,,469,,,,,,,Percent of Total Billed Charges,,,,,450.24,,,,,,,Percent of Total Billed Charges,,,,,445.55,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,,,398.65,,,,,,,Percent of Total Billed Charges,,,,,98.49,,,,,,,Percent of Total Billed Charges,,,,,422.1,,,,,,,Percent of Total Billed Charges,,,,,422.1,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,,,131.32,,,,,,,Percent of Total Billed Charges,,,,,375.2,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,, O/R SUT AUTO HEM MED ,250,RC,,Outpatient,,,456.5,365.2,341.01,,,,,,,Percent of Total Billed Charges,,341.01,341.01,,456.5,,,,,,,Percent of Total Billed Charges,,,,,438.24,,,,,,,Percent of Total Billed Charges,,,,,433.68,,,,,,,Percent of Total Billed Charges,,,,,91.3,,,,,,,Percent of Total Billed Charges,,,,,388.03,,,,,,,Percent of Total Billed Charges,,,,,95.87,,,,,,,Percent of Total Billed Charges,,,,,410.85,,,,,,,Percent of Total Billed Charges,,,,,410.85,,,,,,,Percent of Total Billed Charges,,,,,91.3,,,,,,,Percent of Total Billed Charges,,,,,127.82,,,,,,,Percent of Total Billed Charges,,,,,365.2,,,,,,,Percent of Total Billed Charges,,,,,91.3,,,,,,,Percent of Total Billed Charges,,,, O/R SUT AUTO HEM LARGE ,250,RC,,Outpatient,,,472,377.6,352.58,,,,,,,Percent of Total Billed Charges,,352.58,352.58,,472,,,,,,,Percent of Total Billed Charges,,,,,453.12,,,,,,,Percent of Total Billed Charges,,,,,448.4,,,,,,,Percent of Total Billed Charges,,,,,94.4,,,,,,,Percent of Total Billed Charges,,,,,401.2,,,,,,,Percent of Total Billed Charges,,,,,99.12,,,,,,,Percent of Total Billed Charges,,,,,424.8,,,,,,,Percent of Total Billed Charges,,,,,424.8,,,,,,,Percent of Total Billed Charges,,,,,94.4,,,,,,,Percent of Total Billed Charges,,,,,132.16,,,,,,,Percent of Total Billed Charges,,,,,377.6,,,,,,,Percent of Total Billed Charges,,,,,94.4,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SURGIGRIP SLEEVE 10MM ,250,RC,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, O/R SUT SURGIGRIP SLEEVE 5MM ,250,RC,,Outpatient,,,39,31.2,29.13,,,,,,,Percent of Total Billed Charges,,29.13,29.13,,39,,,,,,,Percent of Total Billed Charges,,,,,37.44,,,,,,,Percent of Total Billed Charges,,,,,37.05,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,33.15,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,10.92,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,, O/R SUT REDUCER/CONVERTOR ,250,RC,,Outpatient,,,22.5,18,16.81,,,,,,,Percent of Total Billed Charges,,16.81,16.81,,22.5,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT KITNER-PEANUT ,250,RC,,Outpatient,,,93,74.4,69.47,,,,,,,Percent of Total Billed Charges,,69.47,69.47,,93,,,,,,,Percent of Total Billed Charges,,,,,89.28,,,,,,,Percent of Total Billed Charges,,,,,88.35,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,79.05,,,,,,,Percent of Total Billed Charges,,,,,19.53,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,26.04,,,,,,,Percent of Total Billed Charges,,,,,74.4,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,, O/R SUT LIGATING LOOP ,250,RC,,Outpatient,,,79.5,63.6,59.39,,,,,,,Percent of Total Billed Charges,,59.39,59.39,,79.5,,,,,,,Percent of Total Billed Charges,,,,,76.32,,,,,,,Percent of Total Billed Charges,,,,,75.53,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,67.58,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,71.55,,,,,,,Percent of Total Billed Charges,,,,,71.55,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,63.6,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,, O/R INSTRUMENT POUCHES LONG ,250,RC,,Outpatient,,,14,11.2,10.46,,,,,,,Percent of Total Billed Charges,,10.46,10.46,,14,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,, O/R ENDO CLIP MED/LGE 10MM ,250,RC,,Outpatient,,,805,644,601.34,,,,,,,Percent of Total Billed Charges,,601.34,601.34,,805,,,,,,,Percent of Total Billed Charges,,,,,772.8,,,,,,,Percent of Total Billed Charges,,,,,764.75,,,,,,,Percent of Total Billed Charges,,,,,161,,,,,,,Percent of Total Billed Charges,,,,,684.25,,,,,,,Percent of Total Billed Charges,,,,,169.05,,,,,,,Percent of Total Billed Charges,,,,,724.5,,,,,,,Percent of Total Billed Charges,,,,,724.5,,,,,,,Percent of Total Billed Charges,,,,,161,,,,,,,Percent of Total Billed Charges,,,,,225.4,,,,,,,Percent of Total Billed Charges,,,,,644,,,,,,,Percent of Total Billed Charges,,,,,161,,,,,,,Percent of Total Billed Charges,,,, O/R HASSON TROCAR 12 MM X 100MM ,250,RC,,Outpatient,,,77,61.6,57.52,,,,,,,Percent of Total Billed Charges,,57.52,57.52,,77,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,73.15,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,65.45,,,,,,,Percent of Total Billed Charges,,,,,16.17,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,21.56,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,, O/R WIRE DILATION BALLON 12-13.50-15MM ,250,RC,,Outpatient,,,434.5,347.6,324.57,,,,,,,Percent of Total Billed Charges,,324.57,324.57,,434.5,,,,,,,Percent of Total Billed Charges,,,,,417.12,,,,,,,Percent of Total Billed Charges,,,,,412.78,,,,,,,Percent of Total Billed Charges,,,,,86.9,,,,,,,Percent of Total Billed Charges,,,,,369.33,,,,,,,Percent of Total Billed Charges,,,,,91.25,,,,,,,Percent of Total Billed Charges,,,,,391.05,,,,,,,Percent of Total Billed Charges,,,,,391.05,,,,,,,Percent of Total Billed Charges,,,,,86.9,,,,,,,Percent of Total Billed Charges,,,,,121.66,,,,,,,Percent of Total Billed Charges,,,,,347.6,,,,,,,Percent of Total Billed Charges,,,,,86.9,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ENDOHEMIA STAPLER ,250,RC,,Outpatient,,,494.5,395.6,369.39,,,,,,,Percent of Total Billed Charges,,369.39,369.39,,494.5,,,,,,,Percent of Total Billed Charges,,,,,474.72,,,,,,,Percent of Total Billed Charges,,,,,469.78,,,,,,,Percent of Total Billed Charges,,,,,98.9,,,,,,,Percent of Total Billed Charges,,,,,420.33,,,,,,,Percent of Total Billed Charges,,,,,103.85,,,,,,,Percent of Total Billed Charges,,,,,445.05,,,,,,,Percent of Total Billed Charges,,,,,445.05,,,,,,,Percent of Total Billed Charges,,,,,98.9,,,,,,,Percent of Total Billed Charges,,,,,138.46,,,,,,,Percent of Total Billed Charges,,,,,395.6,,,,,,,Percent of Total Billed Charges,,,,,98.9,,,,,,,Percent of Total Billed Charges,,,, O/R PROTACK 5MM INSTRUMENT ,250,RC,,Outpatient,,,730,584,545.31,,,,,,,Percent of Total Billed Charges,,545.31,545.31,,730,,,,,,,Percent of Total Billed Charges,,,,,700.8,,,,,,,Percent of Total Billed Charges,,,,,693.5,,,,,,,Percent of Total Billed Charges,,,,,146,,,,,,,Percent of Total Billed Charges,,,,,620.5,,,,,,,Percent of Total Billed Charges,,,,,153.3,,,,,,,Percent of Total Billed Charges,,,,,657,,,,,,,Percent of Total Billed Charges,,,,,657,,,,,,,Percent of Total Billed Charges,,,,,146,,,,,,,Percent of Total Billed Charges,,,,,204.4,,,,,,,Percent of Total Billed Charges,,,,,584,,,,,,,Percent of Total Billed Charges,,,,,146,,,,,,,Percent of Total Billed Charges,,,, "CATHETER, REDDICK ",250,RC,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, LAPAROSCOPIC CHOLANGIOGRAPHY SET ,250,RC,,Outpatient,,,104.5,83.6,78.06,,,,,,,Percent of Total Billed Charges,,78.06,78.06,,104.5,,,,,,,Percent of Total Billed Charges,,,,,100.32,,,,,,,Percent of Total Billed Charges,,,,,99.28,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,21.95,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,29.26,,,,,,,Percent of Total Billed Charges,,,,,83.6,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,, SEAL UP AUTOSUTURE REDUCER ,250,RC,,Outpatient,,,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, ENDO RETRACTOR 10MM ,250,RC,,Outpatient,,,75.5,60.4,56.4,,,,,,,Percent of Total Billed Charges,,56.4,56.4,,75.5,,,,,,,Percent of Total Billed Charges,,,,,72.48,,,,,,,Percent of Total Billed Charges,,,,,71.73,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,64.18,,,,,,,Percent of Total Billed Charges,,,,,15.86,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,60.4,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,, SUCT/CAUT/IRRIGATION ,250,RC,,Outpatient,,,165.5,132.4,123.63,,,,,,,Percent of Total Billed Charges,,123.63,123.63,,165.5,,,,,,,Percent of Total Billed Charges,,,,,158.88,,,,,,,Percent of Total Billed Charges,,,,,157.23,,,,,,,Percent of Total Billed Charges,,,,,33.1,,,,,,,Percent of Total Billed Charges,,,,,140.68,,,,,,,Percent of Total Billed Charges,,,,,34.76,,,,,,,Percent of Total Billed Charges,,,,,148.95,,,,,,,Percent of Total Billed Charges,,,,,148.95,,,,,,,Percent of Total Billed Charges,,,,,33.1,,,,,,,Percent of Total Billed Charges,,,,,46.34,,,,,,,Percent of Total Billed Charges,,,,,132.4,,,,,,,Percent of Total Billed Charges,,,,,33.1,,,,,,,Percent of Total Billed Charges,,,, O/R STAT TACK ,250,RC,,Outpatient,,,471,376.8,351.84,,,,,,,Percent of Total Billed Charges,,351.84,351.84,,471,,,,,,,Percent of Total Billed Charges,,,,,452.16,,,,,,,Percent of Total Billed Charges,,,,,447.45,,,,,,,Percent of Total Billed Charges,,,,,94.2,,,,,,,Percent of Total Billed Charges,,,,,400.35,,,,,,,Percent of Total Billed Charges,,,,,98.91,,,,,,,Percent of Total Billed Charges,,,,,423.9,,,,,,,Percent of Total Billed Charges,,,,,423.9,,,,,,,Percent of Total Billed Charges,,,,,94.2,,,,,,,Percent of Total Billed Charges,,,,,131.88,,,,,,,Percent of Total Billed Charges,,,,,376.8,,,,,,,Percent of Total Billed Charges,,,,,94.2,,,,,,,Percent of Total Billed Charges,,,, TROCAR SHIELDED BLADED 11MM X 100 ,250,RC,,Outpatient,,,223,178.4,166.58,,,,,,,Percent of Total Billed Charges,,166.58,166.58,,223,,,,,,,Percent of Total Billed Charges,,,,,214.08,,,,,,,Percent of Total Billed Charges,,,,,211.85,,,,,,,Percent of Total Billed Charges,,,,,44.6,,,,,,,Percent of Total Billed Charges,,,,,189.55,,,,,,,Percent of Total Billed Charges,,,,,46.83,,,,,,,Percent of Total Billed Charges,,,,,200.7,,,,,,,Percent of Total Billed Charges,,,,,200.7,,,,,,,Percent of Total Billed Charges,,,,,44.6,,,,,,,Percent of Total Billed Charges,,,,,62.44,,,,,,,Percent of Total Billed Charges,,,,,178.4,,,,,,,Percent of Total Billed Charges,,,,,44.6,,,,,,,Percent of Total Billed Charges,,,, O/R BLUNT TIP TROCAR 10MM ,250,RC,,Outpatient,,,375,300,280.13,,,,,,,Percent of Total Billed Charges,,280.13,280.13,,375,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,356.25,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,318.75,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,105,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,, O/R WIRE DILATION BALLON 15-16.5-18 MM ,250,RC,,Outpatient,,,413,330.4,308.51,,,,,,,Percent of Total Billed Charges,,308.51,308.51,,413,,,,,,,Percent of Total Billed Charges,,,,,396.48,,,,,,,Percent of Total Billed Charges,,,,,392.35,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,,,351.05,,,,,,,Percent of Total Billed Charges,,,,,86.73,,,,,,,Percent of Total Billed Charges,,,,,371.7,,,,,,,Percent of Total Billed Charges,,,,,371.7,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,,,115.64,,,,,,,Percent of Total Billed Charges,,,,,330.4,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,, 5MM CANNULA SLEEVE ,250,RC,,Outpatient,,,28.5,22.8,21.29,,,,,,,Percent of Total Billed Charges,,21.29,21.29,,28.5,,,,,,,Percent of Total Billed Charges,,,,,27.36,,,,,,,Percent of Total Billed Charges,,,,,27.08,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.99,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,7.98,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,, PLUME-AWAY LAP SES ,250,RC,,Outpatient,,,120.5,96.4,90.01,,,,,,,Percent of Total Billed Charges,,90.01,90.01,,120.5,,,,,,,Percent of Total Billed Charges,,,,,115.68,,,,,,,Percent of Total Billed Charges,,,,,114.48,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,102.43,,,,,,,Percent of Total Billed Charges,,,,,25.31,,,,,,,Percent of Total Billed Charges,,,,,108.45,,,,,,,Percent of Total Billed Charges,,,,,108.45,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,33.74,,,,,,,Percent of Total Billed Charges,,,,,96.4,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,, O/R HOT BIOPSY FORCEP (DISP.) ,250,RC,,Outpatient,,,87.5,70,65.36,,,,,,,Percent of Total Billed Charges,,65.36,65.36,,87.5,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,83.13,,,,,,,Percent of Total Billed Charges,,,,,17.5,,,,,,,Percent of Total Billed Charges,,,,,74.38,,,,,,,Percent of Total Billed Charges,,,,,18.38,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,17.5,,,,,,,Percent of Total Billed Charges,,,,,24.5,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,17.5,,,,,,,Percent of Total Billed Charges,,,, O/R SPHERE INFLATION DEVICE ,250,RC,,Outpatient,,,124.5,99.6,93,,,,,,,Percent of Total Billed Charges,,93,93,,124.5,,,,,,,Percent of Total Billed Charges,,,,,119.52,,,,,,,Percent of Total Billed Charges,,,,,118.28,,,,,,,Percent of Total Billed Charges,,,,,24.9,,,,,,,Percent of Total Billed Charges,,,,,105.83,,,,,,,Percent of Total Billed Charges,,,,,26.15,,,,,,,Percent of Total Billed Charges,,,,,112.05,,,,,,,Percent of Total Billed Charges,,,,,112.05,,,,,,,Percent of Total Billed Charges,,,,,24.9,,,,,,,Percent of Total Billed Charges,,,,,34.86,,,,,,,Percent of Total Billed Charges,,,,,99.6,,,,,,,Percent of Total Billed Charges,,,,,24.9,,,,,,,Percent of Total Billed Charges,,,, DISPOSABLE MEGATIP (L-HOOK) ,250,RC,,Outpatient,,,95.5,76.4,71.34,,,,,,,Percent of Total Billed Charges,,71.34,71.34,,95.5,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,90.73,,,,,,,Percent of Total Billed Charges,,,,,19.1,,,,,,,Percent of Total Billed Charges,,,,,81.18,,,,,,,Percent of Total Billed Charges,,,,,20.06,,,,,,,Percent of Total Billed Charges,,,,,85.95,,,,,,,Percent of Total Billed Charges,,,,,85.95,,,,,,,Percent of Total Billed Charges,,,,,19.1,,,,,,,Percent of Total Billed Charges,,,,,26.74,,,,,,,Percent of Total Billed Charges,,,,,76.4,,,,,,,Percent of Total Billed Charges,,,,,19.1,,,,,,,Percent of Total Billed Charges,,,, POOLE SUCTION INSTRUMENT ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R SPOT INK ENDOSCOPIC INJ 10ML ,250,RC,,Outpatient,,,126.5,101.2,94.5,,,,,,,Percent of Total Billed Charges,,94.5,94.5,,126.5,,,,,,,Percent of Total Billed Charges,,,,,121.44,,,,,,,Percent of Total Billed Charges,,,,,120.18,,,,,,,Percent of Total Billed Charges,,,,,25.3,,,,,,,Percent of Total Billed Charges,,,,,107.53,,,,,,,Percent of Total Billed Charges,,,,,26.57,,,,,,,Percent of Total Billed Charges,,,,,113.85,,,,,,,Percent of Total Billed Charges,,,,,113.85,,,,,,,Percent of Total Billed Charges,,,,,25.3,,,,,,,Percent of Total Billed Charges,,,,,35.42,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,,,25.3,,,,,,,Percent of Total Billed Charges,,,, O/R DISPOSABLE VARICES INJECTION ,250,RC,,Outpatient,,,315,252,235.31,,,,,,,Percent of Total Billed Charges,,235.31,235.31,,315,,,,,,,Percent of Total Billed Charges,,,,,302.4,,,,,,,Percent of Total Billed Charges,,,,,299.25,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,267.75,,,,,,,Percent of Total Billed Charges,,,,,66.15,,,,,,,Percent of Total Billed Charges,,,,,283.5,,,,,,,Percent of Total Billed Charges,,,,,283.5,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,252,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,, SEPRAFILM MEMBRANE ,250,RC,,Outpatient,,,430,344,321.21,,,,,,,Percent of Total Billed Charges,,321.21,321.21,,430,,,,,,,Percent of Total Billed Charges,,,,,412.8,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,365.5,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,344,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,, HIGH FLOW INSUFFLATOR TUBING ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, SUCTION TRAP IN LINE QUICK CATCH ,250,RC,,Outpatient,,,10,8,7.47,,,,,,,Percent of Total Billed Charges,,7.47,7.47,,10,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,, O/R BLUNT TIP LAP LIGASURE DIVIDER 37CM ,250,RC,,Outpatient,,,1374,1099.2,1026.38,,,,,,,Percent of Total Billed Charges,,1026.38,1026.38,,1374,,,,,,,Percent of Total Billed Charges,,,,,1319.04,,,,,,,Percent of Total Billed Charges,,,,,1305.3,,,,,,,Percent of Total Billed Charges,,,,,274.8,,,,,,,Percent of Total Billed Charges,,,,,1167.9,,,,,,,Percent of Total Billed Charges,,,,,288.54,,,,,,,Percent of Total Billed Charges,,,,,1236.6,,,,,,,Percent of Total Billed Charges,,,,,1236.6,,,,,,,Percent of Total Billed Charges,,,,,274.8,,,,,,,Percent of Total Billed Charges,,,,,384.72,,,,,,,Percent of Total Billed Charges,,,,,1099.2,,,,,,,Percent of Total Billed Charges,,,,,274.8,,,,,,,Percent of Total Billed Charges,,,, O/R DISP MUCUS SPECIMEN TRAP 40CC ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R CURVED LIGASURE DIVIDER 36MM ,250,RC,,Outpatient,,,1185,948,885.2,,,,,,,Percent of Total Billed Charges,,885.2,885.2,,1185,,,,,,,Percent of Total Billed Charges,,,,,1137.6,,,,,,,Percent of Total Billed Charges,,,,,1125.75,,,,,,,Percent of Total Billed Charges,,,,,237,,,,,,,Percent of Total Billed Charges,,,,,1007.25,,,,,,,Percent of Total Billed Charges,,,,,248.85,,,,,,,Percent of Total Billed Charges,,,,,1066.5,,,,,,,Percent of Total Billed Charges,,,,,1066.5,,,,,,,Percent of Total Billed Charges,,,,,237,,,,,,,Percent of Total Billed Charges,,,,,331.8,,,,,,,Percent of Total Billed Charges,,,,,948,,,,,,,Percent of Total Billed Charges,,,,,237,,,,,,,Percent of Total Billed Charges,,,, O/R DISP. ALEXIS RETRACTOR 2.5-6CM ,250,RC,,Outpatient,,,180.5,144.4,134.83,,,,,,,Percent of Total Billed Charges,,134.83,134.83,,180.5,,,,,,,Percent of Total Billed Charges,,,,,173.28,,,,,,,Percent of Total Billed Charges,,,,,171.48,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,,,153.43,,,,,,,Percent of Total Billed Charges,,,,,37.91,,,,,,,Percent of Total Billed Charges,,,,,162.45,,,,,,,Percent of Total Billed Charges,,,,,162.45,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,,,50.54,,,,,,,Percent of Total Billed Charges,,,,,144.4,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,, O/R DISP. ALEXIS RETRACTOR 5-9CM ,250,RC,,Outpatient,,,180.5,144.4,134.83,,,,,,,Percent of Total Billed Charges,,134.83,134.83,,180.5,,,,,,,Percent of Total Billed Charges,,,,,173.28,,,,,,,Percent of Total Billed Charges,,,,,171.48,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,,,153.43,,,,,,,Percent of Total Billed Charges,,,,,37.91,,,,,,,Percent of Total Billed Charges,,,,,162.45,,,,,,,Percent of Total Billed Charges,,,,,162.45,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,,,50.54,,,,,,,Percent of Total Billed Charges,,,,,144.4,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,, O/R ELECTROSURGICAL SUCT/CAUT/IRRIGATION,250,RC,,Outpatient,,,382.5,306,285.73,,,,,,,Percent of Total Billed Charges,,285.73,285.73,,382.5,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,363.38,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,325.13,,,,,,,Percent of Total Billed Charges,,,,,80.33,,,,,,,Percent of Total Billed Charges,,,,,344.25,,,,,,,Percent of Total Billed Charges,,,,,344.25,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,107.1,,,,,,,Percent of Total Billed Charges,,,,,306,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,, O/R ELECTROSURGICAL 5MMX34CM ELECTRODE ,250,RC,,Outpatient,,,200.5,160.4,149.77,,,,,,,Percent of Total Billed Charges,,149.77,149.77,,200.5,,,,,,,Percent of Total Billed Charges,,,,,192.48,,,,,,,Percent of Total Billed Charges,,,,,190.48,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,,,170.43,,,,,,,Percent of Total Billed Charges,,,,,42.11,,,,,,,Percent of Total Billed Charges,,,,,180.45,,,,,,,Percent of Total Billed Charges,,,,,180.45,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,,,56.14,,,,,,,Percent of Total Billed Charges,,,,,160.4,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,, O/R DISP. ALEXIS RETRACTOR 9-14CM ,250,RC,,Outpatient,,,198.5,158.8,148.28,,,,,,,Percent of Total Billed Charges,,148.28,148.28,,198.5,,,,,,,Percent of Total Billed Charges,,,,,190.56,,,,,,,Percent of Total Billed Charges,,,,,188.58,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,168.73,,,,,,,Percent of Total Billed Charges,,,,,41.69,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,158.8,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,, O/R SUT PREM.PLUS CEEA DISP STAPLER 25 ,250,RC,,Outpatient,,,1451.5,1161.2,1084.27,,,,,,,Percent of Total Billed Charges,,1084.27,1084.27,,1451.5,,,,,,,Percent of Total Billed Charges,,,,,1393.44,,,,,,,Percent of Total Billed Charges,,,,,1378.93,,,,,,,Percent of Total Billed Charges,,,,,290.3,,,,,,,Percent of Total Billed Charges,,,,,1233.78,,,,,,,Percent of Total Billed Charges,,,,,304.82,,,,,,,Percent of Total Billed Charges,,,,,1306.35,,,,,,,Percent of Total Billed Charges,,,,,1306.35,,,,,,,Percent of Total Billed Charges,,,,,290.3,,,,,,,Percent of Total Billed Charges,,,,,406.42,,,,,,,Percent of Total Billed Charges,,,,,1161.2,,,,,,,Percent of Total Billed Charges,,,,,290.3,,,,,,,Percent of Total Billed Charges,,,, O/R PREMIUM PLUS CEEA DISP STAPLER 28 ,250,RC,,Outpatient,,,897.5,718,670.43,,,,,,,Percent of Total Billed Charges,,670.43,670.43,,897.5,,,,,,,Percent of Total Billed Charges,,,,,861.6,,,,,,,Percent of Total Billed Charges,,,,,852.63,,,,,,,Percent of Total Billed Charges,,,,,179.5,,,,,,,Percent of Total Billed Charges,,,,,762.88,,,,,,,Percent of Total Billed Charges,,,,,188.48,,,,,,,Percent of Total Billed Charges,,,,,807.75,,,,,,,Percent of Total Billed Charges,,,,,807.75,,,,,,,Percent of Total Billed Charges,,,,,179.5,,,,,,,Percent of Total Billed Charges,,,,,251.3,,,,,,,Percent of Total Billed Charges,,,,,718,,,,,,,Percent of Total Billed Charges,,,,,179.5,,,,,,,Percent of Total Billed Charges,,,, O/R PREMIUM PLUS CEEA STAPLES ,250,RC,,Outpatient,,,501.5,401.2,374.62,,,,,,,Percent of Total Billed Charges,,374.62,374.62,,501.5,,,,,,,Percent of Total Billed Charges,,,,,481.44,,,,,,,Percent of Total Billed Charges,,,,,476.43,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,,,426.28,,,,,,,Percent of Total Billed Charges,,,,,105.32,,,,,,,Percent of Total Billed Charges,,,,,451.35,,,,,,,Percent of Total Billed Charges,,,,,451.35,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,,,140.42,,,,,,,Percent of Total Billed Charges,,,,,401.2,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,, O/R ROTICULATOR DISP STAPLER 55 3.5 ,250,RC,,Outpatient,,,663.5,530.8,495.63,,,,,,,Percent of Total Billed Charges,,495.63,495.63,,663.5,,,,,,,Percent of Total Billed Charges,,,,,636.96,,,,,,,Percent of Total Billed Charges,,,,,630.33,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,,,563.98,,,,,,,Percent of Total Billed Charges,,,,,139.34,,,,,,,Percent of Total Billed Charges,,,,,597.15,,,,,,,Percent of Total Billed Charges,,,,,597.15,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,,,185.78,,,,,,,Percent of Total Billed Charges,,,,,530.8,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,, O/R PURSTRING INSTRUMENT 65 ,250,RC,,Outpatient,,,303,242.4,226.34,,,,,,,Percent of Total Billed Charges,,226.34,226.34,,303,,,,,,,Percent of Total Billed Charges,,,,,290.88,,,,,,,Percent of Total Billed Charges,,,,,287.85,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,257.55,,,,,,,Percent of Total Billed Charges,,,,,63.63,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,84.84,,,,,,,Percent of Total Billed Charges,,,,,242.4,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,, O/R COLON DECOMPRESSION SET ,250,RC,,Outpatient,,,339,271.2,253.23,,,,,,,Percent of Total Billed Charges,,253.23,253.23,,339,,,,,,,Percent of Total Billed Charges,,,,,325.44,,,,,,,Percent of Total Billed Charges,,,,,322.05,,,,,,,Percent of Total Billed Charges,,,,,67.8,,,,,,,Percent of Total Billed Charges,,,,,288.15,,,,,,,Percent of Total Billed Charges,,,,,71.19,,,,,,,Percent of Total Billed Charges,,,,,305.1,,,,,,,Percent of Total Billed Charges,,,,,305.1,,,,,,,Percent of Total Billed Charges,,,,,67.8,,,,,,,Percent of Total Billed Charges,,,,,94.92,,,,,,,Percent of Total Billed Charges,,,,,271.2,,,,,,,Percent of Total Billed Charges,,,,,67.8,,,,,,,Percent of Total Billed Charges,,,, STA TA SINGLE USE FIXATION DEVICE ,250,RC,,Outpatient,,,470,376,351.09,,,,,,,Percent of Total Billed Charges,,351.09,351.09,,470,,,,,,,Percent of Total Billed Charges,,,,,451.2,,,,,,,Percent of Total Billed Charges,,,,,446.5,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,399.5,,,,,,,Percent of Total Billed Charges,,,,,98.7,,,,,,,Percent of Total Billed Charges,,,,,423,,,,,,,Percent of Total Billed Charges,,,,,423,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,131.6,,,,,,,Percent of Total Billed Charges,,,,,376,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,, O/R GIA STAPLE RELOADS 80 3.8 BLUE SINGL,250,RC,,Outpatient,,,1022.5,818,763.81,,,,,,,Percent of Total Billed Charges,,763.81,763.81,,1022.5,,,,,,,Percent of Total Billed Charges,,,,,981.6,,,,,,,Percent of Total Billed Charges,,,,,971.38,,,,,,,Percent of Total Billed Charges,,,,,204.5,,,,,,,Percent of Total Billed Charges,,,,,869.13,,,,,,,Percent of Total Billed Charges,,,,,214.73,,,,,,,Percent of Total Billed Charges,,,,,920.25,,,,,,,Percent of Total Billed Charges,,,,,920.25,,,,,,,Percent of Total Billed Charges,,,,,204.5,,,,,,,Percent of Total Billed Charges,,,,,286.3,,,,,,,Percent of Total Billed Charges,,,,,818,,,,,,,Percent of Total Billed Charges,,,,,204.5,,,,,,,Percent of Total Billed Charges,,,, O/R GIA STAPLER 80 RELOADABLE SINGLE USE,250,RC,,Outpatient,,,983.5,786.8,734.67,,,,,,,Percent of Total Billed Charges,,734.67,734.67,,983.5,,,,,,,Percent of Total Billed Charges,,,,,944.16,,,,,,,Percent of Total Billed Charges,,,,,934.33,,,,,,,Percent of Total Billed Charges,,,,,196.7,,,,,,,Percent of Total Billed Charges,,,,,835.98,,,,,,,Percent of Total Billed Charges,,,,,206.54,,,,,,,Percent of Total Billed Charges,,,,,885.15,,,,,,,Percent of Total Billed Charges,,,,,885.15,,,,,,,Percent of Total Billed Charges,,,,,196.7,,,,,,,Percent of Total Billed Charges,,,,,275.38,,,,,,,Percent of Total Billed Charges,,,,,786.8,,,,,,,Percent of Total Billed Charges,,,,,196.7,,,,,,,Percent of Total Billed Charges,,,, O/R ENDO GIA UNIVERSAL 12MM SINGLE ,250,RC,,Outpatient,,,798,638.4,596.11,,,,,,,Percent of Total Billed Charges,,596.11,596.11,,798,,,,,,,Percent of Total Billed Charges,,,,,766.08,,,,,,,Percent of Total Billed Charges,,,,,758.1,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,678.3,,,,,,,Percent of Total Billed Charges,,,,,167.58,,,,,,,Percent of Total Billed Charges,,,,,718.2,,,,,,,Percent of Total Billed Charges,,,,,718.2,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,223.44,,,,,,,Percent of Total Billed Charges,,,,,638.4,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,, O/R ENDO GIA ROTICULATOR 45 - 2.5 ,250,RC,,Outpatient,,,804.5,643.6,600.96,,,,,,,Percent of Total Billed Charges,,600.96,600.96,,804.5,,,,,,,Percent of Total Billed Charges,,,,,772.32,,,,,,,Percent of Total Billed Charges,,,,,764.28,,,,,,,Percent of Total Billed Charges,,,,,160.9,,,,,,,Percent of Total Billed Charges,,,,,683.83,,,,,,,Percent of Total Billed Charges,,,,,168.95,,,,,,,Percent of Total Billed Charges,,,,,724.05,,,,,,,Percent of Total Billed Charges,,,,,724.05,,,,,,,Percent of Total Billed Charges,,,,,160.9,,,,,,,Percent of Total Billed Charges,,,,,225.26,,,,,,,Percent of Total Billed Charges,,,,,643.6,,,,,,,Percent of Total Billed Charges,,,,,160.9,,,,,,,Percent of Total Billed Charges,,,, O/R ENDO GIA ROTICULATOR 45 - 3.5 ,250,RC,,Outpatient,,,507,405.6,378.73,,,,,,,Percent of Total Billed Charges,,378.73,378.73,,507,,,,,,,Percent of Total Billed Charges,,,,,486.72,,,,,,,Percent of Total Billed Charges,,,,,481.65,,,,,,,Percent of Total Billed Charges,,,,,101.4,,,,,,,Percent of Total Billed Charges,,,,,430.95,,,,,,,Percent of Total Billed Charges,,,,,106.47,,,,,,,Percent of Total Billed Charges,,,,,456.3,,,,,,,Percent of Total Billed Charges,,,,,456.3,,,,,,,Percent of Total Billed Charges,,,,,101.4,,,,,,,Percent of Total Billed Charges,,,,,141.96,,,,,,,Percent of Total Billed Charges,,,,,405.6,,,,,,,Percent of Total Billed Charges,,,,,101.4,,,,,,,Percent of Total Billed Charges,,,, "O/R ENDOBAG, SPECIMEN RETRIEVE 3X6 ",250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, GIA SINGLE USE LOADING UNIT ,250,RC,,Outpatient,,,374,299.2,279.38,,,,,,,Percent of Total Billed Charges,,279.38,279.38,,374,,,,,,,Percent of Total Billed Charges,,,,,359.04,,,,,,,Percent of Total Billed Charges,,,,,355.3,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,317.9,,,,,,,Percent of Total Billed Charges,,,,,78.54,,,,,,,Percent of Total Billed Charges,,,,,336.6,,,,,,,Percent of Total Billed Charges,,,,,336.6,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,104.72,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,, O/R ENDO GIA ROTICULATOR 45 - 3.5 PURPLE,250,RC,,Outpatient,,,1042,833.6,778.37,,,,,,,Percent of Total Billed Charges,,778.37,778.37,,1042,,,,,,,Percent of Total Billed Charges,,,,,1000.32,,,,,,,Percent of Total Billed Charges,,,,,989.9,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,885.7,,,,,,,Percent of Total Billed Charges,,,,,218.82,,,,,,,Percent of Total Billed Charges,,,,,937.8,,,,,,,Percent of Total Billed Charges,,,,,937.8,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,291.76,,,,,,,Percent of Total Billed Charges,,,,,833.6,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,, O/R POWERED LDS-15W TITANIUM STAPLE ,250,RC,,Outpatient,,,588,470.4,439.24,,,,,,,Percent of Total Billed Charges,,439.24,439.24,,588,,,,,,,Percent of Total Billed Charges,,,,,564.48,,,,,,,Percent of Total Billed Charges,,,,,558.6,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,,,499.8,,,,,,,Percent of Total Billed Charges,,,,,123.48,,,,,,,Percent of Total Billed Charges,,,,,529.2,,,,,,,Percent of Total Billed Charges,,,,,529.2,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,,,164.64,,,,,,,Percent of Total Billed Charges,,,,,470.4,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,, O/R PERCUTANEOUS NEEDLE W/O BASEPLATE ,250,RC,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, O/R PERCUTANEOUS ENTRY NEEDLE 21G ,250,RC,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, O/R CYTOLOGY BRUSH 3CM 180CML ,250,RC,,Outpatient,,,45.5,36.4,33.99,,,,,,,Percent of Total Billed Charges,,33.99,33.99,,45.5,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,43.23,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,38.68,,,,,,,Percent of Total Billed Charges,,,,,9.56,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,12.74,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,, O/R COLD BIOPSY FORCEPS 2.4MM ,250,RC,,Outpatient,,,64,51.2,47.81,,,,,,,Percent of Total Billed Charges,,47.81,47.81,,64,,,,,,,Percent of Total Billed Charges,,,,,61.44,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,17.92,,,,,,,Percent of Total Billed Charges,,,,,51.2,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,, O/R WIRE DILATION BALLON 18-19-20MM ,250,RC,,Outpatient,,,413,330.4,308.51,,,,,,,Percent of Total Billed Charges,,308.51,308.51,,413,,,,,,,Percent of Total Billed Charges,,,,,396.48,,,,,,,Percent of Total Billed Charges,,,,,392.35,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,,,351.05,,,,,,,Percent of Total Billed Charges,,,,,86.73,,,,,,,Percent of Total Billed Charges,,,,,371.7,,,,,,,Percent of Total Billed Charges,,,,,371.7,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,,,115.64,,,,,,,Percent of Total Billed Charges,,,,,330.4,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,, O/R GIA STAPLER TA60 RELOADABLE 3.5 BLUE,250,RC,,Outpatient,,,584,467.2,436.25,,,,,,,Percent of Total Billed Charges,,436.25,436.25,,584,,,,,,,Percent of Total Billed Charges,,,,,560.64,,,,,,,Percent of Total Billed Charges,,,,,554.8,,,,,,,Percent of Total Billed Charges,,,,,116.8,,,,,,,Percent of Total Billed Charges,,,,,496.4,,,,,,,Percent of Total Billed Charges,,,,,122.64,,,,,,,Percent of Total Billed Charges,,,,,525.6,,,,,,,Percent of Total Billed Charges,,,,,525.6,,,,,,,Percent of Total Billed Charges,,,,,116.8,,,,,,,Percent of Total Billed Charges,,,,,163.52,,,,,,,Percent of Total Billed Charges,,,,,467.2,,,,,,,Percent of Total Billed Charges,,,,,116.8,,,,,,,Percent of Total Billed Charges,,,, O/R STAPLE TA 55 3.5 STAPLER ,250,RC,,Outpatient,,,311.5,249.2,232.69,,,,,,,Percent of Total Billed Charges,,232.69,232.69,,311.5,,,,,,,Percent of Total Billed Charges,,,,,299.04,,,,,,,Percent of Total Billed Charges,,,,,295.93,,,,,,,Percent of Total Billed Charges,,,,,62.3,,,,,,,Percent of Total Billed Charges,,,,,264.78,,,,,,,Percent of Total Billed Charges,,,,,65.42,,,,,,,Percent of Total Billed Charges,,,,,280.35,,,,,,,Percent of Total Billed Charges,,,,,280.35,,,,,,,Percent of Total Billed Charges,,,,,62.3,,,,,,,Percent of Total Billed Charges,,,,,87.22,,,,,,,Percent of Total Billed Charges,,,,,249.2,,,,,,,Percent of Total Billed Charges,,,,,62.3,,,,,,,Percent of Total Billed Charges,,,, O/R SUT ROT 55 POLY-VAG ,250,RC,,Outpatient,,,702.5,562,524.77,,,,,,,Percent of Total Billed Charges,,524.77,524.77,,702.5,,,,,,,Percent of Total Billed Charges,,,,,674.4,,,,,,,Percent of Total Billed Charges,,,,,667.38,,,,,,,Percent of Total Billed Charges,,,,,140.5,,,,,,,Percent of Total Billed Charges,,,,,597.13,,,,,,,Percent of Total Billed Charges,,,,,147.53,,,,,,,Percent of Total Billed Charges,,,,,632.25,,,,,,,Percent of Total Billed Charges,,,,,632.25,,,,,,,Percent of Total Billed Charges,,,,,140.5,,,,,,,Percent of Total Billed Charges,,,,,196.7,,,,,,,Percent of Total Billed Charges,,,,,562,,,,,,,Percent of Total Billed Charges,,,,,140.5,,,,,,,Percent of Total Billed Charges,,,, O/R GIA STAPLE TA60 RELOADS 3.5 BLUE ,250,RC,,Outpatient,,,395,316,295.07,,,,,,,Percent of Total Billed Charges,,295.07,295.07,,395,,,,,,,Percent of Total Billed Charges,,,,,379.2,,,,,,,Percent of Total Billed Charges,,,,,375.25,,,,,,,Percent of Total Billed Charges,,,,,79,,,,,,,Percent of Total Billed Charges,,,,,335.75,,,,,,,Percent of Total Billed Charges,,,,,82.95,,,,,,,Percent of Total Billed Charges,,,,,355.5,,,,,,,Percent of Total Billed Charges,,,,,355.5,,,,,,,Percent of Total Billed Charges,,,,,79,,,,,,,Percent of Total Billed Charges,,,,,110.6,,,,,,,Percent of Total Billed Charges,,,,,316,,,,,,,Percent of Total Billed Charges,,,,,79,,,,,,,Percent of Total Billed Charges,,,, CAPSURE FIXATION SYSTEM 15 ,250,RC,,Outpatient,,,557.5,446,416.45,,,,,,,Percent of Total Billed Charges,,416.45,416.45,,557.5,,,,,,,Percent of Total Billed Charges,,,,,535.2,,,,,,,Percent of Total Billed Charges,,,,,529.63,,,,,,,Percent of Total Billed Charges,,,,,111.5,,,,,,,Percent of Total Billed Charges,,,,,473.88,,,,,,,Percent of Total Billed Charges,,,,,117.08,,,,,,,Percent of Total Billed Charges,,,,,501.75,,,,,,,Percent of Total Billed Charges,,,,,501.75,,,,,,,Percent of Total Billed Charges,,,,,111.5,,,,,,,Percent of Total Billed Charges,,,,,156.1,,,,,,,Percent of Total Billed Charges,,,,,446,,,,,,,Percent of Total Billed Charges,,,,,111.5,,,,,,,Percent of Total Billed Charges,,,, O/R X-SPAN TUBULAR DRESSING RETAINER ,250,RC,,Outpatient,,,237,189.6,177.04,,,,,,,Percent of Total Billed Charges,,177.04,177.04,,237,,,,,,,Percent of Total Billed Charges,,,,,227.52,,,,,,,Percent of Total Billed Charges,,,,,225.15,,,,,,,Percent of Total Billed Charges,,,,,47.4,,,,,,,Percent of Total Billed Charges,,,,,201.45,,,,,,,Percent of Total Billed Charges,,,,,49.77,,,,,,,Percent of Total Billed Charges,,,,,213.3,,,,,,,Percent of Total Billed Charges,,,,,213.3,,,,,,,Percent of Total Billed Charges,,,,,47.4,,,,,,,Percent of Total Billed Charges,,,,,66.36,,,,,,,Percent of Total Billed Charges,,,,,189.6,,,,,,,Percent of Total Billed Charges,,,,,47.4,,,,,,,Percent of Total Billed Charges,,,, O/R HERNIA PATCH KUGEL (SM. OVAL) ,250,RC,,Outpatient,,,237,189.6,177.04,,,,,,,Percent of Total Billed Charges,,177.04,177.04,,237,,,,,,,Percent of Total Billed Charges,,,,,227.52,,,,,,,Percent of Total Billed Charges,,,,,225.15,,,,,,,Percent of Total Billed Charges,,,,,47.4,,,,,,,Percent of Total Billed Charges,,,,,201.45,,,,,,,Percent of Total Billed Charges,,,,,49.77,,,,,,,Percent of Total Billed Charges,,,,,213.3,,,,,,,Percent of Total Billed Charges,,,,,213.3,,,,,,,Percent of Total Billed Charges,,,,,47.4,,,,,,,Percent of Total Billed Charges,,,,,66.36,,,,,,,Percent of Total Billed Charges,,,,,189.6,,,,,,,Percent of Total Billed Charges,,,,,47.4,,,,,,,Percent of Total Billed Charges,,,, O/R INTERCEED ABSORBABLE BARRIER ,250,RC,,Outpatient,,,573.5,458.8,428.4,,,,,,,Percent of Total Billed Charges,,428.4,428.4,,573.5,,,,,,,Percent of Total Billed Charges,,,,,550.56,,,,,,,Percent of Total Billed Charges,,,,,544.83,,,,,,,Percent of Total Billed Charges,,,,,114.7,,,,,,,Percent of Total Billed Charges,,,,,487.48,,,,,,,Percent of Total Billed Charges,,,,,120.44,,,,,,,Percent of Total Billed Charges,,,,,516.15,,,,,,,Percent of Total Billed Charges,,,,,516.15,,,,,,,Percent of Total Billed Charges,,,,,114.7,,,,,,,Percent of Total Billed Charges,,,,,160.58,,,,,,,Percent of Total Billed Charges,,,,,458.8,,,,,,,Percent of Total Billed Charges,,,,,114.7,,,,,,,Percent of Total Billed Charges,,,, COVADERM DRESSING 4X4 ,250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, COVADERM DRESSING 4X8 ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R DUALMESH SOFT TISSUE PATCH 20 X 30 ,250,RC,,Outpatient,,,3921,3136.8,2928.99,,,,,,,Percent of Total Billed Charges,,2928.99,2928.99,,3921,,,,,,,Percent of Total Billed Charges,,,,,3764.16,,,,,,,Percent of Total Billed Charges,,,,,3724.95,,,,,,,Percent of Total Billed Charges,,,,,784.2,,,,,,,Percent of Total Billed Charges,,,,,3332.85,,,,,,,Percent of Total Billed Charges,,,,,823.41,,,,,,,Percent of Total Billed Charges,,,,,3528.9,,,,,,,Percent of Total Billed Charges,,,,,3528.9,,,,,,,Percent of Total Billed Charges,,,,,784.2,,,,,,,Percent of Total Billed Charges,,,,,1097.88,,,,,,,Percent of Total Billed Charges,,,,,3136.8,,,,,,,Percent of Total Billed Charges,,,,,784.2,,,,,,,Percent of Total Billed Charges,,,, GROSHONG 7.0 FR SINGLE LUMEN KIT ,250,RC,,Outpatient,,,481.5,385.2,359.68,,,,,,,Percent of Total Billed Charges,,359.68,359.68,,481.5,,,,,,,Percent of Total Billed Charges,,,,,462.24,,,,,,,Percent of Total Billed Charges,,,,,457.43,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,409.28,,,,,,,Percent of Total Billed Charges,,,,,101.12,,,,,,,Percent of Total Billed Charges,,,,,433.35,,,,,,,Percent of Total Billed Charges,,,,,433.35,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,134.82,,,,,,,Percent of Total Billed Charges,,,,,385.2,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,, O/R SUT STAP CRK 12W 051887 ,250,RC,,Outpatient,,,39,31.2,29.13,,,,,,,Percent of Total Billed Charges,,29.13,29.13,,39,,,,,,,Percent of Total Billed Charges,,,,,37.44,,,,,,,Percent of Total Billed Charges,,,,,37.05,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,33.15,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,10.92,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,, O/R DISPOSABLE SKIN STAPLES ,250,RC,,Outpatient,,,77.5,62,57.89,,,,,,,Percent of Total Billed Charges,,57.89,57.89,,77.5,,,,,,,Percent of Total Billed Charges,,,,,74.4,,,,,,,Percent of Total Billed Charges,,,,,73.63,,,,,,,Percent of Total Billed Charges,,,,,15.5,,,,,,,Percent of Total Billed Charges,,,,,65.88,,,,,,,Percent of Total Billed Charges,,,,,16.28,,,,,,,Percent of Total Billed Charges,,,,,69.75,,,,,,,Percent of Total Billed Charges,,,,,69.75,,,,,,,Percent of Total Billed Charges,,,,,15.5,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,,,15.5,,,,,,,Percent of Total Billed Charges,,,, POWERPORT 8FR WITH GROSHONG ,250,RC,,Outpatient,,,1084,867.2,809.75,,,,,,,Percent of Total Billed Charges,,809.75,809.75,,1084,,,,,,,Percent of Total Billed Charges,,,,,1040.64,,,,,,,Percent of Total Billed Charges,,,,,1029.8,,,,,,,Percent of Total Billed Charges,,,,,216.8,,,,,,,Percent of Total Billed Charges,,,,,921.4,,,,,,,Percent of Total Billed Charges,,,,,227.64,,,,,,,Percent of Total Billed Charges,,,,,975.6,,,,,,,Percent of Total Billed Charges,,,,,975.6,,,,,,,Percent of Total Billed Charges,,,,,216.8,,,,,,,Percent of Total Billed Charges,,,,,303.52,,,,,,,Percent of Total Billed Charges,,,,,867.2,,,,,,,Percent of Total Billed Charges,,,,,216.8,,,,,,,Percent of Total Billed Charges,,,, O/R SUT STAP PREM 5SHOT MMMD5R ,250,RC,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUT STAP PROX 15R PPR15 ,250,RC,,Outpatient,,,91,72.8,67.98,,,,,,,Percent of Total Billed Charges,,67.98,67.98,,91,,,,,,,Percent of Total Billed Charges,,,,,87.36,,,,,,,Percent of Total Billed Charges,,,,,86.45,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,77.35,,,,,,,Percent of Total Billed Charges,,,,,19.11,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,25.48,,,,,,,Percent of Total Billed Charges,,,,,72.8,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,, O/R SUT STAP PROX 35R PPR35 ,250,RC,,Outpatient,,,115,92,85.91,,,,,,,Percent of Total Billed Charges,,85.91,85.91,,115,,,,,,,Percent of Total Billed Charges,,,,,110.4,,,,,,,Percent of Total Billed Charges,,,,,109.25,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,97.75,,,,,,,Percent of Total Billed Charges,,,,,24.15,,,,,,,Percent of Total Billed Charges,,,,,103.5,,,,,,,Percent of Total Billed Charges,,,,,103.5,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,92,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,, O/R SUT STAP PROX 15W PPW15 ,250,RC,,Outpatient,,,91,72.8,67.98,,,,,,,Percent of Total Billed Charges,,67.98,67.98,,91,,,,,,,Percent of Total Billed Charges,,,,,87.36,,,,,,,Percent of Total Billed Charges,,,,,86.45,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,77.35,,,,,,,Percent of Total Billed Charges,,,,,19.11,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,25.48,,,,,,,Percent of Total Billed Charges,,,,,72.8,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,, O/R SUT STAP PROX 35WW PPW35 ,250,RC,,Outpatient,,,115,92,85.91,,,,,,,Percent of Total Billed Charges,,85.91,85.91,,115,,,,,,,Percent of Total Billed Charges,,,,,110.4,,,,,,,Percent of Total Billed Charges,,,,,109.25,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,97.75,,,,,,,Percent of Total Billed Charges,,,,,24.15,,,,,,,Percent of Total Billed Charges,,,,,103.5,,,,,,,Percent of Total Billed Charges,,,,,103.5,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,92,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,, 2.5MM THREADED SPADE TIP GUIDE WIRE ,250,RC,,Outpatient,,,329,263.2,245.76,,,,,,,Percent of Total Billed Charges,,245.76,245.76,,329,,,,,,,Percent of Total Billed Charges,,,,,315.84,,,,,,,Percent of Total Billed Charges,,,,,312.55,,,,,,,Percent of Total Billed Charges,,,,,65.8,,,,,,,Percent of Total Billed Charges,,,,,279.65,,,,,,,Percent of Total Billed Charges,,,,,69.09,,,,,,,Percent of Total Billed Charges,,,,,296.1,,,,,,,Percent of Total Billed Charges,,,,,296.1,,,,,,,Percent of Total Billed Charges,,,,,65.8,,,,,,,Percent of Total Billed Charges,,,,,92.12,,,,,,,Percent of Total Billed Charges,,,,,263.2,,,,,,,Percent of Total Billed Charges,,,,,65.8,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 10MM ,250,RC,,Outpatient,,,148.5,118.8,110.93,,,,,,,Percent of Total Billed Charges,,110.93,110.93,,148.5,,,,,,,Percent of Total Billed Charges,,,,,142.56,,,,,,,Percent of Total Billed Charges,,,,,141.08,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,126.23,,,,,,,Percent of Total Billed Charges,,,,,31.19,,,,,,,Percent of Total Billed Charges,,,,,133.65,,,,,,,Percent of Total Billed Charges,,,,,133.65,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,41.58,,,,,,,Percent of Total Billed Charges,,,,,118.8,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 12MM ,250,RC,,Outpatient,,,188.5,150.8,140.81,,,,,,,Percent of Total Billed Charges,,140.81,140.81,,188.5,,,,,,,Percent of Total Billed Charges,,,,,180.96,,,,,,,Percent of Total Billed Charges,,,,,179.08,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,160.23,,,,,,,Percent of Total Billed Charges,,,,,39.59,,,,,,,Percent of Total Billed Charges,,,,,169.65,,,,,,,Percent of Total Billed Charges,,,,,169.65,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,52.78,,,,,,,Percent of Total Billed Charges,,,,,150.8,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 14MM ,250,RC,,Outpatient,,,195,156,145.67,,,,,,,Percent of Total Billed Charges,,145.67,145.67,,195,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,185.25,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,165.75,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 16MM ,250,RC,,Outpatient,,,220,176,164.34,,,,,,,Percent of Total Billed Charges,,164.34,164.34,,220,,,,,,,Percent of Total Billed Charges,,,,,211.2,,,,,,,Percent of Total Billed Charges,,,,,209,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,187,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,176,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 18MM ,250,RC,,Outpatient,,,139,111.2,103.83,,,,,,,Percent of Total Billed Charges,,103.83,103.83,,139,,,,,,,Percent of Total Billed Charges,,,,,133.44,,,,,,,Percent of Total Billed Charges,,,,,132.05,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,,,118.15,,,,,,,Percent of Total Billed Charges,,,,,29.19,,,,,,,Percent of Total Billed Charges,,,,,125.1,,,,,,,Percent of Total Billed Charges,,,,,125.1,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,,,38.92,,,,,,,Percent of Total Billed Charges,,,,,111.2,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 20MM ,250,RC,,Outpatient,,,188.5,150.8,140.81,,,,,,,Percent of Total Billed Charges,,140.81,140.81,,188.5,,,,,,,Percent of Total Billed Charges,,,,,180.96,,,,,,,Percent of Total Billed Charges,,,,,179.08,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,160.23,,,,,,,Percent of Total Billed Charges,,,,,39.59,,,,,,,Percent of Total Billed Charges,,,,,169.65,,,,,,,Percent of Total Billed Charges,,,,,169.65,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,52.78,,,,,,,Percent of Total Billed Charges,,,,,150.8,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 22MM ,250,RC,,Outpatient,,,149,119.2,111.3,,,,,,,Percent of Total Billed Charges,,111.3,111.3,,149,,,,,,,Percent of Total Billed Charges,,,,,143.04,,,,,,,Percent of Total Billed Charges,,,,,141.55,,,,,,,Percent of Total Billed Charges,,,,,29.8,,,,,,,Percent of Total Billed Charges,,,,,126.65,,,,,,,Percent of Total Billed Charges,,,,,31.29,,,,,,,Percent of Total Billed Charges,,,,,134.1,,,,,,,Percent of Total Billed Charges,,,,,134.1,,,,,,,Percent of Total Billed Charges,,,,,29.8,,,,,,,Percent of Total Billed Charges,,,,,41.72,,,,,,,Percent of Total Billed Charges,,,,,119.2,,,,,,,Percent of Total Billed Charges,,,,,29.8,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 24MM ,250,RC,,Outpatient,,,149,119.2,111.3,,,,,,,Percent of Total Billed Charges,,111.3,111.3,,149,,,,,,,Percent of Total Billed Charges,,,,,143.04,,,,,,,Percent of Total Billed Charges,,,,,141.55,,,,,,,Percent of Total Billed Charges,,,,,29.8,,,,,,,Percent of Total Billed Charges,,,,,126.65,,,,,,,Percent of Total Billed Charges,,,,,31.29,,,,,,,Percent of Total Billed Charges,,,,,134.1,,,,,,,Percent of Total Billed Charges,,,,,134.1,,,,,,,Percent of Total Billed Charges,,,,,29.8,,,,,,,Percent of Total Billed Charges,,,,,41.72,,,,,,,Percent of Total Billed Charges,,,,,119.2,,,,,,,Percent of Total Billed Charges,,,,,29.8,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 26MM ,250,RC,,Outpatient,,,109.5,87.6,81.8,,,,,,,Percent of Total Billed Charges,,81.8,81.8,,109.5,,,,,,,Percent of Total Billed Charges,,,,,105.12,,,,,,,Percent of Total Billed Charges,,,,,104.03,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,93.08,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,30.66,,,,,,,Percent of Total Billed Charges,,,,,87.6,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 28MM ,250,RC,,Outpatient,,,188.5,150.8,140.81,,,,,,,Percent of Total Billed Charges,,140.81,140.81,,188.5,,,,,,,Percent of Total Billed Charges,,,,,180.96,,,,,,,Percent of Total Billed Charges,,,,,179.08,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,160.23,,,,,,,Percent of Total Billed Charges,,,,,39.59,,,,,,,Percent of Total Billed Charges,,,,,169.65,,,,,,,Percent of Total Billed Charges,,,,,169.65,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,52.78,,,,,,,Percent of Total Billed Charges,,,,,150.8,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 30MM ,250,RC,,Outpatient,,,95.5,76.4,71.34,,,,,,,Percent of Total Billed Charges,,71.34,71.34,,95.5,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,90.73,,,,,,,Percent of Total Billed Charges,,,,,19.1,,,,,,,Percent of Total Billed Charges,,,,,81.18,,,,,,,Percent of Total Billed Charges,,,,,20.06,,,,,,,Percent of Total Billed Charges,,,,,85.95,,,,,,,Percent of Total Billed Charges,,,,,85.95,,,,,,,Percent of Total Billed Charges,,,,,19.1,,,,,,,Percent of Total Billed Charges,,,,,26.74,,,,,,,Percent of Total Billed Charges,,,,,76.4,,,,,,,Percent of Total Billed Charges,,,,,19.1,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 32MM ,250,RC,,Outpatient,,,109.5,87.6,81.8,,,,,,,Percent of Total Billed Charges,,81.8,81.8,,109.5,,,,,,,Percent of Total Billed Charges,,,,,105.12,,,,,,,Percent of Total Billed Charges,,,,,104.03,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,93.08,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,30.66,,,,,,,Percent of Total Billed Charges,,,,,87.6,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 34MM ,250,RC,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 36MM ,250,RC,,Outpatient,,,195,156,145.67,,,,,,,Percent of Total Billed Charges,,145.67,145.67,,195,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,185.25,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,165.75,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 38MM ,250,RC,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 40MM ,250,RC,,Outpatient,,,48.5,38.8,36.23,,,,,,,Percent of Total Billed Charges,,36.23,36.23,,48.5,,,,,,,Percent of Total Billed Charges,,,,,46.56,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,41.23,,,,,,,Percent of Total Billed Charges,,,,,10.19,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,13.58,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 45MM ,250,RC,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, 3.5MM CORTEX SCREW 50MM ,250,RC,,Outpatient,,,48.5,38.8,36.23,,,,,,,Percent of Total Billed Charges,,36.23,36.23,,48.5,,,,,,,Percent of Total Billed Charges,,,,,46.56,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,41.23,,,,,,,Percent of Total Billed Charges,,,,,10.19,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,13.58,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,, DRILL BIT 2.5MM (SMALL FRAG SET) ,250,RC,,Outpatient,,,346.5,277.2,258.84,,,,,,,Percent of Total Billed Charges,,258.84,258.84,,346.5,,,,,,,Percent of Total Billed Charges,,,,,332.64,,,,,,,Percent of Total Billed Charges,,,,,329.18,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,294.53,,,,,,,Percent of Total Billed Charges,,,,,72.77,,,,,,,Percent of Total Billed Charges,,,,,311.85,,,,,,,Percent of Total Billed Charges,,,,,311.85,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,97.02,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,, WASHER 7.0MM ,250,RC,,Outpatient,,,180,144,134.46,,,,,,,Percent of Total Billed Charges,,134.46,134.46,,180,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,171,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,153,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,162,,,,,,,Percent of Total Billed Charges,,,,,162,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,144,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,, DISP CANNULA HOLDER ,250,RC,,Outpatient,,,142.5,114,106.45,,,,,,,Percent of Total Billed Charges,,106.45,106.45,,142.5,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,135.38,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,121.13,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,128.25,,,,,,,Percent of Total Billed Charges,,,,,128.25,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,114,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,, PHACEO TIPS ,250,RC,,Outpatient,,,290,232,216.63,,,,,,,Percent of Total Billed Charges,,216.63,216.63,,290,,,,,,,Percent of Total Billed Charges,,,,,278.4,,,,,,,Percent of Total Billed Charges,,,,,275.5,,,,,,,Percent of Total Billed Charges,,,,,58,,,,,,,Percent of Total Billed Charges,,,,,246.5,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,261,,,,,,,Percent of Total Billed Charges,,,,,261,,,,,,,Percent of Total Billed Charges,,,,,58,,,,,,,Percent of Total Billed Charges,,,,,81.2,,,,,,,Percent of Total Billed Charges,,,,,232,,,,,,,Percent of Total Billed Charges,,,,,58,,,,,,,Percent of Total Billed Charges,,,, STANDARD TUBING W/SPIKE ,250,RC,,Outpatient,,,350,280,261.45,,,,,,,Percent of Total Billed Charges,,261.45,261.45,,350,,,,,,,Percent of Total Billed Charges,,,,,336,,,,,,,Percent of Total Billed Charges,,,,,332.5,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,297.5,,,,,,,Percent of Total Billed Charges,,,,,73.5,,,,,,,Percent of Total Billed Charges,,,,,315,,,,,,,Percent of Total Billed Charges,,,,,315,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,98,,,,,,,Percent of Total Billed Charges,,,,,280,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,, BASIC SET W/O SPIKE ,250,RC,,Outpatient,,,319,255.2,238.29,,,,,,,Percent of Total Billed Charges,,238.29,238.29,,319,,,,,,,Percent of Total Billed Charges,,,,,306.24,,,,,,,Percent of Total Billed Charges,,,,,303.05,,,,,,,Percent of Total Billed Charges,,,,,63.8,,,,,,,Percent of Total Billed Charges,,,,,271.15,,,,,,,Percent of Total Billed Charges,,,,,66.99,,,,,,,Percent of Total Billed Charges,,,,,287.1,,,,,,,Percent of Total Billed Charges,,,,,287.1,,,,,,,Percent of Total Billed Charges,,,,,63.8,,,,,,,Percent of Total Billed Charges,,,,,89.32,,,,,,,Percent of Total Billed Charges,,,,,255.2,,,,,,,Percent of Total Billed Charges,,,,,63.8,,,,,,,Percent of Total Billed Charges,,,, CATARACT PACK ,250,RC,,Outpatient,,,730,584,545.31,,,,,,,Percent of Total Billed Charges,,545.31,545.31,,730,,,,,,,Percent of Total Billed Charges,,,,,700.8,,,,,,,Percent of Total Billed Charges,,,,,693.5,,,,,,,Percent of Total Billed Charges,,,,,146,,,,,,,Percent of Total Billed Charges,,,,,620.5,,,,,,,Percent of Total Billed Charges,,,,,153.3,,,,,,,Percent of Total Billed Charges,,,,,657,,,,,,,Percent of Total Billed Charges,,,,,657,,,,,,,Percent of Total Billed Charges,,,,,146,,,,,,,Percent of Total Billed Charges,,,,,204.4,,,,,,,Percent of Total Billed Charges,,,,,584,,,,,,,Percent of Total Billed Charges,,,,,146,,,,,,,Percent of Total Billed Charges,,,, ANTERIOR CHAMBER CANNULA 25GA ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, ANTERIOR CHAMBER CANNULA 27GA ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, ANTERIOR CHAMBER CANNULA 30GA ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, MINI BEAVER BLADES ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, INTRAOCULAR LENS ,250,RC,,Outpatient,,,410.5,328.4,306.64,,,,,,,Percent of Total Billed Charges,,306.64,306.64,,410.5,,,,,,,Percent of Total Billed Charges,,,,,394.08,,,,,,,Percent of Total Billed Charges,,,,,389.98,,,,,,,Percent of Total Billed Charges,,,,,82.1,,,,,,,Percent of Total Billed Charges,,,,,348.93,,,,,,,Percent of Total Billed Charges,,,,,86.21,,,,,,,Percent of Total Billed Charges,,,,,369.45,,,,,,,Percent of Total Billed Charges,,,,,369.45,,,,,,,Percent of Total Billed Charges,,,,,82.1,,,,,,,Percent of Total Billed Charges,,,,,114.94,,,,,,,Percent of Total Billed Charges,,,,,328.4,,,,,,,Percent of Total Billed Charges,,,,,82.1,,,,,,,Percent of Total Billed Charges,,,, TAPLESS EYE SHIELD ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 16.0 ,250,RC,,Outpatient,,,430,344,321.21,,,,,,,Percent of Total Billed Charges,,321.21,321.21,,430,,,,,,,Percent of Total Billed Charges,,,,,412.8,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,365.5,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,344,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 16.5 ,250,RC,,Outpatient,,,401.5,321.2,299.92,,,,,,,Percent of Total Billed Charges,,299.92,299.92,,401.5,,,,,,,Percent of Total Billed Charges,,,,,385.44,,,,,,,Percent of Total Billed Charges,,,,,381.43,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,341.28,,,,,,,Percent of Total Billed Charges,,,,,84.32,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,112.42,,,,,,,Percent of Total Billed Charges,,,,,321.2,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 17.0 ,250,RC,,Outpatient,,,401.5,321.2,299.92,,,,,,,Percent of Total Billed Charges,,299.92,299.92,,401.5,,,,,,,Percent of Total Billed Charges,,,,,385.44,,,,,,,Percent of Total Billed Charges,,,,,381.43,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,341.28,,,,,,,Percent of Total Billed Charges,,,,,84.32,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,112.42,,,,,,,Percent of Total Billed Charges,,,,,321.2,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 17.5 ,250,RC,,Outpatient,,,401.5,321.2,299.92,,,,,,,Percent of Total Billed Charges,,299.92,299.92,,401.5,,,,,,,Percent of Total Billed Charges,,,,,385.44,,,,,,,Percent of Total Billed Charges,,,,,381.43,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,341.28,,,,,,,Percent of Total Billed Charges,,,,,84.32,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,112.42,,,,,,,Percent of Total Billed Charges,,,,,321.2,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 18.0 ,250,RC,,Outpatient,,,401.5,321.2,299.92,,,,,,,Percent of Total Billed Charges,,299.92,299.92,,401.5,,,,,,,Percent of Total Billed Charges,,,,,385.44,,,,,,,Percent of Total Billed Charges,,,,,381.43,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,341.28,,,,,,,Percent of Total Billed Charges,,,,,84.32,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,112.42,,,,,,,Percent of Total Billed Charges,,,,,321.2,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 18.5 ,250,RC,,Outpatient,,,430,344,321.21,,,,,,,Percent of Total Billed Charges,,321.21,321.21,,430,,,,,,,Percent of Total Billed Charges,,,,,412.8,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,365.5,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,344,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 19.0 ,250,RC,,Outpatient,,,401.5,321.2,299.92,,,,,,,Percent of Total Billed Charges,,299.92,299.92,,401.5,,,,,,,Percent of Total Billed Charges,,,,,385.44,,,,,,,Percent of Total Billed Charges,,,,,381.43,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,341.28,,,,,,,Percent of Total Billed Charges,,,,,84.32,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,112.42,,,,,,,Percent of Total Billed Charges,,,,,321.2,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 19.5 ,250,RC,,Outpatient,,,430,344,321.21,,,,,,,Percent of Total Billed Charges,,321.21,321.21,,430,,,,,,,Percent of Total Billed Charges,,,,,412.8,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,365.5,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,344,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 20.0 ,250,RC,,Outpatient,,,401.5,321.2,299.92,,,,,,,Percent of Total Billed Charges,,299.92,299.92,,401.5,,,,,,,Percent of Total Billed Charges,,,,,385.44,,,,,,,Percent of Total Billed Charges,,,,,381.43,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,341.28,,,,,,,Percent of Total Billed Charges,,,,,84.32,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,112.42,,,,,,,Percent of Total Billed Charges,,,,,321.2,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 20.5 ,250,RC,,Outpatient,,,401.5,321.2,299.92,,,,,,,Percent of Total Billed Charges,,299.92,299.92,,401.5,,,,,,,Percent of Total Billed Charges,,,,,385.44,,,,,,,Percent of Total Billed Charges,,,,,381.43,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,341.28,,,,,,,Percent of Total Billed Charges,,,,,84.32,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,112.42,,,,,,,Percent of Total Billed Charges,,,,,321.2,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 21.0 ,250,RC,,Outpatient,,,430,344,321.21,,,,,,,Percent of Total Billed Charges,,321.21,321.21,,430,,,,,,,Percent of Total Billed Charges,,,,,412.8,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,365.5,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,344,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 21.5 ,250,RC,,Outpatient,,,430,344,321.21,,,,,,,Percent of Total Billed Charges,,321.21,321.21,,430,,,,,,,Percent of Total Billed Charges,,,,,412.8,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,365.5,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,344,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 22.0 ,250,RC,,Outpatient,,,430,344,321.21,,,,,,,Percent of Total Billed Charges,,321.21,321.21,,430,,,,,,,Percent of Total Billed Charges,,,,,412.8,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,365.5,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,344,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 22.5 ,250,RC,,Outpatient,,,430,344,321.21,,,,,,,Percent of Total Billed Charges,,321.21,321.21,,430,,,,,,,Percent of Total Billed Charges,,,,,412.8,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,365.5,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,344,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 23.0 ,250,RC,,Outpatient,,,401.5,321.2,299.92,,,,,,,Percent of Total Billed Charges,,299.92,299.92,,401.5,,,,,,,Percent of Total Billed Charges,,,,,385.44,,,,,,,Percent of Total Billed Charges,,,,,381.43,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,341.28,,,,,,,Percent of Total Billed Charges,,,,,84.32,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,112.42,,,,,,,Percent of Total Billed Charges,,,,,321.2,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 23.5 ,250,RC,,Outpatient,,,401.5,321.2,299.92,,,,,,,Percent of Total Billed Charges,,299.92,299.92,,401.5,,,,,,,Percent of Total Billed Charges,,,,,385.44,,,,,,,Percent of Total Billed Charges,,,,,381.43,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,341.28,,,,,,,Percent of Total Billed Charges,,,,,84.32,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,112.42,,,,,,,Percent of Total Billed Charges,,,,,321.2,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 24.0 ,250,RC,,Outpatient,,,401.5,321.2,299.92,,,,,,,Percent of Total Billed Charges,,299.92,299.92,,401.5,,,,,,,Percent of Total Billed Charges,,,,,385.44,,,,,,,Percent of Total Billed Charges,,,,,381.43,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,341.28,,,,,,,Percent of Total Billed Charges,,,,,84.32,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,112.42,,,,,,,Percent of Total Billed Charges,,,,,321.2,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 24.5 ,250,RC,,Outpatient,,,430,344,321.21,,,,,,,Percent of Total Billed Charges,,321.21,321.21,,430,,,,,,,Percent of Total Billed Charges,,,,,412.8,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,365.5,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,344,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 25.0 ,250,RC,,Outpatient,,,430,344,321.21,,,,,,,Percent of Total Billed Charges,,321.21,321.21,,430,,,,,,,Percent of Total Billed Charges,,,,,412.8,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,365.5,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,344,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 27.0 ,250,RC,,Outpatient,,,430,344,321.21,,,,,,,Percent of Total Billed Charges,,321.21,321.21,,430,,,,,,,Percent of Total Billed Charges,,,,,412.8,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,365.5,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,387,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,344,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,, POSTERIOR LENS 26.5 ,250,RC,,Outpatient,,,401.5,321.1,299.92,,,,,,,Percent of Total Billed Charges,,299.92,299.92,,401.5,,,,,,,Percent of Total Billed Charges,,,,,385.44,,,,,,,Percent of Total Billed Charges,,,,,381.43,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,341.28,,,,,,,Percent of Total Billed Charges,,,,,84.32,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,112.42,,,,,,,Percent of Total Billed Charges,,,,,321.2,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/10MM PART.THREAD ,250,RC,,Outpatient,,,44,35.2,32.87,,,,,,,Percent of Total Billed Charges,,32.87,32.87,,44,,,,,,,Percent of Total Billed Charges,,,,,42.24,,,,,,,Percent of Total Billed Charges,,,,,41.8,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,9.24,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,12.32,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/12MM PART.THREAD ,250,RC,,Outpatient,,,44,35.2,32.87,,,,,,,Percent of Total Billed Charges,,32.87,32.87,,44,,,,,,,Percent of Total Billed Charges,,,,,42.24,,,,,,,Percent of Total Billed Charges,,,,,41.8,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,9.24,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,12.32,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/14MM PART.THREAD ,250,RC,,Outpatient,,,44,35.2,32.87,,,,,,,Percent of Total Billed Charges,,32.87,32.87,,44,,,,,,,Percent of Total Billed Charges,,,,,42.24,,,,,,,Percent of Total Billed Charges,,,,,41.8,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,9.24,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,12.32,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/16MM PART.THREAD ,250,RC,,Outpatient,,,44,35.2,32.87,,,,,,,Percent of Total Billed Charges,,32.87,32.87,,44,,,,,,,Percent of Total Billed Charges,,,,,42.24,,,,,,,Percent of Total Billed Charges,,,,,41.8,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,9.24,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,12.32,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/18MM PART.THREAD ,250,RC,,Outpatient,,,104.5,83.6,78.06,,,,,,,Percent of Total Billed Charges,,78.06,78.06,,104.5,,,,,,,Percent of Total Billed Charges,,,,,100.32,,,,,,,Percent of Total Billed Charges,,,,,99.28,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,21.95,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,29.26,,,,,,,Percent of Total Billed Charges,,,,,83.6,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/20MM PART.THREAD ,250,RC,,Outpatient,,,44,35.2,32.87,,,,,,,Percent of Total Billed Charges,,32.87,32.87,,44,,,,,,,Percent of Total Billed Charges,,,,,42.24,,,,,,,Percent of Total Billed Charges,,,,,41.8,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,9.24,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,12.32,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/22MM ,250,RC,,Outpatient,,,44,35.2,32.87,,,,,,,Percent of Total Billed Charges,,32.87,32.87,,44,,,,,,,Percent of Total Billed Charges,,,,,42.24,,,,,,,Percent of Total Billed Charges,,,,,41.8,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,9.24,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,12.32,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/24MM PART.THREAD ,250,RC,,Outpatient,,,91,72.8,67.98,,,,,,,Percent of Total Billed Charges,,67.98,67.98,,91,,,,,,,Percent of Total Billed Charges,,,,,87.36,,,,,,,Percent of Total Billed Charges,,,,,86.45,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,77.35,,,,,,,Percent of Total Billed Charges,,,,,19.11,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,25.48,,,,,,,Percent of Total Billed Charges,,,,,72.8,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/26MM PART.THREAD ,250,RC,,Outpatient,,,54,43.2,40.34,,,,,,,Percent of Total Billed Charges,,40.34,40.34,,54,,,,,,,Percent of Total Billed Charges,,,,,51.84,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/28MM PART.THREAD ,250,RC,,Outpatient,,,91,72.8,67.98,,,,,,,Percent of Total Billed Charges,,67.98,67.98,,91,,,,,,,Percent of Total Billed Charges,,,,,87.36,,,,,,,Percent of Total Billed Charges,,,,,86.45,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,77.35,,,,,,,Percent of Total Billed Charges,,,,,19.11,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,25.48,,,,,,,Percent of Total Billed Charges,,,,,72.8,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/30MM PART.THREAD ,250,RC,,Outpatient,,,257,205.6,191.98,,,,,,,Percent of Total Billed Charges,,191.98,191.98,,257,,,,,,,Percent of Total Billed Charges,,,,,246.72,,,,,,,Percent of Total Billed Charges,,,,,244.15,,,,,,,Percent of Total Billed Charges,,,,,51.4,,,,,,,Percent of Total Billed Charges,,,,,218.45,,,,,,,Percent of Total Billed Charges,,,,,53.97,,,,,,,Percent of Total Billed Charges,,,,,231.3,,,,,,,Percent of Total Billed Charges,,,,,231.3,,,,,,,Percent of Total Billed Charges,,,,,51.4,,,,,,,Percent of Total Billed Charges,,,,,71.96,,,,,,,Percent of Total Billed Charges,,,,,205.6,,,,,,,Percent of Total Billed Charges,,,,,51.4,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/35MM PART.THREAD ,250,RC,,Outpatient,,,228,182.4,170.32,,,,,,,Percent of Total Billed Charges,,170.32,170.32,,228,,,,,,,Percent of Total Billed Charges,,,,,218.88,,,,,,,Percent of Total Billed Charges,,,,,216.6,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,47.88,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,182.4,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/40MM PART.THREAD ,250,RC,,Outpatient,,,257,205.6,191.98,,,,,,,Percent of Total Billed Charges,,191.98,191.98,,257,,,,,,,Percent of Total Billed Charges,,,,,246.72,,,,,,,Percent of Total Billed Charges,,,,,244.15,,,,,,,Percent of Total Billed Charges,,,,,51.4,,,,,,,Percent of Total Billed Charges,,,,,218.45,,,,,,,Percent of Total Billed Charges,,,,,53.97,,,,,,,Percent of Total Billed Charges,,,,,231.3,,,,,,,Percent of Total Billed Charges,,,,,231.3,,,,,,,Percent of Total Billed Charges,,,,,51.4,,,,,,,Percent of Total Billed Charges,,,,,71.96,,,,,,,Percent of Total Billed Charges,,,,,205.6,,,,,,,Percent of Total Billed Charges,,,,,51.4,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/45MM PART.THREAD ,250,RC,,Outpatient,,,56.5,45.2,42.21,,,,,,,Percent of Total Billed Charges,,42.21,42.21,,56.5,,,,,,,Percent of Total Billed Charges,,,,,54.24,,,,,,,Percent of Total Billed Charges,,,,,53.68,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,48.03,,,,,,,Percent of Total Billed Charges,,,,,11.87,,,,,,,Percent of Total Billed Charges,,,,,50.85,,,,,,,Percent of Total Billed Charges,,,,,50.85,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,15.82,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/50MM PART.THREAD ,250,RC,,Outpatient,,,239.5,191.6,178.91,,,,,,,Percent of Total Billed Charges,,178.91,178.91,,239.5,,,,,,,Percent of Total Billed Charges,,,,,229.92,,,,,,,Percent of Total Billed Charges,,,,,227.53,,,,,,,Percent of Total Billed Charges,,,,,47.9,,,,,,,Percent of Total Billed Charges,,,,,203.58,,,,,,,Percent of Total Billed Charges,,,,,50.3,,,,,,,Percent of Total Billed Charges,,,,,215.55,,,,,,,Percent of Total Billed Charges,,,,,215.55,,,,,,,Percent of Total Billed Charges,,,,,47.9,,,,,,,Percent of Total Billed Charges,,,,,67.06,,,,,,,Percent of Total Billed Charges,,,,,191.6,,,,,,,Percent of Total Billed Charges,,,,,47.9,,,,,,,Percent of Total Billed Charges,,,, LC-DCP 3.5 PLATE 6 HOLES/77MM ,250,RC,,Outpatient,,,1443.5,1154.8,1078.29,,,,,,,Percent of Total Billed Charges,,1078.29,1078.29,,1443.5,,,,,,,Percent of Total Billed Charges,,,,,1385.76,,,,,,,Percent of Total Billed Charges,,,,,1371.33,,,,,,,Percent of Total Billed Charges,,,,,288.7,,,,,,,Percent of Total Billed Charges,,,,,1226.98,,,,,,,Percent of Total Billed Charges,,,,,303.14,,,,,,,Percent of Total Billed Charges,,,,,1299.15,,,,,,,Percent of Total Billed Charges,,,,,1299.15,,,,,,,Percent of Total Billed Charges,,,,,288.7,,,,,,,Percent of Total Billed Charges,,,,,404.18,,,,,,,Percent of Total Billed Charges,,,,,1154.8,,,,,,,Percent of Total Billed Charges,,,,,288.7,,,,,,,Percent of Total Billed Charges,,,, LC-DCP 3.5MM PLATE 7 HOLES/90MM ,250,RC,,Outpatient,,,1279,1023.2,955.41,,,,,,,Percent of Total Billed Charges,,955.41,955.41,,1279,,,,,,,Percent of Total Billed Charges,,,,,1227.84,,,,,,,Percent of Total Billed Charges,,,,,1215.05,,,,,,,Percent of Total Billed Charges,,,,,255.8,,,,,,,Percent of Total Billed Charges,,,,,1087.15,,,,,,,Percent of Total Billed Charges,,,,,268.59,,,,,,,Percent of Total Billed Charges,,,,,1151.1,,,,,,,Percent of Total Billed Charges,,,,,1151.1,,,,,,,Percent of Total Billed Charges,,,,,255.8,,,,,,,Percent of Total Billed Charges,,,,,358.12,,,,,,,Percent of Total Billed Charges,,,,,1023.2,,,,,,,Percent of Total Billed Charges,,,,,255.8,,,,,,,Percent of Total Billed Charges,,,, LC-DCP PLATE 3.5MM 8 HOLES/103MM ,250,RC,,Outpatient,,,1021.5,817.2,763.06,,,,,,,Percent of Total Billed Charges,,763.06,763.06,,1021.5,,,,,,,Percent of Total Billed Charges,,,,,980.64,,,,,,,Percent of Total Billed Charges,,,,,970.43,,,,,,,Percent of Total Billed Charges,,,,,204.3,,,,,,,Percent of Total Billed Charges,,,,,868.28,,,,,,,Percent of Total Billed Charges,,,,,214.52,,,,,,,Percent of Total Billed Charges,,,,,919.35,,,,,,,Percent of Total Billed Charges,,,,,919.35,,,,,,,Percent of Total Billed Charges,,,,,204.3,,,,,,,Percent of Total Billed Charges,,,,,286.02,,,,,,,Percent of Total Billed Charges,,,,,817.2,,,,,,,Percent of Total Billed Charges,,,,,204.3,,,,,,,Percent of Total Billed Charges,,,, LC-DCP PLATE 3.5MM 9 HOLES/116MM ,250,RC,,Outpatient,,,1063.5,850.8,794.43,,,,,,,Percent of Total Billed Charges,,794.43,794.43,,1063.5,,,,,,,Percent of Total Billed Charges,,,,,1020.96,,,,,,,Percent of Total Billed Charges,,,,,1010.33,,,,,,,Percent of Total Billed Charges,,,,,212.7,,,,,,,Percent of Total Billed Charges,,,,,903.98,,,,,,,Percent of Total Billed Charges,,,,,223.34,,,,,,,Percent of Total Billed Charges,,,,,957.15,,,,,,,Percent of Total Billed Charges,,,,,957.15,,,,,,,Percent of Total Billed Charges,,,,,212.7,,,,,,,Percent of Total Billed Charges,,,,,297.78,,,,,,,Percent of Total Billed Charges,,,,,850.8,,,,,,,Percent of Total Billed Charges,,,,,212.7,,,,,,,Percent of Total Billed Charges,,,, LC-DCP PLATE 305MM 10HOLES/129MM ,250,RC,,Outpatient,,,1386,1108.8,1035.34,,,,,,,Percent of Total Billed Charges,,1035.34,1035.34,,1386,,,,,,,Percent of Total Billed Charges,,,,,1330.56,,,,,,,Percent of Total Billed Charges,,,,,1316.7,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,1178.1,,,,,,,Percent of Total Billed Charges,,,,,291.06,,,,,,,Percent of Total Billed Charges,,,,,1247.4,,,,,,,Percent of Total Billed Charges,,,,,1247.4,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,388.08,,,,,,,Percent of Total Billed Charges,,,,,1108.8,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,, T-PLATE 3 HOLE HEAD/50MM RIGHT ,250,RC,,Outpatient,,,291.5,233.2,217.75,,,,,,,Percent of Total Billed Charges,,217.75,217.75,,291.5,,,,,,,Percent of Total Billed Charges,,,,,279.84,,,,,,,Percent of Total Billed Charges,,,,,276.93,,,,,,,Percent of Total Billed Charges,,,,,58.3,,,,,,,Percent of Total Billed Charges,,,,,247.78,,,,,,,Percent of Total Billed Charges,,,,,61.22,,,,,,,Percent of Total Billed Charges,,,,,262.35,,,,,,,Percent of Total Billed Charges,,,,,262.35,,,,,,,Percent of Total Billed Charges,,,,,58.3,,,,,,,Percent of Total Billed Charges,,,,,81.62,,,,,,,Percent of Total Billed Charges,,,,,233.2,,,,,,,Percent of Total Billed Charges,,,,,58.3,,,,,,,Percent of Total Billed Charges,,,, T-PLATE 3 HOLE HEAD 5 HOLE SHAFT 67MM RI,250,RC,,Outpatient,,,291.5,233.2,217.75,,,,,,,Percent of Total Billed Charges,,217.75,217.75,,291.5,,,,,,,Percent of Total Billed Charges,,,,,279.84,,,,,,,Percent of Total Billed Charges,,,,,276.93,,,,,,,Percent of Total Billed Charges,,,,,58.3,,,,,,,Percent of Total Billed Charges,,,,,247.78,,,,,,,Percent of Total Billed Charges,,,,,61.22,,,,,,,Percent of Total Billed Charges,,,,,262.35,,,,,,,Percent of Total Billed Charges,,,,,262.35,,,,,,,Percent of Total Billed Charges,,,,,58.3,,,,,,,Percent of Total Billed Charges,,,,,81.62,,,,,,,Percent of Total Billed Charges,,,,,233.2,,,,,,,Percent of Total Billed Charges,,,,,58.3,,,,,,,Percent of Total Billed Charges,,,, T-PLATE 3 HOLE HEAD 3 HOLE SHAFT 53MM OB,250,RC,,Outpatient,,,319.5,255.6,238.67,,,,,,,Percent of Total Billed Charges,,238.67,238.67,,319.5,,,,,,,Percent of Total Billed Charges,,,,,306.72,,,,,,,Percent of Total Billed Charges,,,,,303.53,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,271.58,,,,,,,Percent of Total Billed Charges,,,,,67.1,,,,,,,Percent of Total Billed Charges,,,,,287.55,,,,,,,Percent of Total Billed Charges,,,,,287.55,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,89.46,,,,,,,Percent of Total Billed Charges,,,,,255.6,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,, T-PLATE 3 HOLE HEAD 4 HOLE SHAFT 63MM OB,250,RC,,Outpatient,,,255.5,204.4,190.86,,,,,,,Percent of Total Billed Charges,,190.86,190.86,,255.5,,,,,,,Percent of Total Billed Charges,,,,,245.28,,,,,,,Percent of Total Billed Charges,,,,,242.73,,,,,,,Percent of Total Billed Charges,,,,,51.1,,,,,,,Percent of Total Billed Charges,,,,,217.18,,,,,,,Percent of Total Billed Charges,,,,,53.66,,,,,,,Percent of Total Billed Charges,,,,,229.95,,,,,,,Percent of Total Billed Charges,,,,,229.95,,,,,,,Percent of Total Billed Charges,,,,,51.1,,,,,,,Percent of Total Billed Charges,,,,,71.54,,,,,,,Percent of Total Billed Charges,,,,,204.4,,,,,,,Percent of Total Billed Charges,,,,,51.1,,,,,,,Percent of Total Billed Charges,,,, T-PLATE 3 HOLE HEAD 5 HOLE SHAFT 75MM OB,250,RC,,Outpatient,,,265,212,197.96,,,,,,,Percent of Total Billed Charges,,197.96,197.96,,265,,,,,,,Percent of Total Billed Charges,,,,,254.4,,,,,,,Percent of Total Billed Charges,,,,,251.75,,,,,,,Percent of Total Billed Charges,,,,,53,,,,,,,Percent of Total Billed Charges,,,,,225.25,,,,,,,Percent of Total Billed Charges,,,,,55.65,,,,,,,Percent of Total Billed Charges,,,,,238.5,,,,,,,Percent of Total Billed Charges,,,,,238.5,,,,,,,Percent of Total Billed Charges,,,,,53,,,,,,,Percent of Total Billed Charges,,,,,74.2,,,,,,,Percent of Total Billed Charges,,,,,212,,,,,,,Percent of Total Billed Charges,,,,,53,,,,,,,Percent of Total Billed Charges,,,, TUBULAR PLATE 2HOLE/25MM ,250,RC,,Outpatient,,,124,99.2,92.63,,,,,,,Percent of Total Billed Charges,,92.63,92.63,,124,,,,,,,Percent of Total Billed Charges,,,,,119.04,,,,,,,Percent of Total Billed Charges,,,,,117.8,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,105.4,,,,,,,Percent of Total Billed Charges,,,,,26.04,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,34.72,,,,,,,Percent of Total Billed Charges,,,,,99.2,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,, TUBULAR PLATE 3 HOLES/37MM ,250,RC,,Outpatient,,,150.5,120.4,112.42,,,,,,,Percent of Total Billed Charges,,112.42,112.42,,150.5,,,,,,,Percent of Total Billed Charges,,,,,144.48,,,,,,,Percent of Total Billed Charges,,,,,142.98,,,,,,,Percent of Total Billed Charges,,,,,30.1,,,,,,,Percent of Total Billed Charges,,,,,127.93,,,,,,,Percent of Total Billed Charges,,,,,31.61,,,,,,,Percent of Total Billed Charges,,,,,135.45,,,,,,,Percent of Total Billed Charges,,,,,135.45,,,,,,,Percent of Total Billed Charges,,,,,30.1,,,,,,,Percent of Total Billed Charges,,,,,42.14,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,30.1,,,,,,,Percent of Total Billed Charges,,,, TUBLULAR PLATE 4 HOLES/49MM ,250,RC,,Outpatient,,,738.5,590.8,551.66,,,,,,,Percent of Total Billed Charges,,551.66,551.66,,738.5,,,,,,,Percent of Total Billed Charges,,,,,708.96,,,,,,,Percent of Total Billed Charges,,,,,701.58,,,,,,,Percent of Total Billed Charges,,,,,147.7,,,,,,,Percent of Total Billed Charges,,,,,627.73,,,,,,,Percent of Total Billed Charges,,,,,155.09,,,,,,,Percent of Total Billed Charges,,,,,664.65,,,,,,,Percent of Total Billed Charges,,,,,664.65,,,,,,,Percent of Total Billed Charges,,,,,147.7,,,,,,,Percent of Total Billed Charges,,,,,206.78,,,,,,,Percent of Total Billed Charges,,,,,590.8,,,,,,,Percent of Total Billed Charges,,,,,147.7,,,,,,,Percent of Total Billed Charges,,,, TUBULAR PLATE 5 HOLES/61MM ,250,RC,,Outpatient,,,792.5,634,592,,,,,,,Percent of Total Billed Charges,,592,592,,792.5,,,,,,,Percent of Total Billed Charges,,,,,760.8,,,,,,,Percent of Total Billed Charges,,,,,752.88,,,,,,,Percent of Total Billed Charges,,,,,158.5,,,,,,,Percent of Total Billed Charges,,,,,673.63,,,,,,,Percent of Total Billed Charges,,,,,166.43,,,,,,,Percent of Total Billed Charges,,,,,713.25,,,,,,,Percent of Total Billed Charges,,,,,713.25,,,,,,,Percent of Total Billed Charges,,,,,158.5,,,,,,,Percent of Total Billed Charges,,,,,221.9,,,,,,,Percent of Total Billed Charges,,,,,634,,,,,,,Percent of Total Billed Charges,,,,,158.5,,,,,,,Percent of Total Billed Charges,,,, TUBULAR PLATE 6 HOLES/73MM ,250,RC,,Outpatient,,,812.5,650,606.94,,,,,,,Percent of Total Billed Charges,,606.94,606.94,,812.5,,,,,,,Percent of Total Billed Charges,,,,,780,,,,,,,Percent of Total Billed Charges,,,,,771.88,,,,,,,Percent of Total Billed Charges,,,,,162.5,,,,,,,Percent of Total Billed Charges,,,,,690.63,,,,,,,Percent of Total Billed Charges,,,,,170.63,,,,,,,Percent of Total Billed Charges,,,,,731.25,,,,,,,Percent of Total Billed Charges,,,,,731.25,,,,,,,Percent of Total Billed Charges,,,,,162.5,,,,,,,Percent of Total Billed Charges,,,,,227.5,,,,,,,Percent of Total Billed Charges,,,,,650,,,,,,,Percent of Total Billed Charges,,,,,162.5,,,,,,,Percent of Total Billed Charges,,,, TUBULAR PLATE 7 HOLES/85MM ,250,RC,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, TUBULAR PLATE 8 HOLES/97MM ,250,RC,,Outpatient,,,161,128.8,120.27,,,,,,,Percent of Total Billed Charges,,120.27,120.27,,161,,,,,,,Percent of Total Billed Charges,,,,,154.56,,,,,,,Percent of Total Billed Charges,,,,,152.95,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,136.85,,,,,,,Percent of Total Billed Charges,,,,,33.81,,,,,,,Percent of Total Billed Charges,,,,,144.9,,,,,,,Percent of Total Billed Charges,,,,,144.9,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,45.08,,,,,,,Percent of Total Billed Charges,,,,,128.8,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,, TUBULAR PLATE 10HOLES/121MM ,250,RC,,Outpatient,,,179.5,143.6,134.09,,,,,,,Percent of Total Billed Charges,,134.09,134.09,,179.5,,,,,,,Percent of Total Billed Charges,,,,,172.32,,,,,,,Percent of Total Billed Charges,,,,,170.53,,,,,,,Percent of Total Billed Charges,,,,,35.9,,,,,,,Percent of Total Billed Charges,,,,,152.58,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,161.55,,,,,,,Percent of Total Billed Charges,,,,,161.55,,,,,,,Percent of Total Billed Charges,,,,,35.9,,,,,,,Percent of Total Billed Charges,,,,,50.26,,,,,,,Percent of Total Billed Charges,,,,,143.6,,,,,,,Percent of Total Billed Charges,,,,,35.9,,,,,,,Percent of Total Billed Charges,,,, GIGLI SAW BLADE ,250,RC,,Outpatient,,,46.5,37.2,34.74,,,,,,,Percent of Total Billed Charges,,34.74,34.74,,46.5,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,,,44.18,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,39.53,,,,,,,Percent of Total Billed Charges,,,,,9.77,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,, CLOVERLEAF PLATE 3HOLE/88MM ,250,RC,,Outpatient,,,398,318.4,297.31,,,,,,,Percent of Total Billed Charges,,297.31,297.31,,398,,,,,,,Percent of Total Billed Charges,,,,,382.08,,,,,,,Percent of Total Billed Charges,,,,,378.1,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,338.3,,,,,,,Percent of Total Billed Charges,,,,,83.58,,,,,,,Percent of Total Billed Charges,,,,,358.2,,,,,,,Percent of Total Billed Charges,,,,,358.2,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,111.44,,,,,,,Percent of Total Billed Charges,,,,,318.4,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,, CLOVERLEAF PLATE 4HOLE/104MM ,250,RC,,Outpatient,,,424.5,339.6,317.1,,,,,,,Percent of Total Billed Charges,,317.1,317.1,,424.5,,,,,,,Percent of Total Billed Charges,,,,,407.52,,,,,,,Percent of Total Billed Charges,,,,,403.28,,,,,,,Percent of Total Billed Charges,,,,,84.9,,,,,,,Percent of Total Billed Charges,,,,,360.83,,,,,,,Percent of Total Billed Charges,,,,,89.15,,,,,,,Percent of Total Billed Charges,,,,,382.05,,,,,,,Percent of Total Billed Charges,,,,,382.05,,,,,,,Percent of Total Billed Charges,,,,,84.9,,,,,,,Percent of Total Billed Charges,,,,,118.86,,,,,,,Percent of Total Billed Charges,,,,,339.6,,,,,,,Percent of Total Billed Charges,,,,,84.9,,,,,,,Percent of Total Billed Charges,,,, 1.25 KIRSCHNER WIRE 150MM ,250,RC,,Outpatient,,,192,153.6,143.42,,,,,,,Percent of Total Billed Charges,,143.42,143.42,,192,,,,,,,Percent of Total Billed Charges,,,,,184.32,,,,,,,Percent of Total Billed Charges,,,,,182.4,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,53.76,,,,,,,Percent of Total Billed Charges,,,,,153.6,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,, 1.6MM KIRSCHNER WIRE 150MM ,250,RC,,Outpatient,,,74,59.2,55.28,,,,,,,Percent of Total Billed Charges,,55.28,55.28,,74,,,,,,,Percent of Total Billed Charges,,,,,71.04,,,,,,,Percent of Total Billed Charges,,,,,70.3,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,62.9,,,,,,,Percent of Total Billed Charges,,,,,15.54,,,,,,,Percent of Total Billed Charges,,,,,66.6,,,,,,,Percent of Total Billed Charges,,,,,66.6,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,20.72,,,,,,,Percent of Total Billed Charges,,,,,59.2,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,, 2.0MM KIRSHNER WIRE 150MM ,250,RC,,Outpatient,,,78,62.4,58.27,,,,,,,Percent of Total Billed Charges,,58.27,58.27,,78,,,,,,,Percent of Total Billed Charges,,,,,74.88,,,,,,,Percent of Total Billed Charges,,,,,74.1,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,66.3,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,70.2,,,,,,,Percent of Total Billed Charges,,,,,70.2,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,21.84,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,, SLEEVE +12MM ,250,RC,,Outpatient,,,375,300,280.13,,,,,,,Percent of Total Billed Charges,,280.13,280.13,,375,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,356.25,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,318.75,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,105,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,, SLEEVE +8MM ,250,RC,,Outpatient,,,375,300,280.13,,,,,,,Percent of Total Billed Charges,,280.13,280.13,,375,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,356.25,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,318.75,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,105,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,, SLEEVE +4MM ,250,RC,,Outpatient,,,541.5,433.2,404.5,,,,,,,Percent of Total Billed Charges,,404.5,404.5,,541.5,,,,,,,Percent of Total Billed Charges,,,,,519.84,,,,,,,Percent of Total Billed Charges,,,,,514.43,,,,,,,Percent of Total Billed Charges,,,,,108.3,,,,,,,Percent of Total Billed Charges,,,,,460.28,,,,,,,Percent of Total Billed Charges,,,,,113.72,,,,,,,Percent of Total Billed Charges,,,,,487.35,,,,,,,Percent of Total Billed Charges,,,,,487.35,,,,,,,Percent of Total Billed Charges,,,,,108.3,,,,,,,Percent of Total Billed Charges,,,,,151.62,,,,,,,Percent of Total Billed Charges,,,,,433.2,,,,,,,Percent of Total Billed Charges,,,,,108.3,,,,,,,Percent of Total Billed Charges,,,, SLEEVE -4MM ,250,RC,,Outpatient,,,582,465.6,434.75,,,,,,,Percent of Total Billed Charges,,434.75,434.75,,582,,,,,,,Percent of Total Billed Charges,,,,,558.72,,,,,,,Percent of Total Billed Charges,,,,,552.9,,,,,,,Percent of Total Billed Charges,,,,,116.4,,,,,,,Percent of Total Billed Charges,,,,,494.7,,,,,,,Percent of Total Billed Charges,,,,,122.22,,,,,,,Percent of Total Billed Charges,,,,,523.8,,,,,,,Percent of Total Billed Charges,,,,,523.8,,,,,,,Percent of Total Billed Charges,,,,,116.4,,,,,,,Percent of Total Billed Charges,,,,,162.96,,,,,,,Percent of Total Billed Charges,,,,,465.6,,,,,,,Percent of Total Billed Charges,,,,,116.4,,,,,,,Percent of Total Billed Charges,,,, SLEEVE STANDARD ,250,RC,,Outpatient,,,517,413.6,386.2,,,,,,,Percent of Total Billed Charges,,386.2,386.2,,517,,,,,,,Percent of Total Billed Charges,,,,,496.32,,,,,,,Percent of Total Billed Charges,,,,,491.15,,,,,,,Percent of Total Billed Charges,,,,,103.4,,,,,,,Percent of Total Billed Charges,,,,,439.45,,,,,,,Percent of Total Billed Charges,,,,,108.57,,,,,,,Percent of Total Billed Charges,,,,,465.3,,,,,,,Percent of Total Billed Charges,,,,,465.3,,,,,,,Percent of Total Billed Charges,,,,,103.4,,,,,,,Percent of Total Billed Charges,,,,,144.76,,,,,,,Percent of Total Billed Charges,,,,,413.6,,,,,,,Percent of Total Billed Charges,,,,,103.4,,,,,,,Percent of Total Billed Charges,,,, STEM 15MM ,250,RC,,Outpatient,,,4068,3254.4,3038.8,,,,,,,Percent of Total Billed Charges,,3038.8,3038.8,,4068,,,,,,,Percent of Total Billed Charges,,,,,3905.28,,,,,,,Percent of Total Billed Charges,,,,,3864.6,,,,,,,Percent of Total Billed Charges,,,,,813.6,,,,,,,Percent of Total Billed Charges,,,,,3457.8,,,,,,,Percent of Total Billed Charges,,,,,854.28,,,,,,,Percent of Total Billed Charges,,,,,3661.2,,,,,,,Percent of Total Billed Charges,,,,,3661.2,,,,,,,Percent of Total Billed Charges,,,,,813.6,,,,,,,Percent of Total Billed Charges,,,,,1139.04,,,,,,,Percent of Total Billed Charges,,,,,3254.4,,,,,,,Percent of Total Billed Charges,,,,,813.6,,,,,,,Percent of Total Billed Charges,,,, STEM 14MM ,250,RC,,Outpatient,,,1938,1550.4,1447.69,,,,,,,Percent of Total Billed Charges,,1447.69,1447.69,,1938,,,,,,,Percent of Total Billed Charges,,,,,1860.48,,,,,,,Percent of Total Billed Charges,,,,,1841.1,,,,,,,Percent of Total Billed Charges,,,,,387.6,,,,,,,Percent of Total Billed Charges,,,,,1647.3,,,,,,,Percent of Total Billed Charges,,,,,406.98,,,,,,,Percent of Total Billed Charges,,,,,1744.2,,,,,,,Percent of Total Billed Charges,,,,,1744.2,,,,,,,Percent of Total Billed Charges,,,,,387.6,,,,,,,Percent of Total Billed Charges,,,,,542.64,,,,,,,Percent of Total Billed Charges,,,,,1550.4,,,,,,,Percent of Total Billed Charges,,,,,387.6,,,,,,,Percent of Total Billed Charges,,,, STEM 13MM ,250,RC,,Outpatient,,,3454,2763.2,2580.14,,,,,,,Percent of Total Billed Charges,,2580.14,2580.14,,3454,,,,,,,Percent of Total Billed Charges,,,,,3315.84,,,,,,,Percent of Total Billed Charges,,,,,3281.3,,,,,,,Percent of Total Billed Charges,,,,,690.8,,,,,,,Percent of Total Billed Charges,,,,,2935.9,,,,,,,Percent of Total Billed Charges,,,,,725.34,,,,,,,Percent of Total Billed Charges,,,,,3108.6,,,,,,,Percent of Total Billed Charges,,,,,3108.6,,,,,,,Percent of Total Billed Charges,,,,,690.8,,,,,,,Percent of Total Billed Charges,,,,,967.12,,,,,,,Percent of Total Billed Charges,,,,,2763.2,,,,,,,Percent of Total Billed Charges,,,,,690.8,,,,,,,Percent of Total Billed Charges,,,, STEM 12MM ,250,RC,,Outpatient,,,3934,3147.2,2938.7,,,,,,,Percent of Total Billed Charges,,2938.7,2938.7,,3934,,,,,,,Percent of Total Billed Charges,,,,,3776.64,,,,,,,Percent of Total Billed Charges,,,,,3737.3,,,,,,,Percent of Total Billed Charges,,,,,786.8,,,,,,,Percent of Total Billed Charges,,,,,3343.9,,,,,,,Percent of Total Billed Charges,,,,,826.14,,,,,,,Percent of Total Billed Charges,,,,,3540.6,,,,,,,Percent of Total Billed Charges,,,,,3540.6,,,,,,,Percent of Total Billed Charges,,,,,786.8,,,,,,,Percent of Total Billed Charges,,,,,1101.52,,,,,,,Percent of Total Billed Charges,,,,,3147.2,,,,,,,Percent of Total Billed Charges,,,,,786.8,,,,,,,Percent of Total Billed Charges,,,, STEM 11MM ,250,RC,,Outpatient,,,3454,2763.2,2580.14,,,,,,,Percent of Total Billed Charges,,2580.14,2580.14,,3454,,,,,,,Percent of Total Billed Charges,,,,,3315.84,,,,,,,Percent of Total Billed Charges,,,,,3281.3,,,,,,,Percent of Total Billed Charges,,,,,690.8,,,,,,,Percent of Total Billed Charges,,,,,2935.9,,,,,,,Percent of Total Billed Charges,,,,,725.34,,,,,,,Percent of Total Billed Charges,,,,,3108.6,,,,,,,Percent of Total Billed Charges,,,,,3108.6,,,,,,,Percent of Total Billed Charges,,,,,690.8,,,,,,,Percent of Total Billed Charges,,,,,967.12,,,,,,,Percent of Total Billed Charges,,,,,2763.2,,,,,,,Percent of Total Billed Charges,,,,,690.8,,,,,,,Percent of Total Billed Charges,,,, HEAD 60MM ,250,RC,,Outpatient,,,444,355.2,331.67,,,,,,,Percent of Total Billed Charges,,331.67,331.67,,444,,,,,,,Percent of Total Billed Charges,,,,,426.24,,,,,,,Percent of Total Billed Charges,,,,,421.8,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,,,377.4,,,,,,,Percent of Total Billed Charges,,,,,93.24,,,,,,,Percent of Total Billed Charges,,,,,399.6,,,,,,,Percent of Total Billed Charges,,,,,399.6,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,,,124.32,,,,,,,Percent of Total Billed Charges,,,,,355.2,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,, HEAD 57MM ,250,RC,,Outpatient,,,663.5,530.8,495.63,,,,,,,Percent of Total Billed Charges,,495.63,495.63,,663.5,,,,,,,Percent of Total Billed Charges,,,,,636.96,,,,,,,Percent of Total Billed Charges,,,,,630.33,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,,,563.98,,,,,,,Percent of Total Billed Charges,,,,,139.34,,,,,,,Percent of Total Billed Charges,,,,,597.15,,,,,,,Percent of Total Billed Charges,,,,,597.15,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,,,185.78,,,,,,,Percent of Total Billed Charges,,,,,530.8,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,, HEAD 55MM ,250,RC,,Outpatient,,,1068.5,854.8,798.17,,,,,,,Percent of Total Billed Charges,,798.17,798.17,,1068.5,,,,,,,Percent of Total Billed Charges,,,,,1025.76,,,,,,,Percent of Total Billed Charges,,,,,1015.08,,,,,,,Percent of Total Billed Charges,,,,,213.7,,,,,,,Percent of Total Billed Charges,,,,,908.23,,,,,,,Percent of Total Billed Charges,,,,,224.39,,,,,,,Percent of Total Billed Charges,,,,,961.65,,,,,,,Percent of Total Billed Charges,,,,,961.65,,,,,,,Percent of Total Billed Charges,,,,,213.7,,,,,,,Percent of Total Billed Charges,,,,,299.18,,,,,,,Percent of Total Billed Charges,,,,,854.8,,,,,,,Percent of Total Billed Charges,,,,,213.7,,,,,,,Percent of Total Billed Charges,,,, HEAD 54MM ,250,RC,,Outpatient,,,1055.5,844.4,788.46,,,,,,,Percent of Total Billed Charges,,788.46,788.46,,1055.5,,,,,,,Percent of Total Billed Charges,,,,,1013.28,,,,,,,Percent of Total Billed Charges,,,,,1002.73,,,,,,,Percent of Total Billed Charges,,,,,211.1,,,,,,,Percent of Total Billed Charges,,,,,897.18,,,,,,,Percent of Total Billed Charges,,,,,221.66,,,,,,,Percent of Total Billed Charges,,,,,949.95,,,,,,,Percent of Total Billed Charges,,,,,949.95,,,,,,,Percent of Total Billed Charges,,,,,211.1,,,,,,,Percent of Total Billed Charges,,,,,295.54,,,,,,,Percent of Total Billed Charges,,,,,844.4,,,,,,,Percent of Total Billed Charges,,,,,211.1,,,,,,,Percent of Total Billed Charges,,,, HEAD 53MM ,250,RC,,Outpatient,,,713,570.4,532.61,,,,,,,Percent of Total Billed Charges,,532.61,532.61,,713,,,,,,,Percent of Total Billed Charges,,,,,684.48,,,,,,,Percent of Total Billed Charges,,,,,677.35,,,,,,,Percent of Total Billed Charges,,,,,142.6,,,,,,,Percent of Total Billed Charges,,,,,606.05,,,,,,,Percent of Total Billed Charges,,,,,149.73,,,,,,,Percent of Total Billed Charges,,,,,641.7,,,,,,,Percent of Total Billed Charges,,,,,641.7,,,,,,,Percent of Total Billed Charges,,,,,142.6,,,,,,,Percent of Total Billed Charges,,,,,199.64,,,,,,,Percent of Total Billed Charges,,,,,570.4,,,,,,,Percent of Total Billed Charges,,,,,142.6,,,,,,,Percent of Total Billed Charges,,,, HEAD 52MM ,250,RC,,Outpatient,,,663.5,530.8,495.63,,,,,,,Percent of Total Billed Charges,,495.63,495.63,,663.5,,,,,,,Percent of Total Billed Charges,,,,,636.96,,,,,,,Percent of Total Billed Charges,,,,,630.33,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,,,563.98,,,,,,,Percent of Total Billed Charges,,,,,139.34,,,,,,,Percent of Total Billed Charges,,,,,597.15,,,,,,,Percent of Total Billed Charges,,,,,597.15,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,,,185.78,,,,,,,Percent of Total Billed Charges,,,,,530.8,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,, HEAD 51MM ,250,RC,,Outpatient,,,1102.5,882,823.57,,,,,,,Percent of Total Billed Charges,,823.57,823.57,,1102.5,,,,,,,Percent of Total Billed Charges,,,,,1058.4,,,,,,,Percent of Total Billed Charges,,,,,1047.38,,,,,,,Percent of Total Billed Charges,,,,,220.5,,,,,,,Percent of Total Billed Charges,,,,,937.13,,,,,,,Percent of Total Billed Charges,,,,,231.53,,,,,,,Percent of Total Billed Charges,,,,,992.25,,,,,,,Percent of Total Billed Charges,,,,,992.25,,,,,,,Percent of Total Billed Charges,,,,,220.5,,,,,,,Percent of Total Billed Charges,,,,,308.7,,,,,,,Percent of Total Billed Charges,,,,,882,,,,,,,Percent of Total Billed Charges,,,,,220.5,,,,,,,Percent of Total Billed Charges,,,, HEAD 50MM ,250,RC,,Outpatient,,,663.5,530.8,495.63,,,,,,,Percent of Total Billed Charges,,495.63,495.63,,663.5,,,,,,,Percent of Total Billed Charges,,,,,636.96,,,,,,,Percent of Total Billed Charges,,,,,630.33,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,,,563.98,,,,,,,Percent of Total Billed Charges,,,,,139.34,,,,,,,Percent of Total Billed Charges,,,,,597.15,,,,,,,Percent of Total Billed Charges,,,,,597.15,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,,,185.78,,,,,,,Percent of Total Billed Charges,,,,,530.8,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,, HEAD 49MM ,250,RC,,Outpatient,,,1068.5,854.8,798.17,,,,,,,Percent of Total Billed Charges,,798.17,798.17,,1068.5,,,,,,,Percent of Total Billed Charges,,,,,1025.76,,,,,,,Percent of Total Billed Charges,,,,,1015.08,,,,,,,Percent of Total Billed Charges,,,,,213.7,,,,,,,Percent of Total Billed Charges,,,,,908.23,,,,,,,Percent of Total Billed Charges,,,,,224.39,,,,,,,Percent of Total Billed Charges,,,,,961.65,,,,,,,Percent of Total Billed Charges,,,,,961.65,,,,,,,Percent of Total Billed Charges,,,,,213.7,,,,,,,Percent of Total Billed Charges,,,,,299.18,,,,,,,Percent of Total Billed Charges,,,,,854.8,,,,,,,Percent of Total Billed Charges,,,,,213.7,,,,,,,Percent of Total Billed Charges,,,, HEAD 48MM ,250,RC,,Outpatient,,,2001,1600.8,1494.75,,,,,,,Percent of Total Billed Charges,,1494.75,1494.75,,2001,,,,,,,Percent of Total Billed Charges,,,,,1920.96,,,,,,,Percent of Total Billed Charges,,,,,1900.95,,,,,,,Percent of Total Billed Charges,,,,,400.2,,,,,,,Percent of Total Billed Charges,,,,,1700.85,,,,,,,Percent of Total Billed Charges,,,,,420.21,,,,,,,Percent of Total Billed Charges,,,,,1800.9,,,,,,,Percent of Total Billed Charges,,,,,1800.9,,,,,,,Percent of Total Billed Charges,,,,,400.2,,,,,,,Percent of Total Billed Charges,,,,,560.28,,,,,,,Percent of Total Billed Charges,,,,,1600.8,,,,,,,Percent of Total Billed Charges,,,,,400.2,,,,,,,Percent of Total Billed Charges,,,, HEAD 47MM ,250,RC,,Outpatient,,,1102.5,882,823.57,,,,,,,Percent of Total Billed Charges,,823.57,823.57,,1102.5,,,,,,,Percent of Total Billed Charges,,,,,1058.4,,,,,,,Percent of Total Billed Charges,,,,,1047.38,,,,,,,Percent of Total Billed Charges,,,,,220.5,,,,,,,Percent of Total Billed Charges,,,,,937.13,,,,,,,Percent of Total Billed Charges,,,,,231.53,,,,,,,Percent of Total Billed Charges,,,,,992.25,,,,,,,Percent of Total Billed Charges,,,,,992.25,,,,,,,Percent of Total Billed Charges,,,,,220.5,,,,,,,Percent of Total Billed Charges,,,,,308.7,,,,,,,Percent of Total Billed Charges,,,,,882,,,,,,,Percent of Total Billed Charges,,,,,220.5,,,,,,,Percent of Total Billed Charges,,,, HEAD 46MM ,250,RC,,Outpatient,,,1207,965.6,901.63,,,,,,,Percent of Total Billed Charges,,901.63,901.63,,1207,,,,,,,Percent of Total Billed Charges,,,,,1158.72,,,,,,,Percent of Total Billed Charges,,,,,1146.65,,,,,,,Percent of Total Billed Charges,,,,,241.4,,,,,,,Percent of Total Billed Charges,,,,,1025.95,,,,,,,Percent of Total Billed Charges,,,,,253.47,,,,,,,Percent of Total Billed Charges,,,,,1086.3,,,,,,,Percent of Total Billed Charges,,,,,1086.3,,,,,,,Percent of Total Billed Charges,,,,,241.4,,,,,,,Percent of Total Billed Charges,,,,,337.96,,,,,,,Percent of Total Billed Charges,,,,,965.6,,,,,,,Percent of Total Billed Charges,,,,,241.4,,,,,,,Percent of Total Billed Charges,,,, HEAD 45MM ,250,RC,,Outpatient,,,1102.5,882,823.57,,,,,,,Percent of Total Billed Charges,,823.57,823.57,,1102.5,,,,,,,Percent of Total Billed Charges,,,,,1058.4,,,,,,,Percent of Total Billed Charges,,,,,1047.38,,,,,,,Percent of Total Billed Charges,,,,,220.5,,,,,,,Percent of Total Billed Charges,,,,,937.13,,,,,,,Percent of Total Billed Charges,,,,,231.53,,,,,,,Percent of Total Billed Charges,,,,,992.25,,,,,,,Percent of Total Billed Charges,,,,,992.25,,,,,,,Percent of Total Billed Charges,,,,,220.5,,,,,,,Percent of Total Billed Charges,,,,,308.7,,,,,,,Percent of Total Billed Charges,,,,,882,,,,,,,Percent of Total Billed Charges,,,,,220.5,,,,,,,Percent of Total Billed Charges,,,, HEAD 44MM ,250,RC,,Outpatient,,,1207,965.6,901.63,,,,,,,Percent of Total Billed Charges,,901.63,901.63,,1207,,,,,,,Percent of Total Billed Charges,,,,,1158.72,,,,,,,Percent of Total Billed Charges,,,,,1146.65,,,,,,,Percent of Total Billed Charges,,,,,241.4,,,,,,,Percent of Total Billed Charges,,,,,1025.95,,,,,,,Percent of Total Billed Charges,,,,,253.47,,,,,,,Percent of Total Billed Charges,,,,,1086.3,,,,,,,Percent of Total Billed Charges,,,,,1086.3,,,,,,,Percent of Total Billed Charges,,,,,241.4,,,,,,,Percent of Total Billed Charges,,,,,337.96,,,,,,,Percent of Total Billed Charges,,,,,965.6,,,,,,,Percent of Total Billed Charges,,,,,241.4,,,,,,,Percent of Total Billed Charges,,,, HEAD 43MM ,250,RC,,Outpatient,,,663.5,530.8,495.63,,,,,,,Percent of Total Billed Charges,,495.63,495.63,,663.5,,,,,,,Percent of Total Billed Charges,,,,,636.96,,,,,,,Percent of Total Billed Charges,,,,,630.33,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,,,563.98,,,,,,,Percent of Total Billed Charges,,,,,139.34,,,,,,,Percent of Total Billed Charges,,,,,597.15,,,,,,,Percent of Total Billed Charges,,,,,597.15,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,,,185.78,,,,,,,Percent of Total Billed Charges,,,,,530.8,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,, HEAD 42MM ,250,RC,,Outpatient,,,981.5,785.2,733.18,,,,,,,Percent of Total Billed Charges,,733.18,733.18,,981.5,,,,,,,Percent of Total Billed Charges,,,,,942.24,,,,,,,Percent of Total Billed Charges,,,,,932.43,,,,,,,Percent of Total Billed Charges,,,,,196.3,,,,,,,Percent of Total Billed Charges,,,,,834.28,,,,,,,Percent of Total Billed Charges,,,,,206.12,,,,,,,Percent of Total Billed Charges,,,,,883.35,,,,,,,Percent of Total Billed Charges,,,,,883.35,,,,,,,Percent of Total Billed Charges,,,,,196.3,,,,,,,Percent of Total Billed Charges,,,,,274.82,,,,,,,Percent of Total Billed Charges,,,,,785.2,,,,,,,Percent of Total Billed Charges,,,,,196.3,,,,,,,Percent of Total Billed Charges,,,, HEAD 41MM ,250,RC,,Outpatient,,,663.5,530.8,495.63,,,,,,,Percent of Total Billed Charges,,495.63,495.63,,663.5,,,,,,,Percent of Total Billed Charges,,,,,636.96,,,,,,,Percent of Total Billed Charges,,,,,630.33,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,,,563.98,,,,,,,Percent of Total Billed Charges,,,,,139.34,,,,,,,Percent of Total Billed Charges,,,,,597.15,,,,,,,Percent of Total Billed Charges,,,,,597.15,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,,,185.78,,,,,,,Percent of Total Billed Charges,,,,,530.8,,,,,,,Percent of Total Billed Charges,,,,,132.7,,,,,,,Percent of Total Billed Charges,,,, STEM 16MM ,250,RC,,Outpatient,,,3454,2763.2,2580.14,,,,,,,Percent of Total Billed Charges,,2580.14,2580.14,,3454,,,,,,,Percent of Total Billed Charges,,,,,3315.84,,,,,,,Percent of Total Billed Charges,,,,,3281.3,,,,,,,Percent of Total Billed Charges,,,,,690.8,,,,,,,Percent of Total Billed Charges,,,,,2935.9,,,,,,,Percent of Total Billed Charges,,,,,725.34,,,,,,,Percent of Total Billed Charges,,,,,3108.6,,,,,,,Percent of Total Billed Charges,,,,,3108.6,,,,,,,Percent of Total Billed Charges,,,,,690.8,,,,,,,Percent of Total Billed Charges,,,,,967.12,,,,,,,Percent of Total Billed Charges,,,,,2763.2,,,,,,,Percent of Total Billed Charges,,,,,690.8,,,,,,,Percent of Total Billed Charges,,,, PLATES 135*/4 HOLE 78MM ,250,RC,,Outpatient,,,1942.5,1554,1451.05,,,,,,,Percent of Total Billed Charges,,1451.05,1451.05,,1942.5,,,,,,,Percent of Total Billed Charges,,,,,1864.8,,,,,,,Percent of Total Billed Charges,,,,,1845.38,,,,,,,Percent of Total Billed Charges,,,,,388.5,,,,,,,Percent of Total Billed Charges,,,,,1651.13,,,,,,,Percent of Total Billed Charges,,,,,407.93,,,,,,,Percent of Total Billed Charges,,,,,1748.25,,,,,,,Percent of Total Billed Charges,,,,,1748.25,,,,,,,Percent of Total Billed Charges,,,,,388.5,,,,,,,Percent of Total Billed Charges,,,,,543.9,,,,,,,Percent of Total Billed Charges,,,,,1554,,,,,,,Percent of Total Billed Charges,,,,,388.5,,,,,,,Percent of Total Billed Charges,,,, PLATE 135*/5 HOLE ,250,RC,,Outpatient,,,1001.5,801.2,748.12,,,,,,,Percent of Total Billed Charges,,748.12,748.12,,1001.5,,,,,,,Percent of Total Billed Charges,,,,,961.44,,,,,,,Percent of Total Billed Charges,,,,,951.43,,,,,,,Percent of Total Billed Charges,,,,,200.3,,,,,,,Percent of Total Billed Charges,,,,,851.28,,,,,,,Percent of Total Billed Charges,,,,,210.32,,,,,,,Percent of Total Billed Charges,,,,,901.35,,,,,,,Percent of Total Billed Charges,,,,,901.35,,,,,,,Percent of Total Billed Charges,,,,,200.3,,,,,,,Percent of Total Billed Charges,,,,,280.42,,,,,,,Percent of Total Billed Charges,,,,,801.2,,,,,,,Percent of Total Billed Charges,,,,,200.3,,,,,,,Percent of Total Billed Charges,,,, PLATE 135*/6 HOLE ,250,RC,,Outpatient,,,671,536.8,501.24,,,,,,,Percent of Total Billed Charges,,501.24,501.24,,671,,,,,,,Percent of Total Billed Charges,,,,,644.16,,,,,,,Percent of Total Billed Charges,,,,,637.45,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,570.35,,,,,,,Percent of Total Billed Charges,,,,,140.91,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,187.88,,,,,,,Percent of Total Billed Charges,,,,,536.8,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 135*/8 HOLE ,250,RC,,Outpatient,,,1139,911.2,850.83,,,,,,,Percent of Total Billed Charges,,850.83,850.83,,1139,,,,,,,Percent of Total Billed Charges,,,,,1093.44,,,,,,,Percent of Total Billed Charges,,,,,1082.05,,,,,,,Percent of Total Billed Charges,,,,,227.8,,,,,,,Percent of Total Billed Charges,,,,,968.15,,,,,,,Percent of Total Billed Charges,,,,,239.19,,,,,,,Percent of Total Billed Charges,,,,,1025.1,,,,,,,Percent of Total Billed Charges,,,,,1025.1,,,,,,,Percent of Total Billed Charges,,,,,227.8,,,,,,,Percent of Total Billed Charges,,,,,318.92,,,,,,,Percent of Total Billed Charges,,,,,911.2,,,,,,,Percent of Total Billed Charges,,,,,227.8,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 135*/10 HOLE ,250,RC,,Outpatient,,,1267,1013.6,946.45,,,,,,,Percent of Total Billed Charges,,946.45,946.45,,1267,,,,,,,Percent of Total Billed Charges,,,,,1216.32,,,,,,,Percent of Total Billed Charges,,,,,1203.65,,,,,,,Percent of Total Billed Charges,,,,,253.4,,,,,,,Percent of Total Billed Charges,,,,,1076.95,,,,,,,Percent of Total Billed Charges,,,,,266.07,,,,,,,Percent of Total Billed Charges,,,,,1140.3,,,,,,,Percent of Total Billed Charges,,,,,1140.3,,,,,,,Percent of Total Billed Charges,,,,,253.4,,,,,,,Percent of Total Billed Charges,,,,,354.76,,,,,,,Percent of Total Billed Charges,,,,,1013.6,,,,,,,Percent of Total Billed Charges,,,,,253.4,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 135*/12 HOLE ,250,RC,,Outpatient,,,897.5,718,670.43,,,,,,,Percent of Total Billed Charges,,670.43,670.43,,897.5,,,,,,,Percent of Total Billed Charges,,,,,861.6,,,,,,,Percent of Total Billed Charges,,,,,852.63,,,,,,,Percent of Total Billed Charges,,,,,179.5,,,,,,,Percent of Total Billed Charges,,,,,762.88,,,,,,,Percent of Total Billed Charges,,,,,188.48,,,,,,,Percent of Total Billed Charges,,,,,807.75,,,,,,,Percent of Total Billed Charges,,,,,807.75,,,,,,,Percent of Total Billed Charges,,,,,179.5,,,,,,,Percent of Total Billed Charges,,,,,251.3,,,,,,,Percent of Total Billed Charges,,,,,718,,,,,,,Percent of Total Billed Charges,,,,,179.5,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 135*/14 HOLE ,250,RC,,Outpatient,,,1195,956,892.67,,,,,,,Percent of Total Billed Charges,,892.67,892.67,,1195,,,,,,,Percent of Total Billed Charges,,,,,1147.2,,,,,,,Percent of Total Billed Charges,,,,,1135.25,,,,,,,Percent of Total Billed Charges,,,,,239,,,,,,,Percent of Total Billed Charges,,,,,1015.75,,,,,,,Percent of Total Billed Charges,,,,,250.95,,,,,,,Percent of Total Billed Charges,,,,,1075.5,,,,,,,Percent of Total Billed Charges,,,,,1075.5,,,,,,,Percent of Total Billed Charges,,,,,239,,,,,,,Percent of Total Billed Charges,,,,,334.6,,,,,,,Percent of Total Billed Charges,,,,,956,,,,,,,Percent of Total Billed Charges,,,,,239,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 65MM ,250,RC,,Outpatient,,,631,504.8,471.36,,,,,,,Percent of Total Billed Charges,,471.36,471.36,,631,,,,,,,Percent of Total Billed Charges,,,,,605.76,,,,,,,Percent of Total Billed Charges,,,,,599.45,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,,,536.35,,,,,,,Percent of Total Billed Charges,,,,,132.51,,,,,,,Percent of Total Billed Charges,,,,,567.9,,,,,,,Percent of Total Billed Charges,,,,,567.9,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,,,176.68,,,,,,,Percent of Total Billed Charges,,,,,504.8,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 70MM ,250,RC,,Outpatient,,,1392.5,1114,1040.2,,,,,,,Percent of Total Billed Charges,,1040.2,1040.2,,1392.5,,,,,,,Percent of Total Billed Charges,,,,,1336.8,,,,,,,Percent of Total Billed Charges,,,,,1322.88,,,,,,,Percent of Total Billed Charges,,,,,278.5,,,,,,,Percent of Total Billed Charges,,,,,1183.63,,,,,,,Percent of Total Billed Charges,,,,,292.43,,,,,,,Percent of Total Billed Charges,,,,,1253.25,,,,,,,Percent of Total Billed Charges,,,,,1253.25,,,,,,,Percent of Total Billed Charges,,,,,278.5,,,,,,,Percent of Total Billed Charges,,,,,389.9,,,,,,,Percent of Total Billed Charges,,,,,1114,,,,,,,Percent of Total Billed Charges,,,,,278.5,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 75MM ,250,RC,,Outpatient,,,1392.5,1114,1040.2,,,,,,,Percent of Total Billed Charges,,1040.2,1040.2,,1392.5,,,,,,,Percent of Total Billed Charges,,,,,1336.8,,,,,,,Percent of Total Billed Charges,,,,,1322.88,,,,,,,Percent of Total Billed Charges,,,,,278.5,,,,,,,Percent of Total Billed Charges,,,,,1183.63,,,,,,,Percent of Total Billed Charges,,,,,292.43,,,,,,,Percent of Total Billed Charges,,,,,1253.25,,,,,,,Percent of Total Billed Charges,,,,,1253.25,,,,,,,Percent of Total Billed Charges,,,,,278.5,,,,,,,Percent of Total Billed Charges,,,,,389.9,,,,,,,Percent of Total Billed Charges,,,,,1114,,,,,,,Percent of Total Billed Charges,,,,,278.5,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 80MM ,250,RC,,Outpatient,,,1392.5,1114,1040.2,,,,,,,Percent of Total Billed Charges,,1040.2,1040.2,,1392.5,,,,,,,Percent of Total Billed Charges,,,,,1336.8,,,,,,,Percent of Total Billed Charges,,,,,1322.88,,,,,,,Percent of Total Billed Charges,,,,,278.5,,,,,,,Percent of Total Billed Charges,,,,,1183.63,,,,,,,Percent of Total Billed Charges,,,,,292.43,,,,,,,Percent of Total Billed Charges,,,,,1253.25,,,,,,,Percent of Total Billed Charges,,,,,1253.25,,,,,,,Percent of Total Billed Charges,,,,,278.5,,,,,,,Percent of Total Billed Charges,,,,,389.9,,,,,,,Percent of Total Billed Charges,,,,,1114,,,,,,,Percent of Total Billed Charges,,,,,278.5,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 85M ,250,RC,,Outpatient,,,1591,1272.8,1188.48,,,,,,,Percent of Total Billed Charges,,1188.48,1188.48,,1591,,,,,,,Percent of Total Billed Charges,,,,,1527.36,,,,,,,Percent of Total Billed Charges,,,,,1511.45,,,,,,,Percent of Total Billed Charges,,,,,318.2,,,,,,,Percent of Total Billed Charges,,,,,1352.35,,,,,,,Percent of Total Billed Charges,,,,,334.11,,,,,,,Percent of Total Billed Charges,,,,,1431.9,,,,,,,Percent of Total Billed Charges,,,,,1431.9,,,,,,,Percent of Total Billed Charges,,,,,318.2,,,,,,,Percent of Total Billed Charges,,,,,445.48,,,,,,,Percent of Total Billed Charges,,,,,1272.8,,,,,,,Percent of Total Billed Charges,,,,,318.2,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 90MM ,250,RC,,Outpatient,,,1591,1272.8,1188.48,,,,,,,Percent of Total Billed Charges,,1188.48,1188.48,,1591,,,,,,,Percent of Total Billed Charges,,,,,1527.36,,,,,,,Percent of Total Billed Charges,,,,,1511.45,,,,,,,Percent of Total Billed Charges,,,,,318.2,,,,,,,Percent of Total Billed Charges,,,,,1352.35,,,,,,,Percent of Total Billed Charges,,,,,334.11,,,,,,,Percent of Total Billed Charges,,,,,1431.9,,,,,,,Percent of Total Billed Charges,,,,,1431.9,,,,,,,Percent of Total Billed Charges,,,,,318.2,,,,,,,Percent of Total Billed Charges,,,,,445.48,,,,,,,Percent of Total Billed Charges,,,,,1272.8,,,,,,,Percent of Total Billed Charges,,,,,318.2,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 95MM ,250,RC,,Outpatient,,,1375.5,1100.4,1027.5,,,,,,,Percent of Total Billed Charges,,1027.5,1027.5,,1375.5,,,,,,,Percent of Total Billed Charges,,,,,1320.48,,,,,,,Percent of Total Billed Charges,,,,,1306.73,,,,,,,Percent of Total Billed Charges,,,,,275.1,,,,,,,Percent of Total Billed Charges,,,,,1169.18,,,,,,,Percent of Total Billed Charges,,,,,288.86,,,,,,,Percent of Total Billed Charges,,,,,1237.95,,,,,,,Percent of Total Billed Charges,,,,,1237.95,,,,,,,Percent of Total Billed Charges,,,,,275.1,,,,,,,Percent of Total Billed Charges,,,,,385.14,,,,,,,Percent of Total Billed Charges,,,,,1100.4,,,,,,,Percent of Total Billed Charges,,,,,275.1,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 100MM ,250,RC,,Outpatient,,,1384.5,1107.6,1034.22,,,,,,,Percent of Total Billed Charges,,1034.22,1034.22,,1384.5,,,,,,,Percent of Total Billed Charges,,,,,1329.12,,,,,,,Percent of Total Billed Charges,,,,,1315.28,,,,,,,Percent of Total Billed Charges,,,,,276.9,,,,,,,Percent of Total Billed Charges,,,,,1176.83,,,,,,,Percent of Total Billed Charges,,,,,290.75,,,,,,,Percent of Total Billed Charges,,,,,1246.05,,,,,,,Percent of Total Billed Charges,,,,,1246.05,,,,,,,Percent of Total Billed Charges,,,,,276.9,,,,,,,Percent of Total Billed Charges,,,,,387.66,,,,,,,Percent of Total Billed Charges,,,,,1107.6,,,,,,,Percent of Total Billed Charges,,,,,276.9,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 105MM ,250,RC,,Outpatient,,,668,534.4,499,,,,,,,Percent of Total Billed Charges,,499,499,,668,,,,,,,Percent of Total Billed Charges,,,,,641.28,,,,,,,Percent of Total Billed Charges,,,,,634.6,,,,,,,Percent of Total Billed Charges,,,,,133.6,,,,,,,Percent of Total Billed Charges,,,,,567.8,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,601.2,,,,,,,Percent of Total Billed Charges,,,,,601.2,,,,,,,Percent of Total Billed Charges,,,,,133.6,,,,,,,Percent of Total Billed Charges,,,,,187.04,,,,,,,Percent of Total Billed Charges,,,,,534.4,,,,,,,Percent of Total Billed Charges,,,,,133.6,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 110MM ,250,RC,,Outpatient,,,557.5,446,416.45,,,,,,,Percent of Total Billed Charges,,416.45,416.45,,557.5,,,,,,,Percent of Total Billed Charges,,,,,535.2,,,,,,,Percent of Total Billed Charges,,,,,529.63,,,,,,,Percent of Total Billed Charges,,,,,111.5,,,,,,,Percent of Total Billed Charges,,,,,473.88,,,,,,,Percent of Total Billed Charges,,,,,117.08,,,,,,,Percent of Total Billed Charges,,,,,501.75,,,,,,,Percent of Total Billed Charges,,,,,501.75,,,,,,,Percent of Total Billed Charges,,,,,111.5,,,,,,,Percent of Total Billed Charges,,,,,156.1,,,,,,,Percent of Total Billed Charges,,,,,446,,,,,,,Percent of Total Billed Charges,,,,,111.5,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 115MM ,250,RC,,Outpatient,,,494.5,395.6,369.39,,,,,,,Percent of Total Billed Charges,,369.39,369.39,,494.5,,,,,,,Percent of Total Billed Charges,,,,,474.72,,,,,,,Percent of Total Billed Charges,,,,,469.78,,,,,,,Percent of Total Billed Charges,,,,,98.9,,,,,,,Percent of Total Billed Charges,,,,,420.33,,,,,,,Percent of Total Billed Charges,,,,,103.85,,,,,,,Percent of Total Billed Charges,,,,,445.05,,,,,,,Percent of Total Billed Charges,,,,,445.05,,,,,,,Percent of Total Billed Charges,,,,,98.9,,,,,,,Percent of Total Billed Charges,,,,,138.46,,,,,,,Percent of Total Billed Charges,,,,,395.6,,,,,,,Percent of Total Billed Charges,,,,,98.9,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 120MM ,250,RC,,Outpatient,,,494.5,395.6,369.39,,,,,,,Percent of Total Billed Charges,,369.39,369.39,,494.5,,,,,,,Percent of Total Billed Charges,,,,,474.72,,,,,,,Percent of Total Billed Charges,,,,,469.78,,,,,,,Percent of Total Billed Charges,,,,,98.9,,,,,,,Percent of Total Billed Charges,,,,,420.33,,,,,,,Percent of Total Billed Charges,,,,,103.85,,,,,,,Percent of Total Billed Charges,,,,,445.05,,,,,,,Percent of Total Billed Charges,,,,,445.05,,,,,,,Percent of Total Billed Charges,,,,,98.9,,,,,,,Percent of Total Billed Charges,,,,,138.46,,,,,,,Percent of Total Billed Charges,,,,,395.6,,,,,,,Percent of Total Billed Charges,,,,,98.9,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW SELF TAPPING 28MM ,250,RC,,Outpatient,,,60,48,44.82,,,,,,,Percent of Total Billed Charges,,44.82,44.82,,60,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,57,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 30MM ,250,RC,,Outpatient,,,124,99.2,92.63,,,,,,,Percent of Total Billed Charges,,92.63,92.63,,124,,,,,,,Percent of Total Billed Charges,,,,,119.04,,,,,,,Percent of Total Billed Charges,,,,,117.8,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,105.4,,,,,,,Percent of Total Billed Charges,,,,,26.04,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,34.72,,,,,,,Percent of Total Billed Charges,,,,,99.2,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 32MM ,250,RC,,Outpatient,,,195,156,145.67,,,,,,,Percent of Total Billed Charges,,145.67,145.67,,195,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,185.25,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,165.75,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 34MM ,250,RC,,Outpatient,,,195,156,145.67,,,,,,,Percent of Total Billed Charges,,145.67,145.67,,195,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,185.25,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,165.75,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 36MM ,250,RC,,Outpatient,,,195,156,145.67,,,,,,,Percent of Total Billed Charges,,145.67,145.67,,195,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,185.25,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,165.75,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 38MM ,250,RC,,Outpatient,,,140.5,112.4,104.95,,,,,,,Percent of Total Billed Charges,,104.95,104.95,,140.5,,,,,,,Percent of Total Billed Charges,,,,,134.88,,,,,,,Percent of Total Billed Charges,,,,,133.48,,,,,,,Percent of Total Billed Charges,,,,,28.1,,,,,,,Percent of Total Billed Charges,,,,,119.43,,,,,,,Percent of Total Billed Charges,,,,,29.51,,,,,,,Percent of Total Billed Charges,,,,,126.45,,,,,,,Percent of Total Billed Charges,,,,,126.45,,,,,,,Percent of Total Billed Charges,,,,,28.1,,,,,,,Percent of Total Billed Charges,,,,,39.34,,,,,,,Percent of Total Billed Charges,,,,,112.4,,,,,,,Percent of Total Billed Charges,,,,,28.1,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 40MM ,250,RC,,Outpatient,,,195,156,145.67,,,,,,,Percent of Total Billed Charges,,145.67,145.67,,195,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,185.25,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,165.75,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 42MM ,250,RC,,Outpatient,,,195,156,145.67,,,,,,,Percent of Total Billed Charges,,145.67,145.67,,195,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,185.25,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,165.75,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 44MM ,250,RC,,Outpatient,,,81,64.8,60.51,,,,,,,Percent of Total Billed Charges,,60.51,60.51,,81,,,,,,,Percent of Total Billed Charges,,,,,77.76,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,17.01,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 46MM ,250,RC,,Outpatient,,,73.5,58.8,54.9,,,,,,,Percent of Total Billed Charges,,54.9,54.9,,73.5,,,,,,,Percent of Total Billed Charges,,,,,70.56,,,,,,,Percent of Total Billed Charges,,,,,69.83,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,62.48,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,66.15,,,,,,,Percent of Total Billed Charges,,,,,66.15,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,58.8,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 48MM ,250,RC,,Outpatient,,,231,184.8,172.56,,,,,,,Percent of Total Billed Charges,,172.56,172.56,,231,,,,,,,Percent of Total Billed Charges,,,,,221.76,,,,,,,Percent of Total Billed Charges,,,,,219.45,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,196.35,,,,,,,Percent of Total Billed Charges,,,,,48.51,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 50MM ,250,RC,,Outpatient,,,61,48.8,45.57,,,,,,,Percent of Total Billed Charges,,45.57,45.57,,61,,,,,,,Percent of Total Billed Charges,,,,,58.56,,,,,,,Percent of Total Billed Charges,,,,,57.95,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,,,51.85,,,,,,,Percent of Total Billed Charges,,,,,12.81,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,,,17.08,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 52MM ,250,RC,,Outpatient,,,65.5,52.4,48.93,,,,,,,Percent of Total Billed Charges,,48.93,48.93,,65.5,,,,,,,Percent of Total Billed Charges,,,,,62.88,,,,,,,Percent of Total Billed Charges,,,,,62.23,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,,,55.68,,,,,,,Percent of Total Billed Charges,,,,,13.76,,,,,,,Percent of Total Billed Charges,,,,,58.95,,,,,,,Percent of Total Billed Charges,,,,,58.95,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,,,18.34,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 54MM ,250,RC,,Outpatient,,,52.5,42,39.22,,,,,,,Percent of Total Billed Charges,,39.22,39.22,,52.5,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,11.03,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,42,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,, COMPRESSION SCREW 36MM ,250,RC,,Outpatient,,,384,307.2,286.85,,,,,,,Percent of Total Billed Charges,,286.85,286.85,,384,,,,,,,Percent of Total Billed Charges,,,,,368.64,,,,,,,Percent of Total Billed Charges,,,,,364.8,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,80.64,,,,,,,Percent of Total Billed Charges,,,,,345.6,,,,,,,Percent of Total Billed Charges,,,,,345.6,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,107.52,,,,,,,Percent of Total Billed Charges,,,,,307.2,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,, SHORT BARREL 135*/4 HOLE ,250,RC,,Outpatient,,,671,536.8,501.24,,,,,,,Percent of Total Billed Charges,,501.24,501.24,,671,,,,,,,Percent of Total Billed Charges,,,,,644.16,,,,,,,Percent of Total Billed Charges,,,,,637.45,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,570.35,,,,,,,Percent of Total Billed Charges,,,,,140.91,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,187.88,,,,,,,Percent of Total Billed Charges,,,,,536.8,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,, SHORT BARREL PLATE 150*/4 HOLE ,250,RC,,Outpatient,,,671,536.8,501.24,,,,,,,Percent of Total Billed Charges,,501.24,501.24,,671,,,,,,,Percent of Total Billed Charges,,,,,644.16,,,,,,,Percent of Total Billed Charges,,,,,637.45,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,570.35,,,,,,,Percent of Total Billed Charges,,,,,140.91,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,187.88,,,,,,,Percent of Total Billed Charges,,,,,536.8,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,, BUTT PLATE ANGLED LT 4 HOLES ,250,RC,,Outpatient,,,573.5,458.8,428.4,,,,,,,Percent of Total Billed Charges,,428.4,428.4,,573.5,,,,,,,Percent of Total Billed Charges,,,,,550.56,,,,,,,Percent of Total Billed Charges,,,,,544.83,,,,,,,Percent of Total Billed Charges,,,,,114.7,,,,,,,Percent of Total Billed Charges,,,,,487.48,,,,,,,Percent of Total Billed Charges,,,,,120.44,,,,,,,Percent of Total Billed Charges,,,,,516.15,,,,,,,Percent of Total Billed Charges,,,,,516.15,,,,,,,Percent of Total Billed Charges,,,,,114.7,,,,,,,Percent of Total Billed Charges,,,,,160.58,,,,,,,Percent of Total Billed Charges,,,,,458.8,,,,,,,Percent of Total Billed Charges,,,,,114.7,,,,,,,Percent of Total Billed Charges,,,, TIBIAL BUTTRESS RT 7 HOLES ,250,RC,,Outpatient,,,879.5,703.6,656.99,,,,,,,Percent of Total Billed Charges,,656.99,656.99,,879.5,,,,,,,Percent of Total Billed Charges,,,,,844.32,,,,,,,Percent of Total Billed Charges,,,,,835.53,,,,,,,Percent of Total Billed Charges,,,,,175.9,,,,,,,Percent of Total Billed Charges,,,,,747.58,,,,,,,Percent of Total Billed Charges,,,,,184.7,,,,,,,Percent of Total Billed Charges,,,,,791.55,,,,,,,Percent of Total Billed Charges,,,,,791.55,,,,,,,Percent of Total Billed Charges,,,,,175.9,,,,,,,Percent of Total Billed Charges,,,,,246.26,,,,,,,Percent of Total Billed Charges,,,,,703.6,,,,,,,Percent of Total Billed Charges,,,,,175.9,,,,,,,Percent of Total Billed Charges,,,, TIBIAL BUTTRESS PLATE RT 11 HOLES ,250,RC,,Outpatient,,,1006.5,805.2,751.86,,,,,,,Percent of Total Billed Charges,,751.86,751.86,,1006.5,,,,,,,Percent of Total Billed Charges,,,,,966.24,,,,,,,Percent of Total Billed Charges,,,,,956.18,,,,,,,Percent of Total Billed Charges,,,,,201.3,,,,,,,Percent of Total Billed Charges,,,,,855.53,,,,,,,Percent of Total Billed Charges,,,,,211.37,,,,,,,Percent of Total Billed Charges,,,,,905.85,,,,,,,Percent of Total Billed Charges,,,,,905.85,,,,,,,Percent of Total Billed Charges,,,,,201.3,,,,,,,Percent of Total Billed Charges,,,,,281.82,,,,,,,Percent of Total Billed Charges,,,,,805.2,,,,,,,Percent of Total Billed Charges,,,,,201.3,,,,,,,Percent of Total Billed Charges,,,, L-BUTTRESS ANGLE RT 4 HOLES ,250,RC,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, TIBIAL BUTTRESS LT 7 HOLES ,250,RC,,Outpatient,,,1054,843.2,787.34,,,,,,,Percent of Total Billed Charges,,787.34,787.34,,1054,,,,,,,Percent of Total Billed Charges,,,,,1011.84,,,,,,,Percent of Total Billed Charges,,,,,1001.3,,,,,,,Percent of Total Billed Charges,,,,,210.8,,,,,,,Percent of Total Billed Charges,,,,,895.9,,,,,,,Percent of Total Billed Charges,,,,,221.34,,,,,,,Percent of Total Billed Charges,,,,,948.6,,,,,,,Percent of Total Billed Charges,,,,,948.6,,,,,,,Percent of Total Billed Charges,,,,,210.8,,,,,,,Percent of Total Billed Charges,,,,,295.12,,,,,,,Percent of Total Billed Charges,,,,,843.2,,,,,,,Percent of Total Billed Charges,,,,,210.8,,,,,,,Percent of Total Billed Charges,,,, TIBIAL BUTTRESS LT 11 HOLES ,250,RC,,Outpatient,,,1073,858.4,801.53,,,,,,,Percent of Total Billed Charges,,801.53,801.53,,1073,,,,,,,Percent of Total Billed Charges,,,,,1030.08,,,,,,,Percent of Total Billed Charges,,,,,1019.35,,,,,,,Percent of Total Billed Charges,,,,,214.6,,,,,,,Percent of Total Billed Charges,,,,,912.05,,,,,,,Percent of Total Billed Charges,,,,,225.33,,,,,,,Percent of Total Billed Charges,,,,,965.7,,,,,,,Percent of Total Billed Charges,,,,,965.7,,,,,,,Percent of Total Billed Charges,,,,,214.6,,,,,,,Percent of Total Billed Charges,,,,,300.44,,,,,,,Percent of Total Billed Charges,,,,,858.4,,,,,,,Percent of Total Billed Charges,,,,,214.6,,,,,,,Percent of Total Billed Charges,,,, 4.5MM BROAD PLATE 6 HOLE ,250,RC,,Outpatient,,,303,242.4,226.34,,,,,,,Percent of Total Billed Charges,,226.34,226.34,,303,,,,,,,Percent of Total Billed Charges,,,,,290.88,,,,,,,Percent of Total Billed Charges,,,,,287.85,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,257.55,,,,,,,Percent of Total Billed Charges,,,,,63.63,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,84.84,,,,,,,Percent of Total Billed Charges,,,,,242.4,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,, 4.5MM BROADPLATE 7 HOLES ,250,RC,,Outpatient,,,303,242.4,226.34,,,,,,,Percent of Total Billed Charges,,226.34,226.34,,303,,,,,,,Percent of Total Billed Charges,,,,,290.88,,,,,,,Percent of Total Billed Charges,,,,,287.85,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,257.55,,,,,,,Percent of Total Billed Charges,,,,,63.63,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,84.84,,,,,,,Percent of Total Billed Charges,,,,,242.4,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,, 4.5MM BROADPLATE 8 HOLES ,250,RC,,Outpatient,,,374,299.2,279.38,,,,,,,Percent of Total Billed Charges,,279.38,279.38,,374,,,,,,,Percent of Total Billed Charges,,,,,359.04,,,,,,,Percent of Total Billed Charges,,,,,355.3,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,317.9,,,,,,,Percent of Total Billed Charges,,,,,78.54,,,,,,,Percent of Total Billed Charges,,,,,336.6,,,,,,,Percent of Total Billed Charges,,,,,336.6,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,104.72,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,, 4.5MM BROADPLATE 9 HOLES ,250,RC,,Outpatient,,,621,496.8,463.89,,,,,,,Percent of Total Billed Charges,,463.89,463.89,,621,,,,,,,Percent of Total Billed Charges,,,,,596.16,,,,,,,Percent of Total Billed Charges,,,,,589.95,,,,,,,Percent of Total Billed Charges,,,,,124.2,,,,,,,Percent of Total Billed Charges,,,,,527.85,,,,,,,Percent of Total Billed Charges,,,,,130.41,,,,,,,Percent of Total Billed Charges,,,,,558.9,,,,,,,Percent of Total Billed Charges,,,,,558.9,,,,,,,Percent of Total Billed Charges,,,,,124.2,,,,,,,Percent of Total Billed Charges,,,,,173.88,,,,,,,Percent of Total Billed Charges,,,,,496.8,,,,,,,Percent of Total Billed Charges,,,,,124.2,,,,,,,Percent of Total Billed Charges,,,, 4.5MM BROADPLATE 10 HOLES ,250,RC,,Outpatient,,,659,527.2,492.27,,,,,,,Percent of Total Billed Charges,,492.27,492.27,,659,,,,,,,Percent of Total Billed Charges,,,,,632.64,,,,,,,Percent of Total Billed Charges,,,,,626.05,,,,,,,Percent of Total Billed Charges,,,,,131.8,,,,,,,Percent of Total Billed Charges,,,,,560.15,,,,,,,Percent of Total Billed Charges,,,,,138.39,,,,,,,Percent of Total Billed Charges,,,,,593.1,,,,,,,Percent of Total Billed Charges,,,,,593.1,,,,,,,Percent of Total Billed Charges,,,,,131.8,,,,,,,Percent of Total Billed Charges,,,,,184.52,,,,,,,Percent of Total Billed Charges,,,,,527.2,,,,,,,Percent of Total Billed Charges,,,,,131.8,,,,,,,Percent of Total Billed Charges,,,, 4.5MM BROADPLATE 14 HOLES ,250,RC,,Outpatient,,,401.5,321.2,299.92,,,,,,,Percent of Total Billed Charges,,299.92,299.92,,401.5,,,,,,,Percent of Total Billed Charges,,,,,385.44,,,,,,,Percent of Total Billed Charges,,,,,381.43,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,341.28,,,,,,,Percent of Total Billed Charges,,,,,84.32,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,361.35,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,,,112.42,,,,,,,Percent of Total Billed Charges,,,,,321.2,,,,,,,Percent of Total Billed Charges,,,,,80.3,,,,,,,Percent of Total Billed Charges,,,, 4.5MM NARROW PLATE4 HOLES ,250,RC,,Outpatient,,,284.5,227.6,212.52,,,,,,,Percent of Total Billed Charges,,212.52,212.52,,284.5,,,,,,,Percent of Total Billed Charges,,,,,273.12,,,,,,,Percent of Total Billed Charges,,,,,270.28,,,,,,,Percent of Total Billed Charges,,,,,56.9,,,,,,,Percent of Total Billed Charges,,,,,241.83,,,,,,,Percent of Total Billed Charges,,,,,59.75,,,,,,,Percent of Total Billed Charges,,,,,256.05,,,,,,,Percent of Total Billed Charges,,,,,256.05,,,,,,,Percent of Total Billed Charges,,,,,56.9,,,,,,,Percent of Total Billed Charges,,,,,79.66,,,,,,,Percent of Total Billed Charges,,,,,227.6,,,,,,,Percent of Total Billed Charges,,,,,56.9,,,,,,,Percent of Total Billed Charges,,,, 4.5MM NARROW PLATES 5 HOLES ,250,RC,,Outpatient,,,284.5,227.6,212.52,,,,,,,Percent of Total Billed Charges,,212.52,212.52,,284.5,,,,,,,Percent of Total Billed Charges,,,,,273.12,,,,,,,Percent of Total Billed Charges,,,,,270.28,,,,,,,Percent of Total Billed Charges,,,,,56.9,,,,,,,Percent of Total Billed Charges,,,,,241.83,,,,,,,Percent of Total Billed Charges,,,,,59.75,,,,,,,Percent of Total Billed Charges,,,,,256.05,,,,,,,Percent of Total Billed Charges,,,,,256.05,,,,,,,Percent of Total Billed Charges,,,,,56.9,,,,,,,Percent of Total Billed Charges,,,,,79.66,,,,,,,Percent of Total Billed Charges,,,,,227.6,,,,,,,Percent of Total Billed Charges,,,,,56.9,,,,,,,Percent of Total Billed Charges,,,, 4.5MM NARROW PLATES 6 HOLES ,250,RC,,Outpatient,,,257.5,206,192.35,,,,,,,Percent of Total Billed Charges,,192.35,192.35,,257.5,,,,,,,Percent of Total Billed Charges,,,,,247.2,,,,,,,Percent of Total Billed Charges,,,,,244.63,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,,,218.88,,,,,,,Percent of Total Billed Charges,,,,,54.08,,,,,,,Percent of Total Billed Charges,,,,,231.75,,,,,,,Percent of Total Billed Charges,,,,,231.75,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,,,72.1,,,,,,,Percent of Total Billed Charges,,,,,206,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,, 4.5MM NARROW PLATES 7 HOLE ,250,RC,,Outpatient,,,257.5,206,192.35,,,,,,,Percent of Total Billed Charges,,192.35,192.35,,257.5,,,,,,,Percent of Total Billed Charges,,,,,247.2,,,,,,,Percent of Total Billed Charges,,,,,244.63,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,,,218.88,,,,,,,Percent of Total Billed Charges,,,,,54.08,,,,,,,Percent of Total Billed Charges,,,,,231.75,,,,,,,Percent of Total Billed Charges,,,,,231.75,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,,,72.1,,,,,,,Percent of Total Billed Charges,,,,,206,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,, 4.5MM NARROW PLATES 8 HOLE ,250,RC,,Outpatient,,,257.5,206,192.35,,,,,,,Percent of Total Billed Charges,,192.35,192.35,,257.5,,,,,,,Percent of Total Billed Charges,,,,,247.2,,,,,,,Percent of Total Billed Charges,,,,,244.63,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,,,218.88,,,,,,,Percent of Total Billed Charges,,,,,54.08,,,,,,,Percent of Total Billed Charges,,,,,231.75,,,,,,,Percent of Total Billed Charges,,,,,231.75,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,,,72.1,,,,,,,Percent of Total Billed Charges,,,,,206,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,, 4.5MM NARROW PLATE 9 HOLE ,250,RC,,Outpatient,,,482,385.6,360.05,,,,,,,Percent of Total Billed Charges,,360.05,360.05,,482,,,,,,,Percent of Total Billed Charges,,,,,462.72,,,,,,,Percent of Total Billed Charges,,,,,457.9,,,,,,,Percent of Total Billed Charges,,,,,96.4,,,,,,,Percent of Total Billed Charges,,,,,409.7,,,,,,,Percent of Total Billed Charges,,,,,101.22,,,,,,,Percent of Total Billed Charges,,,,,433.8,,,,,,,Percent of Total Billed Charges,,,,,433.8,,,,,,,Percent of Total Billed Charges,,,,,96.4,,,,,,,Percent of Total Billed Charges,,,,,134.96,,,,,,,Percent of Total Billed Charges,,,,,385.6,,,,,,,Percent of Total Billed Charges,,,,,96.4,,,,,,,Percent of Total Billed Charges,,,, 4.5MM NARROW PLATE 10 HOLE ,250,RC,,Outpatient,,,295,236,220.37,,,,,,,Percent of Total Billed Charges,,220.37,220.37,,295,,,,,,,Percent of Total Billed Charges,,,,,283.2,,,,,,,Percent of Total Billed Charges,,,,,280.25,,,,,,,Percent of Total Billed Charges,,,,,59,,,,,,,Percent of Total Billed Charges,,,,,250.75,,,,,,,Percent of Total Billed Charges,,,,,61.95,,,,,,,Percent of Total Billed Charges,,,,,265.5,,,,,,,Percent of Total Billed Charges,,,,,265.5,,,,,,,Percent of Total Billed Charges,,,,,59,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,,,236,,,,,,,Percent of Total Billed Charges,,,,,59,,,,,,,Percent of Total Billed Charges,,,, 4.5MM NARROW PLATE 12 HOLE ,250,RC,,Outpatient,,,295,236,220.37,,,,,,,Percent of Total Billed Charges,,220.37,220.37,,295,,,,,,,Percent of Total Billed Charges,,,,,283.2,,,,,,,Percent of Total Billed Charges,,,,,280.25,,,,,,,Percent of Total Billed Charges,,,,,59,,,,,,,Percent of Total Billed Charges,,,,,250.75,,,,,,,Percent of Total Billed Charges,,,,,61.95,,,,,,,Percent of Total Billed Charges,,,,,265.5,,,,,,,Percent of Total Billed Charges,,,,,265.5,,,,,,,Percent of Total Billed Charges,,,,,59,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,,,236,,,,,,,Percent of Total Billed Charges,,,,,59,,,,,,,Percent of Total Billed Charges,,,, 4.5MM NARROW PLATE 14 HOLE ,250,RC,,Outpatient,,,393.5,314.8,293.94,,,,,,,Percent of Total Billed Charges,,293.94,293.94,,393.5,,,,,,,Percent of Total Billed Charges,,,,,377.76,,,,,,,Percent of Total Billed Charges,,,,,373.83,,,,,,,Percent of Total Billed Charges,,,,,78.7,,,,,,,Percent of Total Billed Charges,,,,,334.48,,,,,,,Percent of Total Billed Charges,,,,,82.64,,,,,,,Percent of Total Billed Charges,,,,,354.15,,,,,,,Percent of Total Billed Charges,,,,,354.15,,,,,,,Percent of Total Billed Charges,,,,,78.7,,,,,,,Percent of Total Billed Charges,,,,,110.18,,,,,,,Percent of Total Billed Charges,,,,,314.8,,,,,,,Percent of Total Billed Charges,,,,,78.7,,,,,,,Percent of Total Billed Charges,,,, 4.5MM NARROW PLATE 16 HOLE ,250,RC,,Outpatient,,,374,299.2,279.38,,,,,,,Percent of Total Billed Charges,,279.38,279.38,,374,,,,,,,Percent of Total Billed Charges,,,,,359.04,,,,,,,Percent of Total Billed Charges,,,,,355.3,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,317.9,,,,,,,Percent of Total Billed Charges,,,,,78.54,,,,,,,Percent of Total Billed Charges,,,,,336.6,,,,,,,Percent of Total Billed Charges,,,,,336.6,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,104.72,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,, STRAIGHT SEMI-TUBULAR 4 HOLES ,250,RC,,Outpatient,,,157,125.6,117.28,,,,,,,Percent of Total Billed Charges,,117.28,117.28,,157,,,,,,,Percent of Total Billed Charges,,,,,150.72,,,,,,,Percent of Total Billed Charges,,,,,149.15,,,,,,,Percent of Total Billed Charges,,,,,31.4,,,,,,,Percent of Total Billed Charges,,,,,133.45,,,,,,,Percent of Total Billed Charges,,,,,32.97,,,,,,,Percent of Total Billed Charges,,,,,141.3,,,,,,,Percent of Total Billed Charges,,,,,141.3,,,,,,,Percent of Total Billed Charges,,,,,31.4,,,,,,,Percent of Total Billed Charges,,,,,43.96,,,,,,,Percent of Total Billed Charges,,,,,125.6,,,,,,,Percent of Total Billed Charges,,,,,31.4,,,,,,,Percent of Total Billed Charges,,,, STRAIGHT SEMI-TUBULAR 5 HOLES ,250,RC,,Outpatient,,,162,129.6,121.01,,,,,,,Percent of Total Billed Charges,,121.01,121.01,,162,,,,,,,Percent of Total Billed Charges,,,,,155.52,,,,,,,Percent of Total Billed Charges,,,,,153.9,,,,,,,Percent of Total Billed Charges,,,,,32.4,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,34.02,,,,,,,Percent of Total Billed Charges,,,,,145.8,,,,,,,Percent of Total Billed Charges,,,,,145.8,,,,,,,Percent of Total Billed Charges,,,,,32.4,,,,,,,Percent of Total Billed Charges,,,,,45.36,,,,,,,Percent of Total Billed Charges,,,,,129.6,,,,,,,Percent of Total Billed Charges,,,,,32.4,,,,,,,Percent of Total Billed Charges,,,, STRAIGHT SEMI-TUBULAR 6 HOLES ,250,RC,,Outpatient,,,173,138.4,129.23,,,,,,,Percent of Total Billed Charges,,129.23,129.23,,173,,,,,,,Percent of Total Billed Charges,,,,,166.08,,,,,,,Percent of Total Billed Charges,,,,,164.35,,,,,,,Percent of Total Billed Charges,,,,,34.6,,,,,,,Percent of Total Billed Charges,,,,,147.05,,,,,,,Percent of Total Billed Charges,,,,,36.33,,,,,,,Percent of Total Billed Charges,,,,,155.7,,,,,,,Percent of Total Billed Charges,,,,,155.7,,,,,,,Percent of Total Billed Charges,,,,,34.6,,,,,,,Percent of Total Billed Charges,,,,,48.44,,,,,,,Percent of Total Billed Charges,,,,,138.4,,,,,,,Percent of Total Billed Charges,,,,,34.6,,,,,,,Percent of Total Billed Charges,,,, STRAIGHT SEMI-TUBULAR 7 HOLES ,250,RC,,Outpatient,,,185.5,148.4,138.57,,,,,,,Percent of Total Billed Charges,,138.57,138.57,,185.5,,,,,,,Percent of Total Billed Charges,,,,,178.08,,,,,,,Percent of Total Billed Charges,,,,,176.23,,,,,,,Percent of Total Billed Charges,,,,,37.1,,,,,,,Percent of Total Billed Charges,,,,,157.68,,,,,,,Percent of Total Billed Charges,,,,,38.96,,,,,,,Percent of Total Billed Charges,,,,,166.95,,,,,,,Percent of Total Billed Charges,,,,,166.95,,,,,,,Percent of Total Billed Charges,,,,,37.1,,,,,,,Percent of Total Billed Charges,,,,,51.94,,,,,,,Percent of Total Billed Charges,,,,,148.4,,,,,,,Percent of Total Billed Charges,,,,,37.1,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 45MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 50MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 55MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 60MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 65MM ,250,RC,,Outpatient,,,118,94.4,88.15,,,,,,,Percent of Total Billed Charges,,88.15,88.15,,118,,,,,,,Percent of Total Billed Charges,,,,,113.28,,,,,,,Percent of Total Billed Charges,,,,,112.1,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,33.04,,,,,,,Percent of Total Billed Charges,,,,,94.4,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 70MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 75MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 80MM ,250,RC,,Outpatient,,,118,94.4,88.15,,,,,,,Percent of Total Billed Charges,,88.15,88.15,,118,,,,,,,Percent of Total Billed Charges,,,,,113.28,,,,,,,Percent of Total Billed Charges,,,,,112.1,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,33.04,,,,,,,Percent of Total Billed Charges,,,,,94.4,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 85MM ,250,RC,,Outpatient,,,130,104,97.11,,,,,,,Percent of Total Billed Charges,,97.11,97.11,,130,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,123.5,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,110.5,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,117,,,,,,,Percent of Total Billed Charges,,,,,117,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,,,104,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 90MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 95MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 100MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 105MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 110MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, ORTH SCREW WDRF 1-1/4IN ,250,RC,,Outpatient,,,45.5,36.4,33.99,,,,,,,Percent of Total Billed Charges,,33.99,33.99,,45.5,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,43.23,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,38.68,,,,,,,Percent of Total Billed Charges,,,,,9.56,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,12.74,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,, ORTH SCREW WDRF 1-3/8IN ,250,RC,,Outpatient,,,58.5,46.8,43.7,,,,,,,Percent of Total Billed Charges,,43.7,43.7,,58.5,,,,,,,Percent of Total Billed Charges,,,,,56.16,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,49.73,,,,,,,Percent of Total Billed Charges,,,,,12.29,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS BONE SCREW 10MM FULL THREAD ,250,RC,,Outpatient,,,46.5,37.2,34.74,,,,,,,Percent of Total Billed Charges,,34.74,34.74,,46.5,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,,,44.18,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,39.53,,,,,,,Percent of Total Billed Charges,,,,,9.77,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS BONE SCREW 12MM FULL THREAD ,250,RC,,Outpatient,,,220,176,164.34,,,,,,,Percent of Total Billed Charges,,164.34,164.34,,220,,,,,,,Percent of Total Billed Charges,,,,,211.2,,,,,,,Percent of Total Billed Charges,,,,,209,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,187,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,176,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS BONE SCREW 14MM FULL THREAD ,250,RC,,Outpatient,,,118.5,94.8,88.52,,,,,,,Percent of Total Billed Charges,,88.52,88.52,,118.5,,,,,,,Percent of Total Billed Charges,,,,,113.76,,,,,,,Percent of Total Billed Charges,,,,,112.58,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,,,100.73,,,,,,,Percent of Total Billed Charges,,,,,24.89,,,,,,,Percent of Total Billed Charges,,,,,106.65,,,,,,,Percent of Total Billed Charges,,,,,106.65,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,,,33.18,,,,,,,Percent of Total Billed Charges,,,,,94.8,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS BONE SCREW 4.0MM/16MM FULL TH,250,RC,,Outpatient,,,220,176,164.34,,,,,,,Percent of Total Billed Charges,,164.34,164.34,,220,,,,,,,Percent of Total Billed Charges,,,,,211.2,,,,,,,Percent of Total Billed Charges,,,,,209,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,187,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,176,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS BONE SCREW 4.0MM/18MM FULL TH,250,RC,,Outpatient,,,228,182.4,170.32,,,,,,,Percent of Total Billed Charges,,170.32,170.32,,228,,,,,,,Percent of Total Billed Charges,,,,,218.88,,,,,,,Percent of Total Billed Charges,,,,,216.6,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,47.88,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,182.4,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/20MM FULL THREAD ,250,RC,,Outpatient,,,228,182.4,170.32,,,,,,,Percent of Total Billed Charges,,170.32,170.32,,228,,,,,,,Percent of Total Billed Charges,,,,,218.88,,,,,,,Percent of Total Billed Charges,,,,,216.6,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,47.88,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,182.4,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/22MM FULL THREAD ,250,RC,,Outpatient,,,235.5,188.4,175.92,,,,,,,Percent of Total Billed Charges,,175.92,175.92,,235.5,,,,,,,Percent of Total Billed Charges,,,,,226.08,,,,,,,Percent of Total Billed Charges,,,,,223.73,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,,,200.18,,,,,,,Percent of Total Billed Charges,,,,,49.46,,,,,,,Percent of Total Billed Charges,,,,,211.95,,,,,,,Percent of Total Billed Charges,,,,,211.95,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,,,65.94,,,,,,,Percent of Total Billed Charges,,,,,188.4,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/24MM FULL THREAD ,250,RC,,Outpatient,,,118.5,94.8,88.52,,,,,,,Percent of Total Billed Charges,,88.52,88.52,,118.5,,,,,,,Percent of Total Billed Charges,,,,,113.76,,,,,,,Percent of Total Billed Charges,,,,,112.58,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,,,100.73,,,,,,,Percent of Total Billed Charges,,,,,24.89,,,,,,,Percent of Total Billed Charges,,,,,106.65,,,,,,,Percent of Total Billed Charges,,,,,106.65,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,,,33.18,,,,,,,Percent of Total Billed Charges,,,,,94.8,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/26MM FULL THREAD ,250,RC,,Outpatient,,,257,205.6,191.98,,,,,,,Percent of Total Billed Charges,,191.98,191.98,,257,,,,,,,Percent of Total Billed Charges,,,,,246.72,,,,,,,Percent of Total Billed Charges,,,,,244.15,,,,,,,Percent of Total Billed Charges,,,,,51.4,,,,,,,Percent of Total Billed Charges,,,,,218.45,,,,,,,Percent of Total Billed Charges,,,,,53.97,,,,,,,Percent of Total Billed Charges,,,,,231.3,,,,,,,Percent of Total Billed Charges,,,,,231.3,,,,,,,Percent of Total Billed Charges,,,,,51.4,,,,,,,Percent of Total Billed Charges,,,,,71.96,,,,,,,Percent of Total Billed Charges,,,,,205.6,,,,,,,Percent of Total Billed Charges,,,,,51.4,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/28MM FULL THREAD ,250,RC,,Outpatient,,,257,205.6,191.98,,,,,,,Percent of Total Billed Charges,,191.98,191.98,,257,,,,,,,Percent of Total Billed Charges,,,,,246.72,,,,,,,Percent of Total Billed Charges,,,,,244.15,,,,,,,Percent of Total Billed Charges,,,,,51.4,,,,,,,Percent of Total Billed Charges,,,,,218.45,,,,,,,Percent of Total Billed Charges,,,,,53.97,,,,,,,Percent of Total Billed Charges,,,,,231.3,,,,,,,Percent of Total Billed Charges,,,,,231.3,,,,,,,Percent of Total Billed Charges,,,,,51.4,,,,,,,Percent of Total Billed Charges,,,,,71.96,,,,,,,Percent of Total Billed Charges,,,,,205.6,,,,,,,Percent of Total Billed Charges,,,,,51.4,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/30MM FULL THREAD ,250,RC,,Outpatient,,,220,176,164.34,,,,,,,Percent of Total Billed Charges,,164.34,164.34,,220,,,,,,,Percent of Total Billed Charges,,,,,211.2,,,,,,,Percent of Total Billed Charges,,,,,209,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,187,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,176,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/35MM FULL THREAD ,250,RC,,Outpatient,,,104.5,83.6,78.06,,,,,,,Percent of Total Billed Charges,,78.06,78.06,,104.5,,,,,,,Percent of Total Billed Charges,,,,,100.32,,,,,,,Percent of Total Billed Charges,,,,,99.28,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,21.95,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,29.26,,,,,,,Percent of Total Billed Charges,,,,,83.6,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/40MM FULL THREAD ,250,RC,,Outpatient,,,46.5,37.2,34.74,,,,,,,Percent of Total Billed Charges,,34.74,34.74,,46.5,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,,,44.18,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,39.53,,,,,,,Percent of Total Billed Charges,,,,,9.77,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/45MM FULL THREAD ,250,RC,,Outpatient,,,226,180.8,168.82,,,,,,,Percent of Total Billed Charges,,168.82,168.82,,226,,,,,,,Percent of Total Billed Charges,,,,,216.96,,,,,,,Percent of Total Billed Charges,,,,,214.7,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,,,192.1,,,,,,,Percent of Total Billed Charges,,,,,47.46,,,,,,,Percent of Total Billed Charges,,,,,203.4,,,,,,,Percent of Total Billed Charges,,,,,203.4,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,,,63.28,,,,,,,Percent of Total Billed Charges,,,,,180.8,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/50MM FULL THREAD ,250,RC,,Outpatient,,,228,182.4,170.32,,,,,,,Percent of Total Billed Charges,,170.32,170.32,,228,,,,,,,Percent of Total Billed Charges,,,,,218.88,,,,,,,Percent of Total Billed Charges,,,,,216.6,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,47.88,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,182.4,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/55MM FULL THREAD ,250,RC,,Outpatient,,,46.5,37.2,34.74,,,,,,,Percent of Total Billed Charges,,34.74,34.74,,46.5,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,,,44.18,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,39.53,,,,,,,Percent of Total Billed Charges,,,,,9.77,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,, CANCELLOUS SCREW 4.0MM/60MM FULL THREAD ,250,RC,,Outpatient,,,46.5,37.2,34.74,,,,,,,Percent of Total Billed Charges,,34.74,34.74,,46.5,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,,,44.18,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,39.53,,,,,,,Percent of Total Billed Charges,,,,,9.77,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,, ORTH SCREW MALR 70MM ,250,RC,,Outpatient,,,51.5,41.2,38.47,,,,,,,Percent of Total Billed Charges,,38.47,38.47,,51.5,,,,,,,Percent of Total Billed Charges,,,,,49.44,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,43.78,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,, STANDARD BARREL PLATE 140*/4 HOLE ,250,RC,,Outpatient,,,671,536.8,501.24,,,,,,,Percent of Total Billed Charges,,501.24,501.24,,671,,,,,,,Percent of Total Billed Charges,,,,,644.16,,,,,,,Percent of Total Billed Charges,,,,,637.45,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,570.35,,,,,,,Percent of Total Billed Charges,,,,,140.91,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,187.88,,,,,,,Percent of Total Billed Charges,,,,,536.8,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,, STANDARD BARREL PLATE 150*/5 HOLE ,250,RC,,Outpatient,,,671,536.8,501.24,,,,,,,Percent of Total Billed Charges,,501.24,501.24,,671,,,,,,,Percent of Total Billed Charges,,,,,644.16,,,,,,,Percent of Total Billed Charges,,,,,637.45,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,570.35,,,,,,,Percent of Total Billed Charges,,,,,140.91,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,187.88,,,,,,,Percent of Total Billed Charges,,,,,536.8,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,, STANDARD BARREL PLATE 150*/6 HOLE ,250,RC,,Outpatient,,,671,536.8,501.24,,,,,,,Percent of Total Billed Charges,,501.24,501.24,,671,,,,,,,Percent of Total Billed Charges,,,,,644.16,,,,,,,Percent of Total Billed Charges,,,,,637.45,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,570.35,,,,,,,Percent of Total Billed Charges,,,,,140.91,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,187.88,,,,,,,Percent of Total Billed Charges,,,,,536.8,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,, SHAFT SCREW 3.5MM/16MM ,250,RC,,Outpatient,,,76,60.8,56.77,,,,,,,Percent of Total Billed Charges,,56.77,56.77,,76,,,,,,,Percent of Total Billed Charges,,,,,72.96,,,,,,,Percent of Total Billed Charges,,,,,72.2,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,64.6,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,21.28,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,, SHAFT SCREW 3.5MM/18MM ,250,RC,,Outpatient,,,51.5,41.2,38.47,,,,,,,Percent of Total Billed Charges,,38.47,38.47,,51.5,,,,,,,Percent of Total Billed Charges,,,,,49.44,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,43.78,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,, SHAFT SCREW 3.5MM/20MM ,250,RC,,Outpatient,,,51.5,41.2,38.47,,,,,,,Percent of Total Billed Charges,,38.47,38.47,,51.5,,,,,,,Percent of Total Billed Charges,,,,,49.44,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,43.78,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,, SHAFT SCREW 3.5MM/22MM ,250,RC,,Outpatient,,,51.5,41.2,38.47,,,,,,,Percent of Total Billed Charges,,38.47,38.47,,51.5,,,,,,,Percent of Total Billed Charges,,,,,49.44,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,43.78,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,, SHAFT SCREW 3.5MM/24MM ,250,RC,,Outpatient,,,51.5,41.2,38.47,,,,,,,Percent of Total Billed Charges,,38.47,38.47,,51.5,,,,,,,Percent of Total Billed Charges,,,,,49.44,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,43.78,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,, SHAFT SCREW 3.5MM/26MM ,250,RC,,Outpatient,,,51.5,41.2,38.47,,,,,,,Percent of Total Billed Charges,,38.47,38.47,,51.5,,,,,,,Percent of Total Billed Charges,,,,,49.44,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,43.78,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,, SHAFT SCREW 3.5MM/28MM ,250,RC,,Outpatient,,,195,156,145.67,,,,,,,Percent of Total Billed Charges,,145.67,145.67,,195,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,185.25,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,165.75,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,175.5,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,39,,,,,,,Percent of Total Billed Charges,,,, SHAFT SCREW 3.5MM/30MM ,250,RC,,Outpatient,,,51.5,41.2,38.47,,,,,,,Percent of Total Billed Charges,,38.47,38.47,,51.5,,,,,,,Percent of Total Billed Charges,,,,,49.44,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,43.78,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,, SHAFT SCREW 3.5MM/32MM ,250,RC,,Outpatient,,,51.5,41.2,38.47,,,,,,,Percent of Total Billed Charges,,38.47,38.47,,51.5,,,,,,,Percent of Total Billed Charges,,,,,49.44,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,43.78,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,, SHAFT SCREW 3.5MM/34MM ,250,RC,,Outpatient,,,51.5,41.2,38.47,,,,,,,Percent of Total Billed Charges,,38.47,38.47,,51.5,,,,,,,Percent of Total Billed Charges,,,,,49.44,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,43.78,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,, SHAFT SCREW 3.5MM/36MM ,250,RC,,Outpatient,,,51.5,41.2,38.47,,,,,,,Percent of Total Billed Charges,,38.47,38.47,,51.5,,,,,,,Percent of Total Billed Charges,,,,,49.44,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,43.78,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,, SHAFT SCREW 3.5MM/38MM ,250,RC,,Outpatient,,,51.5,41.2,38.47,,,,,,,Percent of Total Billed Charges,,38.47,38.47,,51.5,,,,,,,Percent of Total Billed Charges,,,,,49.44,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,43.78,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,, TROCHANTER STABILIZATION PLATE 138MM ,250,RC,,Outpatient,,,891.5,713.2,665.95,,,,,,,Percent of Total Billed Charges,,665.95,665.95,,891.5,,,,,,,Percent of Total Billed Charges,,,,,855.84,,,,,,,Percent of Total Billed Charges,,,,,846.93,,,,,,,Percent of Total Billed Charges,,,,,178.3,,,,,,,Percent of Total Billed Charges,,,,,757.78,,,,,,,Percent of Total Billed Charges,,,,,187.22,,,,,,,Percent of Total Billed Charges,,,,,802.35,,,,,,,Percent of Total Billed Charges,,,,,802.35,,,,,,,Percent of Total Billed Charges,,,,,178.3,,,,,,,Percent of Total Billed Charges,,,,,249.62,,,,,,,Percent of Total Billed Charges,,,,,713.2,,,,,,,Percent of Total Billed Charges,,,,,178.3,,,,,,,Percent of Total Billed Charges,,,, TROCHANTER STABILIZATION PLATE 148MM ,250,RC,,Outpatient,,,688,550.4,513.94,,,,,,,Percent of Total Billed Charges,,513.94,513.94,,688,,,,,,,Percent of Total Billed Charges,,,,,660.48,,,,,,,Percent of Total Billed Charges,,,,,653.6,,,,,,,Percent of Total Billed Charges,,,,,137.6,,,,,,,Percent of Total Billed Charges,,,,,584.8,,,,,,,Percent of Total Billed Charges,,,,,144.48,,,,,,,Percent of Total Billed Charges,,,,,619.2,,,,,,,Percent of Total Billed Charges,,,,,619.2,,,,,,,Percent of Total Billed Charges,,,,,137.6,,,,,,,Percent of Total Billed Charges,,,,,192.64,,,,,,,Percent of Total Billed Charges,,,,,550.4,,,,,,,Percent of Total Billed Charges,,,,,137.6,,,,,,,Percent of Total Billed Charges,,,, MENISCUS CUTTER 3.5MM ,250,RC,,Outpatient,,,148.5,118.8,110.93,,,,,,,Percent of Total Billed Charges,,110.93,110.93,,148.5,,,,,,,Percent of Total Billed Charges,,,,,142.56,,,,,,,Percent of Total Billed Charges,,,,,141.08,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,126.23,,,,,,,Percent of Total Billed Charges,,,,,31.19,,,,,,,Percent of Total Billed Charges,,,,,133.65,,,,,,,Percent of Total Billed Charges,,,,,133.65,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,41.58,,,,,,,Percent of Total Billed Charges,,,,,118.8,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,, MENISCUS CUTTER 5.5MM ,250,RC,,Outpatient,,,237,189.6,177.04,,,,,,,Percent of Total Billed Charges,,177.04,177.04,,237,,,,,,,Percent of Total Billed Charges,,,,,227.52,,,,,,,Percent of Total Billed Charges,,,,,225.15,,,,,,,Percent of Total Billed Charges,,,,,47.4,,,,,,,Percent of Total Billed Charges,,,,,201.45,,,,,,,Percent of Total Billed Charges,,,,,49.77,,,,,,,Percent of Total Billed Charges,,,,,213.3,,,,,,,Percent of Total Billed Charges,,,,,213.3,,,,,,,Percent of Total Billed Charges,,,,,47.4,,,,,,,Percent of Total Billed Charges,,,,,66.36,,,,,,,Percent of Total Billed Charges,,,,,189.6,,,,,,,Percent of Total Billed Charges,,,,,47.4,,,,,,,Percent of Total Billed Charges,,,, CUDA 4.2MM ,250,RC,,Outpatient,,,648.5,518.8,484.43,,,,,,,Percent of Total Billed Charges,,484.43,484.43,,648.5,,,,,,,Percent of Total Billed Charges,,,,,622.56,,,,,,,Percent of Total Billed Charges,,,,,616.08,,,,,,,Percent of Total Billed Charges,,,,,129.7,,,,,,,Percent of Total Billed Charges,,,,,551.23,,,,,,,Percent of Total Billed Charges,,,,,136.19,,,,,,,Percent of Total Billed Charges,,,,,583.65,,,,,,,Percent of Total Billed Charges,,,,,583.65,,,,,,,Percent of Total Billed Charges,,,,,129.7,,,,,,,Percent of Total Billed Charges,,,,,181.58,,,,,,,Percent of Total Billed Charges,,,,,518.8,,,,,,,Percent of Total Billed Charges,,,,,129.7,,,,,,,Percent of Total Billed Charges,,,, CUDA 5.5MM ,250,RC,,Outpatient,,,271.5,217.2,202.81,,,,,,,Percent of Total Billed Charges,,202.81,202.81,,271.5,,,,,,,Percent of Total Billed Charges,,,,,260.64,,,,,,,Percent of Total Billed Charges,,,,,257.93,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,,,230.78,,,,,,,Percent of Total Billed Charges,,,,,57.02,,,,,,,Percent of Total Billed Charges,,,,,244.35,,,,,,,Percent of Total Billed Charges,,,,,244.35,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,,,76.02,,,,,,,Percent of Total Billed Charges,,,,,217.2,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,, FULL RADIUS RESECTOR 3.5MM ,250,RC,,Outpatient,,,148.5,118.8,110.93,,,,,,,Percent of Total Billed Charges,,110.93,110.93,,148.5,,,,,,,Percent of Total Billed Charges,,,,,142.56,,,,,,,Percent of Total Billed Charges,,,,,141.08,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,126.23,,,,,,,Percent of Total Billed Charges,,,,,31.19,,,,,,,Percent of Total Billed Charges,,,,,133.65,,,,,,,Percent of Total Billed Charges,,,,,133.65,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,41.58,,,,,,,Percent of Total Billed Charges,,,,,118.8,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,, FULL RADIUS RESECTOR 5.5MM ,250,RC,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, OVAL BURR 4.0MM ,250,RC,,Outpatient,,,271.5,217.2,202.81,,,,,,,Percent of Total Billed Charges,,202.81,202.81,,271.5,,,,,,,Percent of Total Billed Charges,,,,,260.64,,,,,,,Percent of Total Billed Charges,,,,,257.93,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,,,230.78,,,,,,,Percent of Total Billed Charges,,,,,57.02,,,,,,,Percent of Total Billed Charges,,,,,244.35,,,,,,,Percent of Total Billed Charges,,,,,244.35,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,,,76.02,,,,,,,Percent of Total Billed Charges,,,,,217.2,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,, OVAL BURR 6.0MM ,250,RC,,Outpatient,,,271.5,217.2,202.81,,,,,,,Percent of Total Billed Charges,,202.81,202.81,,271.5,,,,,,,Percent of Total Billed Charges,,,,,260.64,,,,,,,Percent of Total Billed Charges,,,,,257.93,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,,,230.78,,,,,,,Percent of Total Billed Charges,,,,,57.02,,,,,,,Percent of Total Billed Charges,,,,,244.35,,,,,,,Percent of Total Billed Charges,,,,,244.35,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,,,76.02,,,,,,,Percent of Total Billed Charges,,,,,217.2,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,, SPHERICAL BURR 4.5MM ,250,RC,,Outpatient,,,271.5,217.2,202.81,,,,,,,Percent of Total Billed Charges,,202.81,202.81,,271.5,,,,,,,Percent of Total Billed Charges,,,,,260.64,,,,,,,Percent of Total Billed Charges,,,,,257.93,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,,,230.78,,,,,,,Percent of Total Billed Charges,,,,,57.02,,,,,,,Percent of Total Billed Charges,,,,,244.35,,,,,,,Percent of Total Billed Charges,,,,,244.35,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,,,76.02,,,,,,,Percent of Total Billed Charges,,,,,217.2,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,, SPHERICAL BURR 5.5MM ,250,RC,,Outpatient,,,271.5,217.2,202.81,,,,,,,Percent of Total Billed Charges,,202.81,202.81,,271.5,,,,,,,Percent of Total Billed Charges,,,,,260.64,,,,,,,Percent of Total Billed Charges,,,,,257.93,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,,,230.78,,,,,,,Percent of Total Billed Charges,,,,,57.02,,,,,,,Percent of Total Billed Charges,,,,,244.35,,,,,,,Percent of Total Billed Charges,,,,,244.35,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,,,76.02,,,,,,,Percent of Total Billed Charges,,,,,217.2,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,, ARTHRO-KNIFE ROSETTE ,250,RC,,Outpatient,,,224,179.2,167.33,,,,,,,Percent of Total Billed Charges,,167.33,167.33,,224,,,,,,,Percent of Total Billed Charges,,,,,215.04,,,,,,,Percent of Total Billed Charges,,,,,212.8,,,,,,,Percent of Total Billed Charges,,,,,44.8,,,,,,,Percent of Total Billed Charges,,,,,190.4,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,201.6,,,,,,,Percent of Total Billed Charges,,,,,201.6,,,,,,,Percent of Total Billed Charges,,,,,44.8,,,,,,,Percent of Total Billed Charges,,,,,62.72,,,,,,,Percent of Total Billed Charges,,,,,179.2,,,,,,,Percent of Total Billed Charges,,,,,44.8,,,,,,,Percent of Total Billed Charges,,,, ARTHRO-KNIFE RETRO ,250,RC,,Outpatient,,,224,179.2,167.33,,,,,,,Percent of Total Billed Charges,,167.33,167.33,,224,,,,,,,Percent of Total Billed Charges,,,,,215.04,,,,,,,Percent of Total Billed Charges,,,,,212.8,,,,,,,Percent of Total Billed Charges,,,,,44.8,,,,,,,Percent of Total Billed Charges,,,,,190.4,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,201.6,,,,,,,Percent of Total Billed Charges,,,,,201.6,,,,,,,Percent of Total Billed Charges,,,,,44.8,,,,,,,Percent of Total Billed Charges,,,,,62.72,,,,,,,Percent of Total Billed Charges,,,,,179.2,,,,,,,Percent of Total Billed Charges,,,,,44.8,,,,,,,Percent of Total Billed Charges,,,, BANANA LEFT SERRATED ARTHRO KNIFE ,250,RC,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, ORTH SCREW ASNIS 100MM ,250,RC,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, ORTH SCREW ASNIS 105MM ,250,RC,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, ORTH SCREW ASNIS 110MM ,250,RC,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, ORTH SCREW ASNIS 115MM ,250,RC,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, ORTH SCREW ASNIS 120MM ,250,RC,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, ORTH SCREW ASNIS 125MM ,250,RC,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, ORTH SCREW ASNIS 130MM ,250,RC,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, ORTHO RADIOLUCENT TARGET DEVICE ,250,RC,,Outpatient,,,681,544.8,508.71,,,,,,,Percent of Total Billed Charges,,508.71,508.71,,681,,,,,,,Percent of Total Billed Charges,,,,,653.76,,,,,,,Percent of Total Billed Charges,,,,,646.95,,,,,,,Percent of Total Billed Charges,,,,,136.2,,,,,,,Percent of Total Billed Charges,,,,,578.85,,,,,,,Percent of Total Billed Charges,,,,,143.01,,,,,,,Percent of Total Billed Charges,,,,,612.9,,,,,,,Percent of Total Billed Charges,,,,,612.9,,,,,,,Percent of Total Billed Charges,,,,,136.2,,,,,,,Percent of Total Billed Charges,,,,,190.68,,,,,,,Percent of Total Billed Charges,,,,,544.8,,,,,,,Percent of Total Billed Charges,,,,,136.2,,,,,,,Percent of Total Billed Charges,,,, ORTHO DRILL RADIOLUCENT TARGETING DEVICE,250,RC,,Outpatient,,,492.5,394,367.9,,,,,,,Percent of Total Billed Charges,,367.9,367.9,,492.5,,,,,,,Percent of Total Billed Charges,,,,,472.8,,,,,,,Percent of Total Billed Charges,,,,,467.88,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,418.63,,,,,,,Percent of Total Billed Charges,,,,,103.43,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,137.9,,,,,,,Percent of Total Billed Charges,,,,,394,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,, ORTHO REAMER SHAFT MOD.TRINKLE ,250,RC,,Outpatient,,,497,397.6,371.26,,,,,,,Percent of Total Billed Charges,,371.26,371.26,,497,,,,,,,Percent of Total Billed Charges,,,,,477.12,,,,,,,Percent of Total Billed Charges,,,,,472.15,,,,,,,Percent of Total Billed Charges,,,,,99.4,,,,,,,Percent of Total Billed Charges,,,,,422.45,,,,,,,Percent of Total Billed Charges,,,,,104.37,,,,,,,Percent of Total Billed Charges,,,,,447.3,,,,,,,Percent of Total Billed Charges,,,,,447.3,,,,,,,Percent of Total Billed Charges,,,,,99.4,,,,,,,Percent of Total Billed Charges,,,,,139.16,,,,,,,Percent of Total Billed Charges,,,,,397.6,,,,,,,Percent of Total Billed Charges,,,,,99.4,,,,,,,Percent of Total Billed Charges,,,, "ORTH COMP SCREW 1"" LONG ",250,RC,,Outpatient,,,118,94.4,88.15,,,,,,,Percent of Total Billed Charges,,88.15,88.15,,118,,,,,,,Percent of Total Billed Charges,,,,,113.28,,,,,,,Percent of Total Billed Charges,,,,,112.1,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,33.04,,,,,,,Percent of Total Billed Charges,,,,,94.4,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,, O/R ENDOBLADE PLANTAR FASCIA KIT ,250,RC,,Outpatient,,,1633,1306.4,1219.85,,,,,,,Percent of Total Billed Charges,,1219.85,1219.85,,1633,,,,,,,Percent of Total Billed Charges,,,,,1567.68,,,,,,,Percent of Total Billed Charges,,,,,1551.35,,,,,,,Percent of Total Billed Charges,,,,,326.6,,,,,,,Percent of Total Billed Charges,,,,,1388.05,,,,,,,Percent of Total Billed Charges,,,,,342.93,,,,,,,Percent of Total Billed Charges,,,,,1469.7,,,,,,,Percent of Total Billed Charges,,,,,1469.7,,,,,,,Percent of Total Billed Charges,,,,,326.6,,,,,,,Percent of Total Billed Charges,,,,,457.24,,,,,,,Percent of Total Billed Charges,,,,,1306.4,,,,,,,Percent of Total Billed Charges,,,,,326.6,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/8 4 ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/8 4-1/2 ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/8 5 ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/8 5-1/2 ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/8 6 ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/8 6-1/2 ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/8 7 ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/8 7-1/2 ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/8 8 ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/8 8-1/2 ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/8 9 ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/8 9-1/2 ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/8 10 ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 3/16 8 ,250,RC,,Outpatient,,,116.5,93.2,87.03,,,,,,,Percent of Total Billed Charges,,87.03,87.03,,116.5,,,,,,,Percent of Total Billed Charges,,,,,111.84,,,,,,,Percent of Total Billed Charges,,,,,110.68,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,99.03,,,,,,,Percent of Total Billed Charges,,,,,24.47,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,32.62,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 3/16 8-3/4 ,250,RC,,Outpatient,,,116.5,93.2,87.03,,,,,,,Percent of Total Billed Charges,,87.03,87.03,,116.5,,,,,,,Percent of Total Billed Charges,,,,,111.84,,,,,,,Percent of Total Billed Charges,,,,,110.68,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,99.03,,,,,,,Percent of Total Billed Charges,,,,,24.47,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,32.62,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 3/16 9-1/2 ,250,RC,,Outpatient,,,116.5,93.2,87.03,,,,,,,Percent of Total Billed Charges,,87.03,87.03,,116.5,,,,,,,Percent of Total Billed Charges,,,,,111.84,,,,,,,Percent of Total Billed Charges,,,,,110.68,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,99.03,,,,,,,Percent of Total Billed Charges,,,,,24.47,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,32.62,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 3/16 10-1/4 ,250,RC,,Outpatient,,,116.5,93.2,87.03,,,,,,,Percent of Total Billed Charges,,87.03,87.03,,116.5,,,,,,,Percent of Total Billed Charges,,,,,111.84,,,,,,,Percent of Total Billed Charges,,,,,110.68,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,99.03,,,,,,,Percent of Total Billed Charges,,,,,24.47,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,32.62,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 3/16 11 ,250,RC,,Outpatient,,,116.5,93.2,87.03,,,,,,,Percent of Total Billed Charges,,87.03,87.03,,116.5,,,,,,,Percent of Total Billed Charges,,,,,111.84,,,,,,,Percent of Total Billed Charges,,,,,110.68,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,99.03,,,,,,,Percent of Total Billed Charges,,,,,24.47,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,32.62,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 3/16 11-3/4 ,250,RC,,Outpatient,,,116.5,93.2,87.03,,,,,,,Percent of Total Billed Charges,,87.03,87.03,,116.5,,,,,,,Percent of Total Billed Charges,,,,,111.84,,,,,,,Percent of Total Billed Charges,,,,,110.68,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,99.03,,,,,,,Percent of Total Billed Charges,,,,,24.47,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,32.62,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 3/16 12-1/2 ,250,RC,,Outpatient,,,116.5,93.2,87.03,,,,,,,Percent of Total Billed Charges,,87.03,87.03,,116.5,,,,,,,Percent of Total Billed Charges,,,,,111.84,,,,,,,Percent of Total Billed Charges,,,,,110.68,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,99.03,,,,,,,Percent of Total Billed Charges,,,,,24.47,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,32.62,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 3/16 13-1/4 ,250,RC,,Outpatient,,,116.5,93.2,87.03,,,,,,,Percent of Total Billed Charges,,87.03,87.03,,116.5,,,,,,,Percent of Total Billed Charges,,,,,111.84,,,,,,,Percent of Total Billed Charges,,,,,110.68,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,99.03,,,,,,,Percent of Total Billed Charges,,,,,24.47,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,32.62,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 3/16 14 ,250,RC,,Outpatient,,,116.5,93.2,87.03,,,,,,,Percent of Total Billed Charges,,87.03,87.03,,116.5,,,,,,,Percent of Total Billed Charges,,,,,111.84,,,,,,,Percent of Total Billed Charges,,,,,110.68,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,99.03,,,,,,,Percent of Total Billed Charges,,,,,24.47,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,32.62,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/4 11 ,250,RC,,Outpatient,,,125,100,93.38,,,,,,,Percent of Total Billed Charges,,93.38,93.38,,125,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,118.75,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,106.25,,,,,,,Percent of Total Billed Charges,,,,,26.25,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,100,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/4 11-3/4 ,250,RC,,Outpatient,,,125,100,93.38,,,,,,,Percent of Total Billed Charges,,93.38,93.38,,125,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,118.75,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,106.25,,,,,,,Percent of Total Billed Charges,,,,,26.25,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,100,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/4 12-1/2 ,250,RC,,Outpatient,,,125,100,93.38,,,,,,,Percent of Total Billed Charges,,93.38,93.38,,125,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,118.75,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,106.25,,,,,,,Percent of Total Billed Charges,,,,,26.25,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,100,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/4 13-1/4 ,250,RC,,Outpatient,,,125,100,93.38,,,,,,,Percent of Total Billed Charges,,93.38,93.38,,125,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,118.75,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,106.25,,,,,,,Percent of Total Billed Charges,,,,,26.25,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,100,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/4 14 ,250,RC,,Outpatient,,,125,100,93.38,,,,,,,Percent of Total Billed Charges,,93.38,93.38,,125,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,118.75,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,106.25,,,,,,,Percent of Total Billed Charges,,,,,26.25,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,100,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/4 14-3/4 ,250,RC,,Outpatient,,,125,100,93.38,,,,,,,Percent of Total Billed Charges,,93.38,93.38,,125,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,118.75,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,106.25,,,,,,,Percent of Total Billed Charges,,,,,26.25,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,100,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/4 15-1/2 ,250,RC,,Outpatient,,,125,100,93.38,,,,,,,Percent of Total Billed Charges,,93.38,93.38,,125,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,118.75,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,106.25,,,,,,,Percent of Total Billed Charges,,,,,26.25,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,100,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/4 16-1/4 ,250,RC,,Outpatient,,,125,100,93.38,,,,,,,Percent of Total Billed Charges,,93.38,93.38,,125,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,118.75,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,106.25,,,,,,,Percent of Total Billed Charges,,,,,26.25,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,100,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,, ORTH RUSH PIN 1/4 17 ,250,RC,,Outpatient,,,125,100,93.38,,,,,,,Percent of Total Billed Charges,,93.38,93.38,,125,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,118.75,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,106.25,,,,,,,Percent of Total Billed Charges,,,,,26.25,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,100,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,, ORTH K WIRE SMTH 035 ,250,RC,,Outpatient,,,66.5,53.2,49.68,,,,,,,Percent of Total Billed Charges,,49.68,49.68,,66.5,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,63.18,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,56.53,,,,,,,Percent of Total Billed Charges,,,,,13.97,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,18.62,,,,,,,Percent of Total Billed Charges,,,,,53.2,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,, "ORTH KIRSCHNER WIRE 6"" 3/64 ",250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, ORTH K WIRE SMTH 054 ,250,RC,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, "ORTH K WIRE SMTH .062 1/16 9"" ",250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, ORTH KIRSCHNER WIRE 1.1 229MM ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, "ORTH KIRSCHNER WIRE 1/16 6"" ",250,RC,,Outpatient,,,58,46.4,43.33,,,,,,,Percent of Total Billed Charges,,43.33,43.33,,58,,,,,,,Percent of Total Billed Charges,,,,,55.68,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,16.24,,,,,,,Percent of Total Billed Charges,,,,,46.4,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,, "O/R A.T.S STERILE SURG TOURNIQUET 18"" ",250,RC,,Outpatient,,,86,68.6,64.24,,,,,,,Percent of Total Billed Charges,,64.24,64.24,,86,,,,,,,Percent of Total Billed Charges,,,,,82.56,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,,,18.06,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,24.08,,,,,,,Percent of Total Billed Charges,,,,,68.8,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,, ORTH K WIRE THRD 035 ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, ORTH K WIRE THRD 045 ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, ORTH K WIRE THRD 054 ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, ORTH K WIRE THRD 062 ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, ORTH STMN PIN SMTH 2MM ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, ORTH STMN PIN SMTH 2.4MM ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, ORTH STMN PIN SMTH 2.8MM ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, ORTH STMN PIN SMTH 3.2MM ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, ORTH STMN PIN SMTH 3.6MM ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, ORTH STMN PIN SMTH 4MM ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, ORTH STMN PIN SMTH 4.8MM ,250,RC,,Outpatient,,,24,19.2,17.93,,,,,,,Percent of Total Billed Charges,,17.93,17.93,,24,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,, ORTH STMN PIN THRD 2MM ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, ORTH STMN PIN THRD 2.4MM ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, ORTH STMN PIN THRD 2.8MM ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, ORTH STMN PIN THRD 3.2MM ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, ORTH STMN PIN THRD 3.6MM ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, ORTH STMN PIN THRD 4MM ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, ORTH STMN PIN THRD 4.8MM ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, O/R SINGLE MANIFOLD ,250,RC,,Outpatient,,,60,48,44.82,,,,,,,Percent of Total Billed Charges,,44.82,44.82,,60,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,57,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,, ORTH CEMENT BONE SIMPLEX P ,250,RC,,Outpatient,,,145,116,108.32,,,,,,,Percent of Total Billed Charges,,108.32,108.32,,145,,,,,,,Percent of Total Billed Charges,,,,,139.2,,,,,,,Percent of Total Billed Charges,,,,,137.75,,,,,,,Percent of Total Billed Charges,,,,,29,,,,,,,Percent of Total Billed Charges,,,,,123.25,,,,,,,Percent of Total Billed Charges,,,,,30.45,,,,,,,Percent of Total Billed Charges,,,,,130.5,,,,,,,Percent of Total Billed Charges,,,,,130.5,,,,,,,Percent of Total Billed Charges,,,,,29,,,,,,,Percent of Total Billed Charges,,,,,40.6,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,,,29,,,,,,,Percent of Total Billed Charges,,,, O/R CEMENT MIXING NOZZLE ,250,RC,,Outpatient,,,373,298.4,278.63,,,,,,,Percent of Total Billed Charges,,278.63,278.63,,373,,,,,,,Percent of Total Billed Charges,,,,,358.08,,,,,,,Percent of Total Billed Charges,,,,,354.35,,,,,,,Percent of Total Billed Charges,,,,,74.6,,,,,,,Percent of Total Billed Charges,,,,,317.05,,,,,,,Percent of Total Billed Charges,,,,,78.33,,,,,,,Percent of Total Billed Charges,,,,,335.7,,,,,,,Percent of Total Billed Charges,,,,,335.7,,,,,,,Percent of Total Billed Charges,,,,,74.6,,,,,,,Percent of Total Billed Charges,,,,,104.44,,,,,,,Percent of Total Billed Charges,,,,,298.4,,,,,,,Percent of Total Billed Charges,,,,,74.6,,,,,,,Percent of Total Billed Charges,,,, O/R 4-PORT MANIFOLD ,250,RC,,Outpatient,,,82,65.6,61.25,,,,,,,Percent of Total Billed Charges,,61.25,61.25,,82,,,,,,,Percent of Total Billed Charges,,,,,78.72,,,,,,,Percent of Total Billed Charges,,,,,77.9,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,69.7,,,,,,,Percent of Total Billed Charges,,,,,17.22,,,,,,,Percent of Total Billed Charges,,,,,73.8,,,,,,,Percent of Total Billed Charges,,,,,73.8,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,22.96,,,,,,,Percent of Total Billed Charges,,,,,65.6,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,, ORTH CEMENT FEMORAL PRES SEAL ,250,RC,,Outpatient,,,46.5,37.2,34.74,,,,,,,Percent of Total Billed Charges,,34.74,34.74,,46.5,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,,,44.18,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,39.53,,,,,,,Percent of Total Billed Charges,,,,,9.77,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,, ORTH INTRAMED PLUG ,250,RC,,Outpatient,,,185.5,148.4,138.57,,,,,,,Percent of Total Billed Charges,,138.57,138.57,,185.5,,,,,,,Percent of Total Billed Charges,,,,,178.08,,,,,,,Percent of Total Billed Charges,,,,,176.23,,,,,,,Percent of Total Billed Charges,,,,,37.1,,,,,,,Percent of Total Billed Charges,,,,,157.68,,,,,,,Percent of Total Billed Charges,,,,,38.96,,,,,,,Percent of Total Billed Charges,,,,,166.95,,,,,,,Percent of Total Billed Charges,,,,,166.95,,,,,,,Percent of Total Billed Charges,,,,,37.1,,,,,,,Percent of Total Billed Charges,,,,,51.94,,,,,,,Percent of Total Billed Charges,,,,,148.4,,,,,,,Percent of Total Billed Charges,,,,,37.1,,,,,,,Percent of Total Billed Charges,,,, ORTH FEM BONE WICK ,250,RC,,Outpatient,,,91,72.8,67.98,,,,,,,Percent of Total Billed Charges,,67.98,67.98,,91,,,,,,,Percent of Total Billed Charges,,,,,87.36,,,,,,,Percent of Total Billed Charges,,,,,86.45,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,77.35,,,,,,,Percent of Total Billed Charges,,,,,19.11,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,25.48,,,,,,,Percent of Total Billed Charges,,,,,72.8,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,, 3M BATEMAN FEMORAL PROSTHESIS ,250,RC,,Outpatient,,,470,376,351.09,,,,,,,Percent of Total Billed Charges,,351.09,351.09,,470,,,,,,,Percent of Total Billed Charges,,,,,451.2,,,,,,,Percent of Total Billed Charges,,,,,446.5,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,399.5,,,,,,,Percent of Total Billed Charges,,,,,98.7,,,,,,,Percent of Total Billed Charges,,,,,423,,,,,,,Percent of Total Billed Charges,,,,,423,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,131.6,,,,,,,Percent of Total Billed Charges,,,,,376,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,, 3M BEARING INSERT ,250,RC,,Outpatient,,,988.5,790.8,738.41,,,,,,,Percent of Total Billed Charges,,738.41,738.41,,988.5,,,,,,,Percent of Total Billed Charges,,,,,948.96,,,,,,,Percent of Total Billed Charges,,,,,939.08,,,,,,,Percent of Total Billed Charges,,,,,197.7,,,,,,,Percent of Total Billed Charges,,,,,840.23,,,,,,,Percent of Total Billed Charges,,,,,207.59,,,,,,,Percent of Total Billed Charges,,,,,889.65,,,,,,,Percent of Total Billed Charges,,,,,889.65,,,,,,,Percent of Total Billed Charges,,,,,197.7,,,,,,,Percent of Total Billed Charges,,,,,276.78,,,,,,,Percent of Total Billed Charges,,,,,790.8,,,,,,,Percent of Total Billed Charges,,,,,197.7,,,,,,,Percent of Total Billed Charges,,,, O/R J SHAPED GUIDE WIRE 0.38 ,250,RC,,Outpatient,,,72.5,58,54.16,,,,,,,Percent of Total Billed Charges,,54.16,54.16,,72.5,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,68.88,,,,,,,Percent of Total Billed Charges,,,,,14.5,,,,,,,Percent of Total Billed Charges,,,,,61.63,,,,,,,Percent of Total Billed Charges,,,,,15.23,,,,,,,Percent of Total Billed Charges,,,,,65.25,,,,,,,Percent of Total Billed Charges,,,,,65.25,,,,,,,Percent of Total Billed Charges,,,,,14.5,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,58,,,,,,,Percent of Total Billed Charges,,,,,14.5,,,,,,,Percent of Total Billed Charges,,,, O/R GUIDE WIRE BALL TIPPED STERILE ,250,RC,,Outpatient,,,786,628.8,587.14,,,,,,,Percent of Total Billed Charges,,587.14,587.14,,786,,,,,,,Percent of Total Billed Charges,,,,,754.56,,,,,,,Percent of Total Billed Charges,,,,,746.7,,,,,,,Percent of Total Billed Charges,,,,,157.2,,,,,,,Percent of Total Billed Charges,,,,,668.1,,,,,,,Percent of Total Billed Charges,,,,,165.06,,,,,,,Percent of Total Billed Charges,,,,,707.4,,,,,,,Percent of Total Billed Charges,,,,,707.4,,,,,,,Percent of Total Billed Charges,,,,,157.2,,,,,,,Percent of Total Billed Charges,,,,,220.08,,,,,,,Percent of Total Billed Charges,,,,,628.8,,,,,,,Percent of Total Billed Charges,,,,,157.2,,,,,,,Percent of Total Billed Charges,,,, OTH CAL GDE PIN 3/32-9 ,250,RC,,Outpatient,,,83.5,66.8,62.37,,,,,,,Percent of Total Billed Charges,,62.37,62.37,,83.5,,,,,,,Percent of Total Billed Charges,,,,,80.16,,,,,,,Percent of Total Billed Charges,,,,,79.33,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,70.98,,,,,,,Percent of Total Billed Charges,,,,,17.54,,,,,,,Percent of Total Billed Charges,,,,,75.15,,,,,,,Percent of Total Billed Charges,,,,,75.15,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,, ORTH ABDUCT PILLOW ,250,RC,,Outpatient,,,94,75.2,70.22,,,,,,,Percent of Total Billed Charges,,70.22,70.22,,94,,,,,,,Percent of Total Billed Charges,,,,,90.24,,,,,,,Percent of Total Billed Charges,,,,,89.3,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,79.9,,,,,,,Percent of Total Billed Charges,,,,,19.74,,,,,,,Percent of Total Billed Charges,,,,,84.6,,,,,,,Percent of Total Billed Charges,,,,,84.6,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,26.32,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,, ORTH INTRAMED BRUSH ,250,RC,,Outpatient,,,64,51.2,47.81,,,,,,,Percent of Total Billed Charges,,47.81,47.81,,64,,,,,,,Percent of Total Billed Charges,,,,,61.44,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,17.92,,,,,,,Percent of Total Billed Charges,,,,,51.2,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 30MM 16MM THREAD ,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 35MM 16MMTHREAD ,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 40MM 16MM THREAD ,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 45MM 16MM THREAD ,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 50MM 16MM THREAD ,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3 55MM 16MM THREAD ,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 60MM 16MM THREAD ,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 65MM 16MM THREAD ,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULALTED SCREW 7.3MM 70MM 16MM THREAD,250,RC,,Outpatient,,,1011.5,809.2,755.59,,,,,,,Percent of Total Billed Charges,,755.59,755.59,,1011.5,,,,,,,Percent of Total Billed Charges,,,,,971.04,,,,,,,Percent of Total Billed Charges,,,,,960.93,,,,,,,Percent of Total Billed Charges,,,,,202.3,,,,,,,Percent of Total Billed Charges,,,,,859.78,,,,,,,Percent of Total Billed Charges,,,,,212.42,,,,,,,Percent of Total Billed Charges,,,,,910.35,,,,,,,Percent of Total Billed Charges,,,,,910.35,,,,,,,Percent of Total Billed Charges,,,,,202.3,,,,,,,Percent of Total Billed Charges,,,,,283.22,,,,,,,Percent of Total Billed Charges,,,,,809.2,,,,,,,Percent of Total Billed Charges,,,,,202.3,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 75MM 16MM THREAD ,250,RC,,Outpatient,,,591,472.8,441.48,,,,,,,Percent of Total Billed Charges,,441.48,441.48,,591,,,,,,,Percent of Total Billed Charges,,,,,567.36,,,,,,,Percent of Total Billed Charges,,,,,561.45,,,,,,,Percent of Total Billed Charges,,,,,118.2,,,,,,,Percent of Total Billed Charges,,,,,502.35,,,,,,,Percent of Total Billed Charges,,,,,124.11,,,,,,,Percent of Total Billed Charges,,,,,531.9,,,,,,,Percent of Total Billed Charges,,,,,531.9,,,,,,,Percent of Total Billed Charges,,,,,118.2,,,,,,,Percent of Total Billed Charges,,,,,165.48,,,,,,,Percent of Total Billed Charges,,,,,472.8,,,,,,,Percent of Total Billed Charges,,,,,118.2,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 80MM 16MM THREAD ,250,RC,,Outpatient,,,591,472.8,441.48,,,,,,,Percent of Total Billed Charges,,441.48,441.48,,591,,,,,,,Percent of Total Billed Charges,,,,,567.36,,,,,,,Percent of Total Billed Charges,,,,,561.45,,,,,,,Percent of Total Billed Charges,,,,,118.2,,,,,,,Percent of Total Billed Charges,,,,,502.35,,,,,,,Percent of Total Billed Charges,,,,,124.11,,,,,,,Percent of Total Billed Charges,,,,,531.9,,,,,,,Percent of Total Billed Charges,,,,,531.9,,,,,,,Percent of Total Billed Charges,,,,,118.2,,,,,,,Percent of Total Billed Charges,,,,,165.48,,,,,,,Percent of Total Billed Charges,,,,,472.8,,,,,,,Percent of Total Billed Charges,,,,,118.2,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 85MM 16MM THREAD ,250,RC,,Outpatient,,,591,472.8,441.48,,,,,,,Percent of Total Billed Charges,,441.48,441.48,,591,,,,,,,Percent of Total Billed Charges,,,,,567.36,,,,,,,Percent of Total Billed Charges,,,,,561.45,,,,,,,Percent of Total Billed Charges,,,,,118.2,,,,,,,Percent of Total Billed Charges,,,,,502.35,,,,,,,Percent of Total Billed Charges,,,,,124.11,,,,,,,Percent of Total Billed Charges,,,,,531.9,,,,,,,Percent of Total Billed Charges,,,,,531.9,,,,,,,Percent of Total Billed Charges,,,,,118.2,,,,,,,Percent of Total Billed Charges,,,,,165.48,,,,,,,Percent of Total Billed Charges,,,,,472.8,,,,,,,Percent of Total Billed Charges,,,,,118.2,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 90MM 16MMTHREAD ,250,RC,,Outpatient,,,929,743.2,693.96,,,,,,,Percent of Total Billed Charges,,693.96,693.96,,929,,,,,,,Percent of Total Billed Charges,,,,,891.84,,,,,,,Percent of Total Billed Charges,,,,,882.55,,,,,,,Percent of Total Billed Charges,,,,,185.8,,,,,,,Percent of Total Billed Charges,,,,,789.65,,,,,,,Percent of Total Billed Charges,,,,,195.09,,,,,,,Percent of Total Billed Charges,,,,,836.1,,,,,,,Percent of Total Billed Charges,,,,,836.1,,,,,,,Percent of Total Billed Charges,,,,,185.8,,,,,,,Percent of Total Billed Charges,,,,,260.12,,,,,,,Percent of Total Billed Charges,,,,,743.2,,,,,,,Percent of Total Billed Charges,,,,,185.8,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 95MM 16MM THREAD ,250,RC,,Outpatient,,,416,332.8,310.75,,,,,,,Percent of Total Billed Charges,,310.75,310.75,,416,,,,,,,Percent of Total Billed Charges,,,,,399.36,,,,,,,Percent of Total Billed Charges,,,,,395.2,,,,,,,Percent of Total Billed Charges,,,,,83.2,,,,,,,Percent of Total Billed Charges,,,,,353.6,,,,,,,Percent of Total Billed Charges,,,,,87.36,,,,,,,Percent of Total Billed Charges,,,,,374.4,,,,,,,Percent of Total Billed Charges,,,,,374.4,,,,,,,Percent of Total Billed Charges,,,,,83.2,,,,,,,Percent of Total Billed Charges,,,,,116.48,,,,,,,Percent of Total Billed Charges,,,,,332.8,,,,,,,Percent of Total Billed Charges,,,,,83.2,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 100MM 16MM THREAD,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 105MM 16MM THREAD,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 110MM 16MM THREAD,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 115MM 16MM THREA,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 120MM 16MMTHREAD ,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 125MM 16MMTHREAD ,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 130MM 16MM THREAD,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 50MM 32MM THREAD ,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 55MM 32MM THREAD ,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 60MM 32MM THREAD ,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 65MM 32MM THREAD ,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 70MM 32MM THREAD ,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 75MM 32MM THREAD ,250,RC,,Outpatient,,,543.5,434.8,405.99,,,,,,,Percent of Total Billed Charges,,405.99,405.99,,543.5,,,,,,,Percent of Total Billed Charges,,,,,521.76,,,,,,,Percent of Total Billed Charges,,,,,516.33,,,,,,,Percent of Total Billed Charges,,,,,108.7,,,,,,,Percent of Total Billed Charges,,,,,461.98,,,,,,,Percent of Total Billed Charges,,,,,114.14,,,,,,,Percent of Total Billed Charges,,,,,489.15,,,,,,,Percent of Total Billed Charges,,,,,489.15,,,,,,,Percent of Total Billed Charges,,,,,108.7,,,,,,,Percent of Total Billed Charges,,,,,152.18,,,,,,,Percent of Total Billed Charges,,,,,434.8,,,,,,,Percent of Total Billed Charges,,,,,108.7,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 80MM 32MM THREAD ,250,RC,,Outpatient,,,1011.5,809.2,755.59,,,,,,,Percent of Total Billed Charges,,755.59,755.59,,1011.5,,,,,,,Percent of Total Billed Charges,,,,,971.04,,,,,,,Percent of Total Billed Charges,,,,,960.93,,,,,,,Percent of Total Billed Charges,,,,,202.3,,,,,,,Percent of Total Billed Charges,,,,,859.78,,,,,,,Percent of Total Billed Charges,,,,,212.42,,,,,,,Percent of Total Billed Charges,,,,,910.35,,,,,,,Percent of Total Billed Charges,,,,,910.35,,,,,,,Percent of Total Billed Charges,,,,,202.3,,,,,,,Percent of Total Billed Charges,,,,,283.22,,,,,,,Percent of Total Billed Charges,,,,,809.2,,,,,,,Percent of Total Billed Charges,,,,,202.3,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 85MM 32MM THREAD ,250,RC,,Outpatient,,,1006,804.8,751.48,,,,,,,Percent of Total Billed Charges,,751.48,751.48,,1006,,,,,,,Percent of Total Billed Charges,,,,,965.76,,,,,,,Percent of Total Billed Charges,,,,,955.7,,,,,,,Percent of Total Billed Charges,,,,,201.2,,,,,,,Percent of Total Billed Charges,,,,,855.1,,,,,,,Percent of Total Billed Charges,,,,,211.26,,,,,,,Percent of Total Billed Charges,,,,,905.4,,,,,,,Percent of Total Billed Charges,,,,,905.4,,,,,,,Percent of Total Billed Charges,,,,,201.2,,,,,,,Percent of Total Billed Charges,,,,,281.68,,,,,,,Percent of Total Billed Charges,,,,,804.8,,,,,,,Percent of Total Billed Charges,,,,,201.2,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 90MM 32MM THREAD ,250,RC,,Outpatient,,,508.5,406.8,379.85,,,,,,,Percent of Total Billed Charges,,379.85,379.85,,508.5,,,,,,,Percent of Total Billed Charges,,,,,488.16,,,,,,,Percent of Total Billed Charges,,,,,483.08,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,432.23,,,,,,,Percent of Total Billed Charges,,,,,106.79,,,,,,,Percent of Total Billed Charges,,,,,457.65,,,,,,,Percent of Total Billed Charges,,,,,457.65,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,142.38,,,,,,,Percent of Total Billed Charges,,,,,406.8,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 95MM 32MM THREAD ,250,RC,,Outpatient,,,508.5,406.8,379.85,,,,,,,Percent of Total Billed Charges,,379.85,379.85,,508.5,,,,,,,Percent of Total Billed Charges,,,,,488.16,,,,,,,Percent of Total Billed Charges,,,,,483.08,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,432.23,,,,,,,Percent of Total Billed Charges,,,,,106.79,,,,,,,Percent of Total Billed Charges,,,,,457.65,,,,,,,Percent of Total Billed Charges,,,,,457.65,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,142.38,,,,,,,Percent of Total Billed Charges,,,,,406.8,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 100MM 32MM THREAD,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 105MM 32MM THREAD,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 110MM 32MM THREAD,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 115MM 32MM THREAD,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 120MM 32MM THREAD,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 125MM 32MM THREAD,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, CANNULATED SCREW 7.3MM 130MM 32MM THREAD,250,RC,,Outpatient,,,352,281.6,262.94,,,,,,,Percent of Total Billed Charges,,262.94,262.94,,352,,,,,,,Percent of Total Billed Charges,,,,,337.92,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,98.56,,,,,,,Percent of Total Billed Charges,,,,,281.6,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,, WASHER 13.0MM ,250,RC,,Outpatient,,,54,43.2,40.34,,,,,,,Percent of Total Billed Charges,,40.34,40.34,,54,,,,,,,Percent of Total Billed Charges,,,,,51.84,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,, O/R GUIDEWIRE 2.8MM THREADED 300MM ,250,RC,,Outpatient,,,88.5,70.8,66.11,,,,,,,Percent of Total Billed Charges,,66.11,66.11,,88.5,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,84.08,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,75.23,,,,,,,Percent of Total Billed Charges,,,,,18.59,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 25MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 30MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 35MM ,250,RC,,Outpatient,,,126,100.8,94.12,,,,,,,Percent of Total Billed Charges,,94.12,94.12,,126,,,,,,,Percent of Total Billed Charges,,,,,120.96,,,,,,,Percent of Total Billed Charges,,,,,119.7,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,107.1,,,,,,,Percent of Total Billed Charges,,,,,26.46,,,,,,,Percent of Total Billed Charges,,,,,113.4,,,,,,,Percent of Total Billed Charges,,,,,113.4,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 40MM ,250,RC,,Outpatient,,,226,180.8,168.82,,,,,,,Percent of Total Billed Charges,,168.82,168.82,,226,,,,,,,Percent of Total Billed Charges,,,,,216.96,,,,,,,Percent of Total Billed Charges,,,,,214.7,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,,,192.1,,,,,,,Percent of Total Billed Charges,,,,,47.46,,,,,,,Percent of Total Billed Charges,,,,,203.4,,,,,,,Percent of Total Billed Charges,,,,,203.4,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,,,63.28,,,,,,,Percent of Total Billed Charges,,,,,180.8,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 45MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 50MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 55MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 60MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 65MM ,250,RC,,Outpatient,,,118,94.4,88.15,,,,,,,Percent of Total Billed Charges,,88.15,88.15,,118,,,,,,,Percent of Total Billed Charges,,,,,113.28,,,,,,,Percent of Total Billed Charges,,,,,112.1,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,33.04,,,,,,,Percent of Total Billed Charges,,,,,94.4,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 70MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 75MM ,250,RC,,Outpatient,,,118,94.4,88.15,,,,,,,Percent of Total Billed Charges,,88.15,88.15,,118,,,,,,,Percent of Total Billed Charges,,,,,113.28,,,,,,,Percent of Total Billed Charges,,,,,112.1,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,33.04,,,,,,,Percent of Total Billed Charges,,,,,94.4,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 80MM ,250,RC,,Outpatient,,,130,104,97.11,,,,,,,Percent of Total Billed Charges,,97.11,97.11,,130,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,123.5,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,110.5,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,117,,,,,,,Percent of Total Billed Charges,,,,,117,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,,,104,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 85MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 90MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 95MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 100MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 105MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5 MM CANCELLOUS BONE SCREW 30MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS BONE SCREW 35MM ,250,RC,,Outpatient,,,226,180.8,168.82,,,,,,,Percent of Total Billed Charges,,168.82,168.82,,226,,,,,,,Percent of Total Billed Charges,,,,,216.96,,,,,,,Percent of Total Billed Charges,,,,,214.7,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,,,192.1,,,,,,,Percent of Total Billed Charges,,,,,47.46,,,,,,,Percent of Total Billed Charges,,,,,203.4,,,,,,,Percent of Total Billed Charges,,,,,203.4,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,,,63.28,,,,,,,Percent of Total Billed Charges,,,,,180.8,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS BONNE SREW 40MM ,250,RC,,Outpatient,,,200.5,160.4,149.77,,,,,,,Percent of Total Billed Charges,,149.77,149.77,,200.5,,,,,,,Percent of Total Billed Charges,,,,,192.48,,,,,,,Percent of Total Billed Charges,,,,,190.48,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,,,170.43,,,,,,,Percent of Total Billed Charges,,,,,42.11,,,,,,,Percent of Total Billed Charges,,,,,180.45,,,,,,,Percent of Total Billed Charges,,,,,180.45,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,,,56.14,,,,,,,Percent of Total Billed Charges,,,,,160.4,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS BONE SCREW 45MM ,250,RC,,Outpatient,,,200.5,160.4,149.77,,,,,,,Percent of Total Billed Charges,,149.77,149.77,,200.5,,,,,,,Percent of Total Billed Charges,,,,,192.48,,,,,,,Percent of Total Billed Charges,,,,,190.48,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,,,170.43,,,,,,,Percent of Total Billed Charges,,,,,42.11,,,,,,,Percent of Total Billed Charges,,,,,180.45,,,,,,,Percent of Total Billed Charges,,,,,180.45,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,,,56.14,,,,,,,Percent of Total Billed Charges,,,,,160.4,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS BONE SCREW 50MM ,250,RC,,Outpatient,,,197,157.6,147.16,,,,,,,Percent of Total Billed Charges,,147.16,147.16,,197,,,,,,,Percent of Total Billed Charges,,,,,189.12,,,,,,,Percent of Total Billed Charges,,,,,187.15,,,,,,,Percent of Total Billed Charges,,,,,39.4,,,,,,,Percent of Total Billed Charges,,,,,167.45,,,,,,,Percent of Total Billed Charges,,,,,41.37,,,,,,,Percent of Total Billed Charges,,,,,177.3,,,,,,,Percent of Total Billed Charges,,,,,177.3,,,,,,,Percent of Total Billed Charges,,,,,39.4,,,,,,,Percent of Total Billed Charges,,,,,55.16,,,,,,,Percent of Total Billed Charges,,,,,157.6,,,,,,,Percent of Total Billed Charges,,,,,39.4,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS BONE SCREW 55MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS BONE SCREW 60MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS BONE SCREW 65MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS BONE SCREW 70MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS BONE SCREW 75MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS BONE SCREW 80MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 85MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 90MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 95MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 100MM ,250,RC,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 105MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 110MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 115MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 120MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 125MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 130MM ,250,RC,,Outpatient,,,111.5,89.2,83.29,,,,,,,Percent of Total Billed Charges,,83.29,83.29,,111.5,,,,,,,Percent of Total Billed Charges,,,,,107.04,,,,,,,Percent of Total Billed Charges,,,,,105.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,31.22,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 135MM ,250,RC,,Outpatient,,,111.5,89.2,83.29,,,,,,,Percent of Total Billed Charges,,83.29,83.29,,111.5,,,,,,,Percent of Total Billed Charges,,,,,107.04,,,,,,,Percent of Total Billed Charges,,,,,105.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,31.22,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 140MM ,250,RC,,Outpatient,,,111.5,89.2,83.29,,,,,,,Percent of Total Billed Charges,,83.29,83.29,,111.5,,,,,,,Percent of Total Billed Charges,,,,,107.04,,,,,,,Percent of Total Billed Charges,,,,,105.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,31.22,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 145MM ,250,RC,,Outpatient,,,111.5,89.2,83.29,,,,,,,Percent of Total Billed Charges,,83.29,83.29,,111.5,,,,,,,Percent of Total Billed Charges,,,,,107.04,,,,,,,Percent of Total Billed Charges,,,,,105.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,31.22,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 150MM ,250,RC,,Outpatient,,,111.5,89.2,83.29,,,,,,,Percent of Total Billed Charges,,83.29,83.29,,111.5,,,,,,,Percent of Total Billed Charges,,,,,107.04,,,,,,,Percent of Total Billed Charges,,,,,105.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,31.22,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,, 4.5MM MALLEOLAR SCREW 25MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 4.5MM MALLEOLAR SCREW 30MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 4.5MM MALLEOLAR SCREW 35MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 4.5MM MALLEOLAR SCREW 40MM ,250,RC,,Outpatient,,,187.5,150,140.06,,,,,,,Percent of Total Billed Charges,,140.06,140.06,,187.5,,,,,,,Percent of Total Billed Charges,,,,,180,,,,,,,Percent of Total Billed Charges,,,,,178.13,,,,,,,Percent of Total Billed Charges,,,,,37.5,,,,,,,Percent of Total Billed Charges,,,,,159.38,,,,,,,Percent of Total Billed Charges,,,,,39.38,,,,,,,Percent of Total Billed Charges,,,,,168.75,,,,,,,Percent of Total Billed Charges,,,,,168.75,,,,,,,Percent of Total Billed Charges,,,,,37.5,,,,,,,Percent of Total Billed Charges,,,,,52.5,,,,,,,Percent of Total Billed Charges,,,,,150,,,,,,,Percent of Total Billed Charges,,,,,37.5,,,,,,,Percent of Total Billed Charges,,,, 4.5MM MALLEOLAR SCREW 45MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 4.5MM MALLEOLAR SCREW 50MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 4.5MM MALLEOLAR SCREW 55MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 4.5MM MALLEOLAR SCREW 60MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 4.5MM MALLEOLAR SCREW 65MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 14MM ,250,RC,,Outpatient,,,103,82.4,76.94,,,,,,,Percent of Total Billed Charges,,76.94,76.94,,103,,,,,,,Percent of Total Billed Charges,,,,,98.88,,,,,,,Percent of Total Billed Charges,,,,,97.85,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,87.55,,,,,,,Percent of Total Billed Charges,,,,,21.63,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,28.84,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 16MM ,250,RC,,Outpatient,,,103,82.4,76.94,,,,,,,Percent of Total Billed Charges,,76.94,76.94,,103,,,,,,,Percent of Total Billed Charges,,,,,98.88,,,,,,,Percent of Total Billed Charges,,,,,97.85,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,87.55,,,,,,,Percent of Total Billed Charges,,,,,21.63,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,28.84,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 18MM ,250,RC,,Outpatient,,,103,82.4,76.94,,,,,,,Percent of Total Billed Charges,,76.94,76.94,,103,,,,,,,Percent of Total Billed Charges,,,,,98.88,,,,,,,Percent of Total Billed Charges,,,,,97.85,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,87.55,,,,,,,Percent of Total Billed Charges,,,,,21.63,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,28.84,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 20MM ,250,RC,,Outpatient,,,103,82.4,76.94,,,,,,,Percent of Total Billed Charges,,76.94,76.94,,103,,,,,,,Percent of Total Billed Charges,,,,,98.88,,,,,,,Percent of Total Billed Charges,,,,,97.85,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,87.55,,,,,,,Percent of Total Billed Charges,,,,,21.63,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,28.84,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 22MM ,250,RC,,Outpatient,,,103,82.4,76.94,,,,,,,Percent of Total Billed Charges,,76.94,76.94,,103,,,,,,,Percent of Total Billed Charges,,,,,98.88,,,,,,,Percent of Total Billed Charges,,,,,97.85,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,87.55,,,,,,,Percent of Total Billed Charges,,,,,21.63,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,28.84,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 24MM ,250,RC,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 26MM ,250,RC,,Outpatient,,,138,110.4,103.09,,,,,,,Percent of Total Billed Charges,,103.09,103.09,,138,,,,,,,Percent of Total Billed Charges,,,,,132.48,,,,,,,Percent of Total Billed Charges,,,,,131.1,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,,,117.3,,,,,,,Percent of Total Billed Charges,,,,,28.98,,,,,,,Percent of Total Billed Charges,,,,,124.2,,,,,,,Percent of Total Billed Charges,,,,,124.2,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,,,38.64,,,,,,,Percent of Total Billed Charges,,,,,110.4,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 28MM ,250,RC,,Outpatient,,,124.5,99.6,93,,,,,,,Percent of Total Billed Charges,,93,93,,124.5,,,,,,,Percent of Total Billed Charges,,,,,119.52,,,,,,,Percent of Total Billed Charges,,,,,118.28,,,,,,,Percent of Total Billed Charges,,,,,24.9,,,,,,,Percent of Total Billed Charges,,,,,105.83,,,,,,,Percent of Total Billed Charges,,,,,26.15,,,,,,,Percent of Total Billed Charges,,,,,112.05,,,,,,,Percent of Total Billed Charges,,,,,112.05,,,,,,,Percent of Total Billed Charges,,,,,24.9,,,,,,,Percent of Total Billed Charges,,,,,34.86,,,,,,,Percent of Total Billed Charges,,,,,99.6,,,,,,,Percent of Total Billed Charges,,,,,24.9,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 30MM ,250,RC,,Outpatient,,,142.5,114,106.45,,,,,,,Percent of Total Billed Charges,,106.45,106.45,,142.5,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,135.38,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,121.13,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,128.25,,,,,,,Percent of Total Billed Charges,,,,,128.25,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,114,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 32MM ,250,RC,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 34MM ,250,RC,,Outpatient,,,142.5,114,106.45,,,,,,,Percent of Total Billed Charges,,106.45,106.45,,142.5,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,135.38,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,121.13,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,128.25,,,,,,,Percent of Total Billed Charges,,,,,128.25,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,114,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 36MM ,250,RC,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 38MM ,250,RC,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 40MM ,250,RC,,Outpatient,,,114,91.2,85.16,,,,,,,Percent of Total Billed Charges,,85.16,85.16,,114,,,,,,,Percent of Total Billed Charges,,,,,109.44,,,,,,,Percent of Total Billed Charges,,,,,108.3,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,96.9,,,,,,,Percent of Total Billed Charges,,,,,23.94,,,,,,,Percent of Total Billed Charges,,,,,102.6,,,,,,,Percent of Total Billed Charges,,,,,102.6,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,31.92,,,,,,,Percent of Total Billed Charges,,,,,91.2,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 42MM ,250,RC,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 44MM ,250,RC,,Outpatient,,,103,82.4,76.94,,,,,,,Percent of Total Billed Charges,,76.94,76.94,,103,,,,,,,Percent of Total Billed Charges,,,,,98.88,,,,,,,Percent of Total Billed Charges,,,,,97.85,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,87.55,,,,,,,Percent of Total Billed Charges,,,,,21.63,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,28.84,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 46MM ,250,RC,,Outpatient,,,103,82.4,76.94,,,,,,,Percent of Total Billed Charges,,76.94,76.94,,103,,,,,,,Percent of Total Billed Charges,,,,,98.88,,,,,,,Percent of Total Billed Charges,,,,,97.85,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,87.55,,,,,,,Percent of Total Billed Charges,,,,,21.63,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,28.84,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 48MM ,250,RC,,Outpatient,,,55,44,41.09,,,,,,,Percent of Total Billed Charges,,41.09,41.09,,55,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,52.25,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,46.75,,,,,,,Percent of Total Billed Charges,,,,,11.55,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 52MM ,250,RC,,Outpatient,,,85,68,63.5,,,,,,,Percent of Total Billed Charges,,63.5,63.5,,85,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,80.75,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,72.25,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 56MM ,250,RC,,Outpatient,,,149,119.2,111.3,,,,,,,Percent of Total Billed Charges,,111.3,111.3,,149,,,,,,,Percent of Total Billed Charges,,,,,143.04,,,,,,,Percent of Total Billed Charges,,,,,141.55,,,,,,,Percent of Total Billed Charges,,,,,29.8,,,,,,,Percent of Total Billed Charges,,,,,126.65,,,,,,,Percent of Total Billed Charges,,,,,31.29,,,,,,,Percent of Total Billed Charges,,,,,134.1,,,,,,,Percent of Total Billed Charges,,,,,134.1,,,,,,,Percent of Total Billed Charges,,,,,29.8,,,,,,,Percent of Total Billed Charges,,,,,41.72,,,,,,,Percent of Total Billed Charges,,,,,119.2,,,,,,,Percent of Total Billed Charges,,,,,29.8,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 60MM ,250,RC,,Outpatient,,,114.5,91.6,85.53,,,,,,,Percent of Total Billed Charges,,85.53,85.53,,114.5,,,,,,,Percent of Total Billed Charges,,,,,109.92,,,,,,,Percent of Total Billed Charges,,,,,108.78,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,,,97.33,,,,,,,Percent of Total Billed Charges,,,,,24.05,,,,,,,Percent of Total Billed Charges,,,,,103.05,,,,,,,Percent of Total Billed Charges,,,,,103.05,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,,,32.06,,,,,,,Percent of Total Billed Charges,,,,,91.6,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 64MM ,250,RC,,Outpatient,,,129.5,103.6,96.74,,,,,,,Percent of Total Billed Charges,,96.74,96.74,,129.5,,,,,,,Percent of Total Billed Charges,,,,,124.32,,,,,,,Percent of Total Billed Charges,,,,,123.03,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,110.08,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,36.26,,,,,,,Percent of Total Billed Charges,,,,,103.6,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,, 4.5MM CORTEX SCREW 68MM ,250,RC,,Outpatient,,,103,82.4,76.94,,,,,,,Percent of Total Billed Charges,,76.94,76.94,,103,,,,,,,Percent of Total Billed Charges,,,,,98.88,,,,,,,Percent of Total Billed Charges,,,,,97.85,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,87.55,,,,,,,Percent of Total Billed Charges,,,,,21.63,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,28.84,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,, 6.5MM CANCELLOUS SCREW 110MM ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, 4.5MM MALLEOLAR SCREW 70MM ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, "IRRIGATOR, ORTHOPEDIC ",250,RC,,Outpatient,,,240,192,179.28,,,,,,,Percent of Total Billed Charges,,179.28,179.28,,240,,,,,,,Percent of Total Billed Charges,,,,,230.4,,,,,,,Percent of Total Billed Charges,,,,,228,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,216,,,,,,,Percent of Total Billed Charges,,,,,216,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,192,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,, URO FOLLOWER 16FR ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, URO FOLLOWER 18FR ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, URO FOLLOWER 20FR ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, URO FOLLOWER 22FR ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, URO FOLLOWER 24FR ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, URO FOLLOWER BOUGLE 24FR ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, CONTINGEN IMPLANT ,250,RC,,Outpatient,,,789,631.2,589.38,,,,,,,Percent of Total Billed Charges,,589.38,589.38,,789,,,,,,,Percent of Total Billed Charges,,,,,757.44,,,,,,,Percent of Total Billed Charges,,,,,749.55,,,,,,,Percent of Total Billed Charges,,,,,157.8,,,,,,,Percent of Total Billed Charges,,,,,670.65,,,,,,,Percent of Total Billed Charges,,,,,165.69,,,,,,,Percent of Total Billed Charges,,,,,710.1,,,,,,,Percent of Total Billed Charges,,,,,710.1,,,,,,,Percent of Total Billed Charges,,,,,157.8,,,,,,,Percent of Total Billed Charges,,,,,220.92,,,,,,,Percent of Total Billed Charges,,,,,631.2,,,,,,,Percent of Total Billed Charges,,,,,157.8,,,,,,,Percent of Total Billed Charges,,,, CONTINGEN SKIN TEST ,250,RC,,Outpatient,,,149.5,119.6,111.68,,,,,,,Percent of Total Billed Charges,,111.68,111.68,,149.5,,,,,,,Percent of Total Billed Charges,,,,,143.52,,,,,,,Percent of Total Billed Charges,,,,,142.03,,,,,,,Percent of Total Billed Charges,,,,,29.9,,,,,,,Percent of Total Billed Charges,,,,,127.08,,,,,,,Percent of Total Billed Charges,,,,,31.4,,,,,,,Percent of Total Billed Charges,,,,,134.55,,,,,,,Percent of Total Billed Charges,,,,,134.55,,,,,,,Percent of Total Billed Charges,,,,,29.9,,,,,,,Percent of Total Billed Charges,,,,,41.86,,,,,,,Percent of Total Billed Charges,,,,,119.6,,,,,,,Percent of Total Billed Charges,,,,,29.9,,,,,,,Percent of Total Billed Charges,,,, "INSUFFLATION NEEDLE, 120MM ",250,RC,,Outpatient,,,61.5,49.2,45.94,,,,,,,Percent of Total Billed Charges,,45.94,45.94,,61.5,,,,,,,Percent of Total Billed Charges,,,,,59.04,,,,,,,Percent of Total Billed Charges,,,,,58.43,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,52.28,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,55.35,,,,,,,Percent of Total Billed Charges,,,,,55.35,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,17.22,,,,,,,Percent of Total Billed Charges,,,,,49.2,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,, INGRAM TROCAR CATH SUPRAPUBIC ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, NEPH SET PERCY PGTL 380010 ,250,RC,,Outpatient,,,270,216,201.69,,,,,,,Percent of Total Billed Charges,,201.69,201.69,,270,,,,,,,Percent of Total Billed Charges,,,,,259.2,,,,,,,Percent of Total Billed Charges,,,,,256.5,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,229.5,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,243,,,,,,,Percent of Total Billed Charges,,,,,243,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,75.6,,,,,,,Percent of Total Billed Charges,,,,,216,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,, NEPH SET PGTL REPLACE ,250,RC,,Outpatient,,,238,190.4,177.79,,,,,,,Percent of Total Billed Charges,,177.79,177.79,,238,,,,,,,Percent of Total Billed Charges,,,,,228.48,,,,,,,Percent of Total Billed Charges,,,,,226.1,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,,,202.3,,,,,,,Percent of Total Billed Charges,,,,,49.98,,,,,,,Percent of Total Billed Charges,,,,,214.2,,,,,,,Percent of Total Billed Charges,,,,,214.2,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,,,66.64,,,,,,,Percent of Total Billed Charges,,,,,190.4,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,, NEPH MALCT PERCY ,250,RC,,Outpatient,,,303,242.4,226.34,,,,,,,Percent of Total Billed Charges,,226.34,226.34,,303,,,,,,,Percent of Total Billed Charges,,,,,290.88,,,,,,,Percent of Total Billed Charges,,,,,287.85,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,257.55,,,,,,,Percent of Total Billed Charges,,,,,63.63,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,84.84,,,,,,,Percent of Total Billed Charges,,,,,242.4,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,, NEPH MALECT REPLACE 082001 ,250,RC,,Outpatient,,,275.5,220.4,205.8,,,,,,,Percent of Total Billed Charges,,205.8,205.8,,275.5,,,,,,,Percent of Total Billed Charges,,,,,264.48,,,,,,,Percent of Total Billed Charges,,,,,261.73,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,57.86,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,77.14,,,,,,,Percent of Total Billed Charges,,,,,220.4,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,, NEPH LG MALECOT ACCS SET ,250,RC,,Outpatient,,,153.5,122.8,114.66,,,,,,,Percent of Total Billed Charges,,114.66,114.66,,153.5,,,,,,,Percent of Total Billed Charges,,,,,147.36,,,,,,,Percent of Total Billed Charges,,,,,145.83,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,130.48,,,,,,,Percent of Total Billed Charges,,,,,32.24,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,42.98,,,,,,,Percent of Total Billed Charges,,,,,122.8,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,, IRG CYSTO SET ABBOTT ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, O/R TUR IRRIGATION SET ,250,RC,,Outpatient,,,30.5,24.4,22.78,,,,,,,Percent of Total Billed Charges,,22.78,22.78,,30.5,,,,,,,Percent of Total Billed Charges,,,,,29.28,,,,,,,Percent of Total Billed Charges,,,,,28.98,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,25.93,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,8.54,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,, IRG CYSTO MANOMETER ABB4860-01 ,250,RC,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, IRG TUR FLO-POUCH ABB6542-02 ,250,RC,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, IRG TUR EXTENSION SET ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, IRG TUR CBI SET ,250,RC,,Outpatient,,,32.5,26,24.28,,,,,,,Percent of Total Billed Charges,,24.28,24.28,,32.5,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,30.88,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,27.63,,,,,,,Percent of Total Billed Charges,,,,,6.83,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,, URETERAL STENT CONTOUR VL 4.8FRX22-30CM ,250,RC,,Outpatient,,,457,365.6,341.38,,,,,,,Percent of Total Billed Charges,,341.38,341.38,,457,,,,,,,Percent of Total Billed Charges,,,,,438.72,,,,,,,Percent of Total Billed Charges,,,,,434.15,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,,,388.45,,,,,,,Percent of Total Billed Charges,,,,,95.97,,,,,,,Percent of Total Billed Charges,,,,,411.3,,,,,,,Percent of Total Billed Charges,,,,,411.3,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,,,127.96,,,,,,,Percent of Total Billed Charges,,,,,365.6,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,, URETERAL STENT CONTOUR VL 6FR 22-30CM ,250,RC,,Outpatient,,,457,365.6,341.38,,,,,,,Percent of Total Billed Charges,,341.38,341.38,,457,,,,,,,Percent of Total Billed Charges,,,,,438.72,,,,,,,Percent of Total Billed Charges,,,,,434.15,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,,,388.45,,,,,,,Percent of Total Billed Charges,,,,,95.97,,,,,,,Percent of Total Billed Charges,,,,,411.3,,,,,,,Percent of Total Billed Charges,,,,,411.3,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,,,127.96,,,,,,,Percent of Total Billed Charges,,,,,365.6,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,, ZIPWIRE GUIDEWIRE STIFF .035IN ,250,RC,,Outpatient,,,225,180,168.08,,,,,,,Percent of Total Billed Charges,,168.08,168.08,,225,,,,,,,Percent of Total Billed Charges,,,,,216,,,,,,,Percent of Total Billed Charges,,,,,213.75,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,191.25,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,202.5,,,,,,,Percent of Total Billed Charges,,,,,202.5,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,180,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,, URETERAL STENT 6FR 30CM ,250,RC,,Outpatient,,,489,391.2,365.28,,,,,,,Percent of Total Billed Charges,,365.28,365.28,,489,,,,,,,Percent of Total Billed Charges,,,,,469.44,,,,,,,Percent of Total Billed Charges,,,,,464.55,,,,,,,Percent of Total Billed Charges,,,,,97.8,,,,,,,Percent of Total Billed Charges,,,,,415.65,,,,,,,Percent of Total Billed Charges,,,,,102.69,,,,,,,Percent of Total Billed Charges,,,,,440.1,,,,,,,Percent of Total Billed Charges,,,,,440.1,,,,,,,Percent of Total Billed Charges,,,,,97.8,,,,,,,Percent of Total Billed Charges,,,,,136.92,,,,,,,Percent of Total Billed Charges,,,,,391.2,,,,,,,Percent of Total Billed Charges,,,,,97.8,,,,,,,Percent of Total Billed Charges,,,, URET CATH CONE TIP 8FR ,250,RC,,Outpatient,,,216,172,161.35,,,,,,,Percent of Total Billed Charges,,161.35,161.35,,216,,,,,,,Percent of Total Billed Charges,,,,,207.36,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,45.36,,,,,,,Percent of Total Billed Charges,,,,,194.4,,,,,,,Percent of Total Billed Charges,,,,,194.4,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,, URET CATH CONE TIP 10FR ,250,RC,,Outpatient,,,154.5,123.6,115.41,,,,,,,Percent of Total Billed Charges,,115.41,115.41,,154.5,,,,,,,Percent of Total Billed Charges,,,,,148.32,,,,,,,Percent of Total Billed Charges,,,,,146.78,,,,,,,Percent of Total Billed Charges,,,,,30.9,,,,,,,Percent of Total Billed Charges,,,,,131.33,,,,,,,Percent of Total Billed Charges,,,,,32.45,,,,,,,Percent of Total Billed Charges,,,,,139.05,,,,,,,Percent of Total Billed Charges,,,,,139.05,,,,,,,Percent of Total Billed Charges,,,,,30.9,,,,,,,Percent of Total Billed Charges,,,,,43.26,,,,,,,Percent of Total Billed Charges,,,,,123.6,,,,,,,Percent of Total Billed Charges,,,,,30.9,,,,,,,Percent of Total Billed Charges,,,, URET CATH CONE TIP 12FR ,250,RC,,Outpatient,,,154.5,123.6,115.41,,,,,,,Percent of Total Billed Charges,,115.41,115.41,,154.5,,,,,,,Percent of Total Billed Charges,,,,,148.32,,,,,,,Percent of Total Billed Charges,,,,,146.78,,,,,,,Percent of Total Billed Charges,,,,,30.9,,,,,,,Percent of Total Billed Charges,,,,,131.33,,,,,,,Percent of Total Billed Charges,,,,,32.45,,,,,,,Percent of Total Billed Charges,,,,,139.05,,,,,,,Percent of Total Billed Charges,,,,,139.05,,,,,,,Percent of Total Billed Charges,,,,,30.9,,,,,,,Percent of Total Billed Charges,,,,,43.26,,,,,,,Percent of Total Billed Charges,,,,,123.6,,,,,,,Percent of Total Billed Charges,,,,,30.9,,,,,,,Percent of Total Billed Charges,,,, URET OATH SPIRAL 4FR ,250,RC,,Outpatient,,,167,133.6,124.75,,,,,,,Percent of Total Billed Charges,,124.75,124.75,,167,,,,,,,Percent of Total Billed Charges,,,,,160.32,,,,,,,Percent of Total Billed Charges,,,,,158.65,,,,,,,Percent of Total Billed Charges,,,,,33.4,,,,,,,Percent of Total Billed Charges,,,,,141.95,,,,,,,Percent of Total Billed Charges,,,,,35.07,,,,,,,Percent of Total Billed Charges,,,,,150.3,,,,,,,Percent of Total Billed Charges,,,,,150.3,,,,,,,Percent of Total Billed Charges,,,,,33.4,,,,,,,Percent of Total Billed Charges,,,,,46.76,,,,,,,Percent of Total Billed Charges,,,,,133.6,,,,,,,Percent of Total Billed Charges,,,,,33.4,,,,,,,Percent of Total Billed Charges,,,, URET CATH SPIRAL 5FR ,250,RC,,Outpatient,,,153.5,122.8,114.66,,,,,,,Percent of Total Billed Charges,,114.66,114.66,,153.5,,,,,,,Percent of Total Billed Charges,,,,,147.36,,,,,,,Percent of Total Billed Charges,,,,,145.83,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,130.48,,,,,,,Percent of Total Billed Charges,,,,,32.24,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,42.98,,,,,,,Percent of Total Billed Charges,,,,,122.8,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,, URET CATH SPIRAL 6FR ,250,RC,,Outpatient,,,153.5,122.8,114.66,,,,,,,Percent of Total Billed Charges,,114.66,114.66,,153.5,,,,,,,Percent of Total Billed Charges,,,,,147.36,,,,,,,Percent of Total Billed Charges,,,,,145.83,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,130.48,,,,,,,Percent of Total Billed Charges,,,,,32.24,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,42.98,,,,,,,Percent of Total Billed Charges,,,,,122.8,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,, URET CATH WHISTLE TIP 3FR ,250,RC,,Outpatient,,,152.5,122,113.92,,,,,,,Percent of Total Billed Charges,,113.92,113.92,,152.5,,,,,,,Percent of Total Billed Charges,,,,,146.4,,,,,,,Percent of Total Billed Charges,,,,,144.88,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,,,129.63,,,,,,,Percent of Total Billed Charges,,,,,32.03,,,,,,,Percent of Total Billed Charges,,,,,137.25,,,,,,,Percent of Total Billed Charges,,,,,137.25,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,,,42.7,,,,,,,Percent of Total Billed Charges,,,,,122,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,, URET CATH WHISTLE TIP 4FR ,250,RC,,Outpatient,,,152.5,122,113.92,,,,,,,Percent of Total Billed Charges,,113.92,113.92,,152.5,,,,,,,Percent of Total Billed Charges,,,,,146.4,,,,,,,Percent of Total Billed Charges,,,,,144.88,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,,,129.63,,,,,,,Percent of Total Billed Charges,,,,,32.03,,,,,,,Percent of Total Billed Charges,,,,,137.25,,,,,,,Percent of Total Billed Charges,,,,,137.25,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,,,42.7,,,,,,,Percent of Total Billed Charges,,,,,122,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,, URET OATH WHISTLE TIP 5FR ,250,RC,,Outpatient,,,139.5,111.6,104.21,,,,,,,Percent of Total Billed Charges,,104.21,104.21,,139.5,,,,,,,Percent of Total Billed Charges,,,,,133.92,,,,,,,Percent of Total Billed Charges,,,,,132.53,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,118.58,,,,,,,Percent of Total Billed Charges,,,,,29.3,,,,,,,Percent of Total Billed Charges,,,,,125.55,,,,,,,Percent of Total Billed Charges,,,,,125.55,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,39.06,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,, URET CATH WHISTLE TIP 6FR 0361 ,250,RC,,Outpatient,,,152.5,122,113.92,,,,,,,Percent of Total Billed Charges,,113.92,113.92,,152.5,,,,,,,Percent of Total Billed Charges,,,,,146.4,,,,,,,Percent of Total Billed Charges,,,,,144.88,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,,,129.63,,,,,,,Percent of Total Billed Charges,,,,,32.03,,,,,,,Percent of Total Billed Charges,,,,,137.25,,,,,,,Percent of Total Billed Charges,,,,,137.25,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,,,42.7,,,,,,,Percent of Total Billed Charges,,,,,122,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,, URETERAL CATH CLOSED END 5FR ,250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, URETERAL CATHETER OPEN END FR ,250,RC,,Outpatient,,,47,37.6,35.11,,,,,,,Percent of Total Billed Charges,,35.11,35.11,,47,,,,,,,Percent of Total Billed Charges,,,,,45.12,,,,,,,Percent of Total Billed Charges,,,,,44.65,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,39.95,,,,,,,Percent of Total Billed Charges,,,,,9.87,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,13.16,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,, GROSHONG 9.5FR DUAL LUMEN CATHETHER ,250,RC,,Outpatient,,,1215.5,972.4,907.98,,,,,,,Percent of Total Billed Charges,,907.98,907.98,,1215.5,,,,,,,Percent of Total Billed Charges,,,,,1166.88,,,,,,,Percent of Total Billed Charges,,,,,1154.73,,,,,,,Percent of Total Billed Charges,,,,,243.1,,,,,,,Percent of Total Billed Charges,,,,,1033.18,,,,,,,Percent of Total Billed Charges,,,,,255.26,,,,,,,Percent of Total Billed Charges,,,,,1093.95,,,,,,,Percent of Total Billed Charges,,,,,1093.95,,,,,,,Percent of Total Billed Charges,,,,,243.1,,,,,,,Percent of Total Billed Charges,,,,,340.34,,,,,,,Percent of Total Billed Charges,,,,,972.4,,,,,,,Percent of Total Billed Charges,,,,,243.1,,,,,,,Percent of Total Billed Charges,,,, GYNECARE TVT OBURATOR SYSTEM ,250,RC,,Outpatient,,,2122,1697.6,1585.13,,,,,,,Percent of Total Billed Charges,,1585.13,1585.13,,2122,,,,,,,Percent of Total Billed Charges,,,,,2037.12,,,,,,,Percent of Total Billed Charges,,,,,2015.9,,,,,,,Percent of Total Billed Charges,,,,,424.4,,,,,,,Percent of Total Billed Charges,,,,,1803.7,,,,,,,Percent of Total Billed Charges,,,,,445.62,,,,,,,Percent of Total Billed Charges,,,,,1909.8,,,,,,,Percent of Total Billed Charges,,,,,1909.8,,,,,,,Percent of Total Billed Charges,,,,,424.4,,,,,,,Percent of Total Billed Charges,,,,,594.16,,,,,,,Percent of Total Billed Charges,,,,,1697.6,,,,,,,Percent of Total Billed Charges,,,,,424.4,,,,,,,Percent of Total Billed Charges,,,, URET RIGTAIL STENNT 5FR 031528 ,250,RC,,Outpatient,,,272.5,218,203.56,,,,,,,Percent of Total Billed Charges,,203.56,203.56,,272.5,,,,,,,Percent of Total Billed Charges,,,,,261.6,,,,,,,Percent of Total Billed Charges,,,,,258.88,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,231.63,,,,,,,Percent of Total Billed Charges,,,,,57.23,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,218,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,, URET RIGTAIL STENT 6FR ,250,RC,,Outpatient,,,272.5,218,203.56,,,,,,,Percent of Total Billed Charges,,203.56,203.56,,272.5,,,,,,,Percent of Total Billed Charges,,,,,261.6,,,,,,,Percent of Total Billed Charges,,,,,258.88,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,231.63,,,,,,,Percent of Total Billed Charges,,,,,57.23,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,218,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,, URET BRUSH BIOPSY SET 040000 ,250,RC,,Outpatient,,,134.5,107.6,100.47,,,,,,,Percent of Total Billed Charges,,100.47,100.47,,134.5,,,,,,,Percent of Total Billed Charges,,,,,129.12,,,,,,,Percent of Total Billed Charges,,,,,127.78,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,114.33,,,,,,,Percent of Total Billed Charges,,,,,28.25,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,37.66,,,,,,,Percent of Total Billed Charges,,,,,107.6,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,, URET DIL CATH DIAFLEX GU7530 ,250,RC,,Outpatient,,,336,268.8,250.99,,,,,,,Percent of Total Billed Charges,,250.99,250.99,,336,,,,,,,Percent of Total Billed Charges,,,,,322.56,,,,,,,Percent of Total Billed Charges,,,,,319.2,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,285.6,,,,,,,Percent of Total Billed Charges,,,,,70.56,,,,,,,Percent of Total Billed Charges,,,,,302.4,,,,,,,Percent of Total Billed Charges,,,,,302.4,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,268.8,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,, URET DIL GUIDE WIRES 638423 ,250,RC,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, URET PFS STONE RET 3 WIRE ,250,RC,,Outpatient,,,346,276.8,258.46,,,,,,,Percent of Total Billed Charges,,258.46,258.46,,346,,,,,,,Percent of Total Billed Charges,,,,,332.16,,,,,,,Percent of Total Billed Charges,,,,,328.7,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,294.1,,,,,,,Percent of Total Billed Charges,,,,,72.66,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,96.88,,,,,,,Percent of Total Billed Charges,,,,,276.8,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,, URET PFS SCH STN RETVR GU6358 ,250,RC,,Outpatient,,,180.5,144.4,134.83,,,,,,,Percent of Total Billed Charges,,134.83,134.83,,180.5,,,,,,,Percent of Total Billed Charges,,,,,173.28,,,,,,,Percent of Total Billed Charges,,,,,171.48,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,,,153.43,,,,,,,Percent of Total Billed Charges,,,,,37.91,,,,,,,Percent of Total Billed Charges,,,,,162.45,,,,,,,Percent of Total Billed Charges,,,,,162.45,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,,,50.54,,,,,,,Percent of Total Billed Charges,,,,,144.4,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,, URET STONE BSKT RETVR GU6355 ,250,RC,,Outpatient,,,218,174.4,162.85,,,,,,,Percent of Total Billed Charges,,162.85,162.85,,218,,,,,,,Percent of Total Billed Charges,,,,,209.28,,,,,,,Percent of Total Billed Charges,,,,,207.1,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,185.3,,,,,,,Percent of Total Billed Charges,,,,,45.78,,,,,,,Percent of Total Billed Charges,,,,,196.2,,,,,,,Percent of Total Billed Charges,,,,,196.2,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,61.04,,,,,,,Percent of Total Billed Charges,,,,,174.4,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,, URET BLN DIL STN RUTR 013205 ,250,RC,,Outpatient,,,437,349.6,326.44,,,,,,,Percent of Total Billed Charges,,326.44,326.44,,437,,,,,,,Percent of Total Billed Charges,,,,,419.52,,,,,,,Percent of Total Billed Charges,,,,,415.15,,,,,,,Percent of Total Billed Charges,,,,,87.4,,,,,,,Percent of Total Billed Charges,,,,,371.45,,,,,,,Percent of Total Billed Charges,,,,,91.77,,,,,,,Percent of Total Billed Charges,,,,,393.3,,,,,,,Percent of Total Billed Charges,,,,,393.3,,,,,,,Percent of Total Billed Charges,,,,,87.4,,,,,,,Percent of Total Billed Charges,,,,,122.36,,,,,,,Percent of Total Billed Charges,,,,,349.6,,,,,,,Percent of Total Billed Charges,,,,,87.4,,,,,,,Percent of Total Billed Charges,,,, URETER GUIDE WIRE .035 120CM ANGLED TIP ,250,RC,,Outpatient,,,154.5,123.6,115.41,,,,,,,Percent of Total Billed Charges,,115.41,115.41,,154.5,,,,,,,Percent of Total Billed Charges,,,,,148.32,,,,,,,Percent of Total Billed Charges,,,,,146.78,,,,,,,Percent of Total Billed Charges,,,,,30.9,,,,,,,Percent of Total Billed Charges,,,,,131.33,,,,,,,Percent of Total Billed Charges,,,,,32.45,,,,,,,Percent of Total Billed Charges,,,,,139.05,,,,,,,Percent of Total Billed Charges,,,,,139.05,,,,,,,Percent of Total Billed Charges,,,,,30.9,,,,,,,Percent of Total Billed Charges,,,,,43.26,,,,,,,Percent of Total Billed Charges,,,,,123.6,,,,,,,Percent of Total Billed Charges,,,,,30.9,,,,,,,Percent of Total Billed Charges,,,, PROSTRATE BALLOON DILATOR ,250,RC,,Outpatient,,,859.5,687.6,642.05,,,,,,,Percent of Total Billed Charges,,642.05,642.05,,859.5,,,,,,,Percent of Total Billed Charges,,,,,825.12,,,,,,,Percent of Total Billed Charges,,,,,816.53,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,730.58,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,,,773.55,,,,,,,Percent of Total Billed Charges,,,,,773.55,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,240.66,,,,,,,Percent of Total Billed Charges,,,,,687.6,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,, PROSTATE BALLOON SYRINGE ,250,RC,,Outpatient,,,164.5,131.6,122.88,,,,,,,Percent of Total Billed Charges,,122.88,122.88,,164.5,,,,,,,Percent of Total Billed Charges,,,,,157.92,,,,,,,Percent of Total Billed Charges,,,,,156.28,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,139.83,,,,,,,Percent of Total Billed Charges,,,,,34.55,,,,,,,Percent of Total Billed Charges,,,,,148.05,,,,,,,Percent of Total Billed Charges,,,,,148.05,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,46.06,,,,,,,Percent of Total Billed Charges,,,,,131.6,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,, 11 MM BLUNT TROCAR ,250,RC,,Outpatient,,,101.5,81.2,75.82,,,,,,,Percent of Total Billed Charges,,75.82,75.82,,101.5,,,,,,,Percent of Total Billed Charges,,,,,97.44,,,,,,,Percent of Total Billed Charges,,,,,96.43,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,86.28,,,,,,,Percent of Total Billed Charges,,,,,21.32,,,,,,,Percent of Total Billed Charges,,,,,91.35,,,,,,,Percent of Total Billed Charges,,,,,91.35,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,28.42,,,,,,,Percent of Total Billed Charges,,,,,81.2,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,, O/R 5MMX150MM TOTAL ACCESS TROCAR ,250,RC,,Outpatient,,,191,152.8,142.68,,,,,,,Percent of Total Billed Charges,,142.68,142.68,,191,,,,,,,Percent of Total Billed Charges,,,,,183.36,,,,,,,Percent of Total Billed Charges,,,,,181.45,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,162.35,,,,,,,Percent of Total Billed Charges,,,,,40.11,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,53.48,,,,,,,Percent of Total Billed Charges,,,,,152.8,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,, O/R 5MMX100MM TOTAL ACCESS TROCAR ,250,RC,,Outpatient,,,192.5,154,143.8,,,,,,,Percent of Total Billed Charges,,143.8,143.8,,192.5,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,182.88,,,,,,,Percent of Total Billed Charges,,,,,38.5,,,,,,,Percent of Total Billed Charges,,,,,163.63,,,,,,,Percent of Total Billed Charges,,,,,40.43,,,,,,,Percent of Total Billed Charges,,,,,173.25,,,,,,,Percent of Total Billed Charges,,,,,173.25,,,,,,,Percent of Total Billed Charges,,,,,38.5,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,,,154,,,,,,,Percent of Total Billed Charges,,,,,38.5,,,,,,,Percent of Total Billed Charges,,,, O/R LIGASURE DISSECTOR ,250,RC,,Outpatient,,,1469,1175.2,1097.34,,,,,,,Percent of Total Billed Charges,,1097.34,1097.34,,1469,,,,,,,Percent of Total Billed Charges,,,,,1410.24,,,,,,,Percent of Total Billed Charges,,,,,1395.55,,,,,,,Percent of Total Billed Charges,,,,,293.8,,,,,,,Percent of Total Billed Charges,,,,,1248.65,,,,,,,Percent of Total Billed Charges,,,,,308.49,,,,,,,Percent of Total Billed Charges,,,,,1322.1,,,,,,,Percent of Total Billed Charges,,,,,1322.1,,,,,,,Percent of Total Billed Charges,,,,,293.8,,,,,,,Percent of Total Billed Charges,,,,,411.32,,,,,,,Percent of Total Billed Charges,,,,,1175.2,,,,,,,Percent of Total Billed Charges,,,,,293.8,,,,,,,Percent of Total Billed Charges,,,, NEEDLE/BLADE GUARDS ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, O/R BLADE #11 ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, O/R BLADE #15 ,250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, O/R BLADE #20 ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, O/R STRAIGHT CUT RASP ,250,RC,,Outpatient,,,197,157.6,147.16,,,,,,,Percent of Total Billed Charges,,147.16,147.16,,197,,,,,,,Percent of Total Billed Charges,,,,,189.12,,,,,,,Percent of Total Billed Charges,,,,,187.15,,,,,,,Percent of Total Billed Charges,,,,,39.4,,,,,,,Percent of Total Billed Charges,,,,,167.45,,,,,,,Percent of Total Billed Charges,,,,,41.37,,,,,,,Percent of Total Billed Charges,,,,,177.3,,,,,,,Percent of Total Billed Charges,,,,,177.3,,,,,,,Percent of Total Billed Charges,,,,,39.4,,,,,,,Percent of Total Billed Charges,,,,,55.16,,,,,,,Percent of Total Billed Charges,,,,,157.6,,,,,,,Percent of Total Billed Charges,,,,,39.4,,,,,,,Percent of Total Billed Charges,,,, O/R DISPOSABLE SAW BLADE FINE ,250,RC,,Outpatient,,,110.5,88.4,82.54,,,,,,,Percent of Total Billed Charges,,82.54,82.54,,110.5,,,,,,,Percent of Total Billed Charges,,,,,106.08,,,,,,,Percent of Total Billed Charges,,,,,104.98,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,93.93,,,,,,,Percent of Total Billed Charges,,,,,23.21,,,,,,,Percent of Total Billed Charges,,,,,99.45,,,,,,,Percent of Total Billed Charges,,,,,99.45,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,30.94,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,, "O/R NEEDLE, FILTER 18GA X 1 ",250,RC,,Outpatient,,,1.5,1.2,1.12,,,,,,,Percent of Total Billed Charges,,1.12,1.12,,1.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.43,,,,,,,Percent of Total Billed Charges,,,,,0.3,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,0.3,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,0.3,,,,,,,Percent of Total Billed Charges,,,, O/R DISPOSABLE OVAL BURR ,250,RC,,Outpatient,,,91,72.8,67.98,,,,,,,Percent of Total Billed Charges,,67.98,67.98,,91,,,,,,,Percent of Total Billed Charges,,,,,87.36,,,,,,,Percent of Total Billed Charges,,,,,86.45,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,77.35,,,,,,,Percent of Total Billed Charges,,,,,19.11,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,25.48,,,,,,,Percent of Total Billed Charges,,,,,72.8,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,, O/R SAGITTAL BLADE SMALL COARSE ,250,RC,,Outpatient,,,73.5,58.8,54.9,,,,,,,Percent of Total Billed Charges,,54.9,54.9,,73.5,,,,,,,Percent of Total Billed Charges,,,,,70.56,,,,,,,Percent of Total Billed Charges,,,,,69.83,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,62.48,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,66.15,,,,,,,Percent of Total Billed Charges,,,,,66.15,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,58.8,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,, CATH ART EMBOLEC #4FR VMCV1042 ,250,RC,,Outpatient,,,130,104,97.11,,,,,,,Percent of Total Billed Charges,,97.11,97.11,,130,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,123.5,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,110.5,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,117,,,,,,,Percent of Total Billed Charges,,,,,117,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,,,104,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,, CATH ART EMBOLEC #6FR VMCV1048 ,250,RC,,Outpatient,,,130,104,97.11,,,,,,,Percent of Total Billed Charges,,97.11,97.11,,130,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,123.5,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,110.5,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,117,,,,,,,Percent of Total Billed Charges,,,,,117,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,,,104,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,, O/R DISPOSABLE RASP LARGE CROSS CUT ,250,RC,,Outpatient,,,178.5,142.8,133.34,,,,,,,Percent of Total Billed Charges,,133.34,133.34,,178.5,,,,,,,Percent of Total Billed Charges,,,,,171.36,,,,,,,Percent of Total Billed Charges,,,,,169.58,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,151.73,,,,,,,Percent of Total Billed Charges,,,,,37.49,,,,,,,Percent of Total Billed Charges,,,,,160.65,,,,,,,Percent of Total Billed Charges,,,,,160.65,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,49.98,,,,,,,Percent of Total Billed Charges,,,,,142.8,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,, O/R DISPOSABLE TWIST DRILL AO 1.1X35MM ,250,RC,,Outpatient,,,86,68.8,64.24,,,,,,,Percent of Total Billed Charges,,64.24,64.24,,86,,,,,,,Percent of Total Billed Charges,,,,,82.56,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,,,18.06,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,24.08,,,,,,,Percent of Total Billed Charges,,,,,68.8,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,, CATH ART IRRIG 4FR ,250,RC,,Outpatient,,,103.5,82.8,77.31,,,,,,,Percent of Total Billed Charges,,77.31,77.31,,103.5,,,,,,,Percent of Total Billed Charges,,,,,99.36,,,,,,,Percent of Total Billed Charges,,,,,98.33,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,87.98,,,,,,,Percent of Total Billed Charges,,,,,21.74,,,,,,,Percent of Total Billed Charges,,,,,93.15,,,,,,,Percent of Total Billed Charges,,,,,93.15,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,28.98,,,,,,,Percent of Total Billed Charges,,,,,82.8,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,, CATH ART IRRIG 6FR ,250,RC,,Outpatient,,,103.5,82.8,77.31,,,,,,,Percent of Total Billed Charges,,77.31,77.31,,103.5,,,,,,,Percent of Total Billed Charges,,,,,99.36,,,,,,,Percent of Total Billed Charges,,,,,98.33,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,87.98,,,,,,,Percent of Total Billed Charges,,,,,21.74,,,,,,,Percent of Total Billed Charges,,,,,93.15,,,,,,,Percent of Total Billed Charges,,,,,93.15,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,28.98,,,,,,,Percent of Total Billed Charges,,,,,82.8,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,, CATH ART RADIAL 20GA CSR ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, CATH CHST TUBE THORACIC 28FR ,250,RC,,Outpatient,,,61,48.8,45.57,,,,,,,Percent of Total Billed Charges,,45.57,45.57,,61,,,,,,,Percent of Total Billed Charges,,,,,58.56,,,,,,,Percent of Total Billed Charges,,,,,57.95,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,,,51.85,,,,,,,Percent of Total Billed Charges,,,,,12.81,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,,,17.08,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,, CATH CHST TUBE THORACIC 32FR ,250,RC,,Outpatient,,,61,48.8,45.57,,,,,,,Percent of Total Billed Charges,,45.57,45.57,,61,,,,,,,Percent of Total Billed Charges,,,,,58.56,,,,,,,Percent of Total Billed Charges,,,,,57.95,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,,,51.85,,,,,,,Percent of Total Billed Charges,,,,,12.81,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,,,17.08,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,, CATH GB BILI PROBE 5FR VM41040 ,250,RC,,Outpatient,,,266.5,213.2,199.08,,,,,,,Percent of Total Billed Charges,,199.08,199.08,,266.5,,,,,,,Percent of Total Billed Charges,,,,,255.84,,,,,,,Percent of Total Billed Charges,,,,,253.18,,,,,,,Percent of Total Billed Charges,,,,,53.3,,,,,,,Percent of Total Billed Charges,,,,,226.53,,,,,,,Percent of Total Billed Charges,,,,,55.97,,,,,,,Percent of Total Billed Charges,,,,,239.85,,,,,,,Percent of Total Billed Charges,,,,,239.85,,,,,,,Percent of Total Billed Charges,,,,,53.3,,,,,,,Percent of Total Billed Charges,,,,,74.62,,,,,,,Percent of Total Billed Charges,,,,,213.2,,,,,,,Percent of Total Billed Charges,,,,,53.3,,,,,,,Percent of Total Billed Charges,,,, CATH GB BILI PROBE 6FR ,250,RC,,Outpatient,,,257.5,206,192.35,,,,,,,Percent of Total Billed Charges,,192.35,192.35,,257.5,,,,,,,Percent of Total Billed Charges,,,,,247.2,,,,,,,Percent of Total Billed Charges,,,,,244.63,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,,,218.88,,,,,,,Percent of Total Billed Charges,,,,,54.08,,,,,,,Percent of Total Billed Charges,,,,,231.75,,,,,,,Percent of Total Billed Charges,,,,,231.75,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,,,72.1,,,,,,,Percent of Total Billed Charges,,,,,206,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,, SUTURE RETRIEVER SMALL ,250,RC,,Outpatient,,,164,131.2,122.51,,,,,,,Percent of Total Billed Charges,,122.51,122.51,,164,,,,,,,Percent of Total Billed Charges,,,,,157.44,,,,,,,Percent of Total Billed Charges,,,,,155.8,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,139.4,,,,,,,Percent of Total Billed Charges,,,,,34.44,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,45.92,,,,,,,Percent of Total Billed Charges,,,,,131.2,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,, CHOLANGIOGRAM CATHETHER 4.5FR ,250,RC,,Outpatient,,,222.5,178,166.21,,,,,,,Percent of Total Billed Charges,,166.21,166.21,,222.5,,,,,,,Percent of Total Billed Charges,,,,,213.6,,,,,,,Percent of Total Billed Charges,,,,,211.38,,,,,,,Percent of Total Billed Charges,,,,,44.5,,,,,,,Percent of Total Billed Charges,,,,,189.13,,,,,,,Percent of Total Billed Charges,,,,,46.73,,,,,,,Percent of Total Billed Charges,,,,,200.25,,,,,,,Percent of Total Billed Charges,,,,,200.25,,,,,,,Percent of Total Billed Charges,,,,,44.5,,,,,,,Percent of Total Billed Charges,,,,,62.3,,,,,,,Percent of Total Billed Charges,,,,,178,,,,,,,Percent of Total Billed Charges,,,,,44.5,,,,,,,Percent of Total Billed Charges,,,, SUTURE RETRIEVER MED ,250,RC,,Outpatient,,,164,131.2,122.51,,,,,,,Percent of Total Billed Charges,,122.51,122.51,,164,,,,,,,Percent of Total Billed Charges,,,,,157.44,,,,,,,Percent of Total Billed Charges,,,,,155.8,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,139.4,,,,,,,Percent of Total Billed Charges,,,,,34.44,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,45.92,,,,,,,Percent of Total Billed Charges,,,,,131.2,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,, "CHOLANGIO CATHETER 16G X 15"" ",250,RC,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, PATH GB CHOLAN 4FR ,250,RC,,Outpatient,,,52.5,42,39.22,,,,,,,Percent of Total Billed Charges,,39.22,39.22,,52.5,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,11.03,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,42,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,, PATH (PERSONAL) LEG STRAP ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, O/R PTFE PLEDGET 3MM X 7MM FIRM ,250,RC,,Outpatient,,,87.5,70,65.36,,,,,,,Percent of Total Billed Charges,,65.36,65.36,,87.5,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,83.13,,,,,,,Percent of Total Billed Charges,,,,,17.5,,,,,,,Percent of Total Billed Charges,,,,,74.38,,,,,,,Percent of Total Billed Charges,,,,,18.38,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,17.5,,,,,,,Percent of Total Billed Charges,,,,,24.5,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,17.5,,,,,,,Percent of Total Billed Charges,,,, O/R SUTURE RETRIEVER LRG ,250,RC,,Outpatient,,,164,131.2,122.51,,,,,,,Percent of Total Billed Charges,,122.51,122.51,,164,,,,,,,Percent of Total Billed Charges,,,,,157.44,,,,,,,Percent of Total Billed Charges,,,,,155.8,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,139.4,,,,,,,Percent of Total Billed Charges,,,,,34.44,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,45.92,,,,,,,Percent of Total Billed Charges,,,,,131.2,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,, O/R CARTER-THOMASON SUTURE PASSER ,250,RC,,Outpatient,,,297,237.6,221.86,,,,,,,Percent of Total Billed Charges,,221.86,221.86,,297,,,,,,,Percent of Total Billed Charges,,,,,285.12,,,,,,,Percent of Total Billed Charges,,,,,282.15,,,,,,,Percent of Total Billed Charges,,,,,59.4,,,,,,,Percent of Total Billed Charges,,,,,252.45,,,,,,,Percent of Total Billed Charges,,,,,62.37,,,,,,,Percent of Total Billed Charges,,,,,267.3,,,,,,,Percent of Total Billed Charges,,,,,267.3,,,,,,,Percent of Total Billed Charges,,,,,59.4,,,,,,,Percent of Total Billed Charges,,,,,83.16,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,59.4,,,,,,,Percent of Total Billed Charges,,,, O/R SAW BLADE 90X25X1.27 ,250,RC,,Outpatient,,,235,188,175.55,,,,,,,Percent of Total Billed Charges,,175.55,175.55,,235,,,,,,,Percent of Total Billed Charges,,,,,225.6,,,,,,,Percent of Total Billed Charges,,,,,223.25,,,,,,,Percent of Total Billed Charges,,,,,47,,,,,,,Percent of Total Billed Charges,,,,,199.75,,,,,,,Percent of Total Billed Charges,,,,,49.35,,,,,,,Percent of Total Billed Charges,,,,,211.5,,,,,,,Percent of Total Billed Charges,,,,,211.5,,,,,,,Percent of Total Billed Charges,,,,,47,,,,,,,Percent of Total Billed Charges,,,,,65.8,,,,,,,Percent of Total Billed Charges,,,,,188,,,,,,,Percent of Total Billed Charges,,,,,47,,,,,,,Percent of Total Billed Charges,,,, O/R PACEMAKER LEAD INTRODUCER SET 11.0FR,250,RC,,Outpatient,,,234,187.2,174.8,,,,,,,Percent of Total Billed Charges,,174.8,174.8,,234,,,,,,,Percent of Total Billed Charges,,,,,224.64,,,,,,,Percent of Total Billed Charges,,,,,222.3,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,49.14,,,,,,,Percent of Total Billed Charges,,,,,210.6,,,,,,,Percent of Total Billed Charges,,,,,210.6,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,65.52,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,, O/R LATEX FREE HEMORRHOID BANDS ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, PATH VN SUBCLVJUG 16GA CSR ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, PATH VN CENT MILUMN 7F CSR ,250,RC,,Outpatient,,,177.5,142,132.59,,,,,,,Percent of Total Billed Charges,,132.59,132.59,,177.5,,,,,,,Percent of Total Billed Charges,,,,,170.4,,,,,,,Percent of Total Billed Charges,,,,,168.63,,,,,,,Percent of Total Billed Charges,,,,,35.5,,,,,,,Percent of Total Billed Charges,,,,,150.88,,,,,,,Percent of Total Billed Charges,,,,,37.28,,,,,,,Percent of Total Billed Charges,,,,,159.75,,,,,,,Percent of Total Billed Charges,,,,,159.75,,,,,,,Percent of Total Billed Charges,,,,,35.5,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,142,,,,,,,Percent of Total Billed Charges,,,,,35.5,,,,,,,Percent of Total Billed Charges,,,, PATH VN CENT BROVIAC ,250,RC,,Outpatient,,,275.5,220.4,205.8,,,,,,,Percent of Total Billed Charges,,205.8,205.8,,275.5,,,,,,,Percent of Total Billed Charges,,,,,264.48,,,,,,,Percent of Total Billed Charges,,,,,261.73,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,57.86,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,77.14,,,,,,,Percent of Total Billed Charges,,,,,220.4,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,, CATH VN CENT HICKMAN EVMD ,250,RC,,Outpatient,,,507,405.6,378.73,,,,,,,Percent of Total Billed Charges,,378.73,378.73,,507,,,,,,,Percent of Total Billed Charges,,,,,486.72,,,,,,,Percent of Total Billed Charges,,,,,481.65,,,,,,,Percent of Total Billed Charges,,,,,101.4,,,,,,,Percent of Total Billed Charges,,,,,430.95,,,,,,,Percent of Total Billed Charges,,,,,106.47,,,,,,,Percent of Total Billed Charges,,,,,456.3,,,,,,,Percent of Total Billed Charges,,,,,456.3,,,,,,,Percent of Total Billed Charges,,,,,101.4,,,,,,,Percent of Total Billed Charges,,,,,141.96,,,,,,,Percent of Total Billed Charges,,,,,405.6,,,,,,,Percent of Total Billed Charges,,,,,101.4,,,,,,,Percent of Total Billed Charges,,,, PATH VN CENT MEDIPORT 7FR ,250,RC,,Outpatient,,,1094,875.2,817.22,,,,,,,Percent of Total Billed Charges,,817.22,817.22,,1094,,,,,,,Percent of Total Billed Charges,,,,,1050.24,,,,,,,Percent of Total Billed Charges,,,,,1039.3,,,,,,,Percent of Total Billed Charges,,,,,218.8,,,,,,,Percent of Total Billed Charges,,,,,929.9,,,,,,,Percent of Total Billed Charges,,,,,229.74,,,,,,,Percent of Total Billed Charges,,,,,984.6,,,,,,,Percent of Total Billed Charges,,,,,984.6,,,,,,,Percent of Total Billed Charges,,,,,218.8,,,,,,,Percent of Total Billed Charges,,,,,306.32,,,,,,,Percent of Total Billed Charges,,,,,875.2,,,,,,,Percent of Total Billed Charges,,,,,218.8,,,,,,,Percent of Total Billed Charges,,,, PATH VN CENT OMEGAPORT ,250,RC,,Outpatient,,,1778.5,1422.8,1328.54,,,,,,,Percent of Total Billed Charges,,1328.54,1328.54,,1778.5,,,,,,,Percent of Total Billed Charges,,,,,1707.36,,,,,,,Percent of Total Billed Charges,,,,,1689.58,,,,,,,Percent of Total Billed Charges,,,,,355.7,,,,,,,Percent of Total Billed Charges,,,,,1511.73,,,,,,,Percent of Total Billed Charges,,,,,373.49,,,,,,,Percent of Total Billed Charges,,,,,1600.65,,,,,,,Percent of Total Billed Charges,,,,,1600.65,,,,,,,Percent of Total Billed Charges,,,,,355.7,,,,,,,Percent of Total Billed Charges,,,,,497.98,,,,,,,Percent of Total Billed Charges,,,,,1422.8,,,,,,,Percent of Total Billed Charges,,,,,355.7,,,,,,,Percent of Total Billed Charges,,,, PATH PRCU SHEATH INTRO ,250,RC,,Outpatient,,,124,99.2,92.63,,,,,,,Percent of Total Billed Charges,,92.63,92.63,,124,,,,,,,Percent of Total Billed Charges,,,,,119.04,,,,,,,Percent of Total Billed Charges,,,,,117.8,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,105.4,,,,,,,Percent of Total Billed Charges,,,,,26.04,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,34.72,,,,,,,Percent of Total Billed Charges,,,,,99.2,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,, ACCUTEMP CAUTERY ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, CAUT CORD BOVIE RITTER142708 ,250,RC,,Outpatient,,,24,19.2,17.93,,,,,,,Percent of Total Billed Charges,,17.93,17.93,,24,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,, O/R CAUTERY HAND CONTROLED SMOKE ,250,RC,,Outpatient,,,96,76.8,71.71,,,,,,,Percent of Total Billed Charges,,71.71,71.71,,96,,,,,,,Percent of Total Billed Charges,,,,,92.16,,,,,,,Percent of Total Billed Charges,,,,,91.2,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,, CAUT CORD TUR VM-ME2216 ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, GROUNDING PAD ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, CAUT TIP CLEANER ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, "CAUT ELECTRODE, EXTENDED BLADE STANDARD ",250,RC,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, CAUT TIP NEEDLE LONG ,250,RC,,Outpatient,,,32.5,26,24.28,,,,,,,Percent of Total Billed Charges,,24.28,24.28,,32.5,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,30.88,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,27.63,,,,,,,Percent of Total Billed Charges,,,,,6.83,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,, ELETROSURGICAL NEEDLE ,250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, CAUT INFANT GROUNDING PAY ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, "ELECTRODE, BLADE 2 3/4"" ",250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, ADULT TDS ELECTROSURGICAL GROUNDING PAD ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, DRAIN AXIOM FILT SUMP ,250,RC,,Outpatient,,,103.5,82.8,77.31,,,,,,,Percent of Total Billed Charges,,77.31,77.31,,103.5,,,,,,,Percent of Total Billed Charges,,,,,99.36,,,,,,,Percent of Total Billed Charges,,,,,98.33,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,87.98,,,,,,,Percent of Total Billed Charges,,,,,21.74,,,,,,,Percent of Total Billed Charges,,,,,93.15,,,,,,,Percent of Total Billed Charges,,,,,93.15,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,28.98,,,,,,,Percent of Total Billed Charges,,,,,82.8,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,, BULB RESERVOR 100ML EVAC ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, "DRAIN HVC KIT400-3/22"" ",250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, DRAIN HVC KIT 400-1/4 ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, DRAIN HVC KIT 800 ,250,RC,,Outpatient,,,93,74.4,69.47,,,,,,,Percent of Total Billed Charges,,69.47,69.47,,93,,,,,,,Percent of Total Billed Charges,,,,,89.28,,,,,,,Percent of Total Billed Charges,,,,,88.35,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,79.05,,,,,,,Percent of Total Billed Charges,,,,,19.53,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,26.04,,,,,,,Percent of Total Billed Charges,,,,,74.4,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,, "DRAIN HVC NEEDLE 1/4"" ",250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, DRAIN HVC TUBING 1/8 ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, DRAIN HVC TUBING 3/16 ,250,RC,,Outpatient,,,75.5,60.4,56.4,,,,,,,Percent of Total Billed Charges,,56.4,56.4,,75.5,,,,,,,Percent of Total Billed Charges,,,,,72.48,,,,,,,Percent of Total Billed Charges,,,,,71.73,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,64.18,,,,,,,Percent of Total Billed Charges,,,,,15.86,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,60.4,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,, "DRAIN HVC TUBING 1/4"" ",250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, DRAIN JV RESV 400ML ,250,RC,,Outpatient,,,81,64.8,60.51,,,,,,,Percent of Total Billed Charges,,60.51,60.51,,81,,,,,,,Percent of Total Billed Charges,,,,,77.76,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,17.01,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,, DRAIN SILICONE BLAKE 15FR ,250,RC,,Outpatient,,,157.5,126,117.65,,,,,,,Percent of Total Billed Charges,,117.65,117.65,,157.5,,,,,,,Percent of Total Billed Charges,,,,,151.2,,,,,,,Percent of Total Billed Charges,,,,,149.63,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,133.88,,,,,,,Percent of Total Billed Charges,,,,,33.08,,,,,,,Percent of Total Billed Charges,,,,,141.75,,,,,,,Percent of Total Billed Charges,,,,,141.75,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,, "DRAIN JV PVC ROUND 1/4"" ",250,RC,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, DRAIN SGVC KIT 400-3/16 ,250,RC,,Outpatient,,,99.5,79.6,74.33,,,,,,,Percent of Total Billed Charges,,74.33,74.33,,99.5,,,,,,,Percent of Total Billed Charges,,,,,95.52,,,,,,,Percent of Total Billed Charges,,,,,94.53,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,84.58,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,27.86,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,, DRAIN SGVC KIT 400ML 1/4 ,250,RC,,Outpatient,,,99.5,79.6,74.33,,,,,,,Percent of Total Billed Charges,,74.33,74.33,,99.5,,,,,,,Percent of Total Billed Charges,,,,,95.52,,,,,,,Percent of Total Billed Charges,,,,,94.53,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,84.58,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,27.86,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,, DRAIN PENROSE 1/4IN ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, DRAIN SARATOGA 14FR ,250,RC,,Outpatient,,,41,32.8,30.63,,,,,,,Percent of Total Billed Charges,,30.63,30.63,,41,,,,,,,Percent of Total Billed Charges,,,,,39.36,,,,,,,Percent of Total Billed Charges,,,,,38.95,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,34.85,,,,,,,Percent of Total Billed Charges,,,,,8.61,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,, DRAIN SARATOGA 16FR ,250,RC,,Outpatient,,,41,32.8,30.63,,,,,,,Percent of Total Billed Charges,,30.63,30.63,,41,,,,,,,Percent of Total Billed Charges,,,,,39.36,,,,,,,Percent of Total Billed Charges,,,,,38.95,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,34.85,,,,,,,Percent of Total Billed Charges,,,,,8.61,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,, DRAIN SHIRLEY WOUND SUMP PUMP ,250,RC,,Outpatient,,,177.5,142,132.59,,,,,,,Percent of Total Billed Charges,,132.59,132.59,,177.5,,,,,,,Percent of Total Billed Charges,,,,,170.4,,,,,,,Percent of Total Billed Charges,,,,,168.63,,,,,,,Percent of Total Billed Charges,,,,,35.5,,,,,,,Percent of Total Billed Charges,,,,,150.88,,,,,,,Percent of Total Billed Charges,,,,,37.28,,,,,,,Percent of Total Billed Charges,,,,,159.75,,,,,,,Percent of Total Billed Charges,,,,,159.75,,,,,,,Percent of Total Billed Charges,,,,,35.5,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,142,,,,,,,Percent of Total Billed Charges,,,,,35.5,,,,,,,Percent of Total Billed Charges,,,, O/R CATHETER DRAINAGE MALECOT 28FR ,250,RC,,Outpatient,,,70,56,52.29,,,,,,,Percent of Total Billed Charges,,52.29,52.29,,70,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,59.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,56,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,, O/R STERILE DISPOSABLE BLUE TOWEL ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, DRAPE PACK AOA CHIC ,250,RC,,Outpatient,,,115.5,92.4,86.28,,,,,,,Percent of Total Billed Charges,,86.28,86.28,,115.5,,,,,,,Percent of Total Billed Charges,,,,,110.88,,,,,,,Percent of Total Billed Charges,,,,,109.73,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,98.18,,,,,,,Percent of Total Billed Charges,,,,,24.26,,,,,,,Percent of Total Billed Charges,,,,,103.95,,,,,,,Percent of Total Billed Charges,,,,,103.95,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,32.34,,,,,,,Percent of Total Billed Charges,,,,,92.4,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,, DRAPE BASIC PACK VI ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, DRAPE PACK CYSTO ,250,RC,,Outpatient,,,52.5,42,39.22,,,,,,,Percent of Total Billed Charges,,39.22,39.22,,52.5,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,11.03,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,42,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,, DRAPE PACK HIP ,250,RC,,Outpatient,,,119.5,95.6,89.27,,,,,,,Percent of Total Billed Charges,,89.27,89.27,,119.5,,,,,,,Percent of Total Billed Charges,,,,,114.72,,,,,,,Percent of Total Billed Charges,,,,,113.53,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,101.58,,,,,,,Percent of Total Billed Charges,,,,,25.1,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,33.46,,,,,,,Percent of Total Billed Charges,,,,,95.6,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,, O/R LAPAROSCOPY PACK IV ,250,RC,,Outpatient,,,50.5,40.4,37.72,,,,,,,Percent of Total Billed Charges,,37.72,37.72,,50.5,,,,,,,Percent of Total Billed Charges,,,,,48.48,,,,,,,Percent of Total Billed Charges,,,,,47.98,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,42.93,,,,,,,Percent of Total Billed Charges,,,,,10.61,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,14.14,,,,,,,Percent of Total Billed Charges,,,,,40.4,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,, O/R DRAPE PACK LAPAROTOMY ,250,RC,,Outpatient,,,78.5,62.8,58.64,,,,,,,Percent of Total Billed Charges,,58.64,58.64,,78.5,,,,,,,Percent of Total Billed Charges,,,,,75.36,,,,,,,Percent of Total Billed Charges,,,,,74.58,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,66.73,,,,,,,Percent of Total Billed Charges,,,,,16.49,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,21.98,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,, DRAPE ORTHO PACK VI (EXTREMITY) ,250,RC,,Outpatient,,,66,52.8,49.3,,,,,,,Percent of Total Billed Charges,,49.3,49.3,,66,,,,,,,Percent of Total Billed Charges,,,,,63.36,,,,,,,Percent of Total Billed Charges,,,,,62.7,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,56.1,,,,,,,Percent of Total Billed Charges,,,,,13.86,,,,,,,Percent of Total Billed Charges,,,,,59.4,,,,,,,Percent of Total Billed Charges,,,,,59.4,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,18.48,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,, O/R LAPAROSCOPY/CHOLECYSTECTOMY ,250,RC,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, O/R VAGINAL PACKING ,250,RC,,Outpatient,,,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, SURGICAL GOWN XX-LARGE ,250,RC,,Outpatient,,,22.5,18,16.81,,,,,,,Percent of Total Billed Charges,,16.81,16.81,,22.5,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.38,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,20.25,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,, DRAPE MAYO STAND COVER ,250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, DRAPE VIDEO CAMERA ,250,RC,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, O/R DRAPE STERILE LEGGINGS XL ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, "O/R BASIC BODY SPLIT DRAPE 77""X114"" ",250,RC,,Outpatient,,,76.5,61.2,57.15,,,,,,,Percent of Total Billed Charges,,57.15,57.15,,76.5,,,,,,,Percent of Total Billed Charges,,,,,73.44,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,65.03,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,, DRAPE INSTR POUCH ,250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, STERI-DRAPE IRRIGATION POUCH ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, DRAPE IOBAN STERI ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, "STERI-DRAPE, SMALL APERATURE ",250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, DRAPE PREP PAD ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, DRAPE SHEET 1/2 ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "DRAPE, LARGE 55 X 76 ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, PEDS LAP SHEET ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, DRAPES STERI MED ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, DRAPES STERI LG 18X36 ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, DRAPES STERI TOWEL ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, DRAPES STOCKINETTE SM ,250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, "STOCKINETTE,IMPERVIOUS ",250,RC,,Outpatient,,,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, DRAPE TABLE ,250,RC,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, DRAPES U ,250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, DRAPES UNDER BUTTOCKS ,250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, DRAPES UTILITY W/TAPE ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, DRAPES WOUND PROTECT 7IN ,250,RC,,Outpatient,,,69.5,55.6,51.92,,,,,,,Percent of Total Billed Charges,,51.92,51.92,,69.5,,,,,,,Percent of Total Billed Charges,,,,,66.72,,,,,,,Percent of Total Billed Charges,,,,,66.03,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,,,59.08,,,,,,,Percent of Total Billed Charges,,,,,14.6,,,,,,,Percent of Total Billed Charges,,,,,62.55,,,,,,,Percent of Total Billed Charges,,,,,62.55,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,,,19.46,,,,,,,Percent of Total Billed Charges,,,,,55.6,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,, DRAPES WOUND PROTECT 9IN ,250,RC,,Outpatient,,,52.5,42,39.22,,,,,,,Percent of Total Billed Charges,,39.22,39.22,,52.5,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,11.03,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,42,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,, BAND BAG SNAP COVER LGE ,250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, DRAPE XRY Z CASSET ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, DRAPE GOWN SLEEVE ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, DRAPE SHOULDER STERILE W/POUCH ,250,RC,,Outpatient,,,61.5,49.2,45.94,,,,,,,Percent of Total Billed Charges,,45.94,45.94,,61.5,,,,,,,Percent of Total Billed Charges,,,,,59.04,,,,,,,Percent of Total Billed Charges,,,,,58.43,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,52.28,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,55.35,,,,,,,Percent of Total Billed Charges,,,,,55.35,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,17.22,,,,,,,Percent of Total Billed Charges,,,,,49.2,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,, ANOPERINEAL GARMENT FULLER SHIELD ,250,RC,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, ANOPERINEAL DRESSING A.R.D. ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, GLOVES ORTH 7-1/2 PERRY ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, GLOVES ORTH 8 ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, O/R CURITY STERILE GAUZE PACK 4X4 ,250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, SPONGE LAP ,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, O/R SPONGE PEANUTS ,250,RC,,Outpatient,,,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, O/R SPONGE VISTEC 4 X 4 ,250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, SPONGE BAG ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, "EYE SPEARS, SURGICAL SIZE 1 ",250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, "COBAN ADHESIVE WRAP 6"" STERILE ",250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, "COBAN ADHESIVE WRAP 3"" STERILE ",250,RC,,Outpatient,,,7.5,6,5.6,,,,,,,Percent of Total Billed Charges,,5.6,5.6,,7.5,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.13,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,, SUCT FRAZIER TIP 18F ,250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, SUCT SIGMOID-TUBING ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, YANKAUER TUBE SELEC-TROL ,250,RC,,Outpatient,,,7.5,6,5.6,,,,,,,Percent of Total Billed Charges,,5.6,5.6,,7.5,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.13,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,, SUCT ON-OFF CONROL TIP ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, PEG REPLACEMENT TUBE 4.4CM ,250,RC,,Outpatient,,,517,413.6,386.2,,,,,,,Percent of Total Billed Charges,,386.2,386.2,,517,,,,,,,Percent of Total Billed Charges,,,,,496.32,,,,,,,Percent of Total Billed Charges,,,,,491.15,,,,,,,Percent of Total Billed Charges,,,,,103.4,,,,,,,Percent of Total Billed Charges,,,,,439.45,,,,,,,Percent of Total Billed Charges,,,,,108.57,,,,,,,Percent of Total Billed Charges,,,,,465.3,,,,,,,Percent of Total Billed Charges,,,,,465.3,,,,,,,Percent of Total Billed Charges,,,,,103.4,,,,,,,Percent of Total Billed Charges,,,,,144.76,,,,,,,Percent of Total Billed Charges,,,,,413.6,,,,,,,Percent of Total Billed Charges,,,,,103.4,,,,,,,Percent of Total Billed Charges,,,, TUBE NG BAKER-JEJUNOSTOMY ,250,RC,,Outpatient,,,338,270.4,252.49,,,,,,,Percent of Total Billed Charges,,252.49,252.49,,338,,,,,,,Percent of Total Billed Charges,,,,,324.48,,,,,,,Percent of Total Billed Charges,,,,,321.1,,,,,,,Percent of Total Billed Charges,,,,,67.6,,,,,,,Percent of Total Billed Charges,,,,,287.3,,,,,,,Percent of Total Billed Charges,,,,,70.98,,,,,,,Percent of Total Billed Charges,,,,,304.2,,,,,,,Percent of Total Billed Charges,,,,,304.2,,,,,,,Percent of Total Billed Charges,,,,,67.6,,,,,,,Percent of Total Billed Charges,,,,,94.64,,,,,,,Percent of Total Billed Charges,,,,,270.4,,,,,,,Percent of Total Billed Charges,,,,,67.6,,,,,,,Percent of Total Billed Charges,,,, TUBE NG CANTOR 16FR ,250,RC,,Outpatient,,,78.5,62.8,58.64,,,,,,,Percent of Total Billed Charges,,58.64,58.64,,78.5,,,,,,,Percent of Total Billed Charges,,,,,75.36,,,,,,,Percent of Total Billed Charges,,,,,74.58,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,66.73,,,,,,,Percent of Total Billed Charges,,,,,16.49,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,21.98,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,, TUBE PEG GASTROSTOMY ,250,RC,,Outpatient,,,282,225.6,210.65,,,,,,,Percent of Total Billed Charges,,210.65,210.65,,282,,,,,,,Percent of Total Billed Charges,,,,,270.72,,,,,,,Percent of Total Billed Charges,,,,,267.9,,,,,,,Percent of Total Billed Charges,,,,,56.4,,,,,,,Percent of Total Billed Charges,,,,,239.7,,,,,,,Percent of Total Billed Charges,,,,,59.22,,,,,,,Percent of Total Billed Charges,,,,,253.8,,,,,,,Percent of Total Billed Charges,,,,,253.8,,,,,,,Percent of Total Billed Charges,,,,,56.4,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,225.6,,,,,,,Percent of Total Billed Charges,,,,,56.4,,,,,,,Percent of Total Billed Charges,,,, PEG REPLACEMENT TUBE 2.4CM ,250,RC,,Outpatient,,,458.5,366.8,342.5,,,,,,,Percent of Total Billed Charges,,342.5,342.5,,458.5,,,,,,,Percent of Total Billed Charges,,,,,440.16,,,,,,,Percent of Total Billed Charges,,,,,435.58,,,,,,,Percent of Total Billed Charges,,,,,91.7,,,,,,,Percent of Total Billed Charges,,,,,389.73,,,,,,,Percent of Total Billed Charges,,,,,96.29,,,,,,,Percent of Total Billed Charges,,,,,412.65,,,,,,,Percent of Total Billed Charges,,,,,412.65,,,,,,,Percent of Total Billed Charges,,,,,91.7,,,,,,,Percent of Total Billed Charges,,,,,128.38,,,,,,,Percent of Total Billed Charges,,,,,366.8,,,,,,,Percent of Total Billed Charges,,,,,91.7,,,,,,,Percent of Total Billed Charges,,,, PEG REPLACEMENT TUBE 3.4CM ,250,RC,,Outpatient,,,517,413.6,386.2,,,,,,,Percent of Total Billed Charges,,386.2,386.2,,517,,,,,,,Percent of Total Billed Charges,,,,,496.32,,,,,,,Percent of Total Billed Charges,,,,,491.15,,,,,,,Percent of Total Billed Charges,,,,,103.4,,,,,,,Percent of Total Billed Charges,,,,,439.45,,,,,,,Percent of Total Billed Charges,,,,,108.57,,,,,,,Percent of Total Billed Charges,,,,,465.3,,,,,,,Percent of Total Billed Charges,,,,,465.3,,,,,,,Percent of Total Billed Charges,,,,,103.4,,,,,,,Percent of Total Billed Charges,,,,,144.76,,,,,,,Percent of Total Billed Charges,,,,,413.6,,,,,,,Percent of Total Billed Charges,,,,,103.4,,,,,,,Percent of Total Billed Charges,,,, PEG REPLACEMENT TUBE 1.7CM ,250,RC,,Outpatient,,,458.5,366.8,342.5,,,,,,,Percent of Total Billed Charges,,342.5,342.5,,458.5,,,,,,,Percent of Total Billed Charges,,,,,440.16,,,,,,,Percent of Total Billed Charges,,,,,435.58,,,,,,,Percent of Total Billed Charges,,,,,91.7,,,,,,,Percent of Total Billed Charges,,,,,389.73,,,,,,,Percent of Total Billed Charges,,,,,96.29,,,,,,,Percent of Total Billed Charges,,,,,412.65,,,,,,,Percent of Total Billed Charges,,,,,412.65,,,,,,,Percent of Total Billed Charges,,,,,91.7,,,,,,,Percent of Total Billed Charges,,,,,128.38,,,,,,,Percent of Total Billed Charges,,,,,366.8,,,,,,,Percent of Total Billed Charges,,,,,91.7,,,,,,,Percent of Total Billed Charges,,,, O/R ENFIT G-TUBE 20FR CATH ,250,RC,,Outpatient,,,133.5,106.8,99.72,,,,,,,Percent of Total Billed Charges,,99.72,99.72,,133.5,,,,,,,Percent of Total Billed Charges,,,,,128.16,,,,,,,Percent of Total Billed Charges,,,,,126.83,,,,,,,Percent of Total Billed Charges,,,,,26.7,,,,,,,Percent of Total Billed Charges,,,,,113.48,,,,,,,Percent of Total Billed Charges,,,,,28.04,,,,,,,Percent of Total Billed Charges,,,,,120.15,,,,,,,Percent of Total Billed Charges,,,,,120.15,,,,,,,Percent of Total Billed Charges,,,,,26.7,,,,,,,Percent of Total Billed Charges,,,,,37.38,,,,,,,Percent of Total Billed Charges,,,,,106.8,,,,,,,Percent of Total Billed Charges,,,,,26.7,,,,,,,Percent of Total Billed Charges,,,, O/R ENFIT G-TUBE 24FR CATH ,250,RC,,Outpatient,,,133.5,106.8,99.72,,,,,,,Percent of Total Billed Charges,,99.72,99.72,,133.5,,,,,,,Percent of Total Billed Charges,,,,,128.16,,,,,,,Percent of Total Billed Charges,,,,,126.83,,,,,,,Percent of Total Billed Charges,,,,,26.7,,,,,,,Percent of Total Billed Charges,,,,,113.48,,,,,,,Percent of Total Billed Charges,,,,,28.04,,,,,,,Percent of Total Billed Charges,,,,,120.15,,,,,,,Percent of Total Billed Charges,,,,,120.15,,,,,,,Percent of Total Billed Charges,,,,,26.7,,,,,,,Percent of Total Billed Charges,,,,,37.38,,,,,,,Percent of Total Billed Charges,,,,,106.8,,,,,,,Percent of Total Billed Charges,,,,,26.7,,,,,,,Percent of Total Billed Charges,,,, TUBE NG LEVINE ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, T-TUBE CATH ADAPTER ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, T-TUBE 10FR DENVER ,250,RC,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, T-TUBE 12 FR DENVER ,250,RC,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, "T-TUBE 14 FR 5"" CROSSBAR ",250,RC,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, T-TUBE 16 FR CATTELL ,250,RC,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, "T-TUBE 18 FR 12"" CSRB ",250,RC,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, T-TUBE 20 FR CATTELL ,250,RC,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, T-TUBE 22 FR CATTELL ,250,RC,,Outpatient,,,44,35.2,32.87,,,,,,,Percent of Total Billed Charges,,32.87,32.87,,44,,,,,,,Percent of Total Billed Charges,,,,,42.24,,,,,,,Percent of Total Billed Charges,,,,,41.8,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,9.24,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,12.32,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,, T-TUBE 24 FR CATTELL ,250,RC,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, TUBE TRACH SIZE 00 ,250,RC,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, TUBE TRACH SIZE 0 SHILEY ,250,RC,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, TUBE TRACH SIZE 11 SHILEY ,250,RC,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, TUBE TRACH SIZE 2 SHILEY ,250,RC,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, TUBE TRACH SIZE 3 SHILEY ,250,RC,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, TUBE TRACH SIZE 4 SHILEY ,250,RC,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, TUBE TRACH SIZE 5 SHILEY ,250,RC,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, TUBE TRACH SIZE 6 SHILEY ,250,RC,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, TUBE TRACH SIZE 7 SHILEY ,250,RC,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, TUBE TRACH SIZE 8 SHILEY ,250,RC,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, TUBE TRACH SIZE 9 SHILEY ,250,RC,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, TUBE TRACH SIZE 10 SHILEY ,250,RC,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, TUBE TRACH PORTEX SIZE 34 FR ,250,RC,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, TUBE TRACH PORTEX SIZE 30 FR ,250,RC,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, TUBE JEJUNOSTOMY KIT ,250,RC,,Outpatient,,,109.5,87.6,81.8,,,,,,,Percent of Total Billed Charges,,81.8,81.8,,109.5,,,,,,,Percent of Total Billed Charges,,,,,105.12,,,,,,,Percent of Total Billed Charges,,,,,104.03,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,93.08,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,30.66,,,,,,,Percent of Total Billed Charges,,,,,87.6,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,, TUBE PERCUTANEOUS GI 18FR 8'L ,250,RC,,Outpatient,,,585.5,468.4,437.37,,,,,,,Percent of Total Billed Charges,,437.37,437.37,,585.5,,,,,,,Percent of Total Billed Charges,,,,,562.08,,,,,,,Percent of Total Billed Charges,,,,,556.23,,,,,,,Percent of Total Billed Charges,,,,,117.1,,,,,,,Percent of Total Billed Charges,,,,,497.68,,,,,,,Percent of Total Billed Charges,,,,,122.96,,,,,,,Percent of Total Billed Charges,,,,,526.95,,,,,,,Percent of Total Billed Charges,,,,,526.95,,,,,,,Percent of Total Billed Charges,,,,,117.1,,,,,,,Percent of Total Billed Charges,,,,,163.94,,,,,,,Percent of Total Billed Charges,,,,,468.4,,,,,,,Percent of Total Billed Charges,,,,,117.1,,,,,,,Percent of Total Billed Charges,,,, "PORT, SINGLE LUMEN 9.6FR ",250,RC,,Outpatient,,,1486.5,1189.2,1110.42,,,,,,,Percent of Total Billed Charges,,1110.42,1110.42,,1486.5,,,,,,,Percent of Total Billed Charges,,,,,1427.04,,,,,,,Percent of Total Billed Charges,,,,,1412.18,,,,,,,Percent of Total Billed Charges,,,,,297.3,,,,,,,Percent of Total Billed Charges,,,,,1263.53,,,,,,,Percent of Total Billed Charges,,,,,312.17,,,,,,,Percent of Total Billed Charges,,,,,1337.85,,,,,,,Percent of Total Billed Charges,,,,,1337.85,,,,,,,Percent of Total Billed Charges,,,,,297.3,,,,,,,Percent of Total Billed Charges,,,,,416.22,,,,,,,Percent of Total Billed Charges,,,,,1189.2,,,,,,,Percent of Total Billed Charges,,,,,297.3,,,,,,,Percent of Total Billed Charges,,,, "PORT,GROSHONG 8FR SINGLE LUMEN ",250,RC,,Outpatient,,,1734,1387.2,1295.3,,,,,,,Percent of Total Billed Charges,,1295.3,1295.3,,1734,,,,,,,Percent of Total Billed Charges,,,,,1664.64,,,,,,,Percent of Total Billed Charges,,,,,1647.3,,,,,,,Percent of Total Billed Charges,,,,,346.8,,,,,,,Percent of Total Billed Charges,,,,,1473.9,,,,,,,Percent of Total Billed Charges,,,,,364.14,,,,,,,Percent of Total Billed Charges,,,,,1560.6,,,,,,,Percent of Total Billed Charges,,,,,1560.6,,,,,,,Percent of Total Billed Charges,,,,,346.8,,,,,,,Percent of Total Billed Charges,,,,,485.52,,,,,,,Percent of Total Billed Charges,,,,,1387.2,,,,,,,Percent of Total Billed Charges,,,,,346.8,,,,,,,Percent of Total Billed Charges,,,, MISC ART LINE MONT KIT ,250,RC,,Outpatient,,,86,68.8,64.24,,,,,,,Percent of Total Billed Charges,,64.24,64.24,,86,,,,,,,Percent of Total Billed Charges,,,,,82.56,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,,,18.06,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,24.08,,,,,,,Percent of Total Billed Charges,,,,,68.8,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,, MISC ART PRESSURE TUBING PT-06 ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, DERMATONE CUTTING HEAD ,250,RC,,Outpatient,,,85,68,63.5,,,,,,,Percent of Total Billed Charges,,63.5,63.5,,85,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,80.75,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,72.25,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,, CYTOLOGY BRUSH BIOPSY ,250,RC,,Outpatient,,,56.5,45.2,42.21,,,,,,,Percent of Total Billed Charges,,42.21,42.21,,56.5,,,,,,,Percent of Total Billed Charges,,,,,54.24,,,,,,,Percent of Total Billed Charges,,,,,53.68,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,48.03,,,,,,,Percent of Total Billed Charges,,,,,11.87,,,,,,,Percent of Total Billed Charges,,,,,50.85,,,,,,,Percent of Total Billed Charges,,,,,50.85,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,15.82,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,, O/R DISP. ACUSNARE15MM MED ,250,RC,,Outpatient,,,48.5,38.8,36.23,,,,,,,Percent of Total Billed Charges,,36.23,36.23,,48.5,,,,,,,Percent of Total Billed Charges,,,,,46.56,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,41.23,,,,,,,Percent of Total Billed Charges,,,,,10.19,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,13.58,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,, O/R DISP. ACUSNARE 25MM LRG ,250,RC,,Outpatient,,,77,61.6,57.52,,,,,,,Percent of Total Billed Charges,,57.52,57.52,,77,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,73.15,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,65.45,,,,,,,Percent of Total Billed Charges,,,,,16.17,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,21.56,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,, O/R BIOPSY FORCEP OVAL 180CM (DISP) ,250,RC,,Outpatient,,,214.5,171.6,160.23,,,,,,,Percent of Total Billed Charges,,160.23,160.23,,214.5,,,,,,,Percent of Total Billed Charges,,,,,205.92,,,,,,,Percent of Total Billed Charges,,,,,203.78,,,,,,,Percent of Total Billed Charges,,,,,42.9,,,,,,,Percent of Total Billed Charges,,,,,182.33,,,,,,,Percent of Total Billed Charges,,,,,45.05,,,,,,,Percent of Total Billed Charges,,,,,193.05,,,,,,,Percent of Total Billed Charges,,,,,193.05,,,,,,,Percent of Total Billed Charges,,,,,42.9,,,,,,,Percent of Total Billed Charges,,,,,60.06,,,,,,,Percent of Total Billed Charges,,,,,171.6,,,,,,,Percent of Total Billed Charges,,,,,42.9,,,,,,,Percent of Total Billed Charges,,,, BIOPSY FORCEPS 230CM (DISPOSABLE) ,250,RC,,Outpatient,,,214.5,171.6,160.23,,,,,,,Percent of Total Billed Charges,,160.23,160.23,,214.5,,,,,,,Percent of Total Billed Charges,,,,,205.92,,,,,,,Percent of Total Billed Charges,,,,,203.78,,,,,,,Percent of Total Billed Charges,,,,,42.9,,,,,,,Percent of Total Billed Charges,,,,,182.33,,,,,,,Percent of Total Billed Charges,,,,,45.05,,,,,,,Percent of Total Billed Charges,,,,,193.05,,,,,,,Percent of Total Billed Charges,,,,,193.05,,,,,,,Percent of Total Billed Charges,,,,,42.9,,,,,,,Percent of Total Billed Charges,,,,,60.06,,,,,,,Percent of Total Billed Charges,,,,,171.6,,,,,,,Percent of Total Billed Charges,,,,,42.9,,,,,,,Percent of Total Billed Charges,,,, MISC H20-SEAL CHST UNT CSR ,250,RC,,Outpatient,,,193,154.4,144.17,,,,,,,Percent of Total Billed Charges,,144.17,144.17,,193,,,,,,,Percent of Total Billed Charges,,,,,185.28,,,,,,,Percent of Total Billed Charges,,,,,183.35,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,,,164.05,,,,,,,Percent of Total Billed Charges,,,,,40.53,,,,,,,Percent of Total Billed Charges,,,,,173.7,,,,,,,Percent of Total Billed Charges,,,,,173.7,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,,,54.04,,,,,,,Percent of Total Billed Charges,,,,,154.4,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,, BIPOLAR ENDOSTASIS PROBE 7FR(2.4MM) ,250,RC,,Outpatient,,,646,516.8,482.56,,,,,,,Percent of Total Billed Charges,,482.56,482.56,,646,,,,,,,Percent of Total Billed Charges,,,,,620.16,,,,,,,Percent of Total Billed Charges,,,,,613.7,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,,,549.1,,,,,,,Percent of Total Billed Charges,,,,,135.66,,,,,,,Percent of Total Billed Charges,,,,,581.4,,,,,,,Percent of Total Billed Charges,,,,,581.4,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,,,180.88,,,,,,,Percent of Total Billed Charges,,,,,516.8,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,, O/R ASSURANCE 360 CLIPS 16MM (DISP) ,250,RC,,Outpatient,,,348,278.4,259.96,,,,,,,Percent of Total Billed Charges,,259.96,259.96,,348,,,,,,,Percent of Total Billed Charges,,,,,334.08,,,,,,,Percent of Total Billed Charges,,,,,330.6,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,295.8,,,,,,,Percent of Total Billed Charges,,,,,73.08,,,,,,,Percent of Total Billed Charges,,,,,313.2,,,,,,,Percent of Total Billed Charges,,,,,313.2,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,97.44,,,,,,,Percent of Total Billed Charges,,,,,278.4,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,, O/R BIPOLAR SCISSORS 5MM 45CM ,250,RC,,Outpatient,,,501.5,401.2,374.62,,,,,,,Percent of Total Billed Charges,,374.62,374.62,,501.5,,,,,,,Percent of Total Billed Charges,,,,,481.44,,,,,,,Percent of Total Billed Charges,,,,,476.43,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,,,426.28,,,,,,,Percent of Total Billed Charges,,,,,105.32,,,,,,,Percent of Total Billed Charges,,,,,451.35,,,,,,,Percent of Total Billed Charges,,,,,451.35,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,,,140.42,,,,,,,Percent of Total Billed Charges,,,,,401.2,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,, O/R COOK PEEL-AWAY W/INTRODUCER SET ,250,RC,,Outpatient,,,1436,1148.8,1072.69,,,,,,,Percent of Total Billed Charges,,1072.69,1072.69,,1436,,,,,,,Percent of Total Billed Charges,,,,,1378.56,,,,,,,Percent of Total Billed Charges,,,,,1364.2,,,,,,,Percent of Total Billed Charges,,,,,287.2,,,,,,,Percent of Total Billed Charges,,,,,1220.6,,,,,,,Percent of Total Billed Charges,,,,,301.56,,,,,,,Percent of Total Billed Charges,,,,,1292.4,,,,,,,Percent of Total Billed Charges,,,,,1292.4,,,,,,,Percent of Total Billed Charges,,,,,287.2,,,,,,,Percent of Total Billed Charges,,,,,402.08,,,,,,,Percent of Total Billed Charges,,,,,1148.8,,,,,,,Percent of Total Billed Charges,,,,,287.2,,,,,,,Percent of Total Billed Charges,,,, O/R CAPTIVATOR THIN WIRE SNARE 10MM ,250,RC,,Outpatient,,,82,65.6,61.25,,,,,,,Percent of Total Billed Charges,,61.25,61.25,,82,,,,,,,Percent of Total Billed Charges,,,,,78.72,,,,,,,Percent of Total Billed Charges,,,,,77.9,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,69.7,,,,,,,Percent of Total Billed Charges,,,,,17.22,,,,,,,Percent of Total Billed Charges,,,,,73.8,,,,,,,Percent of Total Billed Charges,,,,,73.8,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,22.96,,,,,,,Percent of Total Billed Charges,,,,,65.6,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,, O/R VARITHENA ADMIN PACK ,250,RC,,Outpatient,,,144.5,115.6,107.94,,,,,,,Percent of Total Billed Charges,,107.94,107.94,,144.5,,,,,,,Percent of Total Billed Charges,,,,,138.72,,,,,,,Percent of Total Billed Charges,,,,,137.28,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,122.83,,,,,,,Percent of Total Billed Charges,,,,,30.35,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,40.46,,,,,,,Percent of Total Billed Charges,,,,,115.6,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,, O/R VARITHENA INJECTABLE FOAM ,250,RC,,Outpatient,,,551,440.8,411.6,,,,,,,Percent of Total Billed Charges,,411.6,411.6,,551,,,,,,,Percent of Total Billed Charges,,,,,528.96,,,,,,,Percent of Total Billed Charges,,,,,523.45,,,,,,,Percent of Total Billed Charges,,,,,110.2,,,,,,,Percent of Total Billed Charges,,,,,468.35,,,,,,,Percent of Total Billed Charges,,,,,115.71,,,,,,,Percent of Total Billed Charges,,,,,495.9,,,,,,,Percent of Total Billed Charges,,,,,495.9,,,,,,,Percent of Total Billed Charges,,,,,110.2,,,,,,,Percent of Total Billed Charges,,,,,154.28,,,,,,,Percent of Total Billed Charges,,,,,440.8,,,,,,,Percent of Total Billed Charges,,,,,110.2,,,,,,,Percent of Total Billed Charges,,,, MISC JAMSHIDI BIOPSY NEEDLE ,250,RC,,Outpatient,,,115,92,85.91,,,,,,,Percent of Total Billed Charges,,85.91,85.91,,115,,,,,,,Percent of Total Billed Charges,,,,,110.4,,,,,,,Percent of Total Billed Charges,,,,,109.25,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,97.75,,,,,,,Percent of Total Billed Charges,,,,,24.15,,,,,,,Percent of Total Billed Charges,,,,,103.5,,,,,,,Percent of Total Billed Charges,,,,,103.5,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,92,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,, MISC LAVEEN SHUNT ,250,RC,,Outpatient,,,969.5,775.6,724.22,,,,,,,Percent of Total Billed Charges,,724.22,724.22,,969.5,,,,,,,Percent of Total Billed Charges,,,,,930.72,,,,,,,Percent of Total Billed Charges,,,,,921.03,,,,,,,Percent of Total Billed Charges,,,,,193.9,,,,,,,Percent of Total Billed Charges,,,,,824.08,,,,,,,Percent of Total Billed Charges,,,,,203.6,,,,,,,Percent of Total Billed Charges,,,,,872.55,,,,,,,Percent of Total Billed Charges,,,,,872.55,,,,,,,Percent of Total Billed Charges,,,,,193.9,,,,,,,Percent of Total Billed Charges,,,,,271.46,,,,,,,Percent of Total Billed Charges,,,,,775.6,,,,,,,Percent of Total Billed Charges,,,,,193.9,,,,,,,Percent of Total Billed Charges,,,, O/R PVP SURGICAL SCRUB ,250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, MISC PERCUT ASPIR BIOPSY TRAY ,250,RC,,Outpatient,,,125,100,93.38,,,,,,,Percent of Total Billed Charges,,93.38,93.38,,125,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,118.75,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,106.25,,,,,,,Percent of Total Billed Charges,,,,,26.25,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,100,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,, O/R SKIN PREP TRAY ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, MISC-PROLENE MESH GRAFT ,250,RC,,Outpatient,,,91,72.8,67.98,,,,,,,Percent of Total Billed Charges,,67.98,67.98,,91,,,,,,,Percent of Total Billed Charges,,,,,87.36,,,,,,,Percent of Total Billed Charges,,,,,86.45,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,77.35,,,,,,,Percent of Total Billed Charges,,,,,19.11,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,25.48,,,,,,,Percent of Total Billed Charges,,,,,72.8,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,, MISC SOFT TISSUE PATCH 5X10 ,250,RC,,Outpatient,,,288.5,230.8,215.51,,,,,,,Percent of Total Billed Charges,,215.51,215.51,,288.5,,,,,,,Percent of Total Billed Charges,,,,,276.96,,,,,,,Percent of Total Billed Charges,,,,,274.08,,,,,,,Percent of Total Billed Charges,,,,,57.7,,,,,,,Percent of Total Billed Charges,,,,,245.23,,,,,,,Percent of Total Billed Charges,,,,,60.59,,,,,,,Percent of Total Billed Charges,,,,,259.65,,,,,,,Percent of Total Billed Charges,,,,,259.65,,,,,,,Percent of Total Billed Charges,,,,,57.7,,,,,,,Percent of Total Billed Charges,,,,,80.78,,,,,,,Percent of Total Billed Charges,,,,,230.8,,,,,,,Percent of Total Billed Charges,,,,,57.7,,,,,,,Percent of Total Billed Charges,,,, MISC SOFT TISSUE PATCH 10X15 ,250,RC,,Outpatient,,,1251,1000.8,934.5,,,,,,,Percent of Total Billed Charges,,934.5,934.5,,1251,,,,,,,Percent of Total Billed Charges,,,,,1200.96,,,,,,,Percent of Total Billed Charges,,,,,1188.45,,,,,,,Percent of Total Billed Charges,,,,,250.2,,,,,,,Percent of Total Billed Charges,,,,,1063.35,,,,,,,Percent of Total Billed Charges,,,,,262.71,,,,,,,Percent of Total Billed Charges,,,,,1125.9,,,,,,,Percent of Total Billed Charges,,,,,1125.9,,,,,,,Percent of Total Billed Charges,,,,,250.2,,,,,,,Percent of Total Billed Charges,,,,,350.28,,,,,,,Percent of Total Billed Charges,,,,,1000.8,,,,,,,Percent of Total Billed Charges,,,,,250.2,,,,,,,Percent of Total Billed Charges,,,, SURGIPRO MESH ,250,RC,,Outpatient,,,119.5,95.6,89.27,,,,,,,Percent of Total Billed Charges,,89.27,89.27,,119.5,,,,,,,Percent of Total Billed Charges,,,,,114.72,,,,,,,Percent of Total Billed Charges,,,,,113.53,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,101.58,,,,,,,Percent of Total Billed Charges,,,,,25.1,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,33.46,,,,,,,Percent of Total Billed Charges,,,,,95.6,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,, CHLORAPREP 10.5 ML ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, CHLORAPREP 26ML ,250,RC,,Outpatient,,,32.5,26,24.28,,,,,,,Percent of Total Billed Charges,,24.28,24.28,,32.5,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,30.88,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,27.63,,,,,,,Percent of Total Billed Charges,,,,,6.83,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,, ARISTA 5 X 3GM ,250,RC,,Outpatient,,,463.5,370.8,346.23,,,,,,,Percent of Total Billed Charges,,346.23,346.23,,463.5,,,,,,,Percent of Total Billed Charges,,,,,444.96,,,,,,,Percent of Total Billed Charges,,,,,440.33,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,393.98,,,,,,,Percent of Total Billed Charges,,,,,97.34,,,,,,,Percent of Total Billed Charges,,,,,417.15,,,,,,,Percent of Total Billed Charges,,,,,417.15,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,129.78,,,,,,,Percent of Total Billed Charges,,,,,370.8,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,, ARISTA FLEXTIP APPLICATOR XL ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, MISC RETRACT-O-TAPE 10GA ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, MISC RETRACT-O-TAPE 14GA ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, MISC RETRACT-O-TAPE 16GA ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, MISC SIN GRAFT FINE 3X12IN ,250,RC,,Outpatient,,,119.5,95.6,89.27,,,,,,,Percent of Total Billed Charges,,89.27,89.27,,119.5,,,,,,,Percent of Total Billed Charges,,,,,114.72,,,,,,,Percent of Total Billed Charges,,,,,113.53,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,101.58,,,,,,,Percent of Total Billed Charges,,,,,25.1,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,33.46,,,,,,,Percent of Total Billed Charges,,,,,95.6,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,, O/R SKINMARKER STERILE WITH LABELS ,250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, MISC STIRRUP TRAPS ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, DRILL BIT GAMMA (SHORT) ,250,RC,,Outpatient,,,368,294.4,274.9,,,,,,,Percent of Total Billed Charges,,274.9,274.9,,368,,,,,,,Percent of Total Billed Charges,,,,,353.28,,,,,,,Percent of Total Billed Charges,,,,,349.6,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,,,312.8,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,,,103.04,,,,,,,Percent of Total Billed Charges,,,,,294.4,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,, O/R SAVARY GUIDEWIRE 200CM ,250,RC,,Outpatient,,,255.5,204.4,190.86,,,,,,,Percent of Total Billed Charges,,190.86,190.86,,255.5,,,,,,,Percent of Total Billed Charges,,,,,245.28,,,,,,,Percent of Total Billed Charges,,,,,242.73,,,,,,,Percent of Total Billed Charges,,,,,51.1,,,,,,,Percent of Total Billed Charges,,,,,217.18,,,,,,,Percent of Total Billed Charges,,,,,53.66,,,,,,,Percent of Total Billed Charges,,,,,229.95,,,,,,,Percent of Total Billed Charges,,,,,229.95,,,,,,,Percent of Total Billed Charges,,,,,51.1,,,,,,,Percent of Total Billed Charges,,,,,71.54,,,,,,,Percent of Total Billed Charges,,,,,204.4,,,,,,,Percent of Total Billed Charges,,,,,51.1,,,,,,,Percent of Total Billed Charges,,,, MIXC SYRINGE TOOMEY ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, MISC TENS ELECTRODES ,250,RC,,Outpatient,,,45.5,36.4,33.99,,,,,,,Percent of Total Billed Charges,,33.99,33.99,,45.5,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,43.23,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,38.68,,,,,,,Percent of Total Billed Charges,,,,,9.56,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,12.74,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,, "TRU-CUT BIOPSY NEEDLE, 14GA 4.5"" ",250,RC,,Outpatient,,,88.5,70.8,66.11,,,,,,,Percent of Total Billed Charges,,66.11,66.11,,88.5,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,84.08,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,75.23,,,,,,,Percent of Total Billed Charges,,,,,18.59,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,, MISC VISCERA RETAINER FISH ,250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, "ESMARK BANDAGE 4"" X 3YD ",250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, FOG REDUCTION ENDOSCOPIC ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, MISC STIFF WIRE JUGULAR SYSTEM ,250,RC,,Outpatient,,,157,125.6,117.28,,,,,,,Percent of Total Billed Charges,,117.28,117.28,,157,,,,,,,Percent of Total Billed Charges,,,,,150.72,,,,,,,Percent of Total Billed Charges,,,,,149.15,,,,,,,Percent of Total Billed Charges,,,,,31.4,,,,,,,Percent of Total Billed Charges,,,,,133.45,,,,,,,Percent of Total Billed Charges,,,,,32.97,,,,,,,Percent of Total Billed Charges,,,,,141.3,,,,,,,Percent of Total Billed Charges,,,,,141.3,,,,,,,Percent of Total Billed Charges,,,,,31.4,,,,,,,Percent of Total Billed Charges,,,,,43.96,,,,,,,Percent of Total Billed Charges,,,,,125.6,,,,,,,Percent of Total Billed Charges,,,,,31.4,,,,,,,Percent of Total Billed Charges,,,, MISC. VASCULAR DILATOR SET ,250,RC,,Outpatient,,,116.5,93.2,87.03,,,,,,,Percent of Total Billed Charges,,87.03,87.03,,116.5,,,,,,,Percent of Total Billed Charges,,,,,111.84,,,,,,,Percent of Total Billed Charges,,,,,110.68,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,99.03,,,,,,,Percent of Total Billed Charges,,,,,24.47,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,32.62,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,, MISC. JUGULAR SYSTEM ,250,RC,,Outpatient,,,2292,1833.6,1712.12,,,,,,,Percent of Total Billed Charges,,1712.12,1712.12,,2292,,,,,,,Percent of Total Billed Charges,,,,,2200.32,,,,,,,Percent of Total Billed Charges,,,,,2177.4,,,,,,,Percent of Total Billed Charges,,,,,458.4,,,,,,,Percent of Total Billed Charges,,,,,1948.2,,,,,,,Percent of Total Billed Charges,,,,,481.32,,,,,,,Percent of Total Billed Charges,,,,,2062.8,,,,,,,Percent of Total Billed Charges,,,,,2062.8,,,,,,,Percent of Total Billed Charges,,,,,458.4,,,,,,,Percent of Total Billed Charges,,,,,641.76,,,,,,,Percent of Total Billed Charges,,,,,1833.6,,,,,,,Percent of Total Billed Charges,,,,,458.4,,,,,,,Percent of Total Billed Charges,,,, LOCKING SCREW ,250,RC,,Outpatient,,,665,532,496.76,,,,,,,Percent of Total Billed Charges,,496.76,496.76,,665,,,,,,,Percent of Total Billed Charges,,,,,638.4,,,,,,,Percent of Total Billed Charges,,,,,631.75,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,565.25,,,,,,,Percent of Total Billed Charges,,,,,139.65,,,,,,,Percent of Total Billed Charges,,,,,598.5,,,,,,,Percent of Total Billed Charges,,,,,598.5,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,186.2,,,,,,,Percent of Total Billed Charges,,,,,532,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 85MM GAMMA ,250,RC,,Outpatient,,,939.5,751.6,701.81,,,,,,,Percent of Total Billed Charges,,701.81,701.81,,939.5,,,,,,,Percent of Total Billed Charges,,,,,901.92,,,,,,,Percent of Total Billed Charges,,,,,892.53,,,,,,,Percent of Total Billed Charges,,,,,187.9,,,,,,,Percent of Total Billed Charges,,,,,798.58,,,,,,,Percent of Total Billed Charges,,,,,197.3,,,,,,,Percent of Total Billed Charges,,,,,845.55,,,,,,,Percent of Total Billed Charges,,,,,845.55,,,,,,,Percent of Total Billed Charges,,,,,187.9,,,,,,,Percent of Total Billed Charges,,,,,263.06,,,,,,,Percent of Total Billed Charges,,,,,751.6,,,,,,,Percent of Total Billed Charges,,,,,187.9,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 90MM GAMMA ,250,RC,,Outpatient,,,1570,1256,1172.79,,,,,,,Percent of Total Billed Charges,,1172.79,1172.79,,1570,,,,,,,Percent of Total Billed Charges,,,,,1507.2,,,,,,,Percent of Total Billed Charges,,,,,1491.5,,,,,,,Percent of Total Billed Charges,,,,,314,,,,,,,Percent of Total Billed Charges,,,,,1334.5,,,,,,,Percent of Total Billed Charges,,,,,329.7,,,,,,,Percent of Total Billed Charges,,,,,1413,,,,,,,Percent of Total Billed Charges,,,,,1413,,,,,,,Percent of Total Billed Charges,,,,,314,,,,,,,Percent of Total Billed Charges,,,,,439.6,,,,,,,Percent of Total Billed Charges,,,,,1256,,,,,,,Percent of Total Billed Charges,,,,,314,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 95MM GAMMA ,250,RC,,Outpatient,,,1854,1483.2,1384.94,,,,,,,Percent of Total Billed Charges,,1384.94,1384.94,,1854,,,,,,,Percent of Total Billed Charges,,,,,1779.84,,,,,,,Percent of Total Billed Charges,,,,,1761.3,,,,,,,Percent of Total Billed Charges,,,,,370.8,,,,,,,Percent of Total Billed Charges,,,,,1575.9,,,,,,,Percent of Total Billed Charges,,,,,389.34,,,,,,,Percent of Total Billed Charges,,,,,1668.6,,,,,,,Percent of Total Billed Charges,,,,,1668.6,,,,,,,Percent of Total Billed Charges,,,,,370.8,,,,,,,Percent of Total Billed Charges,,,,,519.12,,,,,,,Percent of Total Billed Charges,,,,,1483.2,,,,,,,Percent of Total Billed Charges,,,,,370.8,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 100MM GAMMA ,250,RC,,Outpatient,,,1809.5,1447.6,1351.7,,,,,,,Percent of Total Billed Charges,,1351.7,1351.7,,1809.5,,,,,,,Percent of Total Billed Charges,,,,,1737.12,,,,,,,Percent of Total Billed Charges,,,,,1719.03,,,,,,,Percent of Total Billed Charges,,,,,361.9,,,,,,,Percent of Total Billed Charges,,,,,1538.08,,,,,,,Percent of Total Billed Charges,,,,,380,,,,,,,Percent of Total Billed Charges,,,,,1628.55,,,,,,,Percent of Total Billed Charges,,,,,1628.55,,,,,,,Percent of Total Billed Charges,,,,,361.9,,,,,,,Percent of Total Billed Charges,,,,,506.66,,,,,,,Percent of Total Billed Charges,,,,,1447.6,,,,,,,Percent of Total Billed Charges,,,,,361.9,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 105MM GAMMA ,250,RC,,Outpatient,,,1567,1253.6,1170.55,,,,,,,Percent of Total Billed Charges,,1170.55,1170.55,,1567,,,,,,,Percent of Total Billed Charges,,,,,1504.32,,,,,,,Percent of Total Billed Charges,,,,,1488.65,,,,,,,Percent of Total Billed Charges,,,,,313.4,,,,,,,Percent of Total Billed Charges,,,,,1331.95,,,,,,,Percent of Total Billed Charges,,,,,329.07,,,,,,,Percent of Total Billed Charges,,,,,1410.3,,,,,,,Percent of Total Billed Charges,,,,,1410.3,,,,,,,Percent of Total Billed Charges,,,,,313.4,,,,,,,Percent of Total Billed Charges,,,,,438.76,,,,,,,Percent of Total Billed Charges,,,,,1253.6,,,,,,,Percent of Total Billed Charges,,,,,313.4,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 110MM GAMMA ,250,RC,,Outpatient,,,1765.5,1412.4,1318.83,,,,,,,Percent of Total Billed Charges,,1318.83,1318.83,,1765.5,,,,,,,Percent of Total Billed Charges,,,,,1694.88,,,,,,,Percent of Total Billed Charges,,,,,1677.23,,,,,,,Percent of Total Billed Charges,,,,,353.1,,,,,,,Percent of Total Billed Charges,,,,,1500.68,,,,,,,Percent of Total Billed Charges,,,,,370.76,,,,,,,Percent of Total Billed Charges,,,,,1588.95,,,,,,,Percent of Total Billed Charges,,,,,1588.95,,,,,,,Percent of Total Billed Charges,,,,,353.1,,,,,,,Percent of Total Billed Charges,,,,,494.34,,,,,,,Percent of Total Billed Charges,,,,,1412.4,,,,,,,Percent of Total Billed Charges,,,,,353.1,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 115MM GAMMA ,250,RC,,Outpatient,,,1315,1052,982.31,,,,,,,Percent of Total Billed Charges,,982.31,982.31,,1315,,,,,,,Percent of Total Billed Charges,,,,,1262.4,,,,,,,Percent of Total Billed Charges,,,,,1249.25,,,,,,,Percent of Total Billed Charges,,,,,263,,,,,,,Percent of Total Billed Charges,,,,,1117.75,,,,,,,Percent of Total Billed Charges,,,,,276.15,,,,,,,Percent of Total Billed Charges,,,,,1183.5,,,,,,,Percent of Total Billed Charges,,,,,1183.5,,,,,,,Percent of Total Billed Charges,,,,,263,,,,,,,Percent of Total Billed Charges,,,,,368.2,,,,,,,Percent of Total Billed Charges,,,,,1052,,,,,,,Percent of Total Billed Charges,,,,,263,,,,,,,Percent of Total Billed Charges,,,, LAG SCREW 120MM GAMMA ,250,RC,,Outpatient,,,1315,1052,982.31,,,,,,,Percent of Total Billed Charges,,982.31,982.31,,1315,,,,,,,Percent of Total Billed Charges,,,,,1262.4,,,,,,,Percent of Total Billed Charges,,,,,1249.25,,,,,,,Percent of Total Billed Charges,,,,,263,,,,,,,Percent of Total Billed Charges,,,,,1117.75,,,,,,,Percent of Total Billed Charges,,,,,276.15,,,,,,,Percent of Total Billed Charges,,,,,1183.5,,,,,,,Percent of Total Billed Charges,,,,,1183.5,,,,,,,Percent of Total Billed Charges,,,,,263,,,,,,,Percent of Total Billed Charges,,,,,368.2,,,,,,,Percent of Total Billed Charges,,,,,1052,,,,,,,Percent of Total Billed Charges,,,,,263,,,,,,,Percent of Total Billed Charges,,,, END CAP GAMMA ,250,RC,,Outpatient,,,674.5,539.6,503.85,,,,,,,Percent of Total Billed Charges,,503.85,503.85,,674.5,,,,,,,Percent of Total Billed Charges,,,,,647.52,,,,,,,Percent of Total Billed Charges,,,,,640.78,,,,,,,Percent of Total Billed Charges,,,,,134.9,,,,,,,Percent of Total Billed Charges,,,,,573.33,,,,,,,Percent of Total Billed Charges,,,,,141.65,,,,,,,Percent of Total Billed Charges,,,,,607.05,,,,,,,Percent of Total Billed Charges,,,,,607.05,,,,,,,Percent of Total Billed Charges,,,,,134.9,,,,,,,Percent of Total Billed Charges,,,,,188.86,,,,,,,Percent of Total Billed Charges,,,,,539.6,,,,,,,Percent of Total Billed Charges,,,,,134.9,,,,,,,Percent of Total Billed Charges,,,, K-WIRE GAMMA NAIL ,250,RC,,Outpatient,,,513.5,410.8,383.58,,,,,,,Percent of Total Billed Charges,,383.58,383.58,,513.5,,,,,,,Percent of Total Billed Charges,,,,,492.96,,,,,,,Percent of Total Billed Charges,,,,,487.83,,,,,,,Percent of Total Billed Charges,,,,,102.7,,,,,,,Percent of Total Billed Charges,,,,,436.48,,,,,,,Percent of Total Billed Charges,,,,,107.84,,,,,,,Percent of Total Billed Charges,,,,,462.15,,,,,,,Percent of Total Billed Charges,,,,,462.15,,,,,,,Percent of Total Billed Charges,,,,,102.7,,,,,,,Percent of Total Billed Charges,,,,,143.78,,,,,,,Percent of Total Billed Charges,,,,,410.8,,,,,,,Percent of Total Billed Charges,,,,,102.7,,,,,,,Percent of Total Billed Charges,,,, NAIL KIT 120 DEGREE ,250,RC,,Outpatient,,,3982,3185.6,2974.55,,,,,,,Percent of Total Billed Charges,,2974.55,2974.55,,3982,,,,,,,Percent of Total Billed Charges,,,,,3822.72,,,,,,,Percent of Total Billed Charges,,,,,3782.9,,,,,,,Percent of Total Billed Charges,,,,,796.4,,,,,,,Percent of Total Billed Charges,,,,,3384.7,,,,,,,Percent of Total Billed Charges,,,,,836.22,,,,,,,Percent of Total Billed Charges,,,,,3583.8,,,,,,,Percent of Total Billed Charges,,,,,3583.8,,,,,,,Percent of Total Billed Charges,,,,,796.4,,,,,,,Percent of Total Billed Charges,,,,,1114.96,,,,,,,Percent of Total Billed Charges,,,,,3185.6,,,,,,,Percent of Total Billed Charges,,,,,796.4,,,,,,,Percent of Total Billed Charges,,,, NAIL KIT 125 DEGREE ,250,RC,,Outpatient,,,1991,1592.8,1487.28,,,,,,,Percent of Total Billed Charges,,1487.28,1487.28,,1991,,,,,,,Percent of Total Billed Charges,,,,,1911.36,,,,,,,Percent of Total Billed Charges,,,,,1891.45,,,,,,,Percent of Total Billed Charges,,,,,398.2,,,,,,,Percent of Total Billed Charges,,,,,1692.35,,,,,,,Percent of Total Billed Charges,,,,,418.11,,,,,,,Percent of Total Billed Charges,,,,,1791.9,,,,,,,Percent of Total Billed Charges,,,,,1791.9,,,,,,,Percent of Total Billed Charges,,,,,398.2,,,,,,,Percent of Total Billed Charges,,,,,557.48,,,,,,,Percent of Total Billed Charges,,,,,1592.8,,,,,,,Percent of Total Billed Charges,,,,,398.2,,,,,,,Percent of Total Billed Charges,,,, NAIL KIT 130 DEGREE ,250,RC,,Outpatient,,,4124.5,3299.6,3081,,,,,,,Percent of Total Billed Charges,,3081,3081,,4124.5,,,,,,,Percent of Total Billed Charges,,,,,3959.52,,,,,,,Percent of Total Billed Charges,,,,,3918.28,,,,,,,Percent of Total Billed Charges,,,,,824.9,,,,,,,Percent of Total Billed Charges,,,,,3505.83,,,,,,,Percent of Total Billed Charges,,,,,866.15,,,,,,,Percent of Total Billed Charges,,,,,3712.05,,,,,,,Percent of Total Billed Charges,,,,,3712.05,,,,,,,Percent of Total Billed Charges,,,,,824.9,,,,,,,Percent of Total Billed Charges,,,,,1154.86,,,,,,,Percent of Total Billed Charges,,,,,3299.6,,,,,,,Percent of Total Billed Charges,,,,,824.9,,,,,,,Percent of Total Billed Charges,,,, SET SCREW 17.5MM ,250,RC,,Outpatient,,,561,448.8,419.07,,,,,,,Percent of Total Billed Charges,,419.07,419.07,,561,,,,,,,Percent of Total Billed Charges,,,,,538.56,,,,,,,Percent of Total Billed Charges,,,,,532.95,,,,,,,Percent of Total Billed Charges,,,,,112.2,,,,,,,Percent of Total Billed Charges,,,,,476.85,,,,,,,Percent of Total Billed Charges,,,,,117.81,,,,,,,Percent of Total Billed Charges,,,,,504.9,,,,,,,Percent of Total Billed Charges,,,,,504.9,,,,,,,Percent of Total Billed Charges,,,,,112.2,,,,,,,Percent of Total Billed Charges,,,,,157.08,,,,,,,Percent of Total Billed Charges,,,,,448.8,,,,,,,Percent of Total Billed Charges,,,,,112.2,,,,,,,Percent of Total Billed Charges,,,, LOCKING SCREW 30MM ,250,RC,,Outpatient,,,381,304.8,284.61,,,,,,,Percent of Total Billed Charges,,284.61,284.61,,381,,,,,,,Percent of Total Billed Charges,,,,,365.76,,,,,,,Percent of Total Billed Charges,,,,,361.95,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,323.85,,,,,,,Percent of Total Billed Charges,,,,,80.01,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,106.68,,,,,,,Percent of Total Billed Charges,,,,,304.8,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,, LOCKING SCREW 32MM ,250,RC,,Outpatient,,,565.5,452.4,422.43,,,,,,,Percent of Total Billed Charges,,422.43,422.43,,565.5,,,,,,,Percent of Total Billed Charges,,,,,542.88,,,,,,,Percent of Total Billed Charges,,,,,537.23,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,,,480.68,,,,,,,Percent of Total Billed Charges,,,,,118.76,,,,,,,Percent of Total Billed Charges,,,,,508.95,,,,,,,Percent of Total Billed Charges,,,,,508.95,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,,,158.34,,,,,,,Percent of Total Billed Charges,,,,,452.4,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,, LOCKING SCREW 35MM ,250,RC,,Outpatient,,,699.5,559.6,522.53,,,,,,,Percent of Total Billed Charges,,522.53,522.53,,699.5,,,,,,,Percent of Total Billed Charges,,,,,671.52,,,,,,,Percent of Total Billed Charges,,,,,664.53,,,,,,,Percent of Total Billed Charges,,,,,139.9,,,,,,,Percent of Total Billed Charges,,,,,594.58,,,,,,,Percent of Total Billed Charges,,,,,146.9,,,,,,,Percent of Total Billed Charges,,,,,629.55,,,,,,,Percent of Total Billed Charges,,,,,629.55,,,,,,,Percent of Total Billed Charges,,,,,139.9,,,,,,,Percent of Total Billed Charges,,,,,195.86,,,,,,,Percent of Total Billed Charges,,,,,559.6,,,,,,,Percent of Total Billed Charges,,,,,139.9,,,,,,,Percent of Total Billed Charges,,,, LOCKING SCREW 37.5MM ,250,RC,,Outpatient,,,653.5,522.8,488.16,,,,,,,Percent of Total Billed Charges,,488.16,488.16,,653.5,,,,,,,Percent of Total Billed Charges,,,,,627.36,,,,,,,Percent of Total Billed Charges,,,,,620.83,,,,,,,Percent of Total Billed Charges,,,,,130.7,,,,,,,Percent of Total Billed Charges,,,,,555.48,,,,,,,Percent of Total Billed Charges,,,,,137.24,,,,,,,Percent of Total Billed Charges,,,,,588.15,,,,,,,Percent of Total Billed Charges,,,,,588.15,,,,,,,Percent of Total Billed Charges,,,,,130.7,,,,,,,Percent of Total Billed Charges,,,,,182.98,,,,,,,Percent of Total Billed Charges,,,,,522.8,,,,,,,Percent of Total Billed Charges,,,,,130.7,,,,,,,Percent of Total Billed Charges,,,, LOCKING SCREW 40MM ,250,RC,,Outpatient,,,544,435.2,406.37,,,,,,,Percent of Total Billed Charges,,406.37,406.37,,544,,,,,,,Percent of Total Billed Charges,,,,,522.24,,,,,,,Percent of Total Billed Charges,,,,,516.8,,,,,,,Percent of Total Billed Charges,,,,,108.8,,,,,,,Percent of Total Billed Charges,,,,,462.4,,,,,,,Percent of Total Billed Charges,,,,,114.24,,,,,,,Percent of Total Billed Charges,,,,,489.6,,,,,,,Percent of Total Billed Charges,,,,,489.6,,,,,,,Percent of Total Billed Charges,,,,,108.8,,,,,,,Percent of Total Billed Charges,,,,,152.32,,,,,,,Percent of Total Billed Charges,,,,,435.2,,,,,,,Percent of Total Billed Charges,,,,,108.8,,,,,,,Percent of Total Billed Charges,,,, LOCKING SCREW 42.5MM ,250,RC,,Outpatient,,,759.5,607.6,567.35,,,,,,,Percent of Total Billed Charges,,567.35,567.35,,759.5,,,,,,,Percent of Total Billed Charges,,,,,729.12,,,,,,,Percent of Total Billed Charges,,,,,721.53,,,,,,,Percent of Total Billed Charges,,,,,151.9,,,,,,,Percent of Total Billed Charges,,,,,645.58,,,,,,,Percent of Total Billed Charges,,,,,159.5,,,,,,,Percent of Total Billed Charges,,,,,683.55,,,,,,,Percent of Total Billed Charges,,,,,683.55,,,,,,,Percent of Total Billed Charges,,,,,151.9,,,,,,,Percent of Total Billed Charges,,,,,212.66,,,,,,,Percent of Total Billed Charges,,,,,607.6,,,,,,,Percent of Total Billed Charges,,,,,151.9,,,,,,,Percent of Total Billed Charges,,,, LOCKING SCREW 45MM ,250,RC,,Outpatient,,,759.5,607.6,567.35,,,,,,,Percent of Total Billed Charges,,567.35,567.35,,759.5,,,,,,,Percent of Total Billed Charges,,,,,729.12,,,,,,,Percent of Total Billed Charges,,,,,721.53,,,,,,,Percent of Total Billed Charges,,,,,151.9,,,,,,,Percent of Total Billed Charges,,,,,645.58,,,,,,,Percent of Total Billed Charges,,,,,159.5,,,,,,,Percent of Total Billed Charges,,,,,683.55,,,,,,,Percent of Total Billed Charges,,,,,683.55,,,,,,,Percent of Total Billed Charges,,,,,151.9,,,,,,,Percent of Total Billed Charges,,,,,212.66,,,,,,,Percent of Total Billed Charges,,,,,607.6,,,,,,,Percent of Total Billed Charges,,,,,151.9,,,,,,,Percent of Total Billed Charges,,,, K-WIRE MAGIC PIN 1.2THR. DIAMETER ,250,RC,,Outpatient,,,111.5,89.2,83.29,,,,,,,Percent of Total Billed Charges,,83.29,83.29,,111.5,,,,,,,Percent of Total Billed Charges,,,,,107.04,,,,,,,Percent of Total Billed Charges,,,,,105.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,31.22,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,, BLADDER ULTRASOUND ,51798,CPT,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, O/R 8FR INTRODUCER SHEATH 20CM LENGTH ,250,RC,,Outpatient,,,185.5,148.4,138.57,,,,,,,Percent of Total Billed Charges,,138.57,138.57,,185.5,,,,,,,Percent of Total Billed Charges,,,,,178.08,,,,,,,Percent of Total Billed Charges,,,,,176.23,,,,,,,Percent of Total Billed Charges,,,,,37.1,,,,,,,Percent of Total Billed Charges,,,,,157.68,,,,,,,Percent of Total Billed Charges,,,,,38.96,,,,,,,Percent of Total Billed Charges,,,,,166.95,,,,,,,Percent of Total Billed Charges,,,,,166.95,,,,,,,Percent of Total Billed Charges,,,,,37.1,,,,,,,Percent of Total Billed Charges,,,,,51.94,,,,,,,Percent of Total Billed Charges,,,,,148.4,,,,,,,Percent of Total Billed Charges,,,,,37.1,,,,,,,Percent of Total Billed Charges,,,, ANS BREATHING CIRCUIT ,250,RC,,Outpatient,,,29.5,23.6,22.04,,,,,,,Percent of Total Billed Charges,,22.04,22.04,,29.5,,,,,,,Percent of Total Billed Charges,,,,,28.32,,,,,,,Percent of Total Billed Charges,,,,,28.03,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,25.08,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,8.26,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,, ANS PALL HME FILTER ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, ANS PORTEX SWIVEL ADAPTOR ,250,RC,,Outpatient,,,58.5,46.8,43.7,,,,,,,Percent of Total Billed Charges,,43.7,43.7,,58.5,,,,,,,Percent of Total Billed Charges,,,,,56.16,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,49.73,,,,,,,Percent of Total Billed Charges,,,,,12.29,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,, ANS NASAL CANNULA ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, ANS AIRWAY ORAL-40MM ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, ANS AIRWAY ORAL 50 MM ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, ANS AIRWAY ORAL 60 MM ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, ANS AIRWAY ORAL 80 MM ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, ANS BERMAN AIRWAY 90MM ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, ANS AIRWAY ORAL 100 MM ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, ANS ADULT FACE MASK ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, ANS SKIN TEMPERATURE SENSOR ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, ANS ESOPHOGEAL TEMPERATURE PROBE ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, ANS TUBING MICRODRIP ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, ANS 3 GVL GLIDESCOPE COVER ,250,RC,,Outpatient,,,69.5,55.6,51.92,,,,,,,Percent of Total Billed Charges,,51.92,51.92,,69.5,,,,,,,Percent of Total Billed Charges,,,,,66.72,,,,,,,Percent of Total Billed Charges,,,,,66.03,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,,,59.08,,,,,,,Percent of Total Billed Charges,,,,,14.6,,,,,,,Percent of Total Billed Charges,,,,,62.55,,,,,,,Percent of Total Billed Charges,,,,,62.55,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,,,19.46,,,,,,,Percent of Total Billed Charges,,,,,55.6,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,, ANS SMALL BORE EXTENSION SET W/CLAMP ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, ANS GVL 4 GLIDESCOPE COVER ,250,RC,,Outpatient,,,69.5,55.6,51.92,,,,,,,Percent of Total Billed Charges,,51.92,51.92,,69.5,,,,,,,Percent of Total Billed Charges,,,,,66.72,,,,,,,Percent of Total Billed Charges,,,,,66.03,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,,,59.08,,,,,,,Percent of Total Billed Charges,,,,,14.6,,,,,,,Percent of Total Billed Charges,,,,,62.55,,,,,,,Percent of Total Billed Charges,,,,,62.55,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,,,19.46,,,,,,,Percent of Total Billed Charges,,,,,55.6,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,, ANS AURAONCE LARYNGEAL MASK LM SIZE 4 ,250,RC,,Outpatient,,,79,63.2,59.01,,,,,,,Percent of Total Billed Charges,,59.01,59.01,,79,,,,,,,Percent of Total Billed Charges,,,,,75.84,,,,,,,Percent of Total Billed Charges,,,,,75.05,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,67.15,,,,,,,Percent of Total Billed Charges,,,,,16.59,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,22.12,,,,,,,Percent of Total Billed Charges,,,,,63.2,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,, ANS AURAONCE LM MASK SIZE 5 ,250,RC,,Outpatient,,,79,63.2,59.01,,,,,,,Percent of Total Billed Charges,,59.01,59.01,,79,,,,,,,Percent of Total Billed Charges,,,,,75.84,,,,,,,Percent of Total Billed Charges,,,,,75.05,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,67.15,,,,,,,Percent of Total Billed Charges,,,,,16.59,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,22.12,,,,,,,Percent of Total Billed Charges,,,,,63.2,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,, ANS ENDOTRACHEAL TUBE 2.5MM ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, ANS ENDOTRACHEAL TUBE 3.0MM ,250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, ANS ENDOTRACHEAL TUBE 3.5MM ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, ANS ENDOTRACHEAL TUBE 4.0MM ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, ANS ENDOTRACHEAL TUBE 5.0MM ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, ANS ENDOTRACHEAL TUBE 5.5MM ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, ANS ENDOTRACHEAL TUBE 6.OMM ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, ANS ENDOTRACHEAL TUBE 6.5MM ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, ANS ENDOTRACHEAL TUBE 7.0MM ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, ANS ENDOTRACHEAL TUBE 7.5MM ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, ANS ENDOTRACHEAL TUBE 8.0MM ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, ANS ENDOTRACHEAL TUBE 8.5MM ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, ANS ENDOTRACHEAL TUBE 9.0MM ,250,RC,,Outpatient,,,10.5,8.4,7.84,,,,,,,Percent of Total Billed Charges,,7.84,7.84,,10.5,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,, ANS LMA CLASSIC #3 ,250,RC,,Outpatient,,,1373,1098.4,1025.63,,,,,,,Percent of Total Billed Charges,,1025.63,1025.63,,1373,,,,,,,Percent of Total Billed Charges,,,,,1318.08,,,,,,,Percent of Total Billed Charges,,,,,1304.35,,,,,,,Percent of Total Billed Charges,,,,,274.6,,,,,,,Percent of Total Billed Charges,,,,,1167.05,,,,,,,Percent of Total Billed Charges,,,,,288.33,,,,,,,Percent of Total Billed Charges,,,,,1235.7,,,,,,,Percent of Total Billed Charges,,,,,1235.7,,,,,,,Percent of Total Billed Charges,,,,,274.6,,,,,,,Percent of Total Billed Charges,,,,,384.44,,,,,,,Percent of Total Billed Charges,,,,,1098.4,,,,,,,Percent of Total Billed Charges,,,,,274.6,,,,,,,Percent of Total Billed Charges,,,, PHYCON UNIVENT INOUE TUBE 8.0 ,250,RC,,Outpatient,,,303,242.4,226.34,,,,,,,Percent of Total Billed Charges,,226.34,226.34,,303,,,,,,,Percent of Total Billed Charges,,,,,290.88,,,,,,,Percent of Total Billed Charges,,,,,287.85,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,257.55,,,,,,,Percent of Total Billed Charges,,,,,63.63,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,84.84,,,,,,,Percent of Total Billed Charges,,,,,242.4,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,, PHYCON UNIVENT INOUE TUBE 8.5 ,250,RC,,Outpatient,,,303,242.4,226.34,,,,,,,Percent of Total Billed Charges,,226.34,226.34,,303,,,,,,,Percent of Total Billed Charges,,,,,290.88,,,,,,,Percent of Total Billed Charges,,,,,287.85,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,257.55,,,,,,,Percent of Total Billed Charges,,,,,63.63,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,84.84,,,,,,,Percent of Total Billed Charges,,,,,242.4,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,, PHYCON UNIVENT INOUE TUBE 9.0 ,250,RC,,Outpatient,,,303,242.4,226.34,,,,,,,Percent of Total Billed Charges,,226.34,226.34,,303,,,,,,,Percent of Total Billed Charges,,,,,290.88,,,,,,,Percent of Total Billed Charges,,,,,287.85,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,257.55,,,,,,,Percent of Total Billed Charges,,,,,63.63,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,84.84,,,,,,,Percent of Total Billed Charges,,,,,242.4,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,, ANS LMA CLASSIC #4 ,250,RC,,Outpatient,,,1192,953.6,890.42,,,,,,,Percent of Total Billed Charges,,890.42,890.42,,1192,,,,,,,Percent of Total Billed Charges,,,,,1144.32,,,,,,,Percent of Total Billed Charges,,,,,1132.4,,,,,,,Percent of Total Billed Charges,,,,,238.4,,,,,,,Percent of Total Billed Charges,,,,,1013.2,,,,,,,Percent of Total Billed Charges,,,,,250.32,,,,,,,Percent of Total Billed Charges,,,,,1072.8,,,,,,,Percent of Total Billed Charges,,,,,1072.8,,,,,,,Percent of Total Billed Charges,,,,,238.4,,,,,,,Percent of Total Billed Charges,,,,,333.76,,,,,,,Percent of Total Billed Charges,,,,,953.6,,,,,,,Percent of Total Billed Charges,,,,,238.4,,,,,,,Percent of Total Billed Charges,,,, ANS ELECTRODE ECG ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, ANS LMA CLASSIC #5 ,250,RC,,Outpatient,,,1192,953.6,890.42,,,,,,,Percent of Total Billed Charges,,890.42,890.42,,1192,,,,,,,Percent of Total Billed Charges,,,,,1144.32,,,,,,,Percent of Total Billed Charges,,,,,1132.4,,,,,,,Percent of Total Billed Charges,,,,,238.4,,,,,,,Percent of Total Billed Charges,,,,,1013.2,,,,,,,Percent of Total Billed Charges,,,,,250.32,,,,,,,Percent of Total Billed Charges,,,,,1072.8,,,,,,,Percent of Total Billed Charges,,,,,1072.8,,,,,,,Percent of Total Billed Charges,,,,,238.4,,,,,,,Percent of Total Billed Charges,,,,,333.76,,,,,,,Percent of Total Billed Charges,,,,,953.6,,,,,,,Percent of Total Billed Charges,,,,,238.4,,,,,,,Percent of Total Billed Charges,,,, ANS MONITOR ECG & NIBP ,250,RC,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, ANS MONITOR OXY-SAT ,250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, ANS PULSE OXIMETER READING ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, SUCTION CANISTER ,250,RC,,Outpatient,,,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, ANS SUCTION CATH 10FR ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, ANS SUCTION CATH 16FR ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, ANS SUCTION TUBING ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, "BLANKET, UPPER BODY ",250,RC,,Outpatient,,,59,47.2,44.07,,,,,,,Percent of Total Billed Charges,,44.07,44.07,,59,,,,,,,Percent of Total Billed Charges,,,,,56.64,,,,,,,Percent of Total Billed Charges,,,,,56.05,,,,,,,Percent of Total Billed Charges,,,,,11.8,,,,,,,Percent of Total Billed Charges,,,,,50.15,,,,,,,Percent of Total Billed Charges,,,,,12.39,,,,,,,Percent of Total Billed Charges,,,,,53.1,,,,,,,Percent of Total Billed Charges,,,,,53.1,,,,,,,Percent of Total Billed Charges,,,,,11.8,,,,,,,Percent of Total Billed Charges,,,,,16.52,,,,,,,Percent of Total Billed Charges,,,,,47.2,,,,,,,Percent of Total Billed Charges,,,,,11.8,,,,,,,Percent of Total Billed Charges,,,, "BLANKET, LOWER BODY ",250,RC,,Outpatient,,,57,45.6,42.58,,,,,,,Percent of Total Billed Charges,,42.58,42.58,,57,,,,,,,Percent of Total Billed Charges,,,,,54.72,,,,,,,Percent of Total Billed Charges,,,,,54.15,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,11.97,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,, ANS SPINAL BLOCK TRAY 22G WHITACRE ,250,RC,,Outpatient,,,118.5,94.8,88.52,,,,,,,Percent of Total Billed Charges,,88.52,88.52,,118.5,,,,,,,Percent of Total Billed Charges,,,,,113.76,,,,,,,Percent of Total Billed Charges,,,,,112.58,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,,,100.73,,,,,,,Percent of Total Billed Charges,,,,,24.89,,,,,,,Percent of Total Billed Charges,,,,,106.65,,,,,,,Percent of Total Billed Charges,,,,,106.65,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,,,33.18,,,,,,,Percent of Total Billed Charges,,,,,94.8,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,, ANS ART ARROW CATH 20GA OR 8220 ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, PROCTOSCOPE ,250,RC,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, SIGMOIDSCOPE ,250,RC,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, O/R LOCKING SCREW FULL THREAD 05X50MM ,250,RC,,Outpatient,,,381,304.8,284.61,,,,,,,Percent of Total Billed Charges,,284.61,284.61,,381,,,,,,,Percent of Total Billed Charges,,,,,365.76,,,,,,,Percent of Total Billed Charges,,,,,361.95,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,323.85,,,,,,,Percent of Total Billed Charges,,,,,80.01,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,106.68,,,,,,,Percent of Total Billed Charges,,,,,304.8,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,, O/R LOCKING SCREW FULL THREAD 05X52.5MM ,250,RC,,Outpatient,,,381,304.8,284.61,,,,,,,Percent of Total Billed Charges,,284.61,284.61,,381,,,,,,,Percent of Total Billed Charges,,,,,365.76,,,,,,,Percent of Total Billed Charges,,,,,361.95,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,323.85,,,,,,,Percent of Total Billed Charges,,,,,80.01,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,106.68,,,,,,,Percent of Total Billed Charges,,,,,304.8,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,, O/R LOCKING SCREW FULL THREAD 05X55MM ,250,RC,,Outpatient,,,381,304.8,284.61,,,,,,,Percent of Total Billed Charges,,284.61,284.61,,381,,,,,,,Percent of Total Billed Charges,,,,,365.76,,,,,,,Percent of Total Billed Charges,,,,,361.95,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,323.85,,,,,,,Percent of Total Billed Charges,,,,,80.01,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,106.68,,,,,,,Percent of Total Billed Charges,,,,,304.8,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,, O/R LOCKING SCREW FULL THREAD 05X55MM ,250,RC,,Outpatient,,,381,304.8,284.61,,,,,,,Percent of Total Billed Charges,,284.61,284.61,,381,,,,,,,Percent of Total Billed Charges,,,,,365.76,,,,,,,Percent of Total Billed Charges,,,,,361.95,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,323.85,,,,,,,Percent of Total Billed Charges,,,,,80.01,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,106.68,,,,,,,Percent of Total Billed Charges,,,,,304.8,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,, O/R LOCKING SCREW FULL THREAD 05X60MM ,250,RC,,Outpatient,,,381,304.8,284.61,,,,,,,Percent of Total Billed Charges,,284.61,284.61,,381,,,,,,,Percent of Total Billed Charges,,,,,365.76,,,,,,,Percent of Total Billed Charges,,,,,361.95,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,323.85,,,,,,,Percent of Total Billed Charges,,,,,80.01,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,106.68,,,,,,,Percent of Total Billed Charges,,,,,304.8,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,, O/R LOCKING 05X6MM SCREW FULL THREAD ,250,RC,,Outpatient,,,381,304.8,284.61,,,,,,,Percent of Total Billed Charges,,284.61,284.61,,381,,,,,,,Percent of Total Billed Charges,,,,,365.76,,,,,,,Percent of Total Billed Charges,,,,,361.95,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,323.85,,,,,,,Percent of Total Billed Charges,,,,,80.01,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,106.68,,,,,,,Percent of Total Billed Charges,,,,,304.8,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,, O/R LOCKING 05X70MM SCREW FULL THREAD ,250,RC,,Outpatient,,,381,304.8,284.61,,,,,,,Percent of Total Billed Charges,,284.61,284.61,,381,,,,,,,Percent of Total Billed Charges,,,,,365.76,,,,,,,Percent of Total Billed Charges,,,,,361.95,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,323.85,,,,,,,Percent of Total Billed Charges,,,,,80.01,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,106.68,,,,,,,Percent of Total Billed Charges,,,,,304.8,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,, O/R LOCKING 05X75MM SCREW FULL THREAD ,250,RC,,Outpatient,,,381,304.8,284.61,,,,,,,Percent of Total Billed Charges,,284.61,284.61,,381,,,,,,,Percent of Total Billed Charges,,,,,365.76,,,,,,,Percent of Total Billed Charges,,,,,361.95,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,323.85,,,,,,,Percent of Total Billed Charges,,,,,80.01,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,106.68,,,,,,,Percent of Total Billed Charges,,,,,304.8,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,, O/R LOCKING 05X80MM SCREW FULL THREAD ,250,RC,,Outpatient,,,381,304.8,284.61,,,,,,,Percent of Total Billed Charges,,284.61,284.61,,381,,,,,,,Percent of Total Billed Charges,,,,,365.76,,,,,,,Percent of Total Billed Charges,,,,,361.95,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,323.85,,,,,,,Percent of Total Billed Charges,,,,,80.01,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,106.68,,,,,,,Percent of Total Billed Charges,,,,,304.8,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,, O/R LONG NAIL 11X320MM 125 DEG RIGHT ,250,RC,,Outpatient,,,3267,2613.6,2440.45,,,,,,,Percent of Total Billed Charges,,2440.45,2440.45,,3267,,,,,,,Percent of Total Billed Charges,,,,,3136.32,,,,,,,Percent of Total Billed Charges,,,,,3103.65,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,2776.95,,,,,,,Percent of Total Billed Charges,,,,,686.07,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,914.76,,,,,,,Percent of Total Billed Charges,,,,,2613.6,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,, O/R LONG NAIL 11X340MM 125 DEG RIGHT ,250,RC,,Outpatient,,,3267,2613.6,2440.45,,,,,,,Percent of Total Billed Charges,,2440.45,2440.45,,3267,,,,,,,Percent of Total Billed Charges,,,,,3136.32,,,,,,,Percent of Total Billed Charges,,,,,3103.65,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,2776.95,,,,,,,Percent of Total Billed Charges,,,,,686.07,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,914.76,,,,,,,Percent of Total Billed Charges,,,,,2613.6,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,, O/R LONG NAIL 11X360MM 125 DEG RIGHT ,250,RC,,Outpatient,,,3267,2613.6,2440.45,,,,,,,Percent of Total Billed Charges,,2440.45,2440.45,,3267,,,,,,,Percent of Total Billed Charges,,,,,3136.32,,,,,,,Percent of Total Billed Charges,,,,,3103.65,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,2776.95,,,,,,,Percent of Total Billed Charges,,,,,686.07,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,914.76,,,,,,,Percent of Total Billed Charges,,,,,2613.6,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,, O/R LONG NAIL 11X380MM 125 DEG RIGHT ,250,RC,,Outpatient,,,3267,2613.6,2440.45,,,,,,,Percent of Total Billed Charges,,2440.45,2440.45,,3267,,,,,,,Percent of Total Billed Charges,,,,,3136.32,,,,,,,Percent of Total Billed Charges,,,,,3103.65,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,2776.95,,,,,,,Percent of Total Billed Charges,,,,,686.07,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,914.76,,,,,,,Percent of Total Billed Charges,,,,,2613.6,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,, O/R LONG NAIL 11X400MM 125 DEG RIGHT ,250,RC,,Outpatient,,,3267,2613.6,2440.45,,,,,,,Percent of Total Billed Charges,,2440.45,2440.45,,3267,,,,,,,Percent of Total Billed Charges,,,,,3136.32,,,,,,,Percent of Total Billed Charges,,,,,3103.65,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,2776.95,,,,,,,Percent of Total Billed Charges,,,,,686.07,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,914.76,,,,,,,Percent of Total Billed Charges,,,,,2613.6,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,, O/R LONG NAIL 11X320MM 125 DEG LEFT ,250,RC,,Outpatient,,,3267,2613.6,2440.45,,,,,,,Percent of Total Billed Charges,,2440.45,2440.45,,3267,,,,,,,Percent of Total Billed Charges,,,,,3136.32,,,,,,,Percent of Total Billed Charges,,,,,3103.65,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,2776.95,,,,,,,Percent of Total Billed Charges,,,,,686.07,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,914.76,,,,,,,Percent of Total Billed Charges,,,,,2613.6,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,, O/R LONG NAIL 11X340MM 125 DEG LEFT ,250,RC,,Outpatient,,,3267,2613.6,2440.45,,,,,,,Percent of Total Billed Charges,,2440.45,2440.45,,3267,,,,,,,Percent of Total Billed Charges,,,,,3136.32,,,,,,,Percent of Total Billed Charges,,,,,3103.65,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,2776.95,,,,,,,Percent of Total Billed Charges,,,,,686.07,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,914.76,,,,,,,Percent of Total Billed Charges,,,,,2613.6,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,, O/R LONG NAIL 11X360MM 125 DEG LEFT ,250,RC,,Outpatient,,,3292.5,2634,2459.5,,,,,,,Percent of Total Billed Charges,,2459.5,2459.5,,3292.5,,,,,,,Percent of Total Billed Charges,,,,,3160.8,,,,,,,Percent of Total Billed Charges,,,,,3127.88,,,,,,,Percent of Total Billed Charges,,,,,658.5,,,,,,,Percent of Total Billed Charges,,,,,2798.63,,,,,,,Percent of Total Billed Charges,,,,,691.43,,,,,,,Percent of Total Billed Charges,,,,,2963.25,,,,,,,Percent of Total Billed Charges,,,,,2963.25,,,,,,,Percent of Total Billed Charges,,,,,658.5,,,,,,,Percent of Total Billed Charges,,,,,921.9,,,,,,,Percent of Total Billed Charges,,,,,2634,,,,,,,Percent of Total Billed Charges,,,,,658.5,,,,,,,Percent of Total Billed Charges,,,, O/R LONG NAIL 11X380MM 125 DEG LEFT ,250,RC,,Outpatient,,,3267,2613.6,2440.45,,,,,,,Percent of Total Billed Charges,,2440.45,2440.45,,3267,,,,,,,Percent of Total Billed Charges,,,,,3136.32,,,,,,,Percent of Total Billed Charges,,,,,3103.65,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,2776.95,,,,,,,Percent of Total Billed Charges,,,,,686.07,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,914.76,,,,,,,Percent of Total Billed Charges,,,,,2613.6,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,, O/R LONG NAIL 11X400MM 125 DEG LEFT ,250,RC,,Outpatient,,,3267,2613.6,2440.45,,,,,,,Percent of Total Billed Charges,,2440.45,2440.45,,3267,,,,,,,Percent of Total Billed Charges,,,,,3136.32,,,,,,,Percent of Total Billed Charges,,,,,3103.65,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,2776.95,,,,,,,Percent of Total Billed Charges,,,,,686.07,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,2940.3,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,914.76,,,,,,,Percent of Total Billed Charges,,,,,2613.6,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,, O/R REDUCTION PIN 4.5MMX150MM ,250,RC,,Outpatient,,,227.5,182,169.94,,,,,,,Percent of Total Billed Charges,,169.94,169.94,,227.5,,,,,,,Percent of Total Billed Charges,,,,,218.4,,,,,,,Percent of Total Billed Charges,,,,,216.13,,,,,,,Percent of Total Billed Charges,,,,,45.5,,,,,,,Percent of Total Billed Charges,,,,,193.38,,,,,,,Percent of Total Billed Charges,,,,,47.78,,,,,,,Percent of Total Billed Charges,,,,,204.75,,,,,,,Percent of Total Billed Charges,,,,,204.75,,,,,,,Percent of Total Billed Charges,,,,,45.5,,,,,,,Percent of Total Billed Charges,,,,,63.7,,,,,,,Percent of Total Billed Charges,,,,,182,,,,,,,Percent of Total Billed Charges,,,,,45.5,,,,,,,Percent of Total Billed Charges,,,, O/R REDUCTION PIN 5.0MMX180MM ,250,RC,,Outpatient,,,244,195.2,182.27,,,,,,,Percent of Total Billed Charges,,182.27,182.27,,244,,,,,,,Percent of Total Billed Charges,,,,,234.24,,,,,,,Percent of Total Billed Charges,,,,,231.8,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,,,207.4,,,,,,,Percent of Total Billed Charges,,,,,51.24,,,,,,,Percent of Total Billed Charges,,,,,219.6,,,,,,,Percent of Total Billed Charges,,,,,219.6,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,,,68.32,,,,,,,Percent of Total Billed Charges,,,,,195.2,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,, O/R REDUCTION PIN 6.0MMX180MM ,250,RC,,Outpatient,,,244,195.2,182.27,,,,,,,Percent of Total Billed Charges,,182.27,182.27,,244,,,,,,,Percent of Total Billed Charges,,,,,234.24,,,,,,,Percent of Total Billed Charges,,,,,231.8,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,,,207.4,,,,,,,Percent of Total Billed Charges,,,,,51.24,,,,,,,Percent of Total Billed Charges,,,,,219.6,,,,,,,Percent of Total Billed Charges,,,,,219.6,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,,,68.32,,,,,,,Percent of Total Billed Charges,,,,,195.2,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,, "O/R TRANSFER SET 3"" ",250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, "O/R BAG DECANTER 9"" ",250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, "O/R PAIN 20GA X5"" TUOHY EPIDURAL NEEDLE ",250,RC,,Outpatient,,,55.5,44.4,41.46,,,,,,,Percent of Total Billed Charges,,41.46,41.46,,55.5,,,,,,,Percent of Total Billed Charges,,,,,53.28,,,,,,,Percent of Total Billed Charges,,,,,52.73,,,,,,,Percent of Total Billed Charges,,,,,11.1,,,,,,,Percent of Total Billed Charges,,,,,47.18,,,,,,,Percent of Total Billed Charges,,,,,11.66,,,,,,,Percent of Total Billed Charges,,,,,49.95,,,,,,,Percent of Total Billed Charges,,,,,49.95,,,,,,,Percent of Total Billed Charges,,,,,11.1,,,,,,,Percent of Total Billed Charges,,,,,15.54,,,,,,,Percent of Total Billed Charges,,,,,44.4,,,,,,,Percent of Total Billed Charges,,,,,11.1,,,,,,,Percent of Total Billed Charges,,,, "O/R PAIN 18GA X5"" TUOHY EPIDURAL NEEDLE ",250,RC,,Outpatient,,,50,40,37.35,,,,,,,Percent of Total Billed Charges,,37.35,37.35,,50,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,, O/R PAIN 20GA X3.5 TUOHY EPIDURAL NEEDLE,250,RC,,Outpatient,,,47.5,38,35.48,,,,,,,Percent of Total Billed Charges,,35.48,35.48,,47.5,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,45.13,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,40.38,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,42.75,,,,,,,Percent of Total Billed Charges,,,,,42.75,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,, O/R PAIN 18GA X3.5 TUOHY EPIDURAL NEEDLE,250,RC,,Outpatient,,,55.5,44.4,41.46,,,,,,,Percent of Total Billed Charges,,41.46,41.46,,55.5,,,,,,,Percent of Total Billed Charges,,,,,53.28,,,,,,,Percent of Total Billed Charges,,,,,52.73,,,,,,,Percent of Total Billed Charges,,,,,11.1,,,,,,,Percent of Total Billed Charges,,,,,47.18,,,,,,,Percent of Total Billed Charges,,,,,11.66,,,,,,,Percent of Total Billed Charges,,,,,49.95,,,,,,,Percent of Total Billed Charges,,,,,49.95,,,,,,,Percent of Total Billed Charges,,,,,11.1,,,,,,,Percent of Total Billed Charges,,,,,15.54,,,,,,,Percent of Total Billed Charges,,,,,44.4,,,,,,,Percent of Total Billed Charges,,,,,11.1,,,,,,,Percent of Total Billed Charges,,,, ISO-VUE 300 NONIONIC CONTRAST 100ML ,250,RC,,Outpatient,,,242.5,194,181.15,,,,,,,Percent of Total Billed Charges,,181.15,181.15,,242.5,,,,,,,Percent of Total Billed Charges,,,,,232.8,,,,,,,Percent of Total Billed Charges,,,,,230.38,,,,,,,Percent of Total Billed Charges,,,,,48.5,,,,,,,Percent of Total Billed Charges,,,,,206.13,,,,,,,Percent of Total Billed Charges,,,,,50.93,,,,,,,Percent of Total Billed Charges,,,,,218.25,,,,,,,Percent of Total Billed Charges,,,,,218.25,,,,,,,Percent of Total Billed Charges,,,,,48.5,,,,,,,Percent of Total Billed Charges,,,,,67.9,,,,,,,Percent of Total Billed Charges,,,,,194,,,,,,,Percent of Total Billed Charges,,,,,48.5,,,,,,,Percent of Total Billed Charges,,,, UNIVERSAL PROCEDURE TRAY ,250,RC,,Outpatient,,,75,60,56.03,,,,,,,Percent of Total Billed Charges,,56.03,56.03,,75,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,71.25,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,63.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,, "HEMOSTAT,MOSQUITO STRAIGHT 3 1/2"" ",250,RC,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, "HEMOSTAT,MOSQUITO CURVED 3 1/2"" ",250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, "SCISSORS, IRIS STRAIGHT 4 1/2"" ",250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, "TISSUE FORCEP, 4 3/4 W/1:2 TEETH ",250,RC,,Outpatient,,,13.5,10.8,10.08,,,,,,,Percent of Total Billed Charges,,10.08,10.08,,13.5,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,, "DRESSING FORCEP, SMOOTH TIP, 4 3/4 ",250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, IV HYDRATION ADDL HRS ,9636159,CPT,,Outpatient,,,60,48,44.82,,,,,,,Percent of Total Billed Charges,,44.82,44.82,,60,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,57,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,, IV THERAPUTIC INITITAL ,9636559,CPT,,Outpatient,,,266.5,213.2,199.08,,,,,,,Percent of Total Billed Charges,,199.08,199.08,,266.5,,,,,,,Percent of Total Billed Charges,,,,,255.84,,,,,,,Percent of Total Billed Charges,,,,,253.18,,,,,,,Percent of Total Billed Charges,,,,,53.3,,,,,,,Percent of Total Billed Charges,,,,,226.53,,,,,,,Percent of Total Billed Charges,,,,,55.97,,,,,,,Percent of Total Billed Charges,,,,,239.85,,,,,,,Percent of Total Billed Charges,,,,,239.85,,,,,,,Percent of Total Billed Charges,,,,,53.3,,,,,,,Percent of Total Billed Charges,,,,,74.62,,,,,,,Percent of Total Billed Charges,,,,,213.2,,,,,,,Percent of Total Billed Charges,,,,,53.3,,,,,,,Percent of Total Billed Charges,,,, IV THERAPUTIC ADDL HRS ,9636659,CPT,,Outpatient,,,77,61.6,57.52,,,,,,,Percent of Total Billed Charges,,57.52,57.52,,77,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,73.15,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,65.45,,,,,,,Percent of Total Billed Charges,,,,,16.17,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,21.56,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,, IV SEQUENTIAL THERAPY ,9636759,CPT,,Outpatient,,,120,96,89.64,,,,,,,Percent of Total Billed Charges,,89.64,89.64,,120,,,,,,,Percent of Total Billed Charges,,,,,115.2,,,,,,,Percent of Total Billed Charges,,,,,114,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,102,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,108,,,,,,,Percent of Total Billed Charges,,,,,108,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,, IV CONCURRENT THERAPY ,9636859,CPT,,Outpatient,,,80,64,59.76,,,,,,,Percent of Total Billed Charges,,59.76,59.76,,80,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,76,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,64,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,, IM/SQ INJECTION ,9637259,CPT,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, IVP INITIAL ,9637459,CPT,,Outpatient,,,235.5,188.4,175.92,,,,,,,Percent of Total Billed Charges,,175.92,175.92,,235.5,,,,,,,Percent of Total Billed Charges,,,,,226.08,,,,,,,Percent of Total Billed Charges,,,,,223.73,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,,,200.18,,,,,,,Percent of Total Billed Charges,,,,,49.46,,,,,,,Percent of Total Billed Charges,,,,,211.95,,,,,,,Percent of Total Billed Charges,,,,,211.95,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,,,65.94,,,,,,,Percent of Total Billed Charges,,,,,188.4,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,, IVP SUBSEQUENT ,9637559,CPT,,Outpatient,,,87.5,70,65.36,,,,,,,Percent of Total Billed Charges,,65.36,65.36,,87.5,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,83.13,,,,,,,Percent of Total Billed Charges,,,,,17.5,,,,,,,Percent of Total Billed Charges,,,,,74.38,,,,,,,Percent of Total Billed Charges,,,,,18.38,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,17.5,,,,,,,Percent of Total Billed Charges,,,,,24.5,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,17.5,,,,,,,Percent of Total Billed Charges,,,, IVP SAME MED OVER 30 MINS ,9637659,CPT,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, IV PORT FLUSH MAINTENANCE ,96523,CPT,,Outpatient,,,103,82.4,76.94,,,,,,,Percent of Total Billed Charges,,76.94,76.94,,103,,,,,,,Percent of Total Billed Charges,,,,,98.88,,,,,,,Percent of Total Billed Charges,,,,,97.85,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,87.55,,,,,,,Percent of Total Billed Charges,,,,,21.63,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,28.84,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,, CLINDAMYCIN (CLEOCIN):300MG/50ML PREMIX ,J0736 ,CPT,,Outpatient,,,23.85,19.08,17.82,,,,,,,Percent of Total Billed Charges,,17.82,17.82,,23.85,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,,,22.66,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,5.01,,,,,,,Percent of Total Billed Charges,,,,,21.47,,,,,,,Percent of Total Billed Charges,,,,,21.47,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,,,6.68,,,,,,,Percent of Total Billed Charges,,,,,19.08,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,, CLINDAMYCIN (CLEOCIN):600MG/50ML PREMIX ,J0736 ,CPT,,Outpatient,,,29.35,23.48,21.92,,,,,,,Percent of Total Billed Charges,,21.92,21.92,,29.35,,,,,,,Percent of Total Billed Charges,,,,,28.18,,,,,,,Percent of Total Billed Charges,,,,,27.88,,,,,,,Percent of Total Billed Charges,,,,,5.87,,,,,,,Percent of Total Billed Charges,,,,,24.95,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,26.42,,,,,,,Percent of Total Billed Charges,,,,,26.42,,,,,,,Percent of Total Billed Charges,,,,,5.87,,,,,,,Percent of Total Billed Charges,,,,,8.22,,,,,,,Percent of Total Billed Charges,,,,,23.48,,,,,,,Percent of Total Billed Charges,,,,,5.87,,,,,,,Percent of Total Billed Charges,,,, CLINDAMYCIN (CLEOCIN):900 MG/50ML PREMIX,J0736 ,CPT,,Outpatient,,,33.3,26.64,24.88,,,,,,,Percent of Total Billed Charges,,24.88,24.88,,33.3,,,,,,,Percent of Total Billed Charges,,,,,31.97,,,,,,,Percent of Total Billed Charges,,,,,31.64,,,,,,,Percent of Total Billed Charges,,,,,6.66,,,,,,,Percent of Total Billed Charges,,,,,28.31,,,,,,,Percent of Total Billed Charges,,,,,6.99,,,,,,,Percent of Total Billed Charges,,,,,29.97,,,,,,,Percent of Total Billed Charges,,,,,29.97,,,,,,,Percent of Total Billed Charges,,,,,6.66,,,,,,,Percent of Total Billed Charges,,,,,9.32,,,,,,,Percent of Total Billed Charges,,,,,26.64,,,,,,,Percent of Total Billed Charges,,,,,6.66,,,,,,,Percent of Total Billed Charges,,,, CEFTRIAXONE (ROCEPHIN) : 1GM/50ML PREMIX,J0696 ,CPT,,Outpatient,,,74.5,59.6,55.65,,,,,,,Percent of Total Billed Charges,,55.65,55.65,,74.5,,,,,,,Percent of Total Billed Charges,,,,,71.52,,,,,,,Percent of Total Billed Charges,,,,,70.78,,,,,,,Percent of Total Billed Charges,,,,,14.9,,,,,,,Percent of Total Billed Charges,,,,,63.33,,,,,,,Percent of Total Billed Charges,,,,,15.65,,,,,,,Percent of Total Billed Charges,,,,,67.05,,,,,,,Percent of Total Billed Charges,,,,,67.05,,,,,,,Percent of Total Billed Charges,,,,,14.9,,,,,,,Percent of Total Billed Charges,,,,,20.86,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,,,14.9,,,,,,,Percent of Total Billed Charges,,,, CEFTRIAXONE (ROCEPHIN): 2GM/50ML PREMIX ,J0696 ,CPT,,Outpatient,,,75.95,60.76,56.73,,,,,,,Percent of Total Billed Charges,,56.73,56.73,,75.95,,,,,,,Percent of Total Billed Charges,,,,,72.91,,,,,,,Percent of Total Billed Charges,,,,,72.15,,,,,,,Percent of Total Billed Charges,,,,,15.19,,,,,,,Percent of Total Billed Charges,,,,,64.56,,,,,,,Percent of Total Billed Charges,,,,,15.95,,,,,,,Percent of Total Billed Charges,,,,,68.36,,,,,,,Percent of Total Billed Charges,,,,,68.36,,,,,,,Percent of Total Billed Charges,,,,,15.19,,,,,,,Percent of Total Billed Charges,,,,,21.27,,,,,,,Percent of Total Billed Charges,,,,,60.76,,,,,,,Percent of Total Billed Charges,,,,,15.19,,,,,,,Percent of Total Billed Charges,,,, "CEFAZOLIN (ANCEF,KEFZOL) : 1 GRAM/50 ML ",J0690 ,CPT,,Outpatient,,,55.6,44.48,41.53,,,,,,,Percent of Total Billed Charges,,41.53,41.53,,55.6,,,,,,,Percent of Total Billed Charges,,,,,53.38,,,,,,,Percent of Total Billed Charges,,,,,52.82,,,,,,,Percent of Total Billed Charges,,,,,11.12,,,,,,,Percent of Total Billed Charges,,,,,47.26,,,,,,,Percent of Total Billed Charges,,,,,11.68,,,,,,,Percent of Total Billed Charges,,,,,50.04,,,,,,,Percent of Total Billed Charges,,,,,50.04,,,,,,,Percent of Total Billed Charges,,,,,11.12,,,,,,,Percent of Total Billed Charges,,,,,15.57,,,,,,,Percent of Total Billed Charges,,,,,44.48,,,,,,,Percent of Total Billed Charges,,,,,11.12,,,,,,,Percent of Total Billed Charges,,,, "CEFAZOLIN (ANCEF,KEFZOL) : 2 GRAM/50 ML ",J0690 ,CPT,,Outpatient,,,49.2,39.36,36.75,,,,,,,Percent of Total Billed Charges,,36.75,36.75,,49.2,,,,,,,Percent of Total Billed Charges,,,,,47.23,,,,,,,Percent of Total Billed Charges,,,,,46.74,,,,,,,Percent of Total Billed Charges,,,,,9.84,,,,,,,Percent of Total Billed Charges,,,,,41.82,,,,,,,Percent of Total Billed Charges,,,,,10.33,,,,,,,Percent of Total Billed Charges,,,,,44.28,,,,,,,Percent of Total Billed Charges,,,,,44.28,,,,,,,Percent of Total Billed Charges,,,,,9.84,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,39.36,,,,,,,Percent of Total Billed Charges,,,,,9.84,,,,,,,Percent of Total Billed Charges,,,, CEFTAZIDIME (FORTAZ): 1GM/50ML PIGGYBACK,J0713 ,CPT,,Outpatient,,,65.4,52.32,48.85,,,,,,,Percent of Total Billed Charges,,48.85,48.85,,65.4,,,,,,,Percent of Total Billed Charges,,,,,62.78,,,,,,,Percent of Total Billed Charges,,,,,62.13,,,,,,,Percent of Total Billed Charges,,,,,13.08,,,,,,,Percent of Total Billed Charges,,,,,55.59,,,,,,,Percent of Total Billed Charges,,,,,13.73,,,,,,,Percent of Total Billed Charges,,,,,58.86,,,,,,,Percent of Total Billed Charges,,,,,58.86,,,,,,,Percent of Total Billed Charges,,,,,13.08,,,,,,,Percent of Total Billed Charges,,,,,18.31,,,,,,,Percent of Total Billed Charges,,,,,52.32,,,,,,,Percent of Total Billed Charges,,,,,13.08,,,,,,,Percent of Total Billed Charges,,,, CEFTAZIDIME (FORTAZ): 2GM/50ML PIGGYBACK,J0713 ,CPT,,Outpatient,,,87.05,69.64,65.03,,,,,,,Percent of Total Billed Charges,,65.03,65.03,,87.05,,,,,,,Percent of Total Billed Charges,,,,,83.57,,,,,,,Percent of Total Billed Charges,,,,,82.7,,,,,,,Percent of Total Billed Charges,,,,,17.41,,,,,,,Percent of Total Billed Charges,,,,,73.99,,,,,,,Percent of Total Billed Charges,,,,,18.28,,,,,,,Percent of Total Billed Charges,,,,,78.35,,,,,,,Percent of Total Billed Charges,,,,,78.35,,,,,,,Percent of Total Billed Charges,,,,,17.41,,,,,,,Percent of Total Billed Charges,,,,,24.37,,,,,,,Percent of Total Billed Charges,,,,,69.64,,,,,,,Percent of Total Billed Charges,,,,,17.41,,,,,,,Percent of Total Billed Charges,,,, CEFEPIME (MAXIPIME) : 1 GRAM/50 ML PB ,J0692 ,CPT,,Outpatient,,,54.1,43.28,40.41,,,,,,,Percent of Total Billed Charges,,40.41,40.41,,54.1,,,,,,,Percent of Total Billed Charges,,,,,51.94,,,,,,,Percent of Total Billed Charges,,,,,51.4,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,45.99,,,,,,,Percent of Total Billed Charges,,,,,11.36,,,,,,,Percent of Total Billed Charges,,,,,48.69,,,,,,,Percent of Total Billed Charges,,,,,48.69,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,15.15,,,,,,,Percent of Total Billed Charges,,,,,43.28,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,, CEFEPIME (MAXIPIME) : 2 GRAM/50 ML PB ,J0692 ,CPT,,Outpatient,,,78.9,63.12,58.94,,,,,,,Percent of Total Billed Charges,,58.94,58.94,,78.9,,,,,,,Percent of Total Billed Charges,,,,,75.74,,,,,,,Percent of Total Billed Charges,,,,,74.96,,,,,,,Percent of Total Billed Charges,,,,,15.78,,,,,,,Percent of Total Billed Charges,,,,,67.07,,,,,,,Percent of Total Billed Charges,,,,,16.57,,,,,,,Percent of Total Billed Charges,,,,,71.01,,,,,,,Percent of Total Billed Charges,,,,,71.01,,,,,,,Percent of Total Billed Charges,,,,,15.78,,,,,,,Percent of Total Billed Charges,,,,,22.09,,,,,,,Percent of Total Billed Charges,,,,,63.12,,,,,,,Percent of Total Billed Charges,,,,,15.78,,,,,,,Percent of Total Billed Charges,,,, LEVOFLOXACIN INJ(LEVAQUIN): 250MG PREMIX,J1956 ,CPT,,Outpatient,,,17.3,13.84,12.92,,,,,,,Percent of Total Billed Charges,,12.92,12.92,,17.3,,,,,,,Percent of Total Billed Charges,,,,,16.61,,,,,,,Percent of Total Billed Charges,,,,,16.44,,,,,,,Percent of Total Billed Charges,,,,,3.46,,,,,,,Percent of Total Billed Charges,,,,,14.71,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,,,15.57,,,,,,,Percent of Total Billed Charges,,,,,15.57,,,,,,,Percent of Total Billed Charges,,,,,3.46,,,,,,,Percent of Total Billed Charges,,,,,4.84,,,,,,,Percent of Total Billed Charges,,,,,13.84,,,,,,,Percent of Total Billed Charges,,,,,3.46,,,,,,,Percent of Total Billed Charges,,,, LEVOFLOXACIN INJ(LEVAQUIN): 500MG PREMIX,J1956 ,CPT,,Outpatient,,,18.95,15.16,14.16,,,,,,,Percent of Total Billed Charges,,14.16,14.16,,18.95,,,,,,,Percent of Total Billed Charges,,,,,18.19,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,3.79,,,,,,,Percent of Total Billed Charges,,,,,16.11,,,,,,,Percent of Total Billed Charges,,,,,3.98,,,,,,,Percent of Total Billed Charges,,,,,17.06,,,,,,,Percent of Total Billed Charges,,,,,17.06,,,,,,,Percent of Total Billed Charges,,,,,3.79,,,,,,,Percent of Total Billed Charges,,,,,5.31,,,,,,,Percent of Total Billed Charges,,,,,15.16,,,,,,,Percent of Total Billed Charges,,,,,3.79,,,,,,,Percent of Total Billed Charges,,,, LEVOFLOXACIN INJ(LEVAQUIN): 750MG PREMIX,J1956 ,CPT,,Outpatient,,,19.45,15.56,14.53,,,,,,,Percent of Total Billed Charges,,14.53,14.53,,19.45,,,,,,,Percent of Total Billed Charges,,,,,18.67,,,,,,,Percent of Total Billed Charges,,,,,18.48,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.53,,,,,,,Percent of Total Billed Charges,,,,,4.08,,,,,,,Percent of Total Billed Charges,,,,,17.51,,,,,,,Percent of Total Billed Charges,,,,,17.51,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,5.45,,,,,,,Percent of Total Billed Charges,,,,,15.56,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,, METRONIDAZOLE PREMIX PB (FLAGYL):500 MG ,J1836 ,CPT,,Outpatient,,,17.8,14.24,13.3,,,,,,,Percent of Total Billed Charges,,13.3,13.3,,17.8,,,,,,,Percent of Total Billed Charges,,,,,17.09,,,,,,,Percent of Total Billed Charges,,,,,16.91,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,15.13,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,16.02,,,,,,,Percent of Total Billed Charges,,,,,16.02,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,4.98,,,,,,,Percent of Total Billed Charges,,,,,14.24,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,, FLUCONAZOLE INJ (DIFLUCAN):200 MG PREMIX,J1450 ,CPT,,Outpatient,,,25.1,20.08,18.75,,,,,,,Percent of Total Billed Charges,,18.75,18.75,,25.1,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,5.02,,,,,,,Percent of Total Billed Charges,,,,,21.34,,,,,,,Percent of Total Billed Charges,,,,,5.27,,,,,,,Percent of Total Billed Charges,,,,,22.59,,,,,,,Percent of Total Billed Charges,,,,,22.59,,,,,,,Percent of Total Billed Charges,,,,,5.02,,,,,,,Percent of Total Billed Charges,,,,,7.03,,,,,,,Percent of Total Billed Charges,,,,,20.08,,,,,,,Percent of Total Billed Charges,,,,,5.02,,,,,,,Percent of Total Billed Charges,,,, DAPTOMYCIN (CUBICIN) PREMIX : 350 MG ,J0878 ,CPT,,Outpatient,,,95,76,70.97,,,,,,,Percent of Total Billed Charges,,70.97,70.97,,95,,,,,,,Percent of Total Billed Charges,,,,,91.2,,,,,,,Percent of Total Billed Charges,,,,,90.25,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,80.75,,,,,,,Percent of Total Billed Charges,,,,,19.95,,,,,,,Percent of Total Billed Charges,,,,,85.5,,,,,,,Percent of Total Billed Charges,,,,,85.5,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,76,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,, DAPTOMYCIN (CUBICIN) PREMIX : 500 MG ,J0878 ,CPT,,Outpatient,,,110,88,82.17,,,,,,,Percent of Total Billed Charges,,82.17,82.17,,110,,,,,,,Percent of Total Billed Charges,,,,,105.6,,,,,,,Percent of Total Billed Charges,,,,,104.5,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,93.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,99,,,,,,,Percent of Total Billed Charges,,,,,99,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,88,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,, DAPTOMYCIN (CUBICIN) PREMIX : 700 MG ,J0878 ,CPT,,Outpatient,,,100.55,80.44,75.11,,,,,,,Percent of Total Billed Charges,,75.11,75.11,,100.55,,,,,,,Percent of Total Billed Charges,,,,,96.53,,,,,,,Percent of Total Billed Charges,,,,,95.52,,,,,,,Percent of Total Billed Charges,,,,,20.11,,,,,,,Percent of Total Billed Charges,,,,,85.47,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,90.5,,,,,,,Percent of Total Billed Charges,,,,,90.5,,,,,,,Percent of Total Billed Charges,,,,,20.11,,,,,,,Percent of Total Billed Charges,,,,,28.15,,,,,,,Percent of Total Billed Charges,,,,,80.44,,,,,,,Percent of Total Billed Charges,,,,,20.11,,,,,,,Percent of Total Billed Charges,,,, DAPTOMYCIN (CUBICIN) PREMIX : 1000 MG ,J0878 ,CPT,,Outpatient,,,177.5,142,132.59,,,,,,,Percent of Total Billed Charges,,132.59,132.59,,177.5,,,,,,,Percent of Total Billed Charges,,,,,170.4,,,,,,,Percent of Total Billed Charges,,,,,168.63,,,,,,,Percent of Total Billed Charges,,,,,35.5,,,,,,,Percent of Total Billed Charges,,,,,150.88,,,,,,,Percent of Total Billed Charges,,,,,37.28,,,,,,,Percent of Total Billed Charges,,,,,159.75,,,,,,,Percent of Total Billed Charges,,,,,159.75,,,,,,,Percent of Total Billed Charges,,,,,35.5,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,142,,,,,,,Percent of Total Billed Charges,,,,,35.5,,,,,,,Percent of Total Billed Charges,,,, ZOSYN PREMIX IVPB : 2.25 GM/50 ML ,J2543 ,CPT,,Outpatient,,,39,31.2,29.13,,,,,,,Percent of Total Billed Charges,,29.13,29.13,,39,,,,,,,Percent of Total Billed Charges,,,,,37.44,,,,,,,Percent of Total Billed Charges,,,,,37.05,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,33.15,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,10.92,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,, ZOSYN PREMIX IVPB : 3.375 GM/50 ML ,J2543 ,CPT,,Outpatient,,,47,37.6,35.11,,,,,,,Percent of Total Billed Charges,,35.11,35.11,,47,,,,,,,Percent of Total Billed Charges,,,,,45.12,,,,,,,Percent of Total Billed Charges,,,,,44.65,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,39.95,,,,,,,Percent of Total Billed Charges,,,,,9.87,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,13.16,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,, ZOSYN PREMIX IVPB : 4.5 GM/100 ML ,J2543 ,CPT,,Outpatient,,,55,44,41.09,,,,,,,Percent of Total Billed Charges,,41.09,41.09,,55,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,52.25,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,46.75,,,,,,,Percent of Total Billed Charges,,,,,11.55,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,, MEROPENEM (MERREM) : 1 GRAM PREMIX ,J2185 ,CPT,,Outpatient,,,106.75,85.4,79.74,,,,,,,Percent of Total Billed Charges,,79.74,79.74,,106.75,,,,,,,Percent of Total Billed Charges,,,,,102.48,,,,,,,Percent of Total Billed Charges,,,,,101.41,,,,,,,Percent of Total Billed Charges,,,,,21.35,,,,,,,Percent of Total Billed Charges,,,,,90.74,,,,,,,Percent of Total Billed Charges,,,,,22.42,,,,,,,Percent of Total Billed Charges,,,,,96.08,,,,,,,Percent of Total Billed Charges,,,,,96.08,,,,,,,Percent of Total Billed Charges,,,,,21.35,,,,,,,Percent of Total Billed Charges,,,,,29.89,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,21.35,,,,,,,Percent of Total Billed Charges,,,, CEFTRIAXONE (ROCEPHIN): 1GM/50ML FZN PB ,J0696 ,CPT,,Outpatient,,,40.7,32.56,30.4,,,,,,,Percent of Total Billed Charges,,30.4,30.4,,40.7,,,,,,,Percent of Total Billed Charges,,,,,39.07,,,,,,,Percent of Total Billed Charges,,,,,38.67,,,,,,,Percent of Total Billed Charges,,,,,8.14,,,,,,,Percent of Total Billed Charges,,,,,34.6,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,36.63,,,,,,,Percent of Total Billed Charges,,,,,36.63,,,,,,,Percent of Total Billed Charges,,,,,8.14,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,32.56,,,,,,,Percent of Total Billed Charges,,,,,8.14,,,,,,,Percent of Total Billed Charges,,,, CEFTRIAXONE (ROCEPHIN): 2GM/50ML FZN PB ,J0696 ,CPT,,Outpatient,,,66.45,53.16,49.64,,,,,,,Percent of Total Billed Charges,,49.64,49.64,,66.45,,,,,,,Percent of Total Billed Charges,,,,,63.79,,,,,,,Percent of Total Billed Charges,,,,,63.13,,,,,,,Percent of Total Billed Charges,,,,,13.29,,,,,,,Percent of Total Billed Charges,,,,,56.48,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,59.81,,,,,,,Percent of Total Billed Charges,,,,,59.81,,,,,,,Percent of Total Billed Charges,,,,,13.29,,,,,,,Percent of Total Billed Charges,,,,,18.61,,,,,,,Percent of Total Billed Charges,,,,,53.16,,,,,,,Percent of Total Billed Charges,,,,,13.29,,,,,,,Percent of Total Billed Charges,,,, CEFAZOLIN FROZEN PREMIX : 1 GRAM/50 ML ,J0690 ,CPT,,Outpatient,,,23.1,18.48,17.26,,,,,,,Percent of Total Billed Charges,,17.26,17.26,,23.1,,,,,,,Percent of Total Billed Charges,,,,,22.18,,,,,,,Percent of Total Billed Charges,,,,,21.95,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.64,,,,,,,Percent of Total Billed Charges,,,,,4.85,,,,,,,Percent of Total Billed Charges,,,,,20.79,,,,,,,Percent of Total Billed Charges,,,,,20.79,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,6.47,,,,,,,Percent of Total Billed Charges,,,,,18.48,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,, CEFAZOLIN FROZEN PREMIX : 2 GRAM/100 ML ,J0690 ,CPT,,Outpatient,,,22.8,18.24,17.03,,,,,,,Percent of Total Billed Charges,,17.03,17.03,,22.8,,,,,,,Percent of Total Billed Charges,,,,,21.89,,,,,,,Percent of Total Billed Charges,,,,,21.66,,,,,,,Percent of Total Billed Charges,,,,,4.56,,,,,,,Percent of Total Billed Charges,,,,,19.38,,,,,,,Percent of Total Billed Charges,,,,,4.79,,,,,,,Percent of Total Billed Charges,,,,,20.52,,,,,,,Percent of Total Billed Charges,,,,,20.52,,,,,,,Percent of Total Billed Charges,,,,,4.56,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,4.56,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN WITH 0.9% NS : 500 MG PREMIX ,J3373 ,CPT,,Outpatient,,,32.5,26,24.28,,,,,,,Percent of Total Billed Charges,,24.28,24.28,,32.5,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,30.88,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,27.63,,,,,,,Percent of Total Billed Charges,,,,,6.83,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN WITH 0.9% NS : 750 MG PREMIX ,J3373 ,CPT,,Outpatient,,,35.9,28.72,26.82,,,,,,,Percent of Total Billed Charges,,26.82,26.82,,35.9,,,,,,,Percent of Total Billed Charges,,,,,34.46,,,,,,,Percent of Total Billed Charges,,,,,34.11,,,,,,,Percent of Total Billed Charges,,,,,7.18,,,,,,,Percent of Total Billed Charges,,,,,30.52,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,,,32.31,,,,,,,Percent of Total Billed Charges,,,,,32.31,,,,,,,Percent of Total Billed Charges,,,,,7.18,,,,,,,Percent of Total Billed Charges,,,,,10.05,,,,,,,Percent of Total Billed Charges,,,,,28.72,,,,,,,Percent of Total Billed Charges,,,,,7.18,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN WITH 0.9% NS : 1 GRAM PREMIX ,J3373 ,CPT,,Outpatient,,,38.1,30.48,28.46,,,,,,,Percent of Total Billed Charges,,28.46,28.46,,38.1,,,,,,,Percent of Total Billed Charges,,,,,36.58,,,,,,,Percent of Total Billed Charges,,,,,36.2,,,,,,,Percent of Total Billed Charges,,,,,7.62,,,,,,,Percent of Total Billed Charges,,,,,32.39,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34.29,,,,,,,Percent of Total Billed Charges,,,,,34.29,,,,,,,Percent of Total Billed Charges,,,,,7.62,,,,,,,Percent of Total Billed Charges,,,,,10.67,,,,,,,Percent of Total Billed Charges,,,,,30.48,,,,,,,Percent of Total Billed Charges,,,,,7.62,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN WITH D5W : 500 MG PREMIX ,J3373 ,CPT,,Outpatient,,,31.45,25.16,23.49,,,,,,,Percent of Total Billed Charges,,23.49,23.49,,31.45,,,,,,,Percent of Total Billed Charges,,,,,30.19,,,,,,,Percent of Total Billed Charges,,,,,29.88,,,,,,,Percent of Total Billed Charges,,,,,6.29,,,,,,,Percent of Total Billed Charges,,,,,26.73,,,,,,,Percent of Total Billed Charges,,,,,6.6,,,,,,,Percent of Total Billed Charges,,,,,28.31,,,,,,,Percent of Total Billed Charges,,,,,28.31,,,,,,,Percent of Total Billed Charges,,,,,6.29,,,,,,,Percent of Total Billed Charges,,,,,8.81,,,,,,,Percent of Total Billed Charges,,,,,25.16,,,,,,,Percent of Total Billed Charges,,,,,6.29,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN WITH D5W : 1 GRAM PREMIX ,J3373 ,CPT,,Outpatient,,,39.55,31.64,29.54,,,,,,,Percent of Total Billed Charges,,29.54,29.54,,39.55,,,,,,,Percent of Total Billed Charges,,,,,37.97,,,,,,,Percent of Total Billed Charges,,,,,37.57,,,,,,,Percent of Total Billed Charges,,,,,7.91,,,,,,,Percent of Total Billed Charges,,,,,33.62,,,,,,,Percent of Total Billed Charges,,,,,8.31,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,7.91,,,,,,,Percent of Total Billed Charges,,,,,11.07,,,,,,,Percent of Total Billed Charges,,,,,31.64,,,,,,,Percent of Total Billed Charges,,,,,7.91,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN WITH D5W : 1250 MG PREMIX ,J3373 ,CPT,,Outpatient,,,48.5,38.8,36.23,,,,,,,Percent of Total Billed Charges,,36.23,36.23,,48.5,,,,,,,Percent of Total Billed Charges,,,,,46.56,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,41.23,,,,,,,Percent of Total Billed Charges,,,,,10.19,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,13.58,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN WITH D5W : 1500 MG PREMIX ,J3373 ,CPT,,Outpatient,,,56,44.8,41.83,,,,,,,Percent of Total Billed Charges,,41.83,41.83,,56,,,,,,,Percent of Total Billed Charges,,,,,53.76,,,,,,,Percent of Total Billed Charges,,,,,53.2,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,44.8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN WITH D5W : 750 MG PREMIX ,J3373 ,CPT,,Outpatient,,,37.2,29.76,27.79,,,,,,,Percent of Total Billed Charges,,27.79,27.79,,37.2,,,,,,,Percent of Total Billed Charges,,,,,35.71,,,,,,,Percent of Total Billed Charges,,,,,35.34,,,,,,,Percent of Total Billed Charges,,,,,7.44,,,,,,,Percent of Total Billed Charges,,,,,31.62,,,,,,,Percent of Total Billed Charges,,,,,7.81,,,,,,,Percent of Total Billed Charges,,,,,33.48,,,,,,,Percent of Total Billed Charges,,,,,33.48,,,,,,,Percent of Total Billed Charges,,,,,7.44,,,,,,,Percent of Total Billed Charges,,,,,10.42,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,7.44,,,,,,,Percent of Total Billed Charges,,,, LINEZOLID INJ (ZYVOX) : 600 MG ,J2020 ,CPT,,Outpatient,,,37.7,30.16,28.16,,,,,,,Percent of Total Billed Charges,,28.16,28.16,,37.7,,,,,,,Percent of Total Billed Charges,,,,,36.19,,,,,,,Percent of Total Billed Charges,,,,,35.82,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,,,32.05,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,33.93,,,,,,,Percent of Total Billed Charges,,,,,33.93,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,,,10.56,,,,,,,Percent of Total Billed Charges,,,,,30.16,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,, DOPAMINE PREMIX 400 MG/250 ML ,J1265 ,CPT,,Outpatient,,,42.35,33.88,31.64,,,,,,,Percent of Total Billed Charges,,31.64,31.64,,42.35,,,,,,,Percent of Total Billed Charges,,,,,40.66,,,,,,,Percent of Total Billed Charges,,,,,40.23,,,,,,,Percent of Total Billed Charges,,,,,8.47,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8.89,,,,,,,Percent of Total Billed Charges,,,,,38.12,,,,,,,Percent of Total Billed Charges,,,,,38.12,,,,,,,Percent of Total Billed Charges,,,,,8.47,,,,,,,Percent of Total Billed Charges,,,,,11.86,,,,,,,Percent of Total Billed Charges,,,,,33.88,,,,,,,Percent of Total Billed Charges,,,,,8.47,,,,,,,Percent of Total Billed Charges,,,, NOREPINEPHRINE (LEVOPHED):4MG/250ML ,250,RC,,Outpatient,250,ML,75.5,60.4,56.4,,,,,,,Percent of Total Billed Charges,,56.4,56.4,,75.5,,,,,,,Percent of Total Billed Charges,,,,,72.48,,,,,,,Percent of Total Billed Charges,,,,,71.73,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,64.18,,,,,,,Percent of Total Billed Charges,,,,,15.86,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,60.4,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,, NITROGLYCERIN 50 MG/250 ML PREMIX BOTTLE,J2305 ,CPT,,Outpatient,,,91.6,73.28,68.43,,,,,,,Percent of Total Billed Charges,,68.43,68.43,,91.6,,,,,,,Percent of Total Billed Charges,,,,,87.94,,,,,,,Percent of Total Billed Charges,,,,,87.02,,,,,,,Percent of Total Billed Charges,,,,,18.32,,,,,,,Percent of Total Billed Charges,,,,,77.86,,,,,,,Percent of Total Billed Charges,,,,,19.24,,,,,,,Percent of Total Billed Charges,,,,,82.44,,,,,,,Percent of Total Billed Charges,,,,,82.44,,,,,,,Percent of Total Billed Charges,,,,,18.32,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,73.28,,,,,,,Percent of Total Billed Charges,,,,,18.32,,,,,,,Percent of Total Billed Charges,,,, ACETAMINOPHEN (OFIRMEV) IV :1000MG/100ML,J0131 ,CPT,,Outpatient,,,30.65,24.52,22.9,,,,,,,Percent of Total Billed Charges,,22.9,22.9,,30.65,,,,,,,Percent of Total Billed Charges,,,,,29.42,,,,,,,Percent of Total Billed Charges,,,,,29.12,,,,,,,Percent of Total Billed Charges,,,,,6.13,,,,,,,Percent of Total Billed Charges,,,,,26.05,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,27.59,,,,,,,Percent of Total Billed Charges,,,,,27.59,,,,,,,Percent of Total Billed Charges,,,,,6.13,,,,,,,Percent of Total Billed Charges,,,,,8.58,,,,,,,Percent of Total Billed Charges,,,,,24.52,,,,,,,Percent of Total Billed Charges,,,,,6.13,,,,,,,Percent of Total Billed Charges,,,, MAGNESIUM SULFATE 4 GRAM/100 ML ,J3475 ,CPT,,Outpatient,,,19.95,15.96,14.9,,,,,,,Percent of Total Billed Charges,,14.9,14.9,,19.95,,,,,,,Percent of Total Billed Charges,,,,,19.15,,,,,,,Percent of Total Billed Charges,,,,,18.95,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,16.96,,,,,,,Percent of Total Billed Charges,,,,,4.19,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,5.59,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,, DOBUTAMINE INJ (DOBUTREX) : 250 MG BAG ,J1250 ,CPT,,Outpatient,,,31.25,25,23.34,,,,,,,Percent of Total Billed Charges,,23.34,23.34,,31.25,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,29.69,,,,,,,Percent of Total Billed Charges,,,,,6.25,,,,,,,Percent of Total Billed Charges,,,,,26.56,,,,,,,Percent of Total Billed Charges,,,,,6.56,,,,,,,Percent of Total Billed Charges,,,,,28.13,,,,,,,Percent of Total Billed Charges,,,,,28.13,,,,,,,Percent of Total Billed Charges,,,,,6.25,,,,,,,Percent of Total Billed Charges,,,,,8.75,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,6.25,,,,,,,Percent of Total Billed Charges,,,, AMIODARONE (CORDARONE) LOAD: 150MG/100ML,J0282 ,CPT,,Outpatient,,,28.2,22.56,21.07,,,,,,,Percent of Total Billed Charges,,21.07,21.07,,28.2,,,,,,,Percent of Total Billed Charges,,,,,27.07,,,,,,,Percent of Total Billed Charges,,,,,26.79,,,,,,,Percent of Total Billed Charges,,,,,5.64,,,,,,,Percent of Total Billed Charges,,,,,23.97,,,,,,,Percent of Total Billed Charges,,,,,5.92,,,,,,,Percent of Total Billed Charges,,,,,25.38,,,,,,,Percent of Total Billed Charges,,,,,25.38,,,,,,,Percent of Total Billed Charges,,,,,5.64,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,22.56,,,,,,,Percent of Total Billed Charges,,,,,5.64,,,,,,,Percent of Total Billed Charges,,,, INSULIN REG DRIP 100 UNITS/100 ML ,J1815 ,CPT,,Outpatient,,,75.5,60.4,56.4,,,,,,,Percent of Total Billed Charges,,56.4,56.4,,75.5,,,,,,,Percent of Total Billed Charges,,,,,72.48,,,,,,,Percent of Total Billed Charges,,,,,71.73,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,64.18,,,,,,,Percent of Total Billed Charges,,,,,15.86,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,60.4,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,, TRANEXAMIC ACID : 1000 MG/100 ML ,J3490 ,CPT,,Outpatient,,,32.95,26.36,24.61,,,,,,,Percent of Total Billed Charges,,24.61,24.61,,32.95,,,,,,,Percent of Total Billed Charges,,,,,31.63,,,,,,,Percent of Total Billed Charges,,,,,31.3,,,,,,,Percent of Total Billed Charges,,,,,6.59,,,,,,,Percent of Total Billed Charges,,,,,28.01,,,,,,,Percent of Total Billed Charges,,,,,6.92,,,,,,,Percent of Total Billed Charges,,,,,29.66,,,,,,,Percent of Total Billed Charges,,,,,29.66,,,,,,,Percent of Total Billed Charges,,,,,6.59,,,,,,,Percent of Total Billed Charges,,,,,9.23,,,,,,,Percent of Total Billed Charges,,,,,26.36,,,,,,,Percent of Total Billed Charges,,,,,6.59,,,,,,,Percent of Total Billed Charges,,,, MAGNESIUM SULFATE 2 GRAM/50 ML ,J3475 ,CPT,,Outpatient,,,19.95,15.96,14.9,,,,,,,Percent of Total Billed Charges,,14.9,14.9,,19.95,,,,,,,Percent of Total Billed Charges,,,,,19.15,,,,,,,Percent of Total Billed Charges,,,,,18.95,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,16.96,,,,,,,Percent of Total Billed Charges,,,,,4.19,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,5.59,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,, ZOLEDRONIC ACID (RECLAST) INJ: 5 MG ,J3489 ,CPT,,Outpatient,,,99.15,79.32,74.07,,,,,,,Percent of Total Billed Charges,,74.07,74.07,,99.15,,,,,,,Percent of Total Billed Charges,,,,,95.18,,,,,,,Percent of Total Billed Charges,,,,,94.19,,,,,,,Percent of Total Billed Charges,,,,,19.83,,,,,,,Percent of Total Billed Charges,,,,,84.28,,,,,,,Percent of Total Billed Charges,,,,,20.82,,,,,,,Percent of Total Billed Charges,,,,,89.24,,,,,,,Percent of Total Billed Charges,,,,,89.24,,,,,,,Percent of Total Billed Charges,,,,,19.83,,,,,,,Percent of Total Billed Charges,,,,,27.76,,,,,,,Percent of Total Billed Charges,,,,,79.32,,,,,,,Percent of Total Billed Charges,,,,,19.83,,,,,,,Percent of Total Billed Charges,,,, DEXMEDETOMIDINE (PRECEDEX) 80 MCG/ 20 ML,250,RC,,Outpatient,20,ML,40.05,32.04,29.92,,,,,,,Percent of Total Billed Charges,,29.92,29.92,,40.05,,,,,,,Percent of Total Billed Charges,,,,,38.45,,,,,,,Percent of Total Billed Charges,,,,,38.05,,,,,,,Percent of Total Billed Charges,,,,,8.01,,,,,,,Percent of Total Billed Charges,,,,,34.04,,,,,,,Percent of Total Billed Charges,,,,,8.41,,,,,,,Percent of Total Billed Charges,,,,,36.05,,,,,,,Percent of Total Billed Charges,,,,,36.05,,,,,,,Percent of Total Billed Charges,,,,,8.01,,,,,,,Percent of Total Billed Charges,,,,,11.21,,,,,,,Percent of Total Billed Charges,,,,,32.04,,,,,,,Percent of Total Billed Charges,,,,,8.01,,,,,,,Percent of Total Billed Charges,,,, *PPN HI-POTENCY 3000 ML *************** ,250,RC,,Outpatient,3000,ML,400,320,298.8,,,,,,,Percent of Total Billed Charges,,298.8,298.8,,400,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,380,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,340,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,320,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,, PPN STANDARD 3000 ML ,250,RC,,Outpatient,3000,ML,400,320,298.8,,,,,,,Percent of Total Billed Charges,,298.8,298.8,,400,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,380,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,340,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,320,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,, *TPN STANDARD 3000 ML EXTRA ADDS ****** ,250,RC,,Outpatient,3000,ML,345,276,257.72,,,,,,,Percent of Total Billed Charges,,257.72,257.72,,345,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,327.75,,,,,,,Percent of Total Billed Charges,,,,,69,,,,,,,Percent of Total Billed Charges,,,,,293.25,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,310.5,,,,,,,Percent of Total Billed Charges,,,,,310.5,,,,,,,Percent of Total Billed Charges,,,,,69,,,,,,,Percent of Total Billed Charges,,,,,96.6,,,,,,,Percent of Total Billed Charges,,,,,276,,,,,,,Percent of Total Billed Charges,,,,,69,,,,,,,Percent of Total Billed Charges,,,, TPN STANDARD 2600 ML ,250,RC,,Outpatient,2600,ML,400,320,298.8,,,,,,,Percent of Total Billed Charges,,298.8,298.8,,400,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,380,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,340,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,320,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,, WATER STERILE FOR INJ: 250 ML ,250,RC,,Outpatient,250,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, MORPHINE DRIP 100 MG/100 ML ,J2270 ,CPT,,Outpatient,,,44.95,35.96,33.58,,,,,,,Percent of Total Billed Charges,,33.58,33.58,,44.95,,,,,,,Percent of Total Billed Charges,,,,,43.15,,,,,,,Percent of Total Billed Charges,,,,,42.7,,,,,,,Percent of Total Billed Charges,,,,,8.99,,,,,,,Percent of Total Billed Charges,,,,,38.21,,,,,,,Percent of Total Billed Charges,,,,,9.44,,,,,,,Percent of Total Billed Charges,,,,,40.46,,,,,,,Percent of Total Billed Charges,,,,,40.46,,,,,,,Percent of Total Billed Charges,,,,,8.99,,,,,,,Percent of Total Billed Charges,,,,,12.59,,,,,,,Percent of Total Billed Charges,,,,,35.96,,,,,,,Percent of Total Billed Charges,,,,,8.99,,,,,,,Percent of Total Billed Charges,,,, IRRIG SALINE 3000 ML BAG ,250,RC,,Outpatient,3000,ML,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, INSULIN SYRINGE 1 ML (REORDER #9410) ,250,RC,,Outpatient,1,ML,28,22.4,20.92,,,,,,,Percent of Total Billed Charges,,20.92,20.92,,28,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,, EMPTY EVACUATED CONTAINER 1000 ML ,250,RC,,Outpatient,1000,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, WOUND WASH SALINE : 210 ML ,250,RC,,Outpatient,210,ML,36.5,29.2,27.27,,,,,,,Percent of Total Billed Charges,,27.27,27.27,,36.5,,,,,,,Percent of Total Billed Charges,,,,,35.04,,,,,,,Percent of Total Billed Charges,,,,,34.68,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,31.03,,,,,,,Percent of Total Billed Charges,,,,,7.67,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,, *SET MICRODRIP *********************** ,250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, *IRRIG GLYCINE 1.5% 3000 ML ,250,RC,,Outpatient,3000,ML,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, IRRIG SALINE 250 ML ,250,RC,,Outpatient,250,ML,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, IRRIG SALINE 500 ML ,250,RC,,Outpatient,500,ML,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, IRRIG SALINE 1000 ML ,250,RC,,Outpatient,1000,ML,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, IRRIG WATER 250 ML ,250,RC,,Outpatient,250,ML,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, IRRIG WATER 500 ML ,250,RC,,Outpatient,500,ML,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, IRRIG WATER 1000 ML ,250,RC,,Outpatient,1000,ML,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, IRRIG WATER 1000 ML BAG ,250,RC,,Outpatient,1000,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, LIPIDS 20% : 100 ML IV ,250,RC,,Outpatient,100,ML,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, IRRIG WATER 2000 ML BAG ,250,RC,,Outpatient,2000,ML,64.5,51.6,48.18,,,,,,,Percent of Total Billed Charges,,48.18,48.18,,64.5,,,,,,,Percent of Total Billed Charges,,,,,61.92,,,,,,,Percent of Total Billed Charges,,,,,61.28,,,,,,,Percent of Total Billed Charges,,,,,12.9,,,,,,,Percent of Total Billed Charges,,,,,54.83,,,,,,,Percent of Total Billed Charges,,,,,13.55,,,,,,,Percent of Total Billed Charges,,,,,58.05,,,,,,,Percent of Total Billed Charges,,,,,58.05,,,,,,,Percent of Total Billed Charges,,,,,12.9,,,,,,,Percent of Total Billed Charges,,,,,18.06,,,,,,,Percent of Total Billed Charges,,,,,51.6,,,,,,,Percent of Total Billed Charges,,,,,12.9,,,,,,,Percent of Total Billed Charges,,,, *AMINO ACID 5.5% : 500 ML***************,250,RC,,Outpatient,500,ML,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, *AMINO ACID 8.5% : 500 ML***************,250,RC,,Outpatient,500,ML,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, *LIPIDS 10% : 500 ML IV ,250,RC,,Outpatient,500,ML,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, D5 1/3NS : 500 ML ,250,RC,,Outpatient,500,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5 1/4NS : 1000ML ,250,RC,,Outpatient,1000,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5 1/2NS : 1000 ML ,250,RC,,Outpatient,1000,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5NS : 1000 ML ,J7042 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5LR : 1000ML ,250,RC,,Outpatient,1000,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5W : 50 ML ,250,RC,,Outpatient,50,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5W : 100 ML ,250,RC,,Outpatient,100,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5W : 1000 ML ,J7070 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5W : 500 ML ,J7060 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5W : 250 ML ,250,RC,,Outpatient,250,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D10W : 250 ML ,250,RC,,Outpatient,250,ML,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, *D10W : 1000 ML ,250,RC,,Outpatient,1000,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5W 500 ML -- POLYOLEFIN BAG ,J7060 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, *D 70 W (DEXTROSE 70 %) : 1000 ML ,250,RC,,Outpatient,1000,ML,37,29.6,27.64,,,,,,,Percent of Total Billed Charges,,27.64,27.64,,37,,,,,,,Percent of Total Billed Charges,,,,,35.52,,,,,,,Percent of Total Billed Charges,,,,,35.15,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,,,31.45,,,,,,,Percent of Total Billed Charges,,,,,7.77,,,,,,,Percent of Total Billed Charges,,,,,33.3,,,,,,,Percent of Total Billed Charges,,,,,33.3,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,,,10.36,,,,,,,Percent of Total Billed Charges,,,,,29.6,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,, NS 3 % IV : 500 ML HYPERTONIC SALINE ,J7131 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, *ALCOHOL 5% IN D5W 1L PREMIX ,250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, ALBUMIN 25% : 100ML VIAL ,P9047 ,CPT,,Outpatient,,,216,172.8,161.35,,,,,,,Percent of Total Billed Charges,,161.35,161.35,,216,,,,,,,Percent of Total Billed Charges,,,,,207.36,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,45.36,,,,,,,Percent of Total Billed Charges,,,,,194.4,,,,,,,Percent of Total Billed Charges,,,,,194.4,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,, D50W : 1000 ML ,250,RC,,Outpatient,1000,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, LACTATED RINGERS : 1000 ML ,J7120 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, NS 1/2 (0.45NS) : 1000 ML ,250,RC,,Outpatient,1000,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, NS 1/2 (0.45S) W/KCL 20 MEQ: 1000 ML ,250,RC,,Outpatient,1000,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, NS : 250 ML IV ,J7050 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, NS : 500 ML IV ,J7040 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, NS : 1000 ML IV ,J7030 ,CPT,,Outpatient,,,27,21.6,20.17,,,,,,,Percent of Total Billed Charges,,20.17,20.17,,27,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,, NS : 100 ML PB ,250,RC,,Outpatient,100,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, *GALL BLADDER HEPARIN 1000 ML********** ,250,RC,,Outpatient,1000,ML,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, NS : 50 ML ,250,RC,,Outpatient,50,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, *ARTERIAL LINE HEPARIN 500 ML***********,250,RC,,Outpatient,500,ML,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, IRRIG BANN SOL 1000 ML ,250,RC,,Outpatient,1000,ML,154,123.2,115.04,,,,,,,Percent of Total Billed Charges,,115.04,115.04,,154,,,,,,,Percent of Total Billed Charges,,,,,147.84,,,,,,,Percent of Total Billed Charges,,,,,146.3,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,130.9,,,,,,,Percent of Total Billed Charges,,,,,32.34,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,43.12,,,,,,,Percent of Total Billed Charges,,,,,123.2,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE PREMIX : 2 GM / D5W 500 ML ,J2002 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, HEPARIN PREMIX : 25000 UNIT/500ML ,J1644 ,CPT,,Outpatient,,,40.5,32.4,30.25,,,,,,,Percent of Total Billed Charges,,30.25,30.25,,40.5,,,,,,,Percent of Total Billed Charges,,,,,38.88,,,,,,,Percent of Total Billed Charges,,,,,38.48,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,34.43,,,,,,,Percent of Total Billed Charges,,,,,8.51,,,,,,,Percent of Total Billed Charges,,,,,36.45,,,,,,,Percent of Total Billed Charges,,,,,36.45,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,32.4,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,, IRRIG BANN SOL 500ML ,250,RC,,Outpatient,500,ML,116.5,93.2,87.03,,,,,,,Percent of Total Billed Charges,,87.03,87.03,,116.5,,,,,,,Percent of Total Billed Charges,,,,,111.84,,,,,,,Percent of Total Billed Charges,,,,,110.68,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,99.03,,,,,,,Percent of Total Billed Charges,,,,,24.47,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,104.85,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,32.62,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,, MANNITOL PREMIX 20% 500 ML BAG ,J2150 ,CPT,,Outpatient,,,91.5,73.2,68.35,,,,,,,Percent of Total Billed Charges,,68.35,68.35,,91.5,,,,,,,Percent of Total Billed Charges,,,,,87.84,,,,,,,Percent of Total Billed Charges,,,,,86.93,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,,,77.78,,,,,,,Percent of Total Billed Charges,,,,,19.22,,,,,,,Percent of Total Billed Charges,,,,,82.35,,,,,,,Percent of Total Billed Charges,,,,,82.35,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,,,25.62,,,,,,,Percent of Total Billed Charges,,,,,73.2,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,, PUMP RENTAL - KANGAROO ,250,RC,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, PUMP RENTAL PCA ,250,RC,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, PUMP RENTAL - CADD PUMP ,250,RC,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, PUMP RENTAL ,250,RC,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, NS : 50 ML - ADD-VANTAGE FLUID ,250,RC,,Outpatient,50,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, NS : 100 ML ADD-VANTAGE FLUID ,250,RC,,Outpatient,100,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, NS : 250 ML ADD-VANTAGE FLUID ,J7050 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5NS 1L/KCL 20 MEQ PREMIX ,J3480 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5NS 1L/KCL 40 MEQ PREMIX ,J3480 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5 1/2NS 1L/KCL 20 MEQ PREMIX ,250,RC,,Outpatient,1000,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5 1/2NS 1L/KCL 40 MEQ PREMIX ,250,RC,,Outpatient,1000,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, NS 1L/KCL 20 MEQ PREMIX ,J3480 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, NS 1L/KCL 40 MEQ PREMIX ,J3480 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5W 1L/KCL 20 MEQ PREMIX ,J3480 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5W 1L/KCL 40 MEQ PREMIX ,J3480 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5LR 1L/KCL 20 MEQ PREMIX ,250,RC,,Outpatient,1000,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, D5LR 1L/KCL 40 MEQ PREMIX ,250,RC,,Outpatient,1000,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, **DEL*KCL 20 MEQ / 50 ML PIGGYBACK RIDER,250,RC,,Outpatient,50,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, KCL 10 MEQ / 100 ML PIGGYBACK RIDER ,J3480 ,CPT,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, *ACETAMINOPHEN (OFIRMEV) IV 1000MG/100ML,J0131 ,CPT,,Outpatient,,,30.65,24.52,22.9,,,,,,,Percent of Total Billed Charges,,22.9,22.9,,30.65,,,,,,,Percent of Total Billed Charges,,,,,29.42,,,,,,,Percent of Total Billed Charges,,,,,29.12,,,,,,,Percent of Total Billed Charges,,,,,6.13,,,,,,,Percent of Total Billed Charges,,,,,26.05,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,27.59,,,,,,,Percent of Total Billed Charges,,,,,27.59,,,,,,,Percent of Total Billed Charges,,,,,6.13,,,,,,,Percent of Total Billed Charges,,,,,8.58,,,,,,,Percent of Total Billed Charges,,,,,24.52,,,,,,,Percent of Total Billed Charges,,,,,6.13,,,,,,,Percent of Total Billed Charges,,,, ACETAZOLAMIDE (DIAMOX) INJ : 500 MG ,J1120 ,CPT,,Outpatient,,,104.7,83.76,78.21,,,,,,,Percent of Total Billed Charges,,78.21,78.21,,104.7,,,,,,,Percent of Total Billed Charges,,,,,100.51,,,,,,,Percent of Total Billed Charges,,,,,99.47,,,,,,,Percent of Total Billed Charges,,,,,20.94,,,,,,,Percent of Total Billed Charges,,,,,89,,,,,,,Percent of Total Billed Charges,,,,,21.99,,,,,,,Percent of Total Billed Charges,,,,,94.23,,,,,,,Percent of Total Billed Charges,,,,,94.23,,,,,,,Percent of Total Billed Charges,,,,,20.94,,,,,,,Percent of Total Billed Charges,,,,,29.32,,,,,,,Percent of Total Billed Charges,,,,,83.76,,,,,,,Percent of Total Billed Charges,,,,,20.94,,,,,,,Percent of Total Billed Charges,,,, ACETYLCYSTEINE (ACETADOTE) INJ:6 GM/30ML,J0132 ,CPT,,Outpatient,,,114.9,91.92,85.83,,,,,,,Percent of Total Billed Charges,,85.83,85.83,,114.9,,,,,,,Percent of Total Billed Charges,,,,,110.3,,,,,,,Percent of Total Billed Charges,,,,,109.16,,,,,,,Percent of Total Billed Charges,,,,,22.98,,,,,,,Percent of Total Billed Charges,,,,,97.67,,,,,,,Percent of Total Billed Charges,,,,,24.13,,,,,,,Percent of Total Billed Charges,,,,,103.41,,,,,,,Percent of Total Billed Charges,,,,,103.41,,,,,,,Percent of Total Billed Charges,,,,,22.98,,,,,,,Percent of Total Billed Charges,,,,,32.17,,,,,,,Percent of Total Billed Charges,,,,,91.92,,,,,,,Percent of Total Billed Charges,,,,,22.98,,,,,,,Percent of Total Billed Charges,,,, ZIDOVUDINE (RETROVIR) INJ: 200 MG / 20ML,J3485 ,CPT,,Outpatient,,,105.15,84.12,78.55,,,,,,,Percent of Total Billed Charges,,78.55,78.55,,105.15,,,,,,,Percent of Total Billed Charges,,,,,100.94,,,,,,,Percent of Total Billed Charges,,,,,99.89,,,,,,,Percent of Total Billed Charges,,,,,21.03,,,,,,,Percent of Total Billed Charges,,,,,89.38,,,,,,,Percent of Total Billed Charges,,,,,22.08,,,,,,,Percent of Total Billed Charges,,,,,94.64,,,,,,,Percent of Total Billed Charges,,,,,94.64,,,,,,,Percent of Total Billed Charges,,,,,21.03,,,,,,,Percent of Total Billed Charges,,,,,29.44,,,,,,,Percent of Total Billed Charges,,,,,84.12,,,,,,,Percent of Total Billed Charges,,,,,21.03,,,,,,,Percent of Total Billed Charges,,,, ADENOSINE (ADENOCARD) INJ : 6 MG / 2 ML ,J0153 ,CPT,,Outpatient,,,18.4,14.72,13.74,,,,,,,Percent of Total Billed Charges,,13.74,13.74,,18.4,,,,,,,Percent of Total Billed Charges,,,,,17.66,,,,,,,Percent of Total Billed Charges,,,,,17.48,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.64,,,,,,,Percent of Total Billed Charges,,,,,3.86,,,,,,,Percent of Total Billed Charges,,,,,16.56,,,,,,,Percent of Total Billed Charges,,,,,16.56,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,14.72,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,, ACYCLOVIR (ZOVIRAX) INJ : 500 MG/10 ML ,J0133 ,CPT,,Outpatient,,,19.25,15.4,14.38,,,,,,,Percent of Total Billed Charges,,14.38,14.38,,19.25,,,,,,,Percent of Total Billed Charges,,,,,18.48,,,,,,,Percent of Total Billed Charges,,,,,18.29,,,,,,,Percent of Total Billed Charges,,,,,3.85,,,,,,,Percent of Total Billed Charges,,,,,16.36,,,,,,,Percent of Total Billed Charges,,,,,4.04,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,3.85,,,,,,,Percent of Total Billed Charges,,,,,5.39,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,3.85,,,,,,,Percent of Total Billed Charges,,,, AMIODARONE (CORDARONE) INJ : 150MG/3 ML ,J0282 ,CPT,,Outpatient,,,19.55,15.64,14.6,,,,,,,Percent of Total Billed Charges,,14.6,14.6,,19.55,,,,,,,Percent of Total Billed Charges,,,,,18.77,,,,,,,Percent of Total Billed Charges,,,,,18.57,,,,,,,Percent of Total Billed Charges,,,,,3.91,,,,,,,Percent of Total Billed Charges,,,,,16.62,,,,,,,Percent of Total Billed Charges,,,,,4.11,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,3.91,,,,,,,Percent of Total Billed Charges,,,,,5.47,,,,,,,Percent of Total Billed Charges,,,,,15.64,,,,,,,Percent of Total Billed Charges,,,,,3.91,,,,,,,Percent of Total Billed Charges,,,, AMINOPHYLLINE INJ : 500 MG / 20 ML ,J0280 ,CPT,,Outpatient,,,37.4,29.92,27.94,,,,,,,Percent of Total Billed Charges,,27.94,27.94,,37.4,,,,,,,Percent of Total Billed Charges,,,,,35.9,,,,,,,Percent of Total Billed Charges,,,,,35.53,,,,,,,Percent of Total Billed Charges,,,,,7.48,,,,,,,Percent of Total Billed Charges,,,,,31.79,,,,,,,Percent of Total Billed Charges,,,,,7.85,,,,,,,Percent of Total Billed Charges,,,,,33.66,,,,,,,Percent of Total Billed Charges,,,,,33.66,,,,,,,Percent of Total Billed Charges,,,,,7.48,,,,,,,Percent of Total Billed Charges,,,,,10.47,,,,,,,Percent of Total Billed Charges,,,,,29.92,,,,,,,Percent of Total Billed Charges,,,,,7.48,,,,,,,Percent of Total Billed Charges,,,, SODIUM CHLORIDE CONCENTRATE : 4MEQ/ML ,J7131 ,CPT,,Outpatient,,,33.6,26.88,25.1,,,,,,,Percent of Total Billed Charges,,25.1,25.1,,33.6,,,,,,,Percent of Total Billed Charges,,,,,32.26,,,,,,,Percent of Total Billed Charges,,,,,31.92,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,28.56,,,,,,,Percent of Total Billed Charges,,,,,7.06,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,9.41,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,, *AMINOPHYLLINE INJ : 500 MG*************,J0280 ,CPT,,Outpatient,,,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, ABATACEPT (ORENCIA) INJ: 250 MG ,J0129 ,CPT,,Outpatient,,,3926.45,3141.16,2933.06,,,,,,,Percent of Total Billed Charges,,2933.06,2933.06,,3926.45,,,,,,,Percent of Total Billed Charges,,,,,3769.39,,,,,,,Percent of Total Billed Charges,,,,,3730.13,,,,,,,Percent of Total Billed Charges,,,,,785.29,,,,,,,Percent of Total Billed Charges,,,,,3337.48,,,,,,,Percent of Total Billed Charges,,,,,824.55,,,,,,,Percent of Total Billed Charges,,,,,3533.81,,,,,,,Percent of Total Billed Charges,,,,,3533.81,,,,,,,Percent of Total Billed Charges,,,,,785.29,,,,,,,Percent of Total Billed Charges,,,,,1099.41,,,,,,,Percent of Total Billed Charges,,,,,3141.16,,,,,,,Percent of Total Billed Charges,,,,,785.29,,,,,,,Percent of Total Billed Charges,,,, *AMINOPHYLLINE INJ : 1000 MG************,J0280 ,CPT,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, CALCITONIN INJ: 400 UNIT/ 2 ML ,J0630 ,CPT,,Outpatient,,,3643.95,2915.16,2722.03,,,,,,,Percent of Total Billed Charges,,2722.03,2722.03,,3643.95,,,,,,,Percent of Total Billed Charges,,,,,3498.19,,,,,,,Percent of Total Billed Charges,,,,,3461.75,,,,,,,Percent of Total Billed Charges,,,,,728.79,,,,,,,Percent of Total Billed Charges,,,,,3097.36,,,,,,,Percent of Total Billed Charges,,,,,765.23,,,,,,,Percent of Total Billed Charges,,,,,3279.56,,,,,,,Percent of Total Billed Charges,,,,,3279.56,,,,,,,Percent of Total Billed Charges,,,,,728.79,,,,,,,Percent of Total Billed Charges,,,,,1020.31,,,,,,,Percent of Total Billed Charges,,,,,2915.16,,,,,,,Percent of Total Billed Charges,,,,,728.79,,,,,,,Percent of Total Billed Charges,,,, PHYSOSTIGMINE (ANTILIRIUM) : 2MG/2ML INJ,250,RC,,Outpatient,2,ME,276.7,221.36,206.69,,,,,,,Percent of Total Billed Charges,,206.69,206.69,,276.7,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,262.87,,,,,,,Percent of Total Billed Charges,,,,,55.34,,,,,,,Percent of Total Billed Charges,,,,,235.2,,,,,,,Percent of Total Billed Charges,,,,,58.11,,,,,,,Percent of Total Billed Charges,,,,,249.03,,,,,,,Percent of Total Billed Charges,,,,,249.03,,,,,,,Percent of Total Billed Charges,,,,,55.34,,,,,,,Percent of Total Billed Charges,,,,,77.48,,,,,,,Percent of Total Billed Charges,,,,,221.36,,,,,,,Percent of Total Billed Charges,,,,,55.34,,,,,,,Percent of Total Billed Charges,,,, EPINEPHRINE INJ : 30 MG / 30 ML ,250,RC,,Outpatient,30,ML,771.8,617.44,576.53,,,,,,,Percent of Total Billed Charges,,576.53,576.53,,771.8,,,,,,,Percent of Total Billed Charges,,,,,740.93,,,,,,,Percent of Total Billed Charges,,,,,733.21,,,,,,,Percent of Total Billed Charges,,,,,154.36,,,,,,,Percent of Total Billed Charges,,,,,656.03,,,,,,,Percent of Total Billed Charges,,,,,162.08,,,,,,,Percent of Total Billed Charges,,,,,694.62,,,,,,,Percent of Total Billed Charges,,,,,694.62,,,,,,,Percent of Total Billed Charges,,,,,154.36,,,,,,,Percent of Total Billed Charges,,,,,216.1,,,,,,,Percent of Total Billed Charges,,,,,617.44,,,,,,,Percent of Total Billed Charges,,,,,154.36,,,,,,,Percent of Total Billed Charges,,,, AMINOCAPROIC ACID INJ : 5 GM / 20 ML ,250,RC,,Outpatient,20,ML,14.35,11.48,10.72,,,,,,,Percent of Total Billed Charges,,10.72,10.72,,14.35,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,13.63,,,,,,,Percent of Total Billed Charges,,,,,2.87,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,,,3.01,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,2.87,,,,,,,Percent of Total Billed Charges,,,,,4.02,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,2.87,,,,,,,Percent of Total Billed Charges,,,, SODIUM PHOSPHATE CONCENTRATE: 5 ML VIAL ,250,RC,,Outpatient,5,ML,16.35,13.08,12.21,,,,,,,Percent of Total Billed Charges,,12.21,12.21,,16.35,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,15.53,,,,,,,Percent of Total Billed Charges,,,,,3.27,,,,,,,Percent of Total Billed Charges,,,,,13.9,,,,,,,Percent of Total Billed Charges,,,,,3.43,,,,,,,Percent of Total Billed Charges,,,,,14.72,,,,,,,Percent of Total Billed Charges,,,,,14.72,,,,,,,Percent of Total Billed Charges,,,,,3.27,,,,,,,Percent of Total Billed Charges,,,,,4.58,,,,,,,Percent of Total Billed Charges,,,,,13.08,,,,,,,Percent of Total Billed Charges,,,,,3.27,,,,,,,Percent of Total Billed Charges,,,, PHYTONADIONE (VIT K) INJECTION :10 MG/ML,J3430 ,CPT,,Outpatient,,,61.95,49.56,46.28,,,,,,,Percent of Total Billed Charges,,46.28,46.28,,61.95,,,,,,,Percent of Total Billed Charges,,,,,59.47,,,,,,,Percent of Total Billed Charges,,,,,58.85,,,,,,,Percent of Total Billed Charges,,,,,12.39,,,,,,,Percent of Total Billed Charges,,,,,52.66,,,,,,,Percent of Total Billed Charges,,,,,13.01,,,,,,,Percent of Total Billed Charges,,,,,55.76,,,,,,,Percent of Total Billed Charges,,,,,55.76,,,,,,,Percent of Total Billed Charges,,,,,12.39,,,,,,,Percent of Total Billed Charges,,,,,17.35,,,,,,,Percent of Total Billed Charges,,,,,49.56,,,,,,,Percent of Total Billed Charges,,,,,12.39,,,,,,,Percent of Total Billed Charges,,,, AMIODARONE (CORDARONE)DRIP: 900MG/18 ML ,J0282 ,CPT,,Outpatient,,,54.95,43.96,41.05,,,,,,,Percent of Total Billed Charges,,41.05,41.05,,54.95,,,,,,,Percent of Total Billed Charges,,,,,52.75,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,,,10.99,,,,,,,Percent of Total Billed Charges,,,,,46.71,,,,,,,Percent of Total Billed Charges,,,,,11.54,,,,,,,Percent of Total Billed Charges,,,,,49.46,,,,,,,Percent of Total Billed Charges,,,,,49.46,,,,,,,Percent of Total Billed Charges,,,,,10.99,,,,,,,Percent of Total Billed Charges,,,,,15.39,,,,,,,Percent of Total Billed Charges,,,,,43.96,,,,,,,Percent of Total Billed Charges,,,,,10.99,,,,,,,Percent of Total Billed Charges,,,, CAFFEINE CITRATE 60 MG/3 ML ,J0706 ,CPT,,Outpatient,,,31.65,25.32,23.64,,,,,,,Percent of Total Billed Charges,,23.64,23.64,,31.65,,,,,,,Percent of Total Billed Charges,,,,,30.38,,,,,,,Percent of Total Billed Charges,,,,,30.07,,,,,,,Percent of Total Billed Charges,,,,,6.33,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,28.49,,,,,,,Percent of Total Billed Charges,,,,,28.49,,,,,,,Percent of Total Billed Charges,,,,,6.33,,,,,,,Percent of Total Billed Charges,,,,,8.86,,,,,,,Percent of Total Billed Charges,,,,,25.32,,,,,,,Percent of Total Billed Charges,,,,,6.33,,,,,,,Percent of Total Billed Charges,,,, PHYTONADIONE (VIT K) IVPB: 10 MG/NS 50ML,J3430 ,CPT,,Outpatient,,,137.25,109.8,102.53,,,,,,,Percent of Total Billed Charges,,102.53,102.53,,137.25,,,,,,,Percent of Total Billed Charges,,,,,131.76,,,,,,,Percent of Total Billed Charges,,,,,130.39,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,116.66,,,,,,,Percent of Total Billed Charges,,,,,28.82,,,,,,,Percent of Total Billed Charges,,,,,123.53,,,,,,,Percent of Total Billed Charges,,,,,123.53,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,38.43,,,,,,,Percent of Total Billed Charges,,,,,109.8,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,, ATROPINE SULFATE : 0.4MG/ML ,J0461 ,CPT,,Outpatient,,,26.9,21.52,20.09,,,,,,,Percent of Total Billed Charges,,20.09,20.09,,26.9,,,,,,,Percent of Total Billed Charges,,,,,25.82,,,,,,,Percent of Total Billed Charges,,,,,25.56,,,,,,,Percent of Total Billed Charges,,,,,5.38,,,,,,,Percent of Total Billed Charges,,,,,22.87,,,,,,,Percent of Total Billed Charges,,,,,5.65,,,,,,,Percent of Total Billed Charges,,,,,24.21,,,,,,,Percent of Total Billed Charges,,,,,24.21,,,,,,,Percent of Total Billed Charges,,,,,5.38,,,,,,,Percent of Total Billed Charges,,,,,7.53,,,,,,,Percent of Total Billed Charges,,,,,21.52,,,,,,,Percent of Total Billed Charges,,,,,5.38,,,,,,,Percent of Total Billed Charges,,,, ORPHENADRINE (NORFLEX) INJ: 60 MG / 2 ML,J2360 ,CPT,,Outpatient,,,47.15,37.72,35.22,,,,,,,Percent of Total Billed Charges,,35.22,35.22,,47.15,,,,,,,Percent of Total Billed Charges,,,,,45.26,,,,,,,Percent of Total Billed Charges,,,,,44.79,,,,,,,Percent of Total Billed Charges,,,,,9.43,,,,,,,Percent of Total Billed Charges,,,,,40.08,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,42.44,,,,,,,Percent of Total Billed Charges,,,,,42.44,,,,,,,Percent of Total Billed Charges,,,,,9.43,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,37.72,,,,,,,Percent of Total Billed Charges,,,,,9.43,,,,,,,Percent of Total Billed Charges,,,, *ATROPINE SULFATE : 0.4MG/ML 20ML **** ,J0461 ,CPT,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, ATROPINE SULFATE : 1 MG/ML INJ 1ML VIAL ,J0461 ,CPT,,Outpatient,,,36.05,28.84,26.93,,,,,,,Percent of Total Billed Charges,,26.93,26.93,,36.05,,,,,,,Percent of Total Billed Charges,,,,,34.61,,,,,,,Percent of Total Billed Charges,,,,,34.25,,,,,,,Percent of Total Billed Charges,,,,,7.21,,,,,,,Percent of Total Billed Charges,,,,,30.64,,,,,,,Percent of Total Billed Charges,,,,,7.57,,,,,,,Percent of Total Billed Charges,,,,,32.45,,,,,,,Percent of Total Billed Charges,,,,,32.45,,,,,,,Percent of Total Billed Charges,,,,,7.21,,,,,,,Percent of Total Billed Charges,,,,,10.09,,,,,,,Percent of Total Billed Charges,,,,,28.84,,,,,,,Percent of Total Billed Charges,,,,,7.21,,,,,,,Percent of Total Billed Charges,,,, ACYCLOVIR (ZOVIRAX) INJ : 1000 MG/20 ML ,J0133 ,CPT,,Outpatient,,,24.2,19.36,18.08,,,,,,,Percent of Total Billed Charges,,18.08,18.08,,24.2,,,,,,,Percent of Total Billed Charges,,,,,23.23,,,,,,,Percent of Total Billed Charges,,,,,22.99,,,,,,,Percent of Total Billed Charges,,,,,4.84,,,,,,,Percent of Total Billed Charges,,,,,20.57,,,,,,,Percent of Total Billed Charges,,,,,5.08,,,,,,,Percent of Total Billed Charges,,,,,21.78,,,,,,,Percent of Total Billed Charges,,,,,21.78,,,,,,,Percent of Total Billed Charges,,,,,4.84,,,,,,,Percent of Total Billed Charges,,,,,6.78,,,,,,,Percent of Total Billed Charges,,,,,19.36,,,,,,,Percent of Total Billed Charges,,,,,4.84,,,,,,,Percent of Total Billed Charges,,,, ATROPINE SULFATE : 1 MG/10 ML SYRINGE ,J0461 ,CPT,,Outpatient,,,45.45,36.36,33.95,,,,,,,Percent of Total Billed Charges,,33.95,33.95,,45.45,,,,,,,Percent of Total Billed Charges,,,,,43.63,,,,,,,Percent of Total Billed Charges,,,,,43.18,,,,,,,Percent of Total Billed Charges,,,,,9.09,,,,,,,Percent of Total Billed Charges,,,,,38.63,,,,,,,Percent of Total Billed Charges,,,,,9.54,,,,,,,Percent of Total Billed Charges,,,,,40.91,,,,,,,Percent of Total Billed Charges,,,,,40.91,,,,,,,Percent of Total Billed Charges,,,,,9.09,,,,,,,Percent of Total Billed Charges,,,,,12.73,,,,,,,Percent of Total Billed Charges,,,,,36.36,,,,,,,Percent of Total Billed Charges,,,,,9.09,,,,,,,Percent of Total Billed Charges,,,, BAL IN OIL 10%INJ:300MG/3 ML DIMERCAPROL,J0470 ,CPT,,Outpatient,,,628.05,502.44,469.15,,,,,,,Percent of Total Billed Charges,,469.15,469.15,,628.05,,,,,,,Percent of Total Billed Charges,,,,,602.93,,,,,,,Percent of Total Billed Charges,,,,,596.65,,,,,,,Percent of Total Billed Charges,,,,,125.61,,,,,,,Percent of Total Billed Charges,,,,,533.84,,,,,,,Percent of Total Billed Charges,,,,,131.89,,,,,,,Percent of Total Billed Charges,,,,,565.25,,,,,,,Percent of Total Billed Charges,,,,,565.25,,,,,,,Percent of Total Billed Charges,,,,,125.61,,,,,,,Percent of Total Billed Charges,,,,,175.85,,,,,,,Percent of Total Billed Charges,,,,,502.44,,,,,,,Percent of Total Billed Charges,,,,,125.61,,,,,,,Percent of Total Billed Charges,,,, *BUMETANIDE (BUMEX) : 1 MG /4 ML ,250,RC,,Outpatient,1,ME,24,19.2,17.93,,,,,,,Percent of Total Billed Charges,,17.93,17.93,,24,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,, CALCIUM CHLORIDE : 1GM/10ML SYRINGE ,250,RC,,Outpatient,1,GR,52.25,41.8,39.03,,,,,,,Percent of Total Billed Charges,,39.03,39.03,,52.25,,,,,,,Percent of Total Billed Charges,,,,,50.16,,,,,,,Percent of Total Billed Charges,,,,,49.64,,,,,,,Percent of Total Billed Charges,,,,,10.45,,,,,,,Percent of Total Billed Charges,,,,,44.41,,,,,,,Percent of Total Billed Charges,,,,,10.97,,,,,,,Percent of Total Billed Charges,,,,,47.03,,,,,,,Percent of Total Billed Charges,,,,,47.03,,,,,,,Percent of Total Billed Charges,,,,,10.45,,,,,,,Percent of Total Billed Charges,,,,,14.63,,,,,,,Percent of Total Billed Charges,,,,,41.8,,,,,,,Percent of Total Billed Charges,,,,,10.45,,,,,,,Percent of Total Billed Charges,,,, BUMETANIDE (BUMEX) : 2.5 MG / 10 ML ,250,RC,,Outpatient,2.5,ME,19.1,15.28,14.27,,,,,,,Percent of Total Billed Charges,,14.27,14.27,,19.1,,,,,,,Percent of Total Billed Charges,,,,,18.34,,,,,,,Percent of Total Billed Charges,,,,,18.15,,,,,,,Percent of Total Billed Charges,,,,,3.82,,,,,,,Percent of Total Billed Charges,,,,,16.24,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,,,17.19,,,,,,,Percent of Total Billed Charges,,,,,17.19,,,,,,,Percent of Total Billed Charges,,,,,3.82,,,,,,,Percent of Total Billed Charges,,,,,5.35,,,,,,,Percent of Total Billed Charges,,,,,15.28,,,,,,,Percent of Total Billed Charges,,,,,3.82,,,,,,,Percent of Total Billed Charges,,,, CALCIUM GLUCONATE : 10% 10ML INJ ,J0612 ,CPT,,Outpatient,,,37.7,30.16,28.16,,,,,,,Percent of Total Billed Charges,,28.16,28.16,,37.7,,,,,,,Percent of Total Billed Charges,,,,,36.19,,,,,,,Percent of Total Billed Charges,,,,,35.82,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,,,32.05,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,33.93,,,,,,,Percent of Total Billed Charges,,,,,33.93,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,,,10.56,,,,,,,Percent of Total Billed Charges,,,,,30.16,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,, *CANDIDA ALBICANS (YEAST)SKIN TEST 0.1ML,250,RC,,Outpatient,0.1,ML,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, MEPIVACAINE INJ 2% : 50 ML ,J0670 ,CPT,,Outpatient,,,34.4,27.52,25.7,,,,,,,Percent of Total Billed Charges,,25.7,25.7,,34.4,,,,,,,Percent of Total Billed Charges,,,,,33.02,,,,,,,Percent of Total Billed Charges,,,,,32.68,,,,,,,Percent of Total Billed Charges,,,,,6.88,,,,,,,Percent of Total Billed Charges,,,,,29.24,,,,,,,Percent of Total Billed Charges,,,,,7.22,,,,,,,Percent of Total Billed Charges,,,,,30.96,,,,,,,Percent of Total Billed Charges,,,,,30.96,,,,,,,Percent of Total Billed Charges,,,,,6.88,,,,,,,Percent of Total Billed Charges,,,,,9.63,,,,,,,Percent of Total Billed Charges,,,,,27.52,,,,,,,Percent of Total Billed Charges,,,,,6.88,,,,,,,Percent of Total Billed Charges,,,, *BUMETANIDE (BUMEX) : 4 MG / 16 ML ,250,RC,,Outpatient,4,ME,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, MEPIVACAINE INJ 2 % : 20 ML ,250,RC,,Outpatient,20,ML,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, CHLOROTHIAZIDE (SOD. DIURIL) INJ :500 MG,J1205 ,CPT,,Outpatient,,,112.1,89.68,83.74,,,,,,,Percent of Total Billed Charges,,83.74,83.74,,112.1,,,,,,,Percent of Total Billed Charges,,,,,107.62,,,,,,,Percent of Total Billed Charges,,,,,106.5,,,,,,,Percent of Total Billed Charges,,,,,22.42,,,,,,,Percent of Total Billed Charges,,,,,95.29,,,,,,,Percent of Total Billed Charges,,,,,23.54,,,,,,,Percent of Total Billed Charges,,,,,100.89,,,,,,,Percent of Total Billed Charges,,,,,100.89,,,,,,,Percent of Total Billed Charges,,,,,22.42,,,,,,,Percent of Total Billed Charges,,,,,31.39,,,,,,,Percent of Total Billed Charges,,,,,89.68,,,,,,,Percent of Total Billed Charges,,,,,22.42,,,,,,,Percent of Total Billed Charges,,,, *BETAMETHASONE (CELESTONE)INJ:6MG/ML****,250,RC,,Outpatient,6,ME,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, MEPIVACAINE INJ 1% : 30 ML ,J0670 ,CPT,,Outpatient,,,31.8,25.44,23.75,,,,,,,Percent of Total Billed Charges,,23.75,23.75,,31.8,,,,,,,Percent of Total Billed Charges,,,,,30.53,,,,,,,Percent of Total Billed Charges,,,,,30.21,,,,,,,Percent of Total Billed Charges,,,,,6.36,,,,,,,Percent of Total Billed Charges,,,,,27.03,,,,,,,Percent of Total Billed Charges,,,,,6.68,,,,,,,Percent of Total Billed Charges,,,,,28.62,,,,,,,Percent of Total Billed Charges,,,,,28.62,,,,,,,Percent of Total Billed Charges,,,,,6.36,,,,,,,Percent of Total Billed Charges,,,,,8.9,,,,,,,Percent of Total Billed Charges,,,,,25.44,,,,,,,Percent of Total Billed Charges,,,,,6.36,,,,,,,Percent of Total Billed Charges,,,, *BETAMETHASONE 6MG/ML:5ML**** ,250,RC,,Outpatient,6,ME,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, *COLCHICINE : 1MG/2ML INJ ********* ,250,RC,,Outpatient,1,ME,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, CHLORPROMAZINE (THORAZINE) INJ :25MG/ML ,J3230 ,CPT,,Outpatient,,,110,88,82.17,,,,,,,Percent of Total Billed Charges,,82.17,82.17,,110,,,,,,,Percent of Total Billed Charges,,,,,105.6,,,,,,,Percent of Total Billed Charges,,,,,104.5,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,93.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,99,,,,,,,Percent of Total Billed Charges,,,,,99,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,88,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,, *CIMETIDINE (TAGAMET) INJ : 300MG/ML****,250,RC,,Outpatient,3000,ME,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, BENZTROPINE INJ (COGENTIN) : 2 MG / ML ,J0515 ,CPT,,Outpatient,,,159.95,127.96,119.48,,,,,,,Percent of Total Billed Charges,,119.48,119.48,,159.95,,,,,,,Percent of Total Billed Charges,,,,,153.55,,,,,,,Percent of Total Billed Charges,,,,,151.95,,,,,,,Percent of Total Billed Charges,,,,,31.99,,,,,,,Percent of Total Billed Charges,,,,,135.96,,,,,,,Percent of Total Billed Charges,,,,,33.59,,,,,,,Percent of Total Billed Charges,,,,,143.96,,,,,,,Percent of Total Billed Charges,,,,,143.96,,,,,,,Percent of Total Billed Charges,,,,,31.99,,,,,,,Percent of Total Billed Charges,,,,,44.79,,,,,,,Percent of Total Billed Charges,,,,,127.96,,,,,,,Percent of Total Billed Charges,,,,,31.99,,,,,,,Percent of Total Billed Charges,,,, COSYNTROPIN (CORTORSYN) INJ : 0.25 MG ,J0834 ,CPT,,Outpatient,,,75.5,60.4,56.4,,,,,,,Percent of Total Billed Charges,,56.4,56.4,,75.5,,,,,,,Percent of Total Billed Charges,,,,,72.48,,,,,,,Percent of Total Billed Charges,,,,,71.73,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,64.18,,,,,,,Percent of Total Billed Charges,,,,,15.86,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,60.4,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,, CYCLOSPORINE INJ : 250 MG / 5 ML ,J7516 ,CPT,,Outpatient,,,224.8,179.84,167.93,,,,,,,Percent of Total Billed Charges,,167.93,167.93,,224.8,,,,,,,Percent of Total Billed Charges,,,,,215.81,,,,,,,Percent of Total Billed Charges,,,,,213.56,,,,,,,Percent of Total Billed Charges,,,,,44.96,,,,,,,Percent of Total Billed Charges,,,,,191.08,,,,,,,Percent of Total Billed Charges,,,,,47.21,,,,,,,Percent of Total Billed Charges,,,,,202.32,,,,,,,Percent of Total Billed Charges,,,,,202.32,,,,,,,Percent of Total Billed Charges,,,,,44.96,,,,,,,Percent of Total Billed Charges,,,,,62.94,,,,,,,Percent of Total Billed Charges,,,,,179.84,,,,,,,Percent of Total Billed Charges,,,,,44.96,,,,,,,Percent of Total Billed Charges,,,, CYANOCOBALAMIN (VIT B-12) INJ: 1000 MCG ,J3420 ,CPT,,Outpatient,,,15.55,12.44,11.62,,,,,,,Percent of Total Billed Charges,,11.62,11.62,,15.55,,,,,,,Percent of Total Billed Charges,,,,,14.93,,,,,,,Percent of Total Billed Charges,,,,,14.77,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,13.22,,,,,,,Percent of Total Billed Charges,,,,,3.27,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,4.35,,,,,,,Percent of Total Billed Charges,,,,,12.44,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,, DEPO MEDROL : 40MG/1ML INJ (1 ML VIAL) ,J1010 ,CPT,,Outpatient,,,26.4,21.12,19.72,,,,,,,Percent of Total Billed Charges,,19.72,19.72,,26.4,,,,,,,Percent of Total Billed Charges,,,,,25.34,,,,,,,Percent of Total Billed Charges,,,,,25.08,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,22.44,,,,,,,Percent of Total Billed Charges,,,,,5.54,,,,,,,Percent of Total Billed Charges,,,,,23.76,,,,,,,Percent of Total Billed Charges,,,,,23.76,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,7.39,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,, DEPO PROVERA : 150 MG INJ ,J1050 ,CPT,,Outpatient,,,270.45,216.36,202.03,,,,,,,Percent of Total Billed Charges,,202.03,202.03,,270.45,,,,,,,Percent of Total Billed Charges,,,,,259.63,,,,,,,Percent of Total Billed Charges,,,,,256.93,,,,,,,Percent of Total Billed Charges,,,,,54.09,,,,,,,Percent of Total Billed Charges,,,,,229.88,,,,,,,Percent of Total Billed Charges,,,,,56.79,,,,,,,Percent of Total Billed Charges,,,,,243.41,,,,,,,Percent of Total Billed Charges,,,,,243.41,,,,,,,Percent of Total Billed Charges,,,,,54.09,,,,,,,Percent of Total Billed Charges,,,,,75.73,,,,,,,Percent of Total Billed Charges,,,,,216.36,,,,,,,Percent of Total Billed Charges,,,,,54.09,,,,,,,Percent of Total Billed Charges,,,, DEPO MEDROL : 80MG/1ML INJ ,J1010 ,CPT,,Outpatient,,,74.65,59.72,55.76,,,,,,,Percent of Total Billed Charges,,55.76,55.76,,74.65,,,,,,,Percent of Total Billed Charges,,,,,71.66,,,,,,,Percent of Total Billed Charges,,,,,70.92,,,,,,,Percent of Total Billed Charges,,,,,14.93,,,,,,,Percent of Total Billed Charges,,,,,63.45,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,67.19,,,,,,,Percent of Total Billed Charges,,,,,67.19,,,,,,,Percent of Total Billed Charges,,,,,14.93,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,59.72,,,,,,,Percent of Total Billed Charges,,,,,14.93,,,,,,,Percent of Total Billed Charges,,,, DEPO TESTOSTERONE: 200 MG/ML INJ ,J1071 ,CPT,,Outpatient,,,36.05,28.84,26.93,,,,,,,Percent of Total Billed Charges,,26.93,26.93,,36.05,,,,,,,Percent of Total Billed Charges,,,,,34.61,,,,,,,Percent of Total Billed Charges,,,,,34.25,,,,,,,Percent of Total Billed Charges,,,,,7.21,,,,,,,Percent of Total Billed Charges,,,,,30.64,,,,,,,Percent of Total Billed Charges,,,,,7.57,,,,,,,Percent of Total Billed Charges,,,,,32.45,,,,,,,Percent of Total Billed Charges,,,,,32.45,,,,,,,Percent of Total Billed Charges,,,,,7.21,,,,,,,Percent of Total Billed Charges,,,,,10.09,,,,,,,Percent of Total Billed Charges,,,,,28.84,,,,,,,Percent of Total Billed Charges,,,,,7.21,,,,,,,Percent of Total Billed Charges,,,, DESMOPRESSIN INJ (DDAVP): 4 MCG/ML ,J2597 ,CPT,,Outpatient,,,81.55,65.24,60.92,,,,,,,Percent of Total Billed Charges,,60.92,60.92,,81.55,,,,,,,Percent of Total Billed Charges,,,,,78.29,,,,,,,Percent of Total Billed Charges,,,,,77.47,,,,,,,Percent of Total Billed Charges,,,,,16.31,,,,,,,Percent of Total Billed Charges,,,,,69.32,,,,,,,Percent of Total Billed Charges,,,,,17.13,,,,,,,Percent of Total Billed Charges,,,,,73.4,,,,,,,Percent of Total Billed Charges,,,,,73.4,,,,,,,Percent of Total Billed Charges,,,,,16.31,,,,,,,Percent of Total Billed Charges,,,,,22.83,,,,,,,Percent of Total Billed Charges,,,,,65.24,,,,,,,Percent of Total Billed Charges,,,,,16.31,,,,,,,Percent of Total Billed Charges,,,, *DEXAMETHASONE (DECADRON) INJ : 12 MG***,250,RC,,Outpatient,12,ME,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, DEXAMETHASONE (DECADRON) INJ : 10 MG/ML ,250,RC,,Outpatient,10,ME,16.45,13.16,12.29,,,,,,,Percent of Total Billed Charges,,12.29,12.29,,16.45,,,,,,,Percent of Total Billed Charges,,,,,15.79,,,,,,,Percent of Total Billed Charges,,,,,15.63,,,,,,,Percent of Total Billed Charges,,,,,3.29,,,,,,,Percent of Total Billed Charges,,,,,13.98,,,,,,,Percent of Total Billed Charges,,,,,3.45,,,,,,,Percent of Total Billed Charges,,,,,14.81,,,,,,,Percent of Total Billed Charges,,,,,14.81,,,,,,,Percent of Total Billed Charges,,,,,3.29,,,,,,,Percent of Total Billed Charges,,,,,4.61,,,,,,,Percent of Total Billed Charges,,,,,13.16,,,,,,,Percent of Total Billed Charges,,,,,3.29,,,,,,,Percent of Total Billed Charges,,,, *DEXAMETHASONE INJ : 10 MG*********** ,250,RC,,Outpatient,10,ME,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, *DEXAMETHASONE PHOSPHATE INJ:24MG/ML****,250,RC,,Outpatient,24,ME,38,30.4,28.39,,,,,,,Percent of Total Billed Charges,,28.39,28.39,,38,,,,,,,Percent of Total Billed Charges,,,,,36.48,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,,,7.98,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,10.64,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,, DEXAMETHASONE (DECADRON) INJ : 4 MG SDV ,J1100 ,CPT,,Outpatient,,,14.05,11.24,10.5,,,,,,,Percent of Total Billed Charges,,10.5,10.5,,14.05,,,,,,,Percent of Total Billed Charges,,,,,13.49,,,,,,,Percent of Total Billed Charges,,,,,13.35,,,,,,,Percent of Total Billed Charges,,,,,2.81,,,,,,,Percent of Total Billed Charges,,,,,11.94,,,,,,,Percent of Total Billed Charges,,,,,2.95,,,,,,,Percent of Total Billed Charges,,,,,12.65,,,,,,,Percent of Total Billed Charges,,,,,12.65,,,,,,,Percent of Total Billed Charges,,,,,2.81,,,,,,,Percent of Total Billed Charges,,,,,3.93,,,,,,,Percent of Total Billed Charges,,,,,11.24,,,,,,,Percent of Total Billed Charges,,,,,2.81,,,,,,,Percent of Total Billed Charges,,,, *DIPYRIDAMOLE (PERSANTINE)INJ:40MG*** ,250,RC,,Outpatient,40,ME,91,72.8,67.98,,,,,,,Percent of Total Billed Charges,,67.98,67.98,,91,,,,,,,Percent of Total Billed Charges,,,,,87.36,,,,,,,Percent of Total Billed Charges,,,,,86.45,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,77.35,,,,,,,Percent of Total Billed Charges,,,,,19.11,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,25.48,,,,,,,Percent of Total Billed Charges,,,,,72.8,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,, DENOSUMAB (PROLIA) INJ: 60 MG ,J0897 ,CPT,,Outpatient,,,4936,3948.8,3687.19,,,,,,,Percent of Total Billed Charges,,3687.19,3687.19,,4936,,,,,,,Percent of Total Billed Charges,,,,,4738.56,,,,,,,Percent of Total Billed Charges,,,,,4689.2,,,,,,,Percent of Total Billed Charges,,,,,987.2,,,,,,,Percent of Total Billed Charges,,,,,4195.6,,,,,,,Percent of Total Billed Charges,,,,,1036.56,,,,,,,Percent of Total Billed Charges,,,,,4442.4,,,,,,,Percent of Total Billed Charges,,,,,4442.4,,,,,,,Percent of Total Billed Charges,,,,,987.2,,,,,,,Percent of Total Billed Charges,,,,,1382.08,,,,,,,Percent of Total Billed Charges,,,,,3948.8,,,,,,,Percent of Total Billed Charges,,,,,987.2,,,,,,,Percent of Total Billed Charges,,,, *DIPYRIDAMOLE (PERSANTINE) INJ : 50 MG ,J1245 ,CPT,,Outpatient,,,91.5,73.2,68.35,,,,,,,Percent of Total Billed Charges,,68.35,68.35,,91.5,,,,,,,Percent of Total Billed Charges,,,,,87.84,,,,,,,Percent of Total Billed Charges,,,,,86.93,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,,,77.78,,,,,,,Percent of Total Billed Charges,,,,,19.22,,,,,,,Percent of Total Billed Charges,,,,,82.35,,,,,,,Percent of Total Billed Charges,,,,,82.35,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,,,25.62,,,,,,,Percent of Total Billed Charges,,,,,73.2,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,, DEXTROSE 50% SYRINGE : 25GM/50 ML ,250,RC,,Outpatient,50,ML,71.8,57.44,53.63,,,,,,,Percent of Total Billed Charges,,53.63,53.63,,71.8,,,,,,,Percent of Total Billed Charges,,,,,68.93,,,,,,,Percent of Total Billed Charges,,,,,68.21,,,,,,,Percent of Total Billed Charges,,,,,14.36,,,,,,,Percent of Total Billed Charges,,,,,61.03,,,,,,,Percent of Total Billed Charges,,,,,15.08,,,,,,,Percent of Total Billed Charges,,,,,64.62,,,,,,,Percent of Total Billed Charges,,,,,64.62,,,,,,,Percent of Total Billed Charges,,,,,14.36,,,,,,,Percent of Total Billed Charges,,,,,20.1,,,,,,,Percent of Total Billed Charges,,,,,57.44,,,,,,,Percent of Total Billed Charges,,,,,14.36,,,,,,,Percent of Total Billed Charges,,,, DIMENHYDRINATE (DRAMAMINE) INJ: 50MG/ML ,J1240 ,CPT,,Outpatient,,,30.8,24.64,23.01,,,,,,,Percent of Total Billed Charges,,23.01,23.01,,30.8,,,,,,,Percent of Total Billed Charges,,,,,29.57,,,,,,,Percent of Total Billed Charges,,,,,29.26,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,26.18,,,,,,,Percent of Total Billed Charges,,,,,6.47,,,,,,,Percent of Total Billed Charges,,,,,27.72,,,,,,,Percent of Total Billed Charges,,,,,27.72,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,8.62,,,,,,,Percent of Total Billed Charges,,,,,24.64,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,, DHE 45 INJ : 1 MG / ML ,J1110 ,CPT,,Outpatient,,,170,136,126.99,,,,,,,Percent of Total Billed Charges,,126.99,126.99,,170,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,161.5,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,144.5,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,153,,,,,,,Percent of Total Billed Charges,,,,,153,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,,,136,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,, DIGOXIN INJ (LANOXIN) : 0.5 MG/2 ML ,J1160 ,CPT,,Outpatient,,,22.4,17.92,16.73,,,,,,,Percent of Total Billed Charges,,16.73,16.73,,22.4,,,,,,,Percent of Total Billed Charges,,,,,21.5,,,,,,,Percent of Total Billed Charges,,,,,21.28,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,19.04,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,6.27,,,,,,,Percent of Total Billed Charges,,,,,17.92,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,, PHENYTOIN (DILANTIN) INJ : 100 MG / 2ML ,J1165 ,CPT,,Outpatient,,,16.1,12.88,12.03,,,,,,,Percent of Total Billed Charges,,12.03,12.03,,16.1,,,,,,,Percent of Total Billed Charges,,,,,15.46,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,13.69,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,4.51,,,,,,,Percent of Total Billed Charges,,,,,12.88,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,, *DIPYRIDAMOLE (PERSANTINE) INJ:10MG**** ,250,RC,,Outpatient,10,ME,84.5,67.6,63.12,,,,,,,Percent of Total Billed Charges,,63.12,63.12,,84.5,,,,,,,Percent of Total Billed Charges,,,,,81.12,,,,,,,Percent of Total Billed Charges,,,,,80.28,,,,,,,Percent of Total Billed Charges,,,,,16.9,,,,,,,Percent of Total Billed Charges,,,,,71.83,,,,,,,Percent of Total Billed Charges,,,,,17.75,,,,,,,Percent of Total Billed Charges,,,,,76.05,,,,,,,Percent of Total Billed Charges,,,,,76.05,,,,,,,Percent of Total Billed Charges,,,,,16.9,,,,,,,Percent of Total Billed Charges,,,,,23.66,,,,,,,Percent of Total Billed Charges,,,,,67.6,,,,,,,Percent of Total Billed Charges,,,,,16.9,,,,,,,Percent of Total Billed Charges,,,, DIGIBIND (DIGOXIN IMMUNE FAB) : 40 MG ,J1162 ,CPT,,Outpatient,,,14664.95,11731.96,10954.72,,,,,,,Percent of Total Billed Charges,,10954.72,10954.72,,14664.95,,,,,,,Percent of Total Billed Charges,,,,,14078.35,,,,,,,Percent of Total Billed Charges,,,,,13931.7,,,,,,,Percent of Total Billed Charges,,,,,2932.99,,,,,,,Percent of Total Billed Charges,,,,,12465.21,,,,,,,Percent of Total Billed Charges,,,,,3079.64,,,,,,,Percent of Total Billed Charges,,,,,13198.46,,,,,,,Percent of Total Billed Charges,,,,,13198.46,,,,,,,Percent of Total Billed Charges,,,,,2932.99,,,,,,,Percent of Total Billed Charges,,,,,4106.19,,,,,,,Percent of Total Billed Charges,,,,,11731.96,,,,,,,Percent of Total Billed Charges,,,,,2932.99,,,,,,,Percent of Total Billed Charges,,,, DALTEPARIN (FRAGMIN): 12500 UNIT / 0.5ML,J1645 ,CPT,,Outpatient,,,82.3,65.84,61.48,,,,,,,Percent of Total Billed Charges,,61.48,61.48,,82.3,,,,,,,Percent of Total Billed Charges,,,,,79.01,,,,,,,Percent of Total Billed Charges,,,,,78.19,,,,,,,Percent of Total Billed Charges,,,,,16.46,,,,,,,Percent of Total Billed Charges,,,,,69.96,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,74.07,,,,,,,Percent of Total Billed Charges,,,,,74.07,,,,,,,Percent of Total Billed Charges,,,,,16.46,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,65.84,,,,,,,Percent of Total Billed Charges,,,,,16.46,,,,,,,Percent of Total Billed Charges,,,, DIPHENHYDRAMINE (BENADRYL) INJ : 50MG/ML,J1200 ,CPT,,Outpatient,,,14.2,11.36,10.61,,,,,,,Percent of Total Billed Charges,,10.61,10.61,,14.2,,,,,,,Percent of Total Billed Charges,,,,,13.63,,,,,,,Percent of Total Billed Charges,,,,,13.49,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,12.07,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,12.78,,,,,,,Percent of Total Billed Charges,,,,,12.78,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,3.98,,,,,,,Percent of Total Billed Charges,,,,,11.36,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,, *DIPYRIDAMOLE (PERSANTINE) INJ:30MG**** ,250,RC,,Outpatient,30,ME,89,71.2,66.48,,,,,,,Percent of Total Billed Charges,,66.48,66.48,,89,,,,,,,Percent of Total Billed Charges,,,,,85.44,,,,,,,Percent of Total Billed Charges,,,,,84.55,,,,,,,Percent of Total Billed Charges,,,,,17.8,,,,,,,Percent of Total Billed Charges,,,,,75.65,,,,,,,Percent of Total Billed Charges,,,,,18.69,,,,,,,Percent of Total Billed Charges,,,,,80.1,,,,,,,Percent of Total Billed Charges,,,,,80.1,,,,,,,Percent of Total Billed Charges,,,,,17.8,,,,,,,Percent of Total Billed Charges,,,,,24.92,,,,,,,Percent of Total Billed Charges,,,,,71.2,,,,,,,Percent of Total Billed Charges,,,,,17.8,,,,,,,Percent of Total Billed Charges,,,, *DOBUTAMINE INJ (DOBUTREX) : 250 MG VIAL,J1250 ,CPT,,Outpatient,,,29.15,23.32,21.78,,,,,,,Percent of Total Billed Charges,,21.78,21.78,,29.15,,,,,,,Percent of Total Billed Charges,,,,,27.98,,,,,,,Percent of Total Billed Charges,,,,,27.69,,,,,,,Percent of Total Billed Charges,,,,,5.83,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,6.12,,,,,,,Percent of Total Billed Charges,,,,,26.24,,,,,,,Percent of Total Billed Charges,,,,,26.24,,,,,,,Percent of Total Billed Charges,,,,,5.83,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,23.32,,,,,,,Percent of Total Billed Charges,,,,,5.83,,,,,,,Percent of Total Billed Charges,,,, *DIPYRIDAMOLE (PERSANTINE) INJ : 60 MG ,J1245 ,CPT,,Outpatient,,,92,73.6,68.72,,,,,,,Percent of Total Billed Charges,,68.72,68.72,,92,,,,,,,Percent of Total Billed Charges,,,,,88.32,,,,,,,Percent of Total Billed Charges,,,,,87.4,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,78.2,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,82.8,,,,,,,Percent of Total Billed Charges,,,,,82.8,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,25.76,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,, DILTIAZEM (CARDIZEM) BOLUS : 25 MG/5 ML ,250,RC,,Outpatient,25,ME,19.25,15.4,14.38,,,,,,,Percent of Total Billed Charges,,14.38,14.38,,19.25,,,,,,,Percent of Total Billed Charges,,,,,18.48,,,,,,,Percent of Total Billed Charges,,,,,18.29,,,,,,,Percent of Total Billed Charges,,,,,3.85,,,,,,,Percent of Total Billed Charges,,,,,16.36,,,,,,,Percent of Total Billed Charges,,,,,4.04,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,3.85,,,,,,,Percent of Total Billed Charges,,,,,5.39,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,3.85,,,,,,,Percent of Total Billed Charges,,,, DILTIAZEM (CARDIZEM) DRIP : 125 MG/125ML,250,RC,,Outpatient,125,ME,31.55,25.24,23.57,,,,,,,Percent of Total Billed Charges,,23.57,23.57,,31.55,,,,,,,Percent of Total Billed Charges,,,,,30.29,,,,,,,Percent of Total Billed Charges,,,,,29.97,,,,,,,Percent of Total Billed Charges,,,,,6.31,,,,,,,Percent of Total Billed Charges,,,,,26.82,,,,,,,Percent of Total Billed Charges,,,,,6.63,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,6.31,,,,,,,Percent of Total Billed Charges,,,,,8.83,,,,,,,Percent of Total Billed Charges,,,,,25.24,,,,,,,Percent of Total Billed Charges,,,,,6.31,,,,,,,Percent of Total Billed Charges,,,, *DOPAMINE PREMIX 400 MG/250 ML ,J1265 ,CPT,,Outpatient,,,38.25,30.6,28.57,,,,,,,Percent of Total Billed Charges,,28.57,28.57,,38.25,,,,,,,Percent of Total Billed Charges,,,,,36.72,,,,,,,Percent of Total Billed Charges,,,,,36.34,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,32.51,,,,,,,Percent of Total Billed Charges,,,,,8.03,,,,,,,Percent of Total Billed Charges,,,,,34.43,,,,,,,Percent of Total Billed Charges,,,,,34.43,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,, ENALAPRILAT (VASOTEC) INJ : 2.5 MG/2 ML ,250,RC,,Outpatient,2.5,ME,39.4,31.52,29.43,,,,,,,Percent of Total Billed Charges,,29.43,29.43,,39.4,,,,,,,Percent of Total Billed Charges,,,,,37.82,,,,,,,Percent of Total Billed Charges,,,,,37.43,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.49,,,,,,,Percent of Total Billed Charges,,,,,8.27,,,,,,,Percent of Total Billed Charges,,,,,35.46,,,,,,,Percent of Total Billed Charges,,,,,35.46,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,11.03,,,,,,,Percent of Total Billed Charges,,,,,31.52,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,, *DOPAMINE DRIP : 800 MG ****************,J1265 ,CPT,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, ENOXAPARIN (LOVENOX) INJ : 30MG / 0.3 ML,J1650 ,CPT,,Outpatient,,,18.7,14.96,13.97,,,,,,,Percent of Total Billed Charges,,13.97,13.97,,18.7,,,,,,,Percent of Total Billed Charges,,,,,17.95,,,,,,,Percent of Total Billed Charges,,,,,17.77,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,3.93,,,,,,,Percent of Total Billed Charges,,,,,16.83,,,,,,,Percent of Total Billed Charges,,,,,16.83,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,5.24,,,,,,,Percent of Total Billed Charges,,,,,14.96,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,, FAMOTIDINE (PEPCID) INJ: 20 MG / 2 ML ,250,RC,,Outpatient,20,ME,14.7,11.76,10.98,,,,,,,Percent of Total Billed Charges,,10.98,10.98,,14.7,,,,,,,Percent of Total Billed Charges,,,,,14.11,,,,,,,Percent of Total Billed Charges,,,,,13.97,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.5,,,,,,,Percent of Total Billed Charges,,,,,3.09,,,,,,,Percent of Total Billed Charges,,,,,13.23,,,,,,,Percent of Total Billed Charges,,,,,13.23,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,4.12,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,, ENOXAPARIN (LOVENOX) INJ : 40 MG/ 0.4 ML,J1650 ,CPT,,Outpatient,,,20.75,16.6,15.5,,,,,,,Percent of Total Billed Charges,,15.5,15.5,,20.75,,,,,,,Percent of Total Billed Charges,,,,,19.92,,,,,,,Percent of Total Billed Charges,,,,,19.71,,,,,,,Percent of Total Billed Charges,,,,,4.15,,,,,,,Percent of Total Billed Charges,,,,,17.64,,,,,,,Percent of Total Billed Charges,,,,,4.36,,,,,,,Percent of Total Billed Charges,,,,,18.68,,,,,,,Percent of Total Billed Charges,,,,,18.68,,,,,,,Percent of Total Billed Charges,,,,,4.15,,,,,,,Percent of Total Billed Charges,,,,,5.81,,,,,,,Percent of Total Billed Charges,,,,,16.6,,,,,,,Percent of Total Billed Charges,,,,,4.15,,,,,,,Percent of Total Billed Charges,,,, EPHEDRINE INJ : 50 MG/ML ,250,RC,,Outpatient,40,ME,25.65,20.52,19.16,,,,,,,Percent of Total Billed Charges,,19.16,19.16,,25.65,,,,,,,Percent of Total Billed Charges,,,,,24.62,,,,,,,Percent of Total Billed Charges,,,,,24.37,,,,,,,Percent of Total Billed Charges,,,,,5.13,,,,,,,Percent of Total Billed Charges,,,,,21.8,,,,,,,Percent of Total Billed Charges,,,,,5.39,,,,,,,Percent of Total Billed Charges,,,,,23.09,,,,,,,Percent of Total Billed Charges,,,,,23.09,,,,,,,Percent of Total Billed Charges,,,,,5.13,,,,,,,Percent of Total Billed Charges,,,,,7.18,,,,,,,Percent of Total Billed Charges,,,,,20.52,,,,,,,Percent of Total Billed Charges,,,,,5.13,,,,,,,Percent of Total Billed Charges,,,, ENOXAPARIN (LOVENOX) INJ : 80MG / 0.8ML ,J1650 ,CPT,,Outpatient,,,29.85,23.88,22.3,,,,,,,Percent of Total Billed Charges,,22.3,22.3,,29.85,,,,,,,Percent of Total Billed Charges,,,,,28.66,,,,,,,Percent of Total Billed Charges,,,,,28.36,,,,,,,Percent of Total Billed Charges,,,,,5.97,,,,,,,Percent of Total Billed Charges,,,,,25.37,,,,,,,Percent of Total Billed Charges,,,,,6.27,,,,,,,Percent of Total Billed Charges,,,,,26.87,,,,,,,Percent of Total Billed Charges,,,,,26.87,,,,,,,Percent of Total Billed Charges,,,,,5.97,,,,,,,Percent of Total Billed Charges,,,,,8.36,,,,,,,Percent of Total Billed Charges,,,,,23.88,,,,,,,Percent of Total Billed Charges,,,,,5.97,,,,,,,Percent of Total Billed Charges,,,, EPINEPHRINE 1 MG / 1 ML INJ ,J0165 ,CPT,,Outpatient,,,40.85,32.68,30.51,,,,,,,Percent of Total Billed Charges,,30.51,30.51,,40.85,,,,,,,Percent of Total Billed Charges,,,,,39.22,,,,,,,Percent of Total Billed Charges,,,,,38.81,,,,,,,Percent of Total Billed Charges,,,,,8.17,,,,,,,Percent of Total Billed Charges,,,,,34.72,,,,,,,Percent of Total Billed Charges,,,,,8.58,,,,,,,Percent of Total Billed Charges,,,,,36.77,,,,,,,Percent of Total Billed Charges,,,,,36.77,,,,,,,Percent of Total Billed Charges,,,,,8.17,,,,,,,Percent of Total Billed Charges,,,,,11.44,,,,,,,Percent of Total Billed Charges,,,,,32.68,,,,,,,Percent of Total Billed Charges,,,,,8.17,,,,,,,Percent of Total Billed Charges,,,, ENOXAPARIN (LOVENOX) INJ : 60 MG/ 0.6 ML,J1650 ,CPT,,Outpatient,,,26.85,21.48,20.06,,,,,,,Percent of Total Billed Charges,,20.06,20.06,,26.85,,,,,,,Percent of Total Billed Charges,,,,,25.78,,,,,,,Percent of Total Billed Charges,,,,,25.51,,,,,,,Percent of Total Billed Charges,,,,,5.37,,,,,,,Percent of Total Billed Charges,,,,,22.82,,,,,,,Percent of Total Billed Charges,,,,,5.64,,,,,,,Percent of Total Billed Charges,,,,,24.17,,,,,,,Percent of Total Billed Charges,,,,,24.17,,,,,,,Percent of Total Billed Charges,,,,,5.37,,,,,,,Percent of Total Billed Charges,,,,,7.52,,,,,,,Percent of Total Billed Charges,,,,,21.48,,,,,,,Percent of Total Billed Charges,,,,,5.37,,,,,,,Percent of Total Billed Charges,,,, EPINEPHRINE 1MG/10ML SYRINGE INJ ,J0165 ,CPT,,Outpatient,,,48.65,38.92,36.34,,,,,,,Percent of Total Billed Charges,,36.34,36.34,,48.65,,,,,,,Percent of Total Billed Charges,,,,,46.7,,,,,,,Percent of Total Billed Charges,,,,,46.22,,,,,,,Percent of Total Billed Charges,,,,,9.73,,,,,,,Percent of Total Billed Charges,,,,,41.35,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,43.79,,,,,,,Percent of Total Billed Charges,,,,,43.79,,,,,,,Percent of Total Billed Charges,,,,,9.73,,,,,,,Percent of Total Billed Charges,,,,,13.62,,,,,,,Percent of Total Billed Charges,,,,,38.92,,,,,,,Percent of Total Billed Charges,,,,,9.73,,,,,,,Percent of Total Billed Charges,,,, ENOXAPARIN (LOVENOX) INJ : 100MG / 1 ML ,J1650 ,CPT,,Outpatient,,,31.05,24.84,23.19,,,,,,,Percent of Total Billed Charges,,23.19,23.19,,31.05,,,,,,,Percent of Total Billed Charges,,,,,29.81,,,,,,,Percent of Total Billed Charges,,,,,29.5,,,,,,,Percent of Total Billed Charges,,,,,6.21,,,,,,,Percent of Total Billed Charges,,,,,26.39,,,,,,,Percent of Total Billed Charges,,,,,6.52,,,,,,,Percent of Total Billed Charges,,,,,27.95,,,,,,,Percent of Total Billed Charges,,,,,27.95,,,,,,,Percent of Total Billed Charges,,,,,6.21,,,,,,,Percent of Total Billed Charges,,,,,8.69,,,,,,,Percent of Total Billed Charges,,,,,24.84,,,,,,,Percent of Total Billed Charges,,,,,6.21,,,,,,,Percent of Total Billed Charges,,,, ENOXAPARIN (LOVENOX) INJ : 150MG / 1 ML ,J1650 ,CPT,,Outpatient,,,45.65,36.52,34.1,,,,,,,Percent of Total Billed Charges,,34.1,34.1,,45.65,,,,,,,Percent of Total Billed Charges,,,,,43.82,,,,,,,Percent of Total Billed Charges,,,,,43.37,,,,,,,Percent of Total Billed Charges,,,,,9.13,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,9.59,,,,,,,Percent of Total Billed Charges,,,,,41.09,,,,,,,Percent of Total Billed Charges,,,,,41.09,,,,,,,Percent of Total Billed Charges,,,,,9.13,,,,,,,Percent of Total Billed Charges,,,,,12.78,,,,,,,Percent of Total Billed Charges,,,,,36.52,,,,,,,Percent of Total Billed Charges,,,,,9.13,,,,,,,Percent of Total Billed Charges,,,, FONDAPARINUX INJ (ARIXTRA): 2.5MG/0.5 ML,J1652 ,CPT,,Outpatient,,,93.5,74.8,69.84,,,,,,,Percent of Total Billed Charges,,69.84,69.84,,93.5,,,,,,,Percent of Total Billed Charges,,,,,89.76,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,79.48,,,,,,,Percent of Total Billed Charges,,,,,19.64,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,26.18,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,, FOLIC ACID INJ (FOLVITE): 5 MG/ML ,250,RC,,Outpatient,5,ME,85.1,68.08,63.57,,,,,,,Percent of Total Billed Charges,,63.57,63.57,,85.1,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,,,80.85,,,,,,,Percent of Total Billed Charges,,,,,17.02,,,,,,,Percent of Total Billed Charges,,,,,72.34,,,,,,,Percent of Total Billed Charges,,,,,17.87,,,,,,,Percent of Total Billed Charges,,,,,76.59,,,,,,,Percent of Total Billed Charges,,,,,76.59,,,,,,,Percent of Total Billed Charges,,,,,17.02,,,,,,,Percent of Total Billed Charges,,,,,23.83,,,,,,,Percent of Total Billed Charges,,,,,68.08,,,,,,,Percent of Total Billed Charges,,,,,17.02,,,,,,,Percent of Total Billed Charges,,,, EPINEPHRINE PEN 0.3 MG AUTO-INJECTOR ,J0165 ,CPT,,Outpatient,,,539,431.2,402.63,,,,,,,Percent of Total Billed Charges,,402.63,402.63,,539,,,,,,,Percent of Total Billed Charges,,,,,517.44,,,,,,,Percent of Total Billed Charges,,,,,512.05,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,458.15,,,,,,,Percent of Total Billed Charges,,,,,113.19,,,,,,,Percent of Total Billed Charges,,,,,485.1,,,,,,,Percent of Total Billed Charges,,,,,485.1,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,,,150.92,,,,,,,Percent of Total Billed Charges,,,,,431.2,,,,,,,Percent of Total Billed Charges,,,,,107.8,,,,,,,Percent of Total Billed Charges,,,, *FOLIC ACID INJ (FOLVITE): 5MG/ML10 ML**,250,RC,,Outpatient,5,ME,26,20.8,19.42,,,,,,,Percent of Total Billed Charges,,19.42,19.42,,26,,,,,,,Percent of Total Billed Charges,,,,,24.96,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,7.28,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,, HALOPERIDOL DECANOATE INJ : 100 MG / ML ,J1631 ,CPT,,Outpatient,,,30.75,24.6,22.97,,,,,,,Percent of Total Billed Charges,,22.97,22.97,,30.75,,,,,,,Percent of Total Billed Charges,,,,,29.52,,,,,,,Percent of Total Billed Charges,,,,,29.21,,,,,,,Percent of Total Billed Charges,,,,,6.15,,,,,,,Percent of Total Billed Charges,,,,,26.14,,,,,,,Percent of Total Billed Charges,,,,,6.46,,,,,,,Percent of Total Billed Charges,,,,,27.68,,,,,,,Percent of Total Billed Charges,,,,,27.68,,,,,,,Percent of Total Billed Charges,,,,,6.15,,,,,,,Percent of Total Billed Charges,,,,,8.61,,,,,,,Percent of Total Billed Charges,,,,,24.6,,,,,,,Percent of Total Billed Charges,,,,,6.15,,,,,,,Percent of Total Billed Charges,,,, FUROSEMIDE (LASIX) INJ : 20 MG / 2 ML ,J1938 ,CPT,,Outpatient,,,13.65,10.92,10.2,,,,,,,Percent of Total Billed Charges,,10.2,10.2,,13.65,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,,,12.97,,,,,,,Percent of Total Billed Charges,,,,,2.73,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.87,,,,,,,Percent of Total Billed Charges,,,,,12.29,,,,,,,Percent of Total Billed Charges,,,,,12.29,,,,,,,Percent of Total Billed Charges,,,,,2.73,,,,,,,Percent of Total Billed Charges,,,,,3.82,,,,,,,Percent of Total Billed Charges,,,,,10.92,,,,,,,Percent of Total Billed Charges,,,,,2.73,,,,,,,Percent of Total Billed Charges,,,, *DOPAMINE FOR DRIP : 400 MG ,J1265 ,CPT,,Outpatient,,,18.8,15.04,14.04,,,,,,,Percent of Total Billed Charges,,14.04,14.04,,18.8,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,17.86,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,,,15.98,,,,,,,Percent of Total Billed Charges,,,,,3.95,,,,,,,Percent of Total Billed Charges,,,,,16.92,,,,,,,Percent of Total Billed Charges,,,,,16.92,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,,,5.26,,,,,,,Percent of Total Billed Charges,,,,,15.04,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,, FUROSEMIDE (LASIX) INJ : 40 MG / 4 ML ,J1938 ,CPT,,Outpatient,,,14.15,11.32,10.57,,,,,,,Percent of Total Billed Charges,,10.57,10.57,,14.15,,,,,,,Percent of Total Billed Charges,,,,,13.58,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,,,12.03,,,,,,,Percent of Total Billed Charges,,,,,2.97,,,,,,,Percent of Total Billed Charges,,,,,12.74,,,,,,,Percent of Total Billed Charges,,,,,12.74,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,,,11.32,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,, FOMEPIZOLE (ANTIZOL) INJ: 1.5 GRAM/1.5ML,J1451 ,CPT,,Outpatient,,,1806.05,1444.84,1349.12,,,,,,,Percent of Total Billed Charges,,1349.12,1349.12,,1806.05,,,,,,,Percent of Total Billed Charges,,,,,1733.81,,,,,,,Percent of Total Billed Charges,,,,,1715.75,,,,,,,Percent of Total Billed Charges,,,,,361.21,,,,,,,Percent of Total Billed Charges,,,,,1535.14,,,,,,,Percent of Total Billed Charges,,,,,379.27,,,,,,,Percent of Total Billed Charges,,,,,1625.45,,,,,,,Percent of Total Billed Charges,,,,,1625.45,,,,,,,Percent of Total Billed Charges,,,,,361.21,,,,,,,Percent of Total Billed Charges,,,,,505.69,,,,,,,Percent of Total Billed Charges,,,,,1444.84,,,,,,,Percent of Total Billed Charges,,,,,361.21,,,,,,,Percent of Total Billed Charges,,,, EVOLOCUMAB(REPATHA) INJ : 420 MG ,250,RC,,Outpatient,420,ME,1628,1302.4,1216.12,,,,,,,Percent of Total Billed Charges,,1216.12,1216.12,,1628,,,,,,,Percent of Total Billed Charges,,,,,1562.88,,,,,,,Percent of Total Billed Charges,,,,,1546.6,,,,,,,Percent of Total Billed Charges,,,,,325.6,,,,,,,Percent of Total Billed Charges,,,,,1383.8,,,,,,,Percent of Total Billed Charges,,,,,341.88,,,,,,,Percent of Total Billed Charges,,,,,1465.2,,,,,,,Percent of Total Billed Charges,,,,,1465.2,,,,,,,Percent of Total Billed Charges,,,,,325.6,,,,,,,Percent of Total Billed Charges,,,,,455.84,,,,,,,Percent of Total Billed Charges,,,,,1302.4,,,,,,,Percent of Total Billed Charges,,,,,325.6,,,,,,,Percent of Total Billed Charges,,,, EVOLOCUMAB (REPATHA) INJ : 140 MG/ML ,J3590 ,CPT,,Outpatient,,,924.85,739.88,690.86,,,,,,,Percent of Total Billed Charges,,690.86,690.86,,924.85,,,,,,,Percent of Total Billed Charges,,,,,887.86,,,,,,,Percent of Total Billed Charges,,,,,878.61,,,,,,,Percent of Total Billed Charges,,,,,184.97,,,,,,,Percent of Total Billed Charges,,,,,786.12,,,,,,,Percent of Total Billed Charges,,,,,194.22,,,,,,,Percent of Total Billed Charges,,,,,832.37,,,,,,,Percent of Total Billed Charges,,,,,832.37,,,,,,,Percent of Total Billed Charges,,,,,184.97,,,,,,,Percent of Total Billed Charges,,,,,258.96,,,,,,,Percent of Total Billed Charges,,,,,739.88,,,,,,,Percent of Total Billed Charges,,,,,184.97,,,,,,,Percent of Total Billed Charges,,,, FUROSEMIDE (LASIX) INJ : 100 MG / 10 ML ,J1938 ,CPT,,Outpatient,,,15.05,12.04,11.24,,,,,,,Percent of Total Billed Charges,,11.24,11.24,,15.05,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,,,3.01,,,,,,,Percent of Total Billed Charges,,,,,12.79,,,,,,,Percent of Total Billed Charges,,,,,3.16,,,,,,,Percent of Total Billed Charges,,,,,13.55,,,,,,,Percent of Total Billed Charges,,,,,13.55,,,,,,,Percent of Total Billed Charges,,,,,3.01,,,,,,,Percent of Total Billed Charges,,,,,4.21,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,3.01,,,,,,,Percent of Total Billed Charges,,,, GLUCAGON INJ : 1 MG/ML ,J1610 ,CPT,,Outpatient,,,401.15,320.92,299.66,,,,,,,Percent of Total Billed Charges,,299.66,299.66,,401.15,,,,,,,Percent of Total Billed Charges,,,,,385.1,,,,,,,Percent of Total Billed Charges,,,,,381.09,,,,,,,Percent of Total Billed Charges,,,,,80.23,,,,,,,Percent of Total Billed Charges,,,,,340.98,,,,,,,Percent of Total Billed Charges,,,,,84.24,,,,,,,Percent of Total Billed Charges,,,,,361.04,,,,,,,Percent of Total Billed Charges,,,,,361.04,,,,,,,Percent of Total Billed Charges,,,,,80.23,,,,,,,Percent of Total Billed Charges,,,,,112.32,,,,,,,Percent of Total Billed Charges,,,,,320.92,,,,,,,Percent of Total Billed Charges,,,,,80.23,,,,,,,Percent of Total Billed Charges,,,, HALOPERIDOL DECANOATE INJ : 50 MG / ML ,J1631 ,CPT,,Outpatient,,,87.45,69.96,65.33,,,,,,,Percent of Total Billed Charges,,65.33,65.33,,87.45,,,,,,,Percent of Total Billed Charges,,,,,83.95,,,,,,,Percent of Total Billed Charges,,,,,83.08,,,,,,,Percent of Total Billed Charges,,,,,17.49,,,,,,,Percent of Total Billed Charges,,,,,74.33,,,,,,,Percent of Total Billed Charges,,,,,18.36,,,,,,,Percent of Total Billed Charges,,,,,78.71,,,,,,,Percent of Total Billed Charges,,,,,78.71,,,,,,,Percent of Total Billed Charges,,,,,17.49,,,,,,,Percent of Total Billed Charges,,,,,24.49,,,,,,,Percent of Total Billed Charges,,,,,69.96,,,,,,,Percent of Total Billed Charges,,,,,17.49,,,,,,,Percent of Total Billed Charges,,,, HALOPERIDOL (HALDOL) INJ : 5 MG/ML ,J1630 ,CPT,,Outpatient,,,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, HEPARIN INJ : 1000 UNIT / ML ,J1644 ,CPT,,Outpatient,,,18.75,15,14.01,,,,,,,Percent of Total Billed Charges,,14.01,14.01,,18.75,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,17.81,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,,,15.94,,,,,,,Percent of Total Billed Charges,,,,,3.94,,,,,,,Percent of Total Billed Charges,,,,,16.88,,,,,,,Percent of Total Billed Charges,,,,,16.88,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,, "HEPARIN INJ : 5,000 UNIT / ML ",J1644 ,CPT,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, *HEPARIN: 500 UNIT INJ ************** ,250,RC,,Outpatient,500,UN,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, "*HEPARIN INJ : 5,000 UNIT / 5 ML****** ",250,RC,,Outpatient,5000,UN,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, GARDASIL 0.5 ML VACCINE ,90649,CPT,,Outpatient,,,675.9,540.72,504.9,,,,,,,Percent of Total Billed Charges,,504.9,504.9,,675.9,,,,,,,Percent of Total Billed Charges,,,,,648.86,,,,,,,Percent of Total Billed Charges,,,,,642.11,,,,,,,Percent of Total Billed Charges,,,,,135.18,,,,,,,Percent of Total Billed Charges,,,,,574.52,,,,,,,Percent of Total Billed Charges,,,,,141.94,,,,,,,Percent of Total Billed Charges,,,,,608.31,,,,,,,Percent of Total Billed Charges,,,,,608.31,,,,,,,Percent of Total Billed Charges,,,,,135.18,,,,,,,Percent of Total Billed Charges,,,,,189.25,,,,,,,Percent of Total Billed Charges,,,,,540.72,,,,,,,Percent of Total Billed Charges,,,,,135.18,,,,,,,Percent of Total Billed Charges,,,, "*HEPARIN INJ : 10,000 UNIT / ML******** ",J1644 ,CPT,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, "*HEPARIN : 25,000 UNIT DRIP********** ",J1644 ,CPT,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, HEPARIN FLUSH 500 UNIT/ 5 ML SYR ,J1642 ,CPT,,Outpatient,,,14.3,11.44,10.68,,,,,,,Percent of Total Billed Charges,,10.68,10.68,,14.3,,,,,,,Percent of Total Billed Charges,,,,,13.73,,,,,,,Percent of Total Billed Charges,,,,,13.59,,,,,,,Percent of Total Billed Charges,,,,,2.86,,,,,,,Percent of Total Billed Charges,,,,,12.16,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.87,,,,,,,Percent of Total Billed Charges,,,,,12.87,,,,,,,Percent of Total Billed Charges,,,,,2.86,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,11.44,,,,,,,Percent of Total Billed Charges,,,,,2.86,,,,,,,Percent of Total Billed Charges,,,, HEPARIN SALINE FLUSH 50 UNIT/5 ML ,J1642 ,CPT,,Outpatient,,,14.1,11.28,10.53,,,,,,,Percent of Total Billed Charges,,10.53,10.53,,14.1,,,,,,,Percent of Total Billed Charges,,,,,13.54,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,2.82,,,,,,,Percent of Total Billed Charges,,,,,11.99,,,,,,,Percent of Total Billed Charges,,,,,2.96,,,,,,,Percent of Total Billed Charges,,,,,12.69,,,,,,,Percent of Total Billed Charges,,,,,12.69,,,,,,,Percent of Total Billed Charges,,,,,2.82,,,,,,,Percent of Total Billed Charges,,,,,3.95,,,,,,,Percent of Total Billed Charges,,,,,11.28,,,,,,,Percent of Total Billed Charges,,,,,2.82,,,,,,,Percent of Total Billed Charges,,,, *HEPARIN SALINE FLUSH 100 UNIT/ML ,J1642 ,CPT,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, *HISTOPLASMOSIS SKIN TEST 0.1 ML *******,250,RC,,Outpatient,0.1,ME,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS B VACC: 20 MCG ,250,RC,,Outpatient,20,ME,215.2,172.16,160.75,,,,,,,Percent of Total Billed Charges,,160.75,160.75,,215.2,,,,,,,Percent of Total Billed Charges,,,,,206.59,,,,,,,Percent of Total Billed Charges,,,,,204.44,,,,,,,Percent of Total Billed Charges,,,,,43.04,,,,,,,Percent of Total Billed Charges,,,,,182.92,,,,,,,Percent of Total Billed Charges,,,,,45.19,,,,,,,Percent of Total Billed Charges,,,,,193.68,,,,,,,Percent of Total Billed Charges,,,,,193.68,,,,,,,Percent of Total Billed Charges,,,,,43.04,,,,,,,Percent of Total Billed Charges,,,,,60.26,,,,,,,Percent of Total Billed Charges,,,,,172.16,,,,,,,Percent of Total Billed Charges,,,,,43.04,,,,,,,Percent of Total Billed Charges,,,, HYDRALAZINE INJ (APRESOLINE): 20MG/ML ,J0360 ,CPT,,Outpatient,,,22.7,18.16,16.96,,,,,,,Percent of Total Billed Charges,,16.96,16.96,,22.7,,,,,,,Percent of Total Billed Charges,,,,,21.79,,,,,,,Percent of Total Billed Charges,,,,,21.57,,,,,,,Percent of Total Billed Charges,,,,,4.54,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,,,20.43,,,,,,,Percent of Total Billed Charges,,,,,20.43,,,,,,,Percent of Total Billed Charges,,,,,4.54,,,,,,,Percent of Total Billed Charges,,,,,6.36,,,,,,,Percent of Total Billed Charges,,,,,18.16,,,,,,,Percent of Total Billed Charges,,,,,4.54,,,,,,,Percent of Total Billed Charges,,,, HYDROCORTISONE INJ (SOLU-CORTEF): 100 MG,J1720 ,CPT,,Outpatient,,,76,60.8,56.77,,,,,,,Percent of Total Billed Charges,,56.77,56.77,,76,,,,,,,Percent of Total Billed Charges,,,,,72.96,,,,,,,Percent of Total Billed Charges,,,,,72.2,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,64.6,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,21.28,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,, FERUMOXYTOL (FERAHEME) INJ : 510 MG ,Q0138 ,CPT,,Outpatient,,,393.6,314.88,294.02,,,,,,,Percent of Total Billed Charges,,294.02,294.02,,393.6,,,,,,,Percent of Total Billed Charges,,,,,377.86,,,,,,,Percent of Total Billed Charges,,,,,373.92,,,,,,,Percent of Total Billed Charges,,,,,78.72,,,,,,,Percent of Total Billed Charges,,,,,334.56,,,,,,,Percent of Total Billed Charges,,,,,82.66,,,,,,,Percent of Total Billed Charges,,,,,354.24,,,,,,,Percent of Total Billed Charges,,,,,354.24,,,,,,,Percent of Total Billed Charges,,,,,78.72,,,,,,,Percent of Total Billed Charges,,,,,110.21,,,,,,,Percent of Total Billed Charges,,,,,314.88,,,,,,,Percent of Total Billed Charges,,,,,78.72,,,,,,,Percent of Total Billed Charges,,,, HYDROXOCOBALAMIN (CYANOKIT) INJ: 5 GRAM ,J3424 ,CPT,,Outpatient,,,3156.2,2524.96,2357.68,,,,,,,Percent of Total Billed Charges,,2357.68,2357.68,,3156.2,,,,,,,Percent of Total Billed Charges,,,,,3029.95,,,,,,,Percent of Total Billed Charges,,,,,2998.39,,,,,,,Percent of Total Billed Charges,,,,,631.24,,,,,,,Percent of Total Billed Charges,,,,,2682.77,,,,,,,Percent of Total Billed Charges,,,,,662.8,,,,,,,Percent of Total Billed Charges,,,,,2840.58,,,,,,,Percent of Total Billed Charges,,,,,2840.58,,,,,,,Percent of Total Billed Charges,,,,,631.24,,,,,,,Percent of Total Billed Charges,,,,,883.74,,,,,,,Percent of Total Billed Charges,,,,,2524.96,,,,,,,Percent of Total Billed Charges,,,,,631.24,,,,,,,Percent of Total Billed Charges,,,, INFLIXIMAB (INFLECTRA) INJ: 100 MG ,Q5103 ,CPT,,Outpatient,,,1415,1132,1057.01,,,,,,,Percent of Total Billed Charges,,1057.01,1057.01,,1415,,,,,,,Percent of Total Billed Charges,,,,,1358.4,,,,,,,Percent of Total Billed Charges,,,,,1344.25,,,,,,,Percent of Total Billed Charges,,,,,283,,,,,,,Percent of Total Billed Charges,,,,,1202.75,,,,,,,Percent of Total Billed Charges,,,,,297.15,,,,,,,Percent of Total Billed Charges,,,,,1273.5,,,,,,,Percent of Total Billed Charges,,,,,1273.5,,,,,,,Percent of Total Billed Charges,,,,,283,,,,,,,Percent of Total Billed Charges,,,,,396.2,,,,,,,Percent of Total Billed Charges,,,,,1132,,,,,,,Percent of Total Billed Charges,,,,,283,,,,,,,Percent of Total Billed Charges,,,, GOLIMUMAB (SIMPONI ARIA) INJ: 50MG/4ML ,J1602 ,CPT,,Outpatient,,,5318,4254.4,3972.55,,,,,,,Percent of Total Billed Charges,,3972.55,3972.55,,5318,,,,,,,Percent of Total Billed Charges,,,,,5105.28,,,,,,,Percent of Total Billed Charges,,,,,5052.1,,,,,,,Percent of Total Billed Charges,,,,,1063.6,,,,,,,Percent of Total Billed Charges,,,,,4520.3,,,,,,,Percent of Total Billed Charges,,,,,1116.78,,,,,,,Percent of Total Billed Charges,,,,,4786.2,,,,,,,Percent of Total Billed Charges,,,,,4786.2,,,,,,,Percent of Total Billed Charges,,,,,1063.6,,,,,,,Percent of Total Billed Charges,,,,,1489.04,,,,,,,Percent of Total Billed Charges,,,,,4254.4,,,,,,,Percent of Total Billed Charges,,,,,1063.6,,,,,,,Percent of Total Billed Charges,,,, SKYRIZI INTRAVENOUS SOLUTION 600MG/10ML ,250,RC,,Outpatient,600,ME,27922.5,22338,20858.11,,,,,,,Percent of Total Billed Charges,,20858.11,20858.11,,27922.5,,,,,,,Percent of Total Billed Charges,,,,,26805.6,,,,,,,Percent of Total Billed Charges,,,,,26526.38,,,,,,,Percent of Total Billed Charges,,,,,5584.5,,,,,,,Percent of Total Billed Charges,,,,,23734.13,,,,,,,Percent of Total Billed Charges,,,,,5863.73,,,,,,,Percent of Total Billed Charges,,,,,25130.25,,,,,,,Percent of Total Billed Charges,,,,,25130.25,,,,,,,Percent of Total Billed Charges,,,,,5584.5,,,,,,,Percent of Total Billed Charges,,,,,7818.3,,,,,,,Percent of Total Billed Charges,,,,,22338,,,,,,,Percent of Total Billed Charges,,,,,5584.5,,,,,,,Percent of Total Billed Charges,,,, HYDROXYZINE (VISTARIL) INJ : 50MG / ML ,J3410 ,CPT,,Outpatient,,,75.3,60.24,56.25,,,,,,,Percent of Total Billed Charges,,56.25,56.25,,75.3,,,,,,,Percent of Total Billed Charges,,,,,72.29,,,,,,,Percent of Total Billed Charges,,,,,71.54,,,,,,,Percent of Total Billed Charges,,,,,15.06,,,,,,,Percent of Total Billed Charges,,,,,64.01,,,,,,,Percent of Total Billed Charges,,,,,15.81,,,,,,,Percent of Total Billed Charges,,,,,67.77,,,,,,,Percent of Total Billed Charges,,,,,67.77,,,,,,,Percent of Total Billed Charges,,,,,15.06,,,,,,,Percent of Total Billed Charges,,,,,21.08,,,,,,,Percent of Total Billed Charges,,,,,60.24,,,,,,,Percent of Total Billed Charges,,,,,15.06,,,,,,,Percent of Total Billed Charges,,,, *ORHEPATITIS B VACC: 20 MCG 3SHOT SERIES,250,RC,,Outpatient,20,ME,340.5,272.4,254.35,,,,,,,Percent of Total Billed Charges,,254.35,254.35,,340.5,,,,,,,Percent of Total Billed Charges,,,,,326.88,,,,,,,Percent of Total Billed Charges,,,,,323.48,,,,,,,Percent of Total Billed Charges,,,,,68.1,,,,,,,Percent of Total Billed Charges,,,,,289.43,,,,,,,Percent of Total Billed Charges,,,,,71.51,,,,,,,Percent of Total Billed Charges,,,,,306.45,,,,,,,Percent of Total Billed Charges,,,,,306.45,,,,,,,Percent of Total Billed Charges,,,,,68.1,,,,,,,Percent of Total Billed Charges,,,,,95.34,,,,,,,Percent of Total Billed Charges,,,,,272.4,,,,,,,Percent of Total Billed Charges,,,,,68.1,,,,,,,Percent of Total Billed Charges,,,, IRON SUCROSE (VENOFER): 100MG/5ML ,J1756 ,CPT,,Outpatient,,,124.35,99.48,92.89,,,,,,,Percent of Total Billed Charges,,92.89,92.89,,124.35,,,,,,,Percent of Total Billed Charges,,,,,119.38,,,,,,,Percent of Total Billed Charges,,,,,118.13,,,,,,,Percent of Total Billed Charges,,,,,24.87,,,,,,,Percent of Total Billed Charges,,,,,105.7,,,,,,,Percent of Total Billed Charges,,,,,26.11,,,,,,,Percent of Total Billed Charges,,,,,111.92,,,,,,,Percent of Total Billed Charges,,,,,111.92,,,,,,,Percent of Total Billed Charges,,,,,24.87,,,,,,,Percent of Total Billed Charges,,,,,34.82,,,,,,,Percent of Total Billed Charges,,,,,99.48,,,,,,,Percent of Total Billed Charges,,,,,24.87,,,,,,,Percent of Total Billed Charges,,,, *IRON DEXTRAN (INFED) IM :50 MG/ML**** ,250,RC,,Outpatient,50,ML,27,21.6,20.17,,,,,,,Percent of Total Billed Charges,,20.17,20.17,,27,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,, IRON DEXTRAN INJ : 100 MG / 2 ML ,J1750 ,CPT,,Outpatient,,,124.3,99.44,92.85,,,,,,,Percent of Total Billed Charges,,92.85,92.85,,124.3,,,,,,,Percent of Total Billed Charges,,,,,119.33,,,,,,,Percent of Total Billed Charges,,,,,118.09,,,,,,,Percent of Total Billed Charges,,,,,24.86,,,,,,,Percent of Total Billed Charges,,,,,105.66,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,111.87,,,,,,,Percent of Total Billed Charges,,,,,111.87,,,,,,,Percent of Total Billed Charges,,,,,24.86,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,99.44,,,,,,,Percent of Total Billed Charges,,,,,24.86,,,,,,,Percent of Total Billed Charges,,,, IBUTILIDE (CORVERT) INJ : 1 MG ,J1742 ,CPT,,Outpatient,,,800,640,597.6,,,,,,,Percent of Total Billed Charges,,597.6,597.6,,800,,,,,,,Percent of Total Billed Charges,,,,,768,,,,,,,Percent of Total Billed Charges,,,,,760,,,,,,,Percent of Total Billed Charges,,,,,160,,,,,,,Percent of Total Billed Charges,,,,,680,,,,,,,Percent of Total Billed Charges,,,,,168,,,,,,,Percent of Total Billed Charges,,,,,720,,,,,,,Percent of Total Billed Charges,,,,,720,,,,,,,Percent of Total Billed Charges,,,,,160,,,,,,,Percent of Total Billed Charges,,,,,224,,,,,,,Percent of Total Billed Charges,,,,,640,,,,,,,Percent of Total Billed Charges,,,,,160,,,,,,,Percent of Total Billed Charges,,,, INFLUENZA VACC QUADRAVALENT: 0.5 ML INJ ,90686,CPT,,Outpatient,,,69,55.2,51.54,,,,,,,Percent of Total Billed Charges,,51.54,51.54,,69,,,,,,,Percent of Total Billed Charges,,,,,66.24,,,,,,,Percent of Total Billed Charges,,,,,65.55,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,58.65,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,, *IMMUNE SERUM GLOBULIN :2ML (IM)****** ,250,RC,,Outpatient,2,ML,78.5,62.8,58.64,,,,,,,Percent of Total Billed Charges,,58.64,58.64,,78.5,,,,,,,Percent of Total Billed Charges,,,,,75.36,,,,,,,Percent of Total Billed Charges,,,,,74.58,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,66.73,,,,,,,Percent of Total Billed Charges,,,,,16.49,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,21.98,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS B VACCINE INJ: PED DOSE 10 MCG,90744,CPT,,Outpatient,,,93.05,74.44,69.51,,,,,,,Percent of Total Billed Charges,,69.51,69.51,,93.05,,,,,,,Percent of Total Billed Charges,,,,,89.33,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,18.61,,,,,,,Percent of Total Billed Charges,,,,,79.09,,,,,,,Percent of Total Billed Charges,,,,,19.54,,,,,,,Percent of Total Billed Charges,,,,,83.75,,,,,,,Percent of Total Billed Charges,,,,,83.75,,,,,,,Percent of Total Billed Charges,,,,,18.61,,,,,,,Percent of Total Billed Charges,,,,,26.05,,,,,,,Percent of Total Billed Charges,,,,,74.44,,,,,,,Percent of Total Billed Charges,,,,,18.61,,,,,,,Percent of Total Billed Charges,,,, *INFLUENZA VACCINE : 0.5 ML INJECTION ,90656,CPT,,Outpatient,,,48.5,38.8,36.23,,,,,,,Percent of Total Billed Charges,,36.23,36.23,,48.5,,,,,,,Percent of Total Billed Charges,,,,,46.56,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,41.23,,,,,,,Percent of Total Billed Charges,,,,,10.19,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,13.58,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,, *INFLUENZA PEDIATRIC VACC : 0.25 ML INJ ,90658,CPT,,Outpatient,,,49.8,39.84,37.2,,,,,,,Percent of Total Billed Charges,,37.2,37.2,,49.8,,,,,,,Percent of Total Billed Charges,,,,,47.81,,,,,,,Percent of Total Billed Charges,,,,,47.31,,,,,,,Percent of Total Billed Charges,,,,,9.96,,,,,,,Percent of Total Billed Charges,,,,,42.33,,,,,,,Percent of Total Billed Charges,,,,,10.46,,,,,,,Percent of Total Billed Charges,,,,,44.82,,,,,,,Percent of Total Billed Charges,,,,,44.82,,,,,,,Percent of Total Billed Charges,,,,,9.96,,,,,,,Percent of Total Billed Charges,,,,,13.94,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,9.96,,,,,,,Percent of Total Billed Charges,,,, INSULIN HUMULIN 70/30 : 10 ML ,J1815 ,CPT,,Outpatient,,,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, IMMUNE GLOBULIN : 10 GRAM VIAL/100 ML ,J1459 ,CPT,,Outpatient,,,2922,2337.6,2182.73,,,,,,,Percent of Total Billed Charges,,2182.73,2182.73,,2922,,,,,,,Percent of Total Billed Charges,,,,,2805.12,,,,,,,Percent of Total Billed Charges,,,,,2775.9,,,,,,,Percent of Total Billed Charges,,,,,584.4,,,,,,,Percent of Total Billed Charges,,,,,2483.7,,,,,,,Percent of Total Billed Charges,,,,,613.62,,,,,,,Percent of Total Billed Charges,,,,,2629.8,,,,,,,Percent of Total Billed Charges,,,,,2629.8,,,,,,,Percent of Total Billed Charges,,,,,584.4,,,,,,,Percent of Total Billed Charges,,,,,818.16,,,,,,,Percent of Total Billed Charges,,,,,2337.6,,,,,,,Percent of Total Billed Charges,,,,,584.4,,,,,,,Percent of Total Billed Charges,,,, IMMUNE GLOBULIN : 5 GRAM /50 ML ,J1459 ,CPT,,Outpatient,,,787.3,629.84,588.11,,,,,,,Percent of Total Billed Charges,,588.11,588.11,,787.3,,,,,,,Percent of Total Billed Charges,,,,,755.81,,,,,,,Percent of Total Billed Charges,,,,,747.94,,,,,,,Percent of Total Billed Charges,,,,,157.46,,,,,,,Percent of Total Billed Charges,,,,,669.21,,,,,,,Percent of Total Billed Charges,,,,,165.33,,,,,,,Percent of Total Billed Charges,,,,,708.57,,,,,,,Percent of Total Billed Charges,,,,,708.57,,,,,,,Percent of Total Billed Charges,,,,,157.46,,,,,,,Percent of Total Billed Charges,,,,,220.44,,,,,,,Percent of Total Billed Charges,,,,,629.84,,,,,,,Percent of Total Billed Charges,,,,,157.46,,,,,,,Percent of Total Billed Charges,,,, INSULIN APIDRA (GLULISINE) : 10 ML ,J1815 ,CPT,,Outpatient,,,210.05,168.04,156.91,,,,,,,Percent of Total Billed Charges,,156.91,156.91,,210.05,,,,,,,Percent of Total Billed Charges,,,,,201.65,,,,,,,Percent of Total Billed Charges,,,,,199.55,,,,,,,Percent of Total Billed Charges,,,,,42.01,,,,,,,Percent of Total Billed Charges,,,,,178.54,,,,,,,Percent of Total Billed Charges,,,,,44.11,,,,,,,Percent of Total Billed Charges,,,,,189.05,,,,,,,Percent of Total Billed Charges,,,,,189.05,,,,,,,Percent of Total Billed Charges,,,,,42.01,,,,,,,Percent of Total Billed Charges,,,,,58.81,,,,,,,Percent of Total Billed Charges,,,,,168.04,,,,,,,Percent of Total Billed Charges,,,,,42.01,,,,,,,Percent of Total Billed Charges,,,, IMMUNE GLOBULIN : 40 GRAM VIAL/400 ML ,J1459 ,CPT,,Outpatient,,,11648,9318.4,8701.06,,,,,,,Percent of Total Billed Charges,,8701.06,8701.06,,11648,,,,,,,Percent of Total Billed Charges,,,,,11182.08,,,,,,,Percent of Total Billed Charges,,,,,11065.6,,,,,,,Percent of Total Billed Charges,,,,,2329.6,,,,,,,Percent of Total Billed Charges,,,,,9900.8,,,,,,,Percent of Total Billed Charges,,,,,2446.08,,,,,,,Percent of Total Billed Charges,,,,,10483.2,,,,,,,Percent of Total Billed Charges,,,,,10483.2,,,,,,,Percent of Total Billed Charges,,,,,2329.6,,,,,,,Percent of Total Billed Charges,,,,,3261.44,,,,,,,Percent of Total Billed Charges,,,,,9318.4,,,,,,,Percent of Total Billed Charges,,,,,2329.6,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS B IMMUNE GLOBULIN 5 ML VIAL ,J1573 ,CPT,,Outpatient,,,2108.5,1686.8,1575.05,,,,,,,Percent of Total Billed Charges,,1575.05,1575.05,,2108.5,,,,,,,Percent of Total Billed Charges,,,,,2024.16,,,,,,,Percent of Total Billed Charges,,,,,2003.08,,,,,,,Percent of Total Billed Charges,,,,,421.7,,,,,,,Percent of Total Billed Charges,,,,,1792.23,,,,,,,Percent of Total Billed Charges,,,,,442.79,,,,,,,Percent of Total Billed Charges,,,,,1897.65,,,,,,,Percent of Total Billed Charges,,,,,1897.65,,,,,,,Percent of Total Billed Charges,,,,,421.7,,,,,,,Percent of Total Billed Charges,,,,,590.38,,,,,,,Percent of Total Billed Charges,,,,,1686.8,,,,,,,Percent of Total Billed Charges,,,,,421.7,,,,,,,Percent of Total Billed Charges,,,, INSULIN LANTUS (GLARGINE) :10ML ,J1815 ,CPT,,Outpatient,,,205.7,164.56,153.66,,,,,,,Percent of Total Billed Charges,,153.66,153.66,,205.7,,,,,,,Percent of Total Billed Charges,,,,,197.47,,,,,,,Percent of Total Billed Charges,,,,,195.42,,,,,,,Percent of Total Billed Charges,,,,,41.14,,,,,,,Percent of Total Billed Charges,,,,,174.85,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,185.13,,,,,,,Percent of Total Billed Charges,,,,,185.13,,,,,,,Percent of Total Billed Charges,,,,,41.14,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,164.56,,,,,,,Percent of Total Billed Charges,,,,,41.14,,,,,,,Percent of Total Billed Charges,,,, INSULIN LISPRO(HUMALOG) 100UNIT/ML ,J1815 ,CPT,,Outpatient,,,176.65,141.32,131.96,,,,,,,Percent of Total Billed Charges,,131.96,131.96,,176.65,,,,,,,Percent of Total Billed Charges,,,,,169.58,,,,,,,Percent of Total Billed Charges,,,,,167.82,,,,,,,Percent of Total Billed Charges,,,,,35.33,,,,,,,Percent of Total Billed Charges,,,,,150.15,,,,,,,Percent of Total Billed Charges,,,,,37.1,,,,,,,Percent of Total Billed Charges,,,,,158.99,,,,,,,Percent of Total Billed Charges,,,,,158.99,,,,,,,Percent of Total Billed Charges,,,,,35.33,,,,,,,Percent of Total Billed Charges,,,,,49.46,,,,,,,Percent of Total Billed Charges,,,,,141.32,,,,,,,Percent of Total Billed Charges,,,,,35.33,,,,,,,Percent of Total Billed Charges,,,, INSULIN U 100 REGULAR HUMAN 10 ML#######,J1815 ,CPT,,Outpatient,,,59.65,47.72,44.56,,,,,,,Percent of Total Billed Charges,,44.56,44.56,,59.65,,,,,,,Percent of Total Billed Charges,,,,,57.26,,,,,,,Percent of Total Billed Charges,,,,,56.67,,,,,,,Percent of Total Billed Charges,,,,,11.93,,,,,,,Percent of Total Billed Charges,,,,,50.7,,,,,,,Percent of Total Billed Charges,,,,,12.53,,,,,,,Percent of Total Billed Charges,,,,,53.69,,,,,,,Percent of Total Billed Charges,,,,,53.69,,,,,,,Percent of Total Billed Charges,,,,,11.93,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,47.72,,,,,,,Percent of Total Billed Charges,,,,,11.93,,,,,,,Percent of Total Billed Charges,,,, *INSULIN REG DRIP 100 UNITS/100 ML ,J1815 ,CPT,,Outpatient,,,77.25,61.8,57.71,,,,,,,Percent of Total Billed Charges,,57.71,57.71,,77.25,,,,,,,Percent of Total Billed Charges,,,,,74.16,,,,,,,Percent of Total Billed Charges,,,,,73.39,,,,,,,Percent of Total Billed Charges,,,,,15.45,,,,,,,Percent of Total Billed Charges,,,,,65.66,,,,,,,Percent of Total Billed Charges,,,,,16.22,,,,,,,Percent of Total Billed Charges,,,,,69.53,,,,,,,Percent of Total Billed Charges,,,,,69.53,,,,,,,Percent of Total Billed Charges,,,,,15.45,,,,,,,Percent of Total Billed Charges,,,,,21.63,,,,,,,Percent of Total Billed Charges,,,,,61.8,,,,,,,Percent of Total Billed Charges,,,,,15.45,,,,,,,Percent of Total Billed Charges,,,, INSULIN REGULAR HUMAN : 10 ML VIAL ,J1815 ,CPT,,Outpatient,,,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, INSULIN NOVOLOG: 100 UNIT/ML ,J1815 ,CPT,,Outpatient,,,126.45,101.16,94.46,,,,,,,Percent of Total Billed Charges,,94.46,94.46,,126.45,,,,,,,Percent of Total Billed Charges,,,,,121.39,,,,,,,Percent of Total Billed Charges,,,,,120.13,,,,,,,Percent of Total Billed Charges,,,,,25.29,,,,,,,Percent of Total Billed Charges,,,,,107.48,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,113.81,,,,,,,Percent of Total Billed Charges,,,,,113.81,,,,,,,Percent of Total Billed Charges,,,,,25.29,,,,,,,Percent of Total Billed Charges,,,,,35.41,,,,,,,Percent of Total Billed Charges,,,,,101.16,,,,,,,Percent of Total Billed Charges,,,,,25.29,,,,,,,Percent of Total Billed Charges,,,, *INSULIN LENTE HUMAN ******** ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, *INSULIN ULTRA LENTE HUMAN *********** ,J1815 ,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, *INSULIN U 100 LENTE HUMAN 10ML ******* ,J1815 ,CPT,,Outpatient,,,47.5,38,35.48,,,,,,,Percent of Total Billed Charges,,35.48,35.48,,47.5,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,45.13,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,40.38,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,42.75,,,,,,,Percent of Total Billed Charges,,,,,42.75,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,, ELIGARD (LEUPROLIDE) INJ:45 MG (6MONTH) ,J9217 ,CPT,,Outpatient,,,1856,1484.8,1386.43,,,,,,,Percent of Total Billed Charges,,1386.43,1386.43,,1856,,,,,,,Percent of Total Billed Charges,,,,,1781.76,,,,,,,Percent of Total Billed Charges,,,,,1763.2,,,,,,,Percent of Total Billed Charges,,,,,371.2,,,,,,,Percent of Total Billed Charges,,,,,1577.6,,,,,,,Percent of Total Billed Charges,,,,,389.76,,,,,,,Percent of Total Billed Charges,,,,,1670.4,,,,,,,Percent of Total Billed Charges,,,,,1670.4,,,,,,,Percent of Total Billed Charges,,,,,371.2,,,,,,,Percent of Total Billed Charges,,,,,519.68,,,,,,,Percent of Total Billed Charges,,,,,1484.8,,,,,,,Percent of Total Billed Charges,,,,,371.2,,,,,,,Percent of Total Billed Charges,,,, INSULIN NPH HUMAN ,J1815 ,CPT,,Outpatient,,,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, *INSULIN U 100 NPH HUMAN 3 ML ####### ,J1815 ,CPT,,Outpatient,,,27.75,22.2,20.73,,,,,,,Percent of Total Billed Charges,,20.73,20.73,,27.75,,,,,,,Percent of Total Billed Charges,,,,,26.64,,,,,,,Percent of Total Billed Charges,,,,,26.36,,,,,,,Percent of Total Billed Charges,,,,,5.55,,,,,,,Percent of Total Billed Charges,,,,,23.59,,,,,,,Percent of Total Billed Charges,,,,,5.83,,,,,,,Percent of Total Billed Charges,,,,,24.98,,,,,,,Percent of Total Billed Charges,,,,,24.98,,,,,,,Percent of Total Billed Charges,,,,,5.55,,,,,,,Percent of Total Billed Charges,,,,,7.77,,,,,,,Percent of Total Billed Charges,,,,,22.2,,,,,,,Percent of Total Billed Charges,,,,,5.55,,,,,,,Percent of Total Billed Charges,,,, KETOROLAC (TORADOL) INJ : 15 MG ,J1885 ,CPT,,Outpatient,,,14.6,11.68,10.91,,,,,,,Percent of Total Billed Charges,,10.91,10.91,,14.6,,,,,,,Percent of Total Billed Charges,,,,,14.02,,,,,,,Percent of Total Billed Charges,,,,,13.87,,,,,,,Percent of Total Billed Charges,,,,,2.92,,,,,,,Percent of Total Billed Charges,,,,,12.41,,,,,,,Percent of Total Billed Charges,,,,,3.07,,,,,,,Percent of Total Billed Charges,,,,,13.14,,,,,,,Percent of Total Billed Charges,,,,,13.14,,,,,,,Percent of Total Billed Charges,,,,,2.92,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,,,11.68,,,,,,,Percent of Total Billed Charges,,,,,2.92,,,,,,,Percent of Total Billed Charges,,,, LEVETIRACETAM (KEPPRA) IVP : 500MG/5ML ,J1953 ,CPT,,Outpatient,,,16.65,13.32,12.44,,,,,,,Percent of Total Billed Charges,,12.44,12.44,,16.65,,,,,,,Percent of Total Billed Charges,,,,,15.98,,,,,,,Percent of Total Billed Charges,,,,,15.82,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,14.15,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.99,,,,,,,Percent of Total Billed Charges,,,,,14.99,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,4.66,,,,,,,Percent of Total Billed Charges,,,,,13.32,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,, LUPRON INJ : 22.5 MG (3 MONTH) ,J1950 ,CPT,,Outpatient,,,10594,8475.2,7913.72,,,,,,,Percent of Total Billed Charges,,7913.72,7913.72,,10594,,,,,,,Percent of Total Billed Charges,,,,,10170.24,,,,,,,Percent of Total Billed Charges,,,,,10064.3,,,,,,,Percent of Total Billed Charges,,,,,2118.8,,,,,,,Percent of Total Billed Charges,,,,,9004.9,,,,,,,Percent of Total Billed Charges,,,,,2224.74,,,,,,,Percent of Total Billed Charges,,,,,9534.6,,,,,,,Percent of Total Billed Charges,,,,,9534.6,,,,,,,Percent of Total Billed Charges,,,,,2118.8,,,,,,,Percent of Total Billed Charges,,,,,2966.32,,,,,,,Percent of Total Billed Charges,,,,,8475.2,,,,,,,Percent of Total Billed Charges,,,,,2118.8,,,,,,,Percent of Total Billed Charges,,,, LEVETIRACETAM (KEPPRA) IVPB : 500MG/5ML ,J1953 ,CPT,,Outpatient,,,16.65,13.32,12.44,,,,,,,Percent of Total Billed Charges,,12.44,12.44,,16.65,,,,,,,Percent of Total Billed Charges,,,,,15.98,,,,,,,Percent of Total Billed Charges,,,,,15.82,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,14.15,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.99,,,,,,,Percent of Total Billed Charges,,,,,14.99,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,4.66,,,,,,,Percent of Total Billed Charges,,,,,13.32,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,, KETOROLAC (TORADOL) INJ : 30 MG ,J1885 ,CPT,,Outpatient,,,14.7,11.76,10.98,,,,,,,Percent of Total Billed Charges,,10.98,10.98,,14.7,,,,,,,Percent of Total Billed Charges,,,,,14.11,,,,,,,Percent of Total Billed Charges,,,,,13.97,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.5,,,,,,,Percent of Total Billed Charges,,,,,3.09,,,,,,,Percent of Total Billed Charges,,,,,13.23,,,,,,,Percent of Total Billed Charges,,,,,13.23,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,4.12,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,, LEVOTHYROXINE INJECTION : 100 MCG ,J0651 ,CPT,,Outpatient,,,223.55,178.84,166.99,,,,,,,Percent of Total Billed Charges,,166.99,166.99,,223.55,,,,,,,Percent of Total Billed Charges,,,,,214.61,,,,,,,Percent of Total Billed Charges,,,,,212.37,,,,,,,Percent of Total Billed Charges,,,,,44.71,,,,,,,Percent of Total Billed Charges,,,,,190.02,,,,,,,Percent of Total Billed Charges,,,,,46.95,,,,,,,Percent of Total Billed Charges,,,,,201.2,,,,,,,Percent of Total Billed Charges,,,,,201.2,,,,,,,Percent of Total Billed Charges,,,,,44.71,,,,,,,Percent of Total Billed Charges,,,,,62.59,,,,,,,Percent of Total Billed Charges,,,,,178.84,,,,,,,Percent of Total Billed Charges,,,,,44.71,,,,,,,Percent of Total Billed Charges,,,, LUPRON 7.5 MG INJECTION ,J1950 ,CPT,,Outpatient,,,1962,1569.6,1465.61,,,,,,,Percent of Total Billed Charges,,1465.61,1465.61,,1962,,,,,,,Percent of Total Billed Charges,,,,,1883.52,,,,,,,Percent of Total Billed Charges,,,,,1863.9,,,,,,,Percent of Total Billed Charges,,,,,392.4,,,,,,,Percent of Total Billed Charges,,,,,1667.7,,,,,,,Percent of Total Billed Charges,,,,,412.02,,,,,,,Percent of Total Billed Charges,,,,,1765.8,,,,,,,Percent of Total Billed Charges,,,,,1765.8,,,,,,,Percent of Total Billed Charges,,,,,392.4,,,,,,,Percent of Total Billed Charges,,,,,549.36,,,,,,,Percent of Total Billed Charges,,,,,1569.6,,,,,,,Percent of Total Billed Charges,,,,,392.4,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 1% INJ (MPF) : 30 ML SDV ,250,RC,,Outpatient,30,ML,47.8,38.24,35.71,,,,,,,Percent of Total Billed Charges,,35.71,35.71,,47.8,,,,,,,Percent of Total Billed Charges,,,,,45.89,,,,,,,Percent of Total Billed Charges,,,,,45.41,,,,,,,Percent of Total Billed Charges,,,,,9.56,,,,,,,Percent of Total Billed Charges,,,,,40.63,,,,,,,Percent of Total Billed Charges,,,,,10.04,,,,,,,Percent of Total Billed Charges,,,,,43.02,,,,,,,Percent of Total Billed Charges,,,,,43.02,,,,,,,Percent of Total Billed Charges,,,,,9.56,,,,,,,Percent of Total Billed Charges,,,,,13.38,,,,,,,Percent of Total Billed Charges,,,,,38.24,,,,,,,Percent of Total Billed Charges,,,,,9.56,,,,,,,Percent of Total Billed Charges,,,, KETOROLAC (TORADOL) INJ : 60 MG ,J1885 ,CPT,,Outpatient,,,15.2,12.16,11.35,,,,,,,Percent of Total Billed Charges,,11.35,11.35,,15.2,,,,,,,Percent of Total Billed Charges,,,,,14.59,,,,,,,Percent of Total Billed Charges,,,,,14.44,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,13.68,,,,,,,Percent of Total Billed Charges,,,,,13.68,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,,,4.26,,,,,,,Percent of Total Billed Charges,,,,,12.16,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 1% INJ (MPF) : 2 ML SDV ,250,RC,,Outpatient,2,ML,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 1% W/EPI INJ : 20 ML VIAL MDV ,250,RC,,Outpatient,20,ML,26.05,20.84,19.46,,,,,,,Percent of Total Billed Charges,,19.46,19.46,,26.05,,,,,,,Percent of Total Billed Charges,,,,,25.01,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.21,,,,,,,Percent of Total Billed Charges,,,,,22.14,,,,,,,Percent of Total Billed Charges,,,,,5.47,,,,,,,Percent of Total Billed Charges,,,,,23.45,,,,,,,Percent of Total Billed Charges,,,,,23.45,,,,,,,Percent of Total Billed Charges,,,,,5.21,,,,,,,Percent of Total Billed Charges,,,,,7.29,,,,,,,Percent of Total Billed Charges,,,,,20.84,,,,,,,Percent of Total Billed Charges,,,,,5.21,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 4% AMP : 5 ML ,250,RC,,Outpatient,5,ML,22.25,17.8,16.62,,,,,,,Percent of Total Billed Charges,,16.62,16.62,,22.25,,,,,,,Percent of Total Billed Charges,,,,,21.36,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,4.45,,,,,,,Percent of Total Billed Charges,,,,,18.91,,,,,,,Percent of Total Billed Charges,,,,,4.67,,,,,,,Percent of Total Billed Charges,,,,,20.03,,,,,,,Percent of Total Billed Charges,,,,,20.03,,,,,,,Percent of Total Billed Charges,,,,,4.45,,,,,,,Percent of Total Billed Charges,,,,,6.23,,,,,,,Percent of Total Billed Charges,,,,,17.8,,,,,,,Percent of Total Billed Charges,,,,,4.45,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 5% WITH DEXT INJ: 2 ML AMP ,250,RC,,Outpatient,2,ML,33.8,27.04,25.25,,,,,,,Percent of Total Billed Charges,,25.25,25.25,,33.8,,,,,,,Percent of Total Billed Charges,,,,,32.45,,,,,,,Percent of Total Billed Charges,,,,,32.11,,,,,,,Percent of Total Billed Charges,,,,,6.76,,,,,,,Percent of Total Billed Charges,,,,,28.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.42,,,,,,,Percent of Total Billed Charges,,,,,30.42,,,,,,,Percent of Total Billed Charges,,,,,6.76,,,,,,,Percent of Total Billed Charges,,,,,9.46,,,,,,,Percent of Total Billed Charges,,,,,27.04,,,,,,,Percent of Total Billed Charges,,,,,6.76,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 2% INJ : 20 ML MDV ,250,RC,,Outpatient,20,ML,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 2% W/EPI INJ : 50 ML MDV ,250,RC,,Outpatient,50,ML,26.25,21,19.61,,,,,,,Percent of Total Billed Charges,,19.61,19.61,,26.25,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,24.94,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,22.31,,,,,,,Percent of Total Billed Charges,,,,,5.51,,,,,,,Percent of Total Billed Charges,,,,,23.63,,,,,,,Percent of Total Billed Charges,,,,,23.63,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 1% INJ : 10 ML MDV ,250,RC,,Outpatient,10,ML,16.15,12.92,12.06,,,,,,,Percent of Total Billed Charges,,12.06,12.06,,16.15,,,,,,,Percent of Total Billed Charges,,,,,15.5,,,,,,,Percent of Total Billed Charges,,,,,15.34,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,,,13.73,,,,,,,Percent of Total Billed Charges,,,,,3.39,,,,,,,Percent of Total Billed Charges,,,,,14.54,,,,,,,Percent of Total Billed Charges,,,,,14.54,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,,,4.52,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 1% W/EPI INJ (MPF) : 30ML SDV ,250,RC,,Outpatient,30,ML,49.75,39.8,37.16,,,,,,,Percent of Total Billed Charges,,37.16,37.16,,49.75,,,,,,,Percent of Total Billed Charges,,,,,47.76,,,,,,,Percent of Total Billed Charges,,,,,47.26,,,,,,,Percent of Total Billed Charges,,,,,9.95,,,,,,,Percent of Total Billed Charges,,,,,42.29,,,,,,,Percent of Total Billed Charges,,,,,10.45,,,,,,,Percent of Total Billed Charges,,,,,44.78,,,,,,,Percent of Total Billed Charges,,,,,44.78,,,,,,,Percent of Total Billed Charges,,,,,9.95,,,,,,,Percent of Total Billed Charges,,,,,13.93,,,,,,,Percent of Total Billed Charges,,,,,39.8,,,,,,,Percent of Total Billed Charges,,,,,9.95,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 2% (MPF) INJ : 2 ML SDV ,250,RC,,Outpatient,2,ML,21.25,17,15.87,,,,,,,Percent of Total Billed Charges,,15.87,15.87,,21.25,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,20.19,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,18.06,,,,,,,Percent of Total Billed Charges,,,,,4.46,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,19.13,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,, *NOREPINEPHRINE (LEVOPHED) INJ: 4MG/4ML ,250,RC,,Outpatient,4,ME,26.7,21.36,19.94,,,,,,,Percent of Total Billed Charges,,19.94,19.94,,26.7,,,,,,,Percent of Total Billed Charges,,,,,25.63,,,,,,,Percent of Total Billed Charges,,,,,25.37,,,,,,,Percent of Total Billed Charges,,,,,5.34,,,,,,,Percent of Total Billed Charges,,,,,22.7,,,,,,,Percent of Total Billed Charges,,,,,5.61,,,,,,,Percent of Total Billed Charges,,,,,24.03,,,,,,,Percent of Total Billed Charges,,,,,24.03,,,,,,,Percent of Total Billed Charges,,,,,5.34,,,,,,,Percent of Total Billed Charges,,,,,7.48,,,,,,,Percent of Total Billed Charges,,,,,21.36,,,,,,,Percent of Total Billed Charges,,,,,5.34,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE CARDIAC SYRINGE : 50 MG ,J2003 ,CPT,,Outpatient,,,54.45,43.56,40.67,,,,,,,Percent of Total Billed Charges,,40.67,40.67,,54.45,,,,,,,Percent of Total Billed Charges,,,,,52.27,,,,,,,Percent of Total Billed Charges,,,,,51.73,,,,,,,Percent of Total Billed Charges,,,,,10.89,,,,,,,Percent of Total Billed Charges,,,,,46.28,,,,,,,Percent of Total Billed Charges,,,,,11.43,,,,,,,Percent of Total Billed Charges,,,,,49.01,,,,,,,Percent of Total Billed Charges,,,,,49.01,,,,,,,Percent of Total Billed Charges,,,,,10.89,,,,,,,Percent of Total Billed Charges,,,,,15.25,,,,,,,Percent of Total Billed Charges,,,,,43.56,,,,,,,Percent of Total Billed Charges,,,,,10.89,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 2% W/EPI INJ : 20 ML MDV ,250,RC,,Outpatient,20,ML,26.25,21,19.61,,,,,,,Percent of Total Billed Charges,,19.61,19.61,,26.25,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,24.94,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,22.31,,,,,,,Percent of Total Billed Charges,,,,,5.51,,,,,,,Percent of Total Billed Charges,,,,,23.63,,,,,,,Percent of Total Billed Charges,,,,,23.63,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE CARDIAC SYRINGE : 100 MG ,J2003 ,CPT,,Outpatient,,,33,26.4,24.65,,,,,,,Percent of Total Billed Charges,,24.65,24.65,,33,,,,,,,Percent of Total Billed Charges,,,,,31.68,,,,,,,Percent of Total Billed Charges,,,,,31.35,,,,,,,Percent of Total Billed Charges,,,,,6.6,,,,,,,Percent of Total Billed Charges,,,,,28.05,,,,,,,Percent of Total Billed Charges,,,,,6.93,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,6.6,,,,,,,Percent of Total Billed Charges,,,,,9.24,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,6.6,,,,,,,Percent of Total Billed Charges,,,, OCTREOTIDE (SANDOSTATIN) INJ: 50 MCG/ML ,J2354 ,CPT,,Outpatient,,,28.3,22.64,21.14,,,,,,,Percent of Total Billed Charges,,21.14,21.14,,28.3,,,,,,,Percent of Total Billed Charges,,,,,27.17,,,,,,,Percent of Total Billed Charges,,,,,26.89,,,,,,,Percent of Total Billed Charges,,,,,5.66,,,,,,,Percent of Total Billed Charges,,,,,24.06,,,,,,,Percent of Total Billed Charges,,,,,5.94,,,,,,,Percent of Total Billed Charges,,,,,25.47,,,,,,,Percent of Total Billed Charges,,,,,25.47,,,,,,,Percent of Total Billed Charges,,,,,5.66,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,22.64,,,,,,,Percent of Total Billed Charges,,,,,5.66,,,,,,,Percent of Total Billed Charges,,,, *LEPIRUDIN (REFLUDAN) : 100 MG ******* ,J1945 ,CPT,,Outpatient,,,598,478.4,446.71,,,,,,,Percent of Total Billed Charges,,446.71,446.71,,598,,,,,,,Percent of Total Billed Charges,,,,,574.08,,,,,,,Percent of Total Billed Charges,,,,,568.1,,,,,,,Percent of Total Billed Charges,,,,,119.6,,,,,,,Percent of Total Billed Charges,,,,,508.3,,,,,,,Percent of Total Billed Charges,,,,,125.58,,,,,,,Percent of Total Billed Charges,,,,,538.2,,,,,,,Percent of Total Billed Charges,,,,,538.2,,,,,,,Percent of Total Billed Charges,,,,,119.6,,,,,,,Percent of Total Billed Charges,,,,,167.44,,,,,,,Percent of Total Billed Charges,,,,,478.4,,,,,,,Percent of Total Billed Charges,,,,,119.6,,,,,,,Percent of Total Billed Charges,,,, *LEPIRUDIN (REFLUDAN) : 50 MG ******* ,J1945 ,CPT,,Outpatient,,,1811,1448.8,1352.82,,,,,,,Percent of Total Billed Charges,,1352.82,1352.82,,1811,,,,,,,Percent of Total Billed Charges,,,,,1738.56,,,,,,,Percent of Total Billed Charges,,,,,1720.45,,,,,,,Percent of Total Billed Charges,,,,,362.2,,,,,,,Percent of Total Billed Charges,,,,,1539.35,,,,,,,Percent of Total Billed Charges,,,,,380.31,,,,,,,Percent of Total Billed Charges,,,,,1629.9,,,,,,,Percent of Total Billed Charges,,,,,1629.9,,,,,,,Percent of Total Billed Charges,,,,,362.2,,,,,,,Percent of Total Billed Charges,,,,,507.08,,,,,,,Percent of Total Billed Charges,,,,,1448.8,,,,,,,Percent of Total Billed Charges,,,,,362.2,,,,,,,Percent of Total Billed Charges,,,, *LIDOCAINE 1% INFILTRATE SYR********* ,250,RC,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, OCTREOTIDE (SANDOSTATIN) INJ: 100 MCG/ML,J2354 ,CPT,,Outpatient,,,28.1,22.48,20.99,,,,,,,Percent of Total Billed Charges,,20.99,20.99,,28.1,,,,,,,Percent of Total Billed Charges,,,,,26.98,,,,,,,Percent of Total Billed Charges,,,,,26.7,,,,,,,Percent of Total Billed Charges,,,,,5.62,,,,,,,Percent of Total Billed Charges,,,,,23.89,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,25.29,,,,,,,Percent of Total Billed Charges,,,,,25.29,,,,,,,Percent of Total Billed Charges,,,,,5.62,,,,,,,Percent of Total Billed Charges,,,,,7.87,,,,,,,Percent of Total Billed Charges,,,,,22.48,,,,,,,Percent of Total Billed Charges,,,,,5.62,,,,,,,Percent of Total Billed Charges,,,, KCENTRA 1000 UNIT INJ ,J7168 ,CPT,,Outpatient,,,5112.5,4090,3819.04,,,,,,,Percent of Total Billed Charges,,3819.04,3819.04,,5112.5,,,,,,,Percent of Total Billed Charges,,,,,4908,,,,,,,Percent of Total Billed Charges,,,,,4856.88,,,,,,,Percent of Total Billed Charges,,,,,1022.5,,,,,,,Percent of Total Billed Charges,,,,,4345.63,,,,,,,Percent of Total Billed Charges,,,,,1073.63,,,,,,,Percent of Total Billed Charges,,,,,4601.25,,,,,,,Percent of Total Billed Charges,,,,,4601.25,,,,,,,Percent of Total Billed Charges,,,,,1022.5,,,,,,,Percent of Total Billed Charges,,,,,1431.5,,,,,,,Percent of Total Billed Charges,,,,,4090,,,,,,,Percent of Total Billed Charges,,,,,1022.5,,,,,,,Percent of Total Billed Charges,,,, *MAGNESIUM SULFATE INJ : 2 GRAM/4ML**** ,250,RC,,Outpatient,2,GR,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, KCENTRA 500 UNIT INJ ,J7168 ,CPT,,Outpatient,,,2562.5,2050,1914.19,,,,,,,Percent of Total Billed Charges,,1914.19,1914.19,,2562.5,,,,,,,Percent of Total Billed Charges,,,,,2460,,,,,,,Percent of Total Billed Charges,,,,,2434.38,,,,,,,Percent of Total Billed Charges,,,,,512.5,,,,,,,Percent of Total Billed Charges,,,,,2178.13,,,,,,,Percent of Total Billed Charges,,,,,538.13,,,,,,,Percent of Total Billed Charges,,,,,2306.25,,,,,,,Percent of Total Billed Charges,,,,,2306.25,,,,,,,Percent of Total Billed Charges,,,,,512.5,,,,,,,Percent of Total Billed Charges,,,,,717.5,,,,,,,Percent of Total Billed Charges,,,,,2050,,,,,,,Percent of Total Billed Charges,,,,,512.5,,,,,,,Percent of Total Billed Charges,,,, BUPIVACAINE 0.25% INJ W/EPI :50 ML VIAL ,250,RC,,Outpatient,50,ML,40.65,32.52,30.37,,,,,,,Percent of Total Billed Charges,,30.37,30.37,,40.65,,,,,,,Percent of Total Billed Charges,,,,,39.02,,,,,,,Percent of Total Billed Charges,,,,,38.62,,,,,,,Percent of Total Billed Charges,,,,,8.13,,,,,,,Percent of Total Billed Charges,,,,,34.55,,,,,,,Percent of Total Billed Charges,,,,,8.54,,,,,,,Percent of Total Billed Charges,,,,,36.59,,,,,,,Percent of Total Billed Charges,,,,,36.59,,,,,,,Percent of Total Billed Charges,,,,,8.13,,,,,,,Percent of Total Billed Charges,,,,,11.38,,,,,,,Percent of Total Billed Charges,,,,,32.52,,,,,,,Percent of Total Billed Charges,,,,,8.13,,,,,,,Percent of Total Billed Charges,,,, BUPIVACAINE 0.25% PF INJ : 10 ML VIAL ,250,RC,,Outpatient,10,ML,25.25,20.2,18.86,,,,,,,Percent of Total Billed Charges,,18.86,18.86,,25.25,,,,,,,Percent of Total Billed Charges,,,,,24.24,,,,,,,Percent of Total Billed Charges,,,,,23.99,,,,,,,Percent of Total Billed Charges,,,,,5.05,,,,,,,Percent of Total Billed Charges,,,,,21.46,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,22.73,,,,,,,Percent of Total Billed Charges,,,,,22.73,,,,,,,Percent of Total Billed Charges,,,,,5.05,,,,,,,Percent of Total Billed Charges,,,,,7.07,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,5.05,,,,,,,Percent of Total Billed Charges,,,, BUPIVACAINE 0.5% INJ : 10 ML SDV ,250,RC,,Outpatient,10,ML,16.95,13.56,12.66,,,,,,,Percent of Total Billed Charges,,12.66,12.66,,16.95,,,,,,,Percent of Total Billed Charges,,,,,16.27,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,3.39,,,,,,,Percent of Total Billed Charges,,,,,14.41,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,15.26,,,,,,,Percent of Total Billed Charges,,,,,15.26,,,,,,,Percent of Total Billed Charges,,,,,3.39,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,13.56,,,,,,,Percent of Total Billed Charges,,,,,3.39,,,,,,,Percent of Total Billed Charges,,,, *MANNITOL INJ : 12.5 GM -- 25% VIAL ,J2150 ,CPT,,Outpatient,,,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, BUPIVACAINE 0.75% MPF INJ : 10 ML SDV ,250,RC,,Outpatient,10,ML,31.7,25.36,23.68,,,,,,,Percent of Total Billed Charges,,23.68,23.68,,31.7,,,,,,,Percent of Total Billed Charges,,,,,30.43,,,,,,,Percent of Total Billed Charges,,,,,30.12,,,,,,,Percent of Total Billed Charges,,,,,6.34,,,,,,,Percent of Total Billed Charges,,,,,26.95,,,,,,,Percent of Total Billed Charges,,,,,6.66,,,,,,,Percent of Total Billed Charges,,,,,28.53,,,,,,,Percent of Total Billed Charges,,,,,28.53,,,,,,,Percent of Total Billed Charges,,,,,6.34,,,,,,,Percent of Total Billed Charges,,,,,8.88,,,,,,,Percent of Total Billed Charges,,,,,25.36,,,,,,,Percent of Total Billed Charges,,,,,6.34,,,,,,,Percent of Total Billed Charges,,,, BUPIVACAINE 0.5% INJ : 30 ML SDV ,250,RC,,Outpatient,0.3,ML,16.55,13.24,12.36,,,,,,,Percent of Total Billed Charges,,12.36,12.36,,16.55,,,,,,,Percent of Total Billed Charges,,,,,15.89,,,,,,,Percent of Total Billed Charges,,,,,15.72,,,,,,,Percent of Total Billed Charges,,,,,3.31,,,,,,,Percent of Total Billed Charges,,,,,14.07,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,,,14.9,,,,,,,Percent of Total Billed Charges,,,,,14.9,,,,,,,Percent of Total Billed Charges,,,,,3.31,,,,,,,Percent of Total Billed Charges,,,,,4.63,,,,,,,Percent of Total Billed Charges,,,,,13.24,,,,,,,Percent of Total Billed Charges,,,,,3.31,,,,,,,Percent of Total Billed Charges,,,, BUPIVACAINE SPINAL 0.75%/DEXTROSE 8.25% ,250,RC,,Outpatient,,,19.35,15.48,14.45,,,,,,,Percent of Total Billed Charges,,14.45,14.45,,19.35,,,,,,,Percent of Total Billed Charges,,,,,18.58,,,,,,,Percent of Total Billed Charges,,,,,18.38,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,16.45,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,17.42,,,,,,,Percent of Total Billed Charges,,,,,17.42,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,5.42,,,,,,,Percent of Total Billed Charges,,,,,15.48,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,, *NOREPINEPHRINE (LEVOPHED):4MG/250ML ,250,RC,,Outpatient,4,ME,75.5,60.4,56.4,,,,,,,Percent of Total Billed Charges,,56.4,56.4,,75.5,,,,,,,Percent of Total Billed Charges,,,,,72.48,,,,,,,Percent of Total Billed Charges,,,,,71.73,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,64.18,,,,,,,Percent of Total Billed Charges,,,,,15.86,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,60.4,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,, METHYLDOPA INJ (ALDOMET) : 250MG/5ML ,J0210 ,CPT,,Outpatient,,,43.15,34.52,32.23,,,,,,,Percent of Total Billed Charges,,32.23,32.23,,43.15,,,,,,,Percent of Total Billed Charges,,,,,41.42,,,,,,,Percent of Total Billed Charges,,,,,40.99,,,,,,,Percent of Total Billed Charges,,,,,8.63,,,,,,,Percent of Total Billed Charges,,,,,36.68,,,,,,,Percent of Total Billed Charges,,,,,9.06,,,,,,,Percent of Total Billed Charges,,,,,38.84,,,,,,,Percent of Total Billed Charges,,,,,38.84,,,,,,,Percent of Total Billed Charges,,,,,8.63,,,,,,,Percent of Total Billed Charges,,,,,12.08,,,,,,,Percent of Total Billed Charges,,,,,34.52,,,,,,,Percent of Total Billed Charges,,,,,8.63,,,,,,,Percent of Total Billed Charges,,,, METHYLENE BLUE 1% INJ 10ML ,250,RC,,Outpatient,10,ML,616.6,493.28,460.6,,,,,,,Percent of Total Billed Charges,,460.6,460.6,,616.6,,,,,,,Percent of Total Billed Charges,,,,,591.94,,,,,,,Percent of Total Billed Charges,,,,,585.77,,,,,,,Percent of Total Billed Charges,,,,,123.32,,,,,,,Percent of Total Billed Charges,,,,,524.11,,,,,,,Percent of Total Billed Charges,,,,,129.49,,,,,,,Percent of Total Billed Charges,,,,,554.94,,,,,,,Percent of Total Billed Charges,,,,,554.94,,,,,,,Percent of Total Billed Charges,,,,,123.32,,,,,,,Percent of Total Billed Charges,,,,,172.65,,,,,,,Percent of Total Billed Charges,,,,,493.28,,,,,,,Percent of Total Billed Charges,,,,,123.32,,,,,,,Percent of Total Billed Charges,,,, METHYLPREDNISOLONE : 500 MG IM INJECTION,J2919 ,CPT,,Outpatient,,,88.85,71.08,66.37,,,,,,,Percent of Total Billed Charges,,66.37,66.37,,88.85,,,,,,,Percent of Total Billed Charges,,,,,85.3,,,,,,,Percent of Total Billed Charges,,,,,84.41,,,,,,,Percent of Total Billed Charges,,,,,17.77,,,,,,,Percent of Total Billed Charges,,,,,75.52,,,,,,,Percent of Total Billed Charges,,,,,18.66,,,,,,,Percent of Total Billed Charges,,,,,79.97,,,,,,,Percent of Total Billed Charges,,,,,79.97,,,,,,,Percent of Total Billed Charges,,,,,17.77,,,,,,,Percent of Total Billed Charges,,,,,24.88,,,,,,,Percent of Total Billed Charges,,,,,71.08,,,,,,,Percent of Total Billed Charges,,,,,17.77,,,,,,,Percent of Total Billed Charges,,,, BUPIVACAINE 0.5% INJ W/EPI :50 ML VIAL ,250,RC,,Outpatient,50,ML,44,35.2,32.87,,,,,,,Percent of Total Billed Charges,,32.87,32.87,,44,,,,,,,Percent of Total Billed Charges,,,,,42.24,,,,,,,Percent of Total Billed Charges,,,,,41.8,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,9.24,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,12.32,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,, *METHYLPREDNISOLONE SOD : 80 MG INJ*** ,250,RC,,Outpatient,80,ME,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, METHYLPREDNISOLONE SOD INJ : 40 MG ,J2919 ,CPT,,Outpatient,,,28.45,22.76,21.25,,,,,,,Percent of Total Billed Charges,,21.25,21.25,,28.45,,,,,,,Percent of Total Billed Charges,,,,,27.31,,,,,,,Percent of Total Billed Charges,,,,,27.03,,,,,,,Percent of Total Billed Charges,,,,,5.69,,,,,,,Percent of Total Billed Charges,,,,,24.18,,,,,,,Percent of Total Billed Charges,,,,,5.97,,,,,,,Percent of Total Billed Charges,,,,,25.61,,,,,,,Percent of Total Billed Charges,,,,,25.61,,,,,,,Percent of Total Billed Charges,,,,,5.69,,,,,,,Percent of Total Billed Charges,,,,,7.97,,,,,,,Percent of Total Billed Charges,,,,,22.76,,,,,,,Percent of Total Billed Charges,,,,,5.69,,,,,,,Percent of Total Billed Charges,,,, METHYLPREDNISOLONE SOD INJ : 125 MG ,J2919 ,CPT,,Outpatient,,,37.9,30.32,28.31,,,,,,,Percent of Total Billed Charges,,28.31,28.31,,37.9,,,,,,,Percent of Total Billed Charges,,,,,36.38,,,,,,,Percent of Total Billed Charges,,,,,36.01,,,,,,,Percent of Total Billed Charges,,,,,7.58,,,,,,,Percent of Total Billed Charges,,,,,32.22,,,,,,,Percent of Total Billed Charges,,,,,7.96,,,,,,,Percent of Total Billed Charges,,,,,34.11,,,,,,,Percent of Total Billed Charges,,,,,34.11,,,,,,,Percent of Total Billed Charges,,,,,7.58,,,,,,,Percent of Total Billed Charges,,,,,10.61,,,,,,,Percent of Total Billed Charges,,,,,30.32,,,,,,,Percent of Total Billed Charges,,,,,7.58,,,,,,,Percent of Total Billed Charges,,,, METHYLPREDNISOLONE : 500 MG PIGGYBACK ,J2919 ,CPT,,Outpatient,,,87.1,69.68,65.06,,,,,,,Percent of Total Billed Charges,,65.06,65.06,,87.1,,,,,,,Percent of Total Billed Charges,,,,,83.62,,,,,,,Percent of Total Billed Charges,,,,,82.75,,,,,,,Percent of Total Billed Charges,,,,,17.42,,,,,,,Percent of Total Billed Charges,,,,,74.04,,,,,,,Percent of Total Billed Charges,,,,,18.29,,,,,,,Percent of Total Billed Charges,,,,,78.39,,,,,,,Percent of Total Billed Charges,,,,,78.39,,,,,,,Percent of Total Billed Charges,,,,,17.42,,,,,,,Percent of Total Billed Charges,,,,,24.39,,,,,,,Percent of Total Billed Charges,,,,,69.68,,,,,,,Percent of Total Billed Charges,,,,,17.42,,,,,,,Percent of Total Billed Charges,,,, METHYLERGONOVINE (METHERGINE) INJ: 0.2MG,J2210 ,CPT,,Outpatient,,,64.35,51.48,48.07,,,,,,,Percent of Total Billed Charges,,48.07,48.07,,64.35,,,,,,,Percent of Total Billed Charges,,,,,61.78,,,,,,,Percent of Total Billed Charges,,,,,61.13,,,,,,,Percent of Total Billed Charges,,,,,12.87,,,,,,,Percent of Total Billed Charges,,,,,54.7,,,,,,,Percent of Total Billed Charges,,,,,13.51,,,,,,,Percent of Total Billed Charges,,,,,57.92,,,,,,,Percent of Total Billed Charges,,,,,57.92,,,,,,,Percent of Total Billed Charges,,,,,12.87,,,,,,,Percent of Total Billed Charges,,,,,18.02,,,,,,,Percent of Total Billed Charges,,,,,51.48,,,,,,,Percent of Total Billed Charges,,,,,12.87,,,,,,,Percent of Total Billed Charges,,,, METHYLPREDNISOLONE : 1 GRAM FOR PB ,J2919 ,CPT,,Outpatient,,,120.3,96.24,89.86,,,,,,,Percent of Total Billed Charges,,89.86,89.86,,120.3,,,,,,,Percent of Total Billed Charges,,,,,115.49,,,,,,,Percent of Total Billed Charges,,,,,114.29,,,,,,,Percent of Total Billed Charges,,,,,24.06,,,,,,,Percent of Total Billed Charges,,,,,102.26,,,,,,,Percent of Total Billed Charges,,,,,25.26,,,,,,,Percent of Total Billed Charges,,,,,108.27,,,,,,,Percent of Total Billed Charges,,,,,108.27,,,,,,,Percent of Total Billed Charges,,,,,24.06,,,,,,,Percent of Total Billed Charges,,,,,33.68,,,,,,,Percent of Total Billed Charges,,,,,96.24,,,,,,,Percent of Total Billed Charges,,,,,24.06,,,,,,,Percent of Total Billed Charges,,,, METHYLPREDNISOLONE : 1 GRAM INJECTION ,J2919 ,CPT,,Outpatient,,,120.3,96.24,89.86,,,,,,,Percent of Total Billed Charges,,89.86,89.86,,120.3,,,,,,,Percent of Total Billed Charges,,,,,115.49,,,,,,,Percent of Total Billed Charges,,,,,114.29,,,,,,,Percent of Total Billed Charges,,,,,24.06,,,,,,,Percent of Total Billed Charges,,,,,102.26,,,,,,,Percent of Total Billed Charges,,,,,25.26,,,,,,,Percent of Total Billed Charges,,,,,108.27,,,,,,,Percent of Total Billed Charges,,,,,108.27,,,,,,,Percent of Total Billed Charges,,,,,24.06,,,,,,,Percent of Total Billed Charges,,,,,33.68,,,,,,,Percent of Total Billed Charges,,,,,96.24,,,,,,,Percent of Total Billed Charges,,,,,24.06,,,,,,,Percent of Total Billed Charges,,,, METOCLOPRAMIDE (REGLAN) INJ : 10MG/2ML ,J2765 ,CPT,,Outpatient,,,15.05,12.04,11.24,,,,,,,Percent of Total Billed Charges,,11.24,11.24,,15.05,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,,,3.01,,,,,,,Percent of Total Billed Charges,,,,,12.79,,,,,,,Percent of Total Billed Charges,,,,,3.16,,,,,,,Percent of Total Billed Charges,,,,,13.55,,,,,,,Percent of Total Billed Charges,,,,,13.55,,,,,,,Percent of Total Billed Charges,,,,,3.01,,,,,,,Percent of Total Billed Charges,,,,,4.21,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,3.01,,,,,,,Percent of Total Billed Charges,,,, *MARCAINE 0.25% PF INJ : 10 ML SDV ,250,RC,,Outpatient,10,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, BUPIVACAINE 0.5% INJ MDV : 50 ML ,250,RC,,Outpatient,50,ML,30.5,24.4,22.78,,,,,,,Percent of Total Billed Charges,,22.78,22.78,,30.5,,,,,,,Percent of Total Billed Charges,,,,,29.28,,,,,,,Percent of Total Billed Charges,,,,,28.98,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,25.93,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,27.45,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,8.54,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,, METOPROLOL (LOPRESSOR) INJ : 5 MG/5 ML ,250,RC,,Outpatient,5,ML,14.4,11.52,10.76,,,,,,,Percent of Total Billed Charges,,10.76,10.76,,14.4,,,,,,,Percent of Total Billed Charges,,,,,13.82,,,,,,,Percent of Total Billed Charges,,,,,13.68,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,12.24,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,11.52,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,, MINERAL OIL STERILE USP : 30ML ,250,RC,,Outpatient,30,ML,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, MARCAINE 0.5% W/EPI PF INJ: 10 ML SDV ,250,RC,,Outpatient,10,ML,22.2,17.76,16.58,,,,,,,Percent of Total Billed Charges,,16.58,16.58,,22.2,,,,,,,Percent of Total Billed Charges,,,,,21.31,,,,,,,Percent of Total Billed Charges,,,,,21.09,,,,,,,Percent of Total Billed Charges,,,,,4.44,,,,,,,Percent of Total Billed Charges,,,,,18.87,,,,,,,Percent of Total Billed Charges,,,,,4.66,,,,,,,Percent of Total Billed Charges,,,,,19.98,,,,,,,Percent of Total Billed Charges,,,,,19.98,,,,,,,Percent of Total Billed Charges,,,,,4.44,,,,,,,Percent of Total Billed Charges,,,,,6.22,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,4.44,,,,,,,Percent of Total Billed Charges,,,, *MUMPS SKIN TEST 0.1 ML INJ********** ,250,RC,,Outpatient,0.1,ML,28.5,22.8,21.29,,,,,,,Percent of Total Billed Charges,,21.29,21.29,,28.5,,,,,,,Percent of Total Billed Charges,,,,,27.36,,,,,,,Percent of Total Billed Charges,,,,,27.08,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.99,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,7.98,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 2% INJ : 5 ML SDV ,250,RC,,Outpatient,5,ML,16.25,13,12.14,,,,,,,Percent of Total Billed Charges,,12.14,12.14,,16.25,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,3.25,,,,,,,Percent of Total Billed Charges,,,,,13.81,,,,,,,Percent of Total Billed Charges,,,,,3.41,,,,,,,Percent of Total Billed Charges,,,,,14.63,,,,,,,Percent of Total Billed Charges,,,,,14.63,,,,,,,Percent of Total Billed Charges,,,,,3.25,,,,,,,Percent of Total Billed Charges,,,,,4.55,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,3.25,,,,,,,Percent of Total Billed Charges,,,, MVI INJECTION CONCENTRATE : 10 ML ,250,RC,,Outpatient,10,ML,28.5,22.8,21.29,,,,,,,Percent of Total Billed Charges,,21.29,21.29,,28.5,,,,,,,Percent of Total Billed Charges,,,,,27.36,,,,,,,Percent of Total Billed Charges,,,,,27.08,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.99,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,7.98,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,, *NALBUPHINE (NUBAIN) : 20MG/ML INJ***** ,250,RC,,Outpatient,20,ME,25,20,18.68,,,,,,,Percent of Total Billed Charges,,18.68,18.68,,25,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,23.75,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,21.25,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,, NALBUPHINE (NUBAIN) : 10 MG/ML INJ ,J2300 ,CPT,,Outpatient,,,23.25,18.6,17.37,,,,,,,Percent of Total Billed Charges,,17.37,17.37,,23.25,,,,,,,Percent of Total Billed Charges,,,,,22.32,,,,,,,Percent of Total Billed Charges,,,,,22.09,,,,,,,Percent of Total Billed Charges,,,,,4.65,,,,,,,Percent of Total Billed Charges,,,,,19.76,,,,,,,Percent of Total Billed Charges,,,,,4.88,,,,,,,Percent of Total Billed Charges,,,,,20.93,,,,,,,Percent of Total Billed Charges,,,,,20.93,,,,,,,Percent of Total Billed Charges,,,,,4.65,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,4.65,,,,,,,Percent of Total Billed Charges,,,, NICARDIPINE INJ: 25MG/10 ML ,250,RC,,Outpatient,25,ME,40.85,32.68,30.51,,,,,,,Percent of Total Billed Charges,,30.51,30.51,,40.85,,,,,,,Percent of Total Billed Charges,,,,,39.22,,,,,,,Percent of Total Billed Charges,,,,,38.81,,,,,,,Percent of Total Billed Charges,,,,,8.17,,,,,,,Percent of Total Billed Charges,,,,,34.72,,,,,,,Percent of Total Billed Charges,,,,,8.58,,,,,,,Percent of Total Billed Charges,,,,,36.77,,,,,,,Percent of Total Billed Charges,,,,,36.77,,,,,,,Percent of Total Billed Charges,,,,,8.17,,,,,,,Percent of Total Billed Charges,,,,,11.44,,,,,,,Percent of Total Billed Charges,,,,,32.68,,,,,,,Percent of Total Billed Charges,,,,,8.17,,,,,,,Percent of Total Billed Charges,,,, *NITROGLYCERIN 50 MG/250 ML PREMIX BOTT ,J2305 ,CPT,,Outpatient,,,45.25,36.4,33.8,,,,,,,Percent of Total Billed Charges,,33.8,33.8,,45.25,,,,,,,Percent of Total Billed Charges,,,,,43.44,,,,,,,Percent of Total Billed Charges,,,,,42.99,,,,,,,Percent of Total Billed Charges,,,,,9.05,,,,,,,Percent of Total Billed Charges,,,,,38.46,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,40.73,,,,,,,Percent of Total Billed Charges,,,,,40.73,,,,,,,Percent of Total Billed Charges,,,,,9.05,,,,,,,Percent of Total Billed Charges,,,,,12.67,,,,,,,Percent of Total Billed Charges,,,,,36.2,,,,,,,Percent of Total Billed Charges,,,,,9.05,,,,,,,Percent of Total Billed Charges,,,, *NITROPRUSSIDE SOD : 50 MG INJ ,250,RC,,Outpatient,50,ME,2165.5,1732.4,1617.63,,,,,,,Percent of Total Billed Charges,,1617.63,1617.63,,2165.5,,,,,,,Percent of Total Billed Charges,,,,,2078.88,,,,,,,Percent of Total Billed Charges,,,,,2057.23,,,,,,,Percent of Total Billed Charges,,,,,433.1,,,,,,,Percent of Total Billed Charges,,,,,1840.68,,,,,,,Percent of Total Billed Charges,,,,,454.76,,,,,,,Percent of Total Billed Charges,,,,,1948.95,,,,,,,Percent of Total Billed Charges,,,,,1948.95,,,,,,,Percent of Total Billed Charges,,,,,433.1,,,,,,,Percent of Total Billed Charges,,,,,606.34,,,,,,,Percent of Total Billed Charges,,,,,1732.4,,,,,,,Percent of Total Billed Charges,,,,,433.1,,,,,,,Percent of Total Billed Charges,,,, OMALIZUMAB (XOLAIR) INJ: 150 MG ,J2357 ,CPT,,Outpatient,,,2671,2136.8,1995.24,,,,,,,Percent of Total Billed Charges,,1995.24,1995.24,,2671,,,,,,,Percent of Total Billed Charges,,,,,2564.16,,,,,,,Percent of Total Billed Charges,,,,,2537.45,,,,,,,Percent of Total Billed Charges,,,,,534.2,,,,,,,Percent of Total Billed Charges,,,,,2270.35,,,,,,,Percent of Total Billed Charges,,,,,560.91,,,,,,,Percent of Total Billed Charges,,,,,2403.9,,,,,,,Percent of Total Billed Charges,,,,,2403.9,,,,,,,Percent of Total Billed Charges,,,,,534.2,,,,,,,Percent of Total Billed Charges,,,,,747.88,,,,,,,Percent of Total Billed Charges,,,,,2136.8,,,,,,,Percent of Total Billed Charges,,,,,534.2,,,,,,,Percent of Total Billed Charges,,,, PNEUMOCOCCAL ADULT (PNEUMOVAX) 0.5 ML IN,90732,CPT,,Outpatient,,,374.35,299.48,279.64,,,,,,,Percent of Total Billed Charges,,279.64,279.64,,374.35,,,,,,,Percent of Total Billed Charges,,,,,359.38,,,,,,,Percent of Total Billed Charges,,,,,355.63,,,,,,,Percent of Total Billed Charges,,,,,74.87,,,,,,,Percent of Total Billed Charges,,,,,318.2,,,,,,,Percent of Total Billed Charges,,,,,78.61,,,,,,,Percent of Total Billed Charges,,,,,336.92,,,,,,,Percent of Total Billed Charges,,,,,336.92,,,,,,,Percent of Total Billed Charges,,,,,74.87,,,,,,,Percent of Total Billed Charges,,,,,104.82,,,,,,,Percent of Total Billed Charges,,,,,299.48,,,,,,,Percent of Total Billed Charges,,,,,74.87,,,,,,,Percent of Total Billed Charges,,,, OXYTOCIN (PITOCIN) INJ : 10 UNITS / ML ,J2590 ,CPT,,Outpatient,,,15.6,12.48,11.65,,,,,,,Percent of Total Billed Charges,,11.65,11.65,,15.6,,,,,,,Percent of Total Billed Charges,,,,,14.98,,,,,,,Percent of Total Billed Charges,,,,,14.82,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,13.26,,,,,,,Percent of Total Billed Charges,,,,,3.28,,,,,,,Percent of Total Billed Charges,,,,,14.04,,,,,,,Percent of Total Billed Charges,,,,,14.04,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,4.37,,,,,,,Percent of Total Billed Charges,,,,,12.48,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,, PNEUMOCOCCAL CONJUGATE (PREVNAR 13) INJ ,90670,CPT,,Outpatient,,,726.6,581.28,542.77,,,,,,,Percent of Total Billed Charges,,542.77,542.77,,726.6,,,,,,,Percent of Total Billed Charges,,,,,697.54,,,,,,,Percent of Total Billed Charges,,,,,690.27,,,,,,,Percent of Total Billed Charges,,,,,145.32,,,,,,,Percent of Total Billed Charges,,,,,617.61,,,,,,,Percent of Total Billed Charges,,,,,152.59,,,,,,,Percent of Total Billed Charges,,,,,653.94,,,,,,,Percent of Total Billed Charges,,,,,653.94,,,,,,,Percent of Total Billed Charges,,,,,145.32,,,,,,,Percent of Total Billed Charges,,,,,203.45,,,,,,,Percent of Total Billed Charges,,,,,581.28,,,,,,,Percent of Total Billed Charges,,,,,145.32,,,,,,,Percent of Total Billed Charges,,,, PHENYTOIN (DILANTIN) INJ: 250 MG/5 ML ,J1165 ,CPT,,Outpatient,,,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, RABIES VACCINE (RABAVERT): 1 ML IM INJ ,250,RC,,Outpatient,1,ML,471.65,377.32,352.32,,,,,,,Percent of Total Billed Charges,,352.32,352.32,,471.65,,,,,,,Percent of Total Billed Charges,,,,,452.78,,,,,,,Percent of Total Billed Charges,,,,,448.07,,,,,,,Percent of Total Billed Charges,,,,,94.33,,,,,,,Percent of Total Billed Charges,,,,,400.9,,,,,,,Percent of Total Billed Charges,,,,,99.05,,,,,,,Percent of Total Billed Charges,,,,,424.49,,,,,,,Percent of Total Billed Charges,,,,,424.49,,,,,,,Percent of Total Billed Charges,,,,,94.33,,,,,,,Percent of Total Billed Charges,,,,,132.06,,,,,,,Percent of Total Billed Charges,,,,,377.32,,,,,,,Percent of Total Billed Charges,,,,,94.33,,,,,,,Percent of Total Billed Charges,,,, POTASSIUM ACETATE INJ : 40 MEQ ,250,RC,,Outpatient,20,ML,16.15,12.92,12.06,,,,,,,Percent of Total Billed Charges,,12.06,12.06,,16.15,,,,,,,Percent of Total Billed Charges,,,,,15.5,,,,,,,Percent of Total Billed Charges,,,,,15.34,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,,,13.73,,,,,,,Percent of Total Billed Charges,,,,,3.39,,,,,,,Percent of Total Billed Charges,,,,,14.54,,,,,,,Percent of Total Billed Charges,,,,,14.54,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,,,4.52,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,, KCL INJ : 20 MEQ / 10 ML ,J3480 ,CPT,,Outpatient,,,19.7,15.76,14.72,,,,,,,Percent of Total Billed Charges,,14.72,14.72,,19.7,,,,,,,Percent of Total Billed Charges,,,,,18.91,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,3.94,,,,,,,Percent of Total Billed Charges,,,,,16.75,,,,,,,Percent of Total Billed Charges,,,,,4.14,,,,,,,Percent of Total Billed Charges,,,,,17.73,,,,,,,Percent of Total Billed Charges,,,,,17.73,,,,,,,Percent of Total Billed Charges,,,,,3.94,,,,,,,Percent of Total Billed Charges,,,,,5.52,,,,,,,Percent of Total Billed Charges,,,,,15.76,,,,,,,Percent of Total Billed Charges,,,,,3.94,,,,,,,Percent of Total Billed Charges,,,, KCL INJ : 40 MEQ / 20 ML ,J3480 ,CPT,,Outpatient,,,24.3,19.44,18.15,,,,,,,Percent of Total Billed Charges,,18.15,18.15,,24.3,,,,,,,Percent of Total Billed Charges,,,,,23.33,,,,,,,Percent of Total Billed Charges,,,,,23.09,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,20.66,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.87,,,,,,,Percent of Total Billed Charges,,,,,21.87,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,19.44,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,, POTASSIUM PHOSPHATE INJ : 15 ML ,250,RC,,Outpatient,15,ML,106.8,85.44,79.78,,,,,,,Percent of Total Billed Charges,,79.78,79.78,,106.8,,,,,,,Percent of Total Billed Charges,,,,,102.53,,,,,,,Percent of Total Billed Charges,,,,,101.46,,,,,,,Percent of Total Billed Charges,,,,,21.36,,,,,,,Percent of Total Billed Charges,,,,,90.78,,,,,,,Percent of Total Billed Charges,,,,,22.43,,,,,,,Percent of Total Billed Charges,,,,,96.12,,,,,,,Percent of Total Billed Charges,,,,,96.12,,,,,,,Percent of Total Billed Charges,,,,,21.36,,,,,,,Percent of Total Billed Charges,,,,,29.9,,,,,,,Percent of Total Billed Charges,,,,,85.44,,,,,,,Percent of Total Billed Charges,,,,,21.36,,,,,,,Percent of Total Billed Charges,,,, CONJUGATED ESTROGEN : 25 MG INJ ,J1410 ,CPT,,Outpatient,,,104.85,83.88,78.32,,,,,,,Percent of Total Billed Charges,,78.32,78.32,,104.85,,,,,,,Percent of Total Billed Charges,,,,,100.66,,,,,,,Percent of Total Billed Charges,,,,,99.61,,,,,,,Percent of Total Billed Charges,,,,,20.97,,,,,,,Percent of Total Billed Charges,,,,,89.12,,,,,,,Percent of Total Billed Charges,,,,,22.02,,,,,,,Percent of Total Billed Charges,,,,,94.37,,,,,,,Percent of Total Billed Charges,,,,,94.37,,,,,,,Percent of Total Billed Charges,,,,,20.97,,,,,,,Percent of Total Billed Charges,,,,,29.36,,,,,,,Percent of Total Billed Charges,,,,,83.88,,,,,,,Percent of Total Billed Charges,,,,,20.97,,,,,,,Percent of Total Billed Charges,,,, PROCAINAMIDE INJ : 1000 MG ,J2690 ,CPT,,Outpatient,,,238.9,191.12,178.46,,,,,,,Percent of Total Billed Charges,,178.46,178.46,,238.9,,,,,,,Percent of Total Billed Charges,,,,,229.34,,,,,,,Percent of Total Billed Charges,,,,,226.96,,,,,,,Percent of Total Billed Charges,,,,,47.78,,,,,,,Percent of Total Billed Charges,,,,,203.07,,,,,,,Percent of Total Billed Charges,,,,,50.17,,,,,,,Percent of Total Billed Charges,,,,,215.01,,,,,,,Percent of Total Billed Charges,,,,,215.01,,,,,,,Percent of Total Billed Charges,,,,,47.78,,,,,,,Percent of Total Billed Charges,,,,,66.89,,,,,,,Percent of Total Billed Charges,,,,,191.12,,,,,,,Percent of Total Billed Charges,,,,,47.78,,,,,,,Percent of Total Billed Charges,,,, PROCHLORPERAZINE (COMPAZINE):10 MG INJ ,J0780 ,CPT,,Outpatient,,,44.1,35.28,32.94,,,,,,,Percent of Total Billed Charges,,32.94,32.94,,44.1,,,,,,,Percent of Total Billed Charges,,,,,42.34,,,,,,,Percent of Total Billed Charges,,,,,41.9,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.49,,,,,,,Percent of Total Billed Charges,,,,,9.26,,,,,,,Percent of Total Billed Charges,,,,,39.69,,,,,,,Percent of Total Billed Charges,,,,,39.69,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,12.35,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,, FLUPHENAZINE DEC: 25 MG INJ ,J2680 ,CPT,,Outpatient,,,68.65,54.92,51.28,,,,,,,Percent of Total Billed Charges,,51.28,51.28,,68.65,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,,,65.22,,,,,,,Percent of Total Billed Charges,,,,,13.73,,,,,,,Percent of Total Billed Charges,,,,,58.35,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,61.79,,,,,,,Percent of Total Billed Charges,,,,,61.79,,,,,,,Percent of Total Billed Charges,,,,,13.73,,,,,,,Percent of Total Billed Charges,,,,,19.22,,,,,,,Percent of Total Billed Charges,,,,,54.92,,,,,,,Percent of Total Billed Charges,,,,,13.73,,,,,,,Percent of Total Billed Charges,,,, *PROMETHAZINE (PHENERGAN) INJ : 25MG/ML ,J2550 ,CPT,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, QUINIDINE GLUCONATE INJ : 80MG/ML 10ML ,250,RC,,Outpatient,80,ME,69.15,55.32,51.66,,,,,,,Percent of Total Billed Charges,,51.66,51.66,,69.15,,,,,,,Percent of Total Billed Charges,,,,,66.38,,,,,,,Percent of Total Billed Charges,,,,,65.69,,,,,,,Percent of Total Billed Charges,,,,,13.83,,,,,,,Percent of Total Billed Charges,,,,,58.78,,,,,,,Percent of Total Billed Charges,,,,,14.52,,,,,,,Percent of Total Billed Charges,,,,,62.24,,,,,,,Percent of Total Billed Charges,,,,,62.24,,,,,,,Percent of Total Billed Charges,,,,,13.83,,,,,,,Percent of Total Billed Charges,,,,,19.36,,,,,,,Percent of Total Billed Charges,,,,,55.32,,,,,,,Percent of Total Billed Charges,,,,,13.83,,,,,,,Percent of Total Billed Charges,,,, PROPRANOLOL (INDERAL) INJ : 1 MG /ML ,J1800 ,CPT,,Outpatient,,,18.05,14.44,13.48,,,,,,,Percent of Total Billed Charges,,13.48,13.48,,18.05,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,17.15,,,,,,,Percent of Total Billed Charges,,,,,3.61,,,,,,,Percent of Total Billed Charges,,,,,15.34,,,,,,,Percent of Total Billed Charges,,,,,3.79,,,,,,,Percent of Total Billed Charges,,,,,16.25,,,,,,,Percent of Total Billed Charges,,,,,16.25,,,,,,,Percent of Total Billed Charges,,,,,3.61,,,,,,,Percent of Total Billed Charges,,,,,5.05,,,,,,,Percent of Total Billed Charges,,,,,14.44,,,,,,,Percent of Total Billed Charges,,,,,3.61,,,,,,,Percent of Total Billed Charges,,,, REGADENOSON (LEXISCAN) INJ: 0.4MG/5ML ,J2785 ,CPT,,Outpatient,,,75.5,60.4,56.4,,,,,,,Percent of Total Billed Charges,,56.4,56.4,,75.5,,,,,,,Percent of Total Billed Charges,,,,,72.48,,,,,,,Percent of Total Billed Charges,,,,,71.73,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,64.18,,,,,,,Percent of Total Billed Charges,,,,,15.86,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,60.4,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,, PROTAMINE INJECTION : 250 MG/25 ML ,J2720 ,CPT,,Outpatient,,,115.65,92.52,86.39,,,,,,,Percent of Total Billed Charges,,86.39,86.39,,115.65,,,,,,,Percent of Total Billed Charges,,,,,111.02,,,,,,,Percent of Total Billed Charges,,,,,109.87,,,,,,,Percent of Total Billed Charges,,,,,23.13,,,,,,,Percent of Total Billed Charges,,,,,98.3,,,,,,,Percent of Total Billed Charges,,,,,24.29,,,,,,,Percent of Total Billed Charges,,,,,104.09,,,,,,,Percent of Total Billed Charges,,,,,104.09,,,,,,,Percent of Total Billed Charges,,,,,23.13,,,,,,,Percent of Total Billed Charges,,,,,32.38,,,,,,,Percent of Total Billed Charges,,,,,92.52,,,,,,,Percent of Total Billed Charges,,,,,23.13,,,,,,,Percent of Total Billed Charges,,,, SALINE FLUSH - 1 X INJ ,250,RC,,Outpatient,,,14.25,11.4,10.64,,,,,,,Percent of Total Billed Charges,,10.64,10.64,,14.25,,,,,,,Percent of Total Billed Charges,,,,,13.68,,,,,,,Percent of Total Billed Charges,,,,,13.54,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,12.11,,,,,,,Percent of Total Billed Charges,,,,,2.99,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,, SALINE LOK FLUSH DAILY CHG ,250,RC,,Outpatient,,,21,16.8,15.69,,,,,,,Percent of Total Billed Charges,,15.69,15.69,,21,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,19.95,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,, SODIUM BICARBONATE 8.4% SYR. 50MEQ/50ML ,250,RC,,Outpatient,50,ML,68.75,55,51.36,,,,,,,Percent of Total Billed Charges,,51.36,51.36,,68.75,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,65.31,,,,,,,Percent of Total Billed Charges,,,,,13.75,,,,,,,Percent of Total Billed Charges,,,,,58.44,,,,,,,Percent of Total Billed Charges,,,,,14.44,,,,,,,Percent of Total Billed Charges,,,,,61.88,,,,,,,Percent of Total Billed Charges,,,,,61.88,,,,,,,Percent of Total Billed Charges,,,,,13.75,,,,,,,Percent of Total Billed Charges,,,,,19.25,,,,,,,Percent of Total Billed Charges,,,,,55,,,,,,,Percent of Total Billed Charges,,,,,13.75,,,,,,,Percent of Total Billed Charges,,,, SODIUM ACETATE : 40 MEQ/20 ML VIAL ,250,RC,,Outpatient,20,ML,26.3,21.04,19.65,,,,,,,Percent of Total Billed Charges,,19.65,19.65,,26.3,,,,,,,Percent of Total Billed Charges,,,,,25.25,,,,,,,Percent of Total Billed Charges,,,,,24.99,,,,,,,Percent of Total Billed Charges,,,,,5.26,,,,,,,Percent of Total Billed Charges,,,,,22.36,,,,,,,Percent of Total Billed Charges,,,,,5.52,,,,,,,Percent of Total Billed Charges,,,,,23.67,,,,,,,Percent of Total Billed Charges,,,,,23.67,,,,,,,Percent of Total Billed Charges,,,,,5.26,,,,,,,Percent of Total Billed Charges,,,,,7.36,,,,,,,Percent of Total Billed Charges,,,,,21.04,,,,,,,Percent of Total Billed Charges,,,,,5.26,,,,,,,Percent of Total Billed Charges,,,, SODIUM CHLORIDE USP 10 ML INJ ,250,RC,,Outpatient,10,ML,14.4,11.52,10.76,,,,,,,Percent of Total Billed Charges,,10.76,10.76,,14.4,,,,,,,Percent of Total Billed Charges,,,,,13.82,,,,,,,Percent of Total Billed Charges,,,,,13.68,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,12.24,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,11.52,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,, SODIUM BICARBONATE 8.4% 10ML SDV ,250,RC,,Outpatient,10,ML,44.8,35.84,33.47,,,,,,,Percent of Total Billed Charges,,33.47,33.47,,44.8,,,,,,,Percent of Total Billed Charges,,,,,43.01,,,,,,,Percent of Total Billed Charges,,,,,42.56,,,,,,,Percent of Total Billed Charges,,,,,8.96,,,,,,,Percent of Total Billed Charges,,,,,38.08,,,,,,,Percent of Total Billed Charges,,,,,9.41,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,8.96,,,,,,,Percent of Total Billed Charges,,,,,12.54,,,,,,,Percent of Total Billed Charges,,,,,35.84,,,,,,,Percent of Total Billed Charges,,,,,8.96,,,,,,,Percent of Total Billed Charges,,,, SODIUM CHLORIDE BACTERIOSTATIC 30 ML ,250,RC,,Outpatient,30,ML,15.2,12.16,11.35,,,,,,,Percent of Total Billed Charges,,11.35,11.35,,15.2,,,,,,,Percent of Total Billed Charges,,,,,14.59,,,,,,,Percent of Total Billed Charges,,,,,14.44,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,13.68,,,,,,,Percent of Total Billed Charges,,,,,13.68,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,,,4.26,,,,,,,Percent of Total Billed Charges,,,,,12.16,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,, SODIUM CHLORIDE 0.9% 10 ML SYRINGE ,250,RC,,Outpatient,10,ML,13.95,11.16,10.42,,,,,,,Percent of Total Billed Charges,,10.42,10.42,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.39,,,,,,,Percent of Total Billed Charges,,,,,13.25,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,,,11.86,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,12.56,,,,,,,Percent of Total Billed Charges,,,,,12.56,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,,,3.91,,,,,,,Percent of Total Billed Charges,,,,,11.16,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,, BUTORPHANOL (STADOL)INJ: 2MG/ML ,J0595 ,CPT,,Outpatient,,,39.6,31.68,29.58,,,,,,,Percent of Total Billed Charges,,29.58,29.58,,39.6,,,,,,,Percent of Total Billed Charges,,,,,38.02,,,,,,,Percent of Total Billed Charges,,,,,37.62,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,33.66,,,,,,,Percent of Total Billed Charges,,,,,8.32,,,,,,,Percent of Total Billed Charges,,,,,35.64,,,,,,,Percent of Total Billed Charges,,,,,35.64,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,11.09,,,,,,,Percent of Total Billed Charges,,,,,31.68,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,, SYNVISC INJ : 2 ML INJ *** NONFORMULARY ,250,RC,,Outpatient,2,ML,1724.7,1379.76,1288.35,,,,,,,Percent of Total Billed Charges,,1288.35,1288.35,,1724.7,,,,,,,Percent of Total Billed Charges,,,,,1655.71,,,,,,,Percent of Total Billed Charges,,,,,1638.47,,,,,,,Percent of Total Billed Charges,,,,,344.94,,,,,,,Percent of Total Billed Charges,,,,,1466,,,,,,,Percent of Total Billed Charges,,,,,362.19,,,,,,,Percent of Total Billed Charges,,,,,1552.23,,,,,,,Percent of Total Billed Charges,,,,,1552.23,,,,,,,Percent of Total Billed Charges,,,,,344.94,,,,,,,Percent of Total Billed Charges,,,,,482.92,,,,,,,Percent of Total Billed Charges,,,,,1379.76,,,,,,,Percent of Total Billed Charges,,,,,344.94,,,,,,,Percent of Total Billed Charges,,,, STREPTOMYCIN INJ : 1 GM IVPB ,J3000 ,CPT,,Outpatient,,,265.65,212.52,198.44,,,,,,,Percent of Total Billed Charges,,198.44,198.44,,265.65,,,,,,,Percent of Total Billed Charges,,,,,255.02,,,,,,,Percent of Total Billed Charges,,,,,252.37,,,,,,,Percent of Total Billed Charges,,,,,53.13,,,,,,,Percent of Total Billed Charges,,,,,225.8,,,,,,,Percent of Total Billed Charges,,,,,55.79,,,,,,,Percent of Total Billed Charges,,,,,239.09,,,,,,,Percent of Total Billed Charges,,,,,239.09,,,,,,,Percent of Total Billed Charges,,,,,53.13,,,,,,,Percent of Total Billed Charges,,,,,74.38,,,,,,,Percent of Total Billed Charges,,,,,212.52,,,,,,,Percent of Total Billed Charges,,,,,53.13,,,,,,,Percent of Total Billed Charges,,,, TB SKIN TEST 0.1 ML ,86580,CPT,,Outpatient,,,49.35,39.48,36.86,,,,,,,Percent of Total Billed Charges,,36.86,36.86,,49.35,,,,,,,Percent of Total Billed Charges,,,,,47.38,,,,,,,Percent of Total Billed Charges,,,,,46.88,,,,,,,Percent of Total Billed Charges,,,,,9.87,,,,,,,Percent of Total Billed Charges,,,,,41.95,,,,,,,Percent of Total Billed Charges,,,,,10.36,,,,,,,Percent of Total Billed Charges,,,,,44.42,,,,,,,Percent of Total Billed Charges,,,,,44.42,,,,,,,Percent of Total Billed Charges,,,,,9.87,,,,,,,Percent of Total Billed Charges,,,,,13.82,,,,,,,Percent of Total Billed Charges,,,,,39.48,,,,,,,Percent of Total Billed Charges,,,,,9.87,,,,,,,Percent of Total Billed Charges,,,, TERBUTALINE (BRETHINE) INJ : 1 MG / 1 ML,J3105 ,CPT,,Outpatient,,,16.55,13.24,12.36,,,,,,,Percent of Total Billed Charges,,12.36,12.36,,16.55,,,,,,,Percent of Total Billed Charges,,,,,15.89,,,,,,,Percent of Total Billed Charges,,,,,15.72,,,,,,,Percent of Total Billed Charges,,,,,3.31,,,,,,,Percent of Total Billed Charges,,,,,14.07,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,,,14.9,,,,,,,Percent of Total Billed Charges,,,,,14.9,,,,,,,Percent of Total Billed Charges,,,,,3.31,,,,,,,Percent of Total Billed Charges,,,,,4.63,,,,,,,Percent of Total Billed Charges,,,,,13.24,,,,,,,Percent of Total Billed Charges,,,,,3.31,,,,,,,Percent of Total Billed Charges,,,, SUMATRIPTAN (IMITREX) VIAL : 6 MG ,J3030 ,CPT,,Outpatient,,,24.95,19.96,18.64,,,,,,,Percent of Total Billed Charges,,18.64,18.64,,24.95,,,,,,,Percent of Total Billed Charges,,,,,23.95,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,,,4.99,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,5.24,,,,,,,Percent of Total Billed Charges,,,,,22.46,,,,,,,Percent of Total Billed Charges,,,,,22.46,,,,,,,Percent of Total Billed Charges,,,,,4.99,,,,,,,Percent of Total Billed Charges,,,,,6.99,,,,,,,Percent of Total Billed Charges,,,,,19.96,,,,,,,Percent of Total Billed Charges,,,,,4.99,,,,,,,Percent of Total Billed Charges,,,, TETANUS & DIPHTHERIA : 0.5 ML ADULT ,90714,CPT,,Outpatient,,,130.4,104.32,97.41,,,,,,,Percent of Total Billed Charges,,97.41,97.41,,130.4,,,,,,,Percent of Total Billed Charges,,,,,125.18,,,,,,,Percent of Total Billed Charges,,,,,123.88,,,,,,,Percent of Total Billed Charges,,,,,26.08,,,,,,,Percent of Total Billed Charges,,,,,110.84,,,,,,,Percent of Total Billed Charges,,,,,27.38,,,,,,,Percent of Total Billed Charges,,,,,117.36,,,,,,,Percent of Total Billed Charges,,,,,117.36,,,,,,,Percent of Total Billed Charges,,,,,26.08,,,,,,,Percent of Total Billed Charges,,,,,36.51,,,,,,,Percent of Total Billed Charges,,,,,104.32,,,,,,,Percent of Total Billed Charges,,,,,26.08,,,,,,,Percent of Total Billed Charges,,,, TETANUS & DIPHTHERIA 0.5 ML INJ - PEDS ,90702,CPT,,Outpatient,,,161.5,129.2,120.64,,,,,,,Percent of Total Billed Charges,,120.64,120.64,,161.5,,,,,,,Percent of Total Billed Charges,,,,,155.04,,,,,,,Percent of Total Billed Charges,,,,,153.43,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,,,137.28,,,,,,,Percent of Total Billed Charges,,,,,33.92,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,,,45.22,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,, TETANUS-HUMAN(HYPERTET):250 UNIT INJ ,J1670 ,CPT,,Outpatient,,,894.95,715.96,668.53,,,,,,,Percent of Total Billed Charges,,668.53,668.53,,894.95,,,,,,,Percent of Total Billed Charges,,,,,859.15,,,,,,,Percent of Total Billed Charges,,,,,850.2,,,,,,,Percent of Total Billed Charges,,,,,178.99,,,,,,,Percent of Total Billed Charges,,,,,760.71,,,,,,,Percent of Total Billed Charges,,,,,187.94,,,,,,,Percent of Total Billed Charges,,,,,805.46,,,,,,,Percent of Total Billed Charges,,,,,805.46,,,,,,,Percent of Total Billed Charges,,,,,178.99,,,,,,,Percent of Total Billed Charges,,,,,250.59,,,,,,,Percent of Total Billed Charges,,,,,715.96,,,,,,,Percent of Total Billed Charges,,,,,178.99,,,,,,,Percent of Total Billed Charges,,,, Tdap (ADACEL) VACCINE: 0.5 ML SDV ,90715,CPT,,Outpatient,,,159.9,127.92,119.45,,,,,,,Percent of Total Billed Charges,,119.45,119.45,,159.9,,,,,,,Percent of Total Billed Charges,,,,,153.5,,,,,,,Percent of Total Billed Charges,,,,,151.91,,,,,,,Percent of Total Billed Charges,,,,,31.98,,,,,,,Percent of Total Billed Charges,,,,,135.92,,,,,,,Percent of Total Billed Charges,,,,,33.58,,,,,,,Percent of Total Billed Charges,,,,,143.91,,,,,,,Percent of Total Billed Charges,,,,,143.91,,,,,,,Percent of Total Billed Charges,,,,,31.98,,,,,,,Percent of Total Billed Charges,,,,,44.77,,,,,,,Percent of Total Billed Charges,,,,,127.92,,,,,,,Percent of Total Billed Charges,,,,,31.98,,,,,,,Percent of Total Billed Charges,,,, *TETANUS TOXOID : 0.5ML INJ************ ,90703,CPT,,Outpatient,,,142,113.6,106.07,,,,,,,Percent of Total Billed Charges,,106.07,106.07,,142,,,,,,,Percent of Total Billed Charges,,,,,136.32,,,,,,,Percent of Total Billed Charges,,,,,134.9,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,127.8,,,,,,,Percent of Total Billed Charges,,,,,127.8,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,39.76,,,,,,,Percent of Total Billed Charges,,,,,113.6,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,, THIAMINE INJ (VITAMIN B-1): 200 MG/ 2 ML,J3411 ,CPT,,Outpatient,,,23.25,18.6,17.37,,,,,,,Percent of Total Billed Charges,,17.37,17.37,,23.25,,,,,,,Percent of Total Billed Charges,,,,,22.32,,,,,,,Percent of Total Billed Charges,,,,,22.09,,,,,,,Percent of Total Billed Charges,,,,,4.65,,,,,,,Percent of Total Billed Charges,,,,,19.76,,,,,,,Percent of Total Billed Charges,,,,,4.88,,,,,,,Percent of Total Billed Charges,,,,,20.93,,,,,,,Percent of Total Billed Charges,,,,,20.93,,,,,,,Percent of Total Billed Charges,,,,,4.65,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,4.65,,,,,,,Percent of Total Billed Charges,,,, THIAMINE IVPB (VITAMIN B-1): 200MG/100ML,J3411 ,CPT,,Outpatient,,,23.25,18.6,17.37,,,,,,,Percent of Total Billed Charges,,17.37,17.37,,23.25,,,,,,,Percent of Total Billed Charges,,,,,22.32,,,,,,,Percent of Total Billed Charges,,,,,22.09,,,,,,,Percent of Total Billed Charges,,,,,4.65,,,,,,,Percent of Total Billed Charges,,,,,19.76,,,,,,,Percent of Total Billed Charges,,,,,4.88,,,,,,,Percent of Total Billed Charges,,,,,20.93,,,,,,,Percent of Total Billed Charges,,,,,20.93,,,,,,,Percent of Total Billed Charges,,,,,4.65,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,4.65,,,,,,,Percent of Total Billed Charges,,,, TPA INJECTION : 2 MG (CATHFLO) ,J2997 ,CPT,,Outpatient,,,602.5,482,450.07,,,,,,,Percent of Total Billed Charges,,450.07,450.07,,602.5,,,,,,,Percent of Total Billed Charges,,,,,578.4,,,,,,,Percent of Total Billed Charges,,,,,572.38,,,,,,,Percent of Total Billed Charges,,,,,120.5,,,,,,,Percent of Total Billed Charges,,,,,512.13,,,,,,,Percent of Total Billed Charges,,,,,126.53,,,,,,,Percent of Total Billed Charges,,,,,542.25,,,,,,,Percent of Total Billed Charges,,,,,542.25,,,,,,,Percent of Total Billed Charges,,,,,120.5,,,,,,,Percent of Total Billed Charges,,,,,168.7,,,,,,,Percent of Total Billed Charges,,,,,482,,,,,,,Percent of Total Billed Charges,,,,,120.5,,,,,,,Percent of Total Billed Charges,,,, TENECTEPLASE (TNKase) INJ : 50 MG ,J3101 ,CPT,,Outpatient,,,22042,17633.6,16465.37,,,,,,,Percent of Total Billed Charges,,16465.37,16465.37,,22042,,,,,,,Percent of Total Billed Charges,,,,,21160.32,,,,,,,Percent of Total Billed Charges,,,,,20939.9,,,,,,,Percent of Total Billed Charges,,,,,4408.4,,,,,,,Percent of Total Billed Charges,,,,,18735.7,,,,,,,Percent of Total Billed Charges,,,,,4628.82,,,,,,,Percent of Total Billed Charges,,,,,19837.8,,,,,,,Percent of Total Billed Charges,,,,,19837.8,,,,,,,Percent of Total Billed Charges,,,,,4408.4,,,,,,,Percent of Total Billed Charges,,,,,6171.76,,,,,,,Percent of Total Billed Charges,,,,,17633.6,,,,,,,Percent of Total Billed Charges,,,,,4408.4,,,,,,,Percent of Total Billed Charges,,,, *TIROFIBAN(AGGRASTAT):12.5MG/250ML DRIP*,J3246 ,CPT,,Outpatient,,,1261.5,1009.2,942.34,,,,,,,Percent of Total Billed Charges,,942.34,942.34,,1261.5,,,,,,,Percent of Total Billed Charges,,,,,1211.04,,,,,,,Percent of Total Billed Charges,,,,,1198.43,,,,,,,Percent of Total Billed Charges,,,,,252.3,,,,,,,Percent of Total Billed Charges,,,,,1072.28,,,,,,,Percent of Total Billed Charges,,,,,264.92,,,,,,,Percent of Total Billed Charges,,,,,1135.35,,,,,,,Percent of Total Billed Charges,,,,,1135.35,,,,,,,Percent of Total Billed Charges,,,,,252.3,,,,,,,Percent of Total Billed Charges,,,,,353.22,,,,,,,Percent of Total Billed Charges,,,,,1009.2,,,,,,,Percent of Total Billed Charges,,,,,252.3,,,,,,,Percent of Total Billed Charges,,,, TRACE ELEMENT INJECTION ,250,RC,,Outpatient,,,69.9,55.92,52.22,,,,,,,Percent of Total Billed Charges,,52.22,52.22,,69.9,,,,,,,Percent of Total Billed Charges,,,,,67.1,,,,,,,Percent of Total Billed Charges,,,,,66.41,,,,,,,Percent of Total Billed Charges,,,,,13.98,,,,,,,Percent of Total Billed Charges,,,,,59.42,,,,,,,Percent of Total Billed Charges,,,,,14.68,,,,,,,Percent of Total Billed Charges,,,,,62.91,,,,,,,Percent of Total Billed Charges,,,,,62.91,,,,,,,Percent of Total Billed Charges,,,,,13.98,,,,,,,Percent of Total Billed Charges,,,,,19.57,,,,,,,Percent of Total Billed Charges,,,,,55.92,,,,,,,Percent of Total Billed Charges,,,,,13.98,,,,,,,Percent of Total Billed Charges,,,, TPA INJECTION : 100 MG ,J2997 ,CPT,,Outpatient,,,22014,17611.2,16444.46,,,,,,,Percent of Total Billed Charges,,16444.46,16444.46,,22014,,,,,,,Percent of Total Billed Charges,,,,,21133.44,,,,,,,Percent of Total Billed Charges,,,,,20913.3,,,,,,,Percent of Total Billed Charges,,,,,4402.8,,,,,,,Percent of Total Billed Charges,,,,,18711.9,,,,,,,Percent of Total Billed Charges,,,,,4622.94,,,,,,,Percent of Total Billed Charges,,,,,19812.6,,,,,,,Percent of Total Billed Charges,,,,,19812.6,,,,,,,Percent of Total Billed Charges,,,,,4402.8,,,,,,,Percent of Total Billed Charges,,,,,6163.92,,,,,,,Percent of Total Billed Charges,,,,,17611.2,,,,,,,Percent of Total Billed Charges,,,,,4402.8,,,,,,,Percent of Total Billed Charges,,,, TRIAMCINOLONE SUSP INJ : 40 MG ,J3301 ,CPT,,Outpatient,,,57.75,46.2,43.14,,,,,,,Percent of Total Billed Charges,,43.14,43.14,,57.75,,,,,,,Percent of Total Billed Charges,,,,,55.44,,,,,,,Percent of Total Billed Charges,,,,,54.86,,,,,,,Percent of Total Billed Charges,,,,,11.55,,,,,,,Percent of Total Billed Charges,,,,,49.09,,,,,,,Percent of Total Billed Charges,,,,,12.13,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,11.55,,,,,,,Percent of Total Billed Charges,,,,,16.17,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,11.55,,,,,,,Percent of Total Billed Charges,,,, VASOPRESSIN INJ:20 UNIT / ML-NOT STOCKED,250,RC,,Outpatient,20,UN,12.8,10.24,9.56,,,,,,,Percent of Total Billed Charges,,9.56,9.56,,12.8,,,,,,,Percent of Total Billed Charges,,,,,12.29,,,,,,,Percent of Total Billed Charges,,,,,12.16,,,,,,,Percent of Total Billed Charges,,,,,2.56,,,,,,,Percent of Total Billed Charges,,,,,10.88,,,,,,,Percent of Total Billed Charges,,,,,2.69,,,,,,,Percent of Total Billed Charges,,,,,11.52,,,,,,,Percent of Total Billed Charges,,,,,11.52,,,,,,,Percent of Total Billed Charges,,,,,2.56,,,,,,,Percent of Total Billed Charges,,,,,3.58,,,,,,,Percent of Total Billed Charges,,,,,10.24,,,,,,,Percent of Total Billed Charges,,,,,2.56,,,,,,,Percent of Total Billed Charges,,,, VERAPAMIL INJ : 5 MG / 2 ML ,250,RC,,Outpatient,5,ME,25.05,20.04,18.71,,,,,,,Percent of Total Billed Charges,,18.71,18.71,,25.05,,,,,,,Percent of Total Billed Charges,,,,,24.05,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.01,,,,,,,Percent of Total Billed Charges,,,,,21.29,,,,,,,Percent of Total Billed Charges,,,,,5.26,,,,,,,Percent of Total Billed Charges,,,,,22.55,,,,,,,Percent of Total Billed Charges,,,,,22.55,,,,,,,Percent of Total Billed Charges,,,,,5.01,,,,,,,Percent of Total Billed Charges,,,,,7.01,,,,,,,Percent of Total Billed Charges,,,,,20.04,,,,,,,Percent of Total Billed Charges,,,,,5.01,,,,,,,Percent of Total Billed Charges,,,, *TRIMETHOBENZAMIDE INJ : 200 MG/2 ML*** ,J3250 ,CPT,,Outpatient,,,29.5,23.6,22.04,,,,,,,Percent of Total Billed Charges,,22.04,22.04,,29.5,,,,,,,Percent of Total Billed Charges,,,,,28.32,,,,,,,Percent of Total Billed Charges,,,,,28.03,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,25.08,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,8.26,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,, VERAPAMIL INJ : 10 MG / 4 ML ,250,RC,,Outpatient,10,ME,29.85,23.88,22.3,,,,,,,Percent of Total Billed Charges,,22.3,22.3,,29.85,,,,,,,Percent of Total Billed Charges,,,,,28.66,,,,,,,Percent of Total Billed Charges,,,,,28.36,,,,,,,Percent of Total Billed Charges,,,,,5.97,,,,,,,Percent of Total Billed Charges,,,,,25.37,,,,,,,Percent of Total Billed Charges,,,,,6.27,,,,,,,Percent of Total Billed Charges,,,,,26.87,,,,,,,Percent of Total Billed Charges,,,,,26.87,,,,,,,Percent of Total Billed Charges,,,,,5.97,,,,,,,Percent of Total Billed Charges,,,,,8.36,,,,,,,Percent of Total Billed Charges,,,,,23.88,,,,,,,Percent of Total Billed Charges,,,,,5.97,,,,,,,Percent of Total Billed Charges,,,, TRANEXAMIC ACID (CYKLOKAPRON):1 GM/10 ML,250,RC,,Outpatient,10,ML,19.8,15.84,14.79,,,,,,,Percent of Total Billed Charges,,14.79,14.79,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.01,,,,,,,Percent of Total Billed Charges,,,,,18.81,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,,,16.83,,,,,,,Percent of Total Billed Charges,,,,,4.16,,,,,,,Percent of Total Billed Charges,,,,,17.82,,,,,,,Percent of Total Billed Charges,,,,,17.82,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,,,5.54,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,, WATER STERILE INJ : 20 ML ,250,RC,,Outpatient,20,ML,30.55,24.44,22.82,,,,,,,Percent of Total Billed Charges,,22.82,22.82,,30.55,,,,,,,Percent of Total Billed Charges,,,,,29.33,,,,,,,Percent of Total Billed Charges,,,,,29.02,,,,,,,Percent of Total Billed Charges,,,,,6.11,,,,,,,Percent of Total Billed Charges,,,,,25.97,,,,,,,Percent of Total Billed Charges,,,,,6.42,,,,,,,Percent of Total Billed Charges,,,,,27.5,,,,,,,Percent of Total Billed Charges,,,,,27.5,,,,,,,Percent of Total Billed Charges,,,,,6.11,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,24.44,,,,,,,Percent of Total Billed Charges,,,,,6.11,,,,,,,Percent of Total Billed Charges,,,, WATER STERILE INJ : 50 ML ,250,RC,,Outpatient,50,ML,18.9,15.12,14.12,,,,,,,Percent of Total Billed Charges,,14.12,14.12,,18.9,,,,,,,Percent of Total Billed Charges,,,,,18.14,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,3.97,,,,,,,Percent of Total Billed Charges,,,,,17.01,,,,,,,Percent of Total Billed Charges,,,,,17.01,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,5.29,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,, WATER BACTERIOSTATIC INJ : 30 ML ,250,RC,,Outpatient,30,ML,17.2,13.76,12.85,,,,,,,Percent of Total Billed Charges,,12.85,12.85,,17.2,,,,,,,Percent of Total Billed Charges,,,,,16.51,,,,,,,Percent of Total Billed Charges,,,,,16.34,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,,,14.62,,,,,,,Percent of Total Billed Charges,,,,,3.61,,,,,,,Percent of Total Billed Charges,,,,,15.48,,,,,,,Percent of Total Billed Charges,,,,,15.48,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,,,4.82,,,,,,,Percent of Total Billed Charges,,,,,13.76,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,, ZIPRASIDONE (GEODON) INJ: 20 MG/ML ,J3486 ,CPT,,Outpatient,,,64.8,51.84,48.41,,,,,,,Percent of Total Billed Charges,,48.41,48.41,,64.8,,,,,,,Percent of Total Billed Charges,,,,,62.21,,,,,,,Percent of Total Billed Charges,,,,,61.56,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,55.08,,,,,,,Percent of Total Billed Charges,,,,,13.61,,,,,,,Percent of Total Billed Charges,,,,,58.32,,,,,,,Percent of Total Billed Charges,,,,,58.32,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,18.14,,,,,,,Percent of Total Billed Charges,,,,,51.84,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,, TPA INJECTION : 50 MG ,J2997 ,CPT,,Outpatient,,,11651,9320.8,8703.3,,,,,,,Percent of Total Billed Charges,,8703.3,8703.3,,11651,,,,,,,Percent of Total Billed Charges,,,,,11184.96,,,,,,,Percent of Total Billed Charges,,,,,11068.45,,,,,,,Percent of Total Billed Charges,,,,,2330.2,,,,,,,Percent of Total Billed Charges,,,,,9903.35,,,,,,,Percent of Total Billed Charges,,,,,2446.71,,,,,,,Percent of Total Billed Charges,,,,,10485.9,,,,,,,Percent of Total Billed Charges,,,,,10485.9,,,,,,,Percent of Total Billed Charges,,,,,2330.2,,,,,,,Percent of Total Billed Charges,,,,,3262.28,,,,,,,Percent of Total Billed Charges,,,,,9320.8,,,,,,,Percent of Total Billed Charges,,,,,2330.2,,,,,,,Percent of Total Billed Charges,,,, *L E T TOPICAL SOLUTION ************* ,250,RC,,Outpatient,,,21,16.8,15.69,,,,,,,Percent of Total Billed Charges,,15.69,15.69,,21,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,19.95,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,, LABETALOL (TRANDATE) INJ: 100MG/20 ML ,250,RC,,Outpatient,100,ME,19.05,15.24,14.23,,,,,,,Percent of Total Billed Charges,,14.23,14.23,,19.05,,,,,,,Percent of Total Billed Charges,,,,,18.29,,,,,,,Percent of Total Billed Charges,,,,,18.1,,,,,,,Percent of Total Billed Charges,,,,,3.81,,,,,,,Percent of Total Billed Charges,,,,,16.19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17.15,,,,,,,Percent of Total Billed Charges,,,,,17.15,,,,,,,Percent of Total Billed Charges,,,,,3.81,,,,,,,Percent of Total Billed Charges,,,,,5.33,,,,,,,Percent of Total Billed Charges,,,,,15.24,,,,,,,Percent of Total Billed Charges,,,,,3.81,,,,,,,Percent of Total Billed Charges,,,, ESOMEPRAZOLE IV (NEXIUM) : 40 MG IVPB ,250,RC,,Outpatient,40,ME,40.6,32.48,30.33,,,,,,,Percent of Total Billed Charges,,30.33,30.33,,40.6,,,,,,,Percent of Total Billed Charges,,,,,38.98,,,,,,,Percent of Total Billed Charges,,,,,38.57,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,34.51,,,,,,,Percent of Total Billed Charges,,,,,8.53,,,,,,,Percent of Total Billed Charges,,,,,36.54,,,,,,,Percent of Total Billed Charges,,,,,36.54,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,11.37,,,,,,,Percent of Total Billed Charges,,,,,32.48,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,, EPTIFIBATIDE (INTEGRILIN):75 MG / 100 ML,J1327 ,CPT,,Outpatient,,,210.95,168.76,157.58,,,,,,,Percent of Total Billed Charges,,157.58,157.58,,210.95,,,,,,,Percent of Total Billed Charges,,,,,202.51,,,,,,,Percent of Total Billed Charges,,,,,200.4,,,,,,,Percent of Total Billed Charges,,,,,42.19,,,,,,,Percent of Total Billed Charges,,,,,179.31,,,,,,,Percent of Total Billed Charges,,,,,44.3,,,,,,,Percent of Total Billed Charges,,,,,189.86,,,,,,,Percent of Total Billed Charges,,,,,189.86,,,,,,,Percent of Total Billed Charges,,,,,42.19,,,,,,,Percent of Total Billed Charges,,,,,59.07,,,,,,,Percent of Total Billed Charges,,,,,168.76,,,,,,,Percent of Total Billed Charges,,,,,42.19,,,,,,,Percent of Total Billed Charges,,,, EPTIFIBATIDE (INTEGRILIN): 20 MG/10 ML ,J1327 ,CPT,,Outpatient,,,75.5,60.4,56.4,,,,,,,Percent of Total Billed Charges,,56.4,56.4,,75.5,,,,,,,Percent of Total Billed Charges,,,,,72.48,,,,,,,Percent of Total Billed Charges,,,,,71.73,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,64.18,,,,,,,Percent of Total Billed Charges,,,,,15.86,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,60.4,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,, ESOMEPRAZOLE IV (NEXIUM) : 40 MG INJ ,250,RC,,Outpatient,40,ME,40.6,32.48,30.33,,,,,,,Percent of Total Billed Charges,,30.33,30.33,,40.6,,,,,,,Percent of Total Billed Charges,,,,,38.98,,,,,,,Percent of Total Billed Charges,,,,,38.57,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,34.51,,,,,,,Percent of Total Billed Charges,,,,,8.53,,,,,,,Percent of Total Billed Charges,,,,,36.54,,,,,,,Percent of Total Billed Charges,,,,,36.54,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,11.37,,,,,,,Percent of Total Billed Charges,,,,,32.48,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,, *ESOMEPRAZOLE IV: 20 MG INJ *********** ,250,RC,,Outpatient,20,ME,58.5,46.8,43.7,,,,,,,Percent of Total Billed Charges,,43.7,43.7,,58.5,,,,,,,Percent of Total Billed Charges,,,,,56.16,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,49.73,,,,,,,Percent of Total Billed Charges,,,,,12.29,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,, ESMOLOL (BREVIBLOC):PREMX 2500 MG/250 ML,250,RC,,Outpatient,250,ML,915.45,732.36,683.84,,,,,,,Percent of Total Billed Charges,,683.84,683.84,,915.45,,,,,,,Percent of Total Billed Charges,,,,,878.83,,,,,,,Percent of Total Billed Charges,,,,,869.68,,,,,,,Percent of Total Billed Charges,,,,,183.09,,,,,,,Percent of Total Billed Charges,,,,,778.13,,,,,,,Percent of Total Billed Charges,,,,,192.24,,,,,,,Percent of Total Billed Charges,,,,,823.91,,,,,,,Percent of Total Billed Charges,,,,,823.91,,,,,,,Percent of Total Billed Charges,,,,,183.09,,,,,,,Percent of Total Billed Charges,,,,,256.33,,,,,,,Percent of Total Billed Charges,,,,,732.36,,,,,,,Percent of Total Billed Charges,,,,,183.09,,,,,,,Percent of Total Billed Charges,,,, ESMOLOL (BREVIBLOC) INJ: 2500 MG / 10 ML,250,RC,,Outpatient,2500,ME,339,271.2,253.23,,,,,,,Percent of Total Billed Charges,,253.23,253.23,,339,,,,,,,Percent of Total Billed Charges,,,,,325.44,,,,,,,Percent of Total Billed Charges,,,,,322.05,,,,,,,Percent of Total Billed Charges,,,,,67.8,,,,,,,Percent of Total Billed Charges,,,,,288.15,,,,,,,Percent of Total Billed Charges,,,,,71.19,,,,,,,Percent of Total Billed Charges,,,,,305.1,,,,,,,Percent of Total Billed Charges,,,,,305.1,,,,,,,Percent of Total Billed Charges,,,,,67.8,,,,,,,Percent of Total Billed Charges,,,,,94.92,,,,,,,Percent of Total Billed Charges,,,,,271.2,,,,,,,Percent of Total Billed Charges,,,,,67.8,,,,,,,Percent of Total Billed Charges,,,, B&O 30 MG SUPP - NOT STOCKED ,250,RC,,Outpatient,,,67.3,53.84,50.27,,,,,,,Percent of Total Billed Charges,,50.27,50.27,,67.3,,,,,,,Percent of Total Billed Charges,,,,,64.61,,,,,,,Percent of Total Billed Charges,,,,,63.94,,,,,,,Percent of Total Billed Charges,,,,,13.46,,,,,,,Percent of Total Billed Charges,,,,,57.21,,,,,,,Percent of Total Billed Charges,,,,,14.13,,,,,,,Percent of Total Billed Charges,,,,,60.57,,,,,,,Percent of Total Billed Charges,,,,,60.57,,,,,,,Percent of Total Billed Charges,,,,,13.46,,,,,,,Percent of Total Billed Charges,,,,,18.84,,,,,,,Percent of Total Billed Charges,,,,,53.84,,,,,,,Percent of Total Billed Charges,,,,,13.46,,,,,,,Percent of Total Billed Charges,,,, MORPHINE DRIP 50MG/50 ML ,J2270 ,CPT,,Outpatient,,,22.25,17.8,16.62,,,,,,,Percent of Total Billed Charges,,16.62,16.62,,22.25,,,,,,,Percent of Total Billed Charges,,,,,21.36,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,4.45,,,,,,,Percent of Total Billed Charges,,,,,18.91,,,,,,,Percent of Total Billed Charges,,,,,4.67,,,,,,,Percent of Total Billed Charges,,,,,20.03,,,,,,,Percent of Total Billed Charges,,,,,20.03,,,,,,,Percent of Total Billed Charges,,,,,4.45,,,,,,,Percent of Total Billed Charges,,,,,6.23,,,,,,,Percent of Total Billed Charges,,,,,17.8,,,,,,,Percent of Total Billed Charges,,,,,4.45,,,,,,,Percent of Total Billed Charges,,,, *CONCERTA (METHYLPHENIDATE) TAB:54 MG***,250,RC,,Outpatient,54,ME,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, *HYDROMORPHONE (DILAUDID) TAB :4MG***** ,250,RC,,Outpatient,4,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, *CODEINE SULFATE TAB : 30 MG*********** ,250,RC,,Outpatient,30,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, HYDROMORPHONE (DILAUDID) INJ : 1 MG ,J1171 ,CPT,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, *CONCERTA (METHYLPHENIDATE) TAB:36 MG***,250,RC,,Outpatient,36,ME,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, HYDROMORPHONE (DILAUDID) TAB : 2 MG ,250,RC,,Outpatient,2,ME,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, MEPERIDINE (DEMEROL) INJ : 50 MG ,J2175 ,CPT,,Outpatient,,,19.4,15.52,14.49,,,,,,,Percent of Total Billed Charges,,14.49,14.49,,19.4,,,,,,,Percent of Total Billed Charges,,,,,18.62,,,,,,,Percent of Total Billed Charges,,,,,18.43,,,,,,,Percent of Total Billed Charges,,,,,3.88,,,,,,,Percent of Total Billed Charges,,,,,16.49,,,,,,,Percent of Total Billed Charges,,,,,4.07,,,,,,,Percent of Total Billed Charges,,,,,17.46,,,,,,,Percent of Total Billed Charges,,,,,17.46,,,,,,,Percent of Total Billed Charges,,,,,3.88,,,,,,,Percent of Total Billed Charges,,,,,5.43,,,,,,,Percent of Total Billed Charges,,,,,15.52,,,,,,,Percent of Total Billed Charges,,,,,3.88,,,,,,,Percent of Total Billed Charges,,,, *HYDROMORPHONE (DILAUDID) INJ : 4 MG ,J1171 ,CPT,,Outpatient,,,20.55,16.44,15.35,,,,,,,Percent of Total Billed Charges,,15.35,15.35,,20.55,,,,,,,Percent of Total Billed Charges,,,,,19.73,,,,,,,Percent of Total Billed Charges,,,,,19.52,,,,,,,Percent of Total Billed Charges,,,,,4.11,,,,,,,Percent of Total Billed Charges,,,,,17.47,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,,,4.11,,,,,,,Percent of Total Billed Charges,,,,,5.75,,,,,,,Percent of Total Billed Charges,,,,,16.44,,,,,,,Percent of Total Billed Charges,,,,,4.11,,,,,,,Percent of Total Billed Charges,,,, *MEPERIDINE (DEMEROL) INJ : 75 MG ,J2175 ,CPT,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, HYDROMORPHONE (DILAUDID) INJ: 2 MG ,J1171 ,CPT,,Outpatient,,,18.85,15.01,14.08,,,,,,,Percent of Total Billed Charges,,14.08,14.08,,18.85,,,,,,,Percent of Total Billed Charges,,,,,18.1,,,,,,,Percent of Total Billed Charges,,,,,17.91,,,,,,,Percent of Total Billed Charges,,,,,3.77,,,,,,,Percent of Total Billed Charges,,,,,16.02,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,,,16.97,,,,,,,Percent of Total Billed Charges,,,,,16.97,,,,,,,Percent of Total Billed Charges,,,,,3.77,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,15.08,,,,,,,Percent of Total Billed Charges,,,,,3.77,,,,,,,Percent of Total Billed Charges,,,, *MEPERIDINE (DEMEROL) INJ : 100 MG ,J2175 ,CPT,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, MORPHINE DRIP 250 MG/NS 250 ML ,J2270 ,CPT,,Outpatient,,,50.25,40.2,37.54,,,,,,,Percent of Total Billed Charges,,37.54,37.54,,50.25,,,,,,,Percent of Total Billed Charges,,,,,48.24,,,,,,,Percent of Total Billed Charges,,,,,47.74,,,,,,,Percent of Total Billed Charges,,,,,10.05,,,,,,,Percent of Total Billed Charges,,,,,42.71,,,,,,,Percent of Total Billed Charges,,,,,10.55,,,,,,,Percent of Total Billed Charges,,,,,45.23,,,,,,,Percent of Total Billed Charges,,,,,45.23,,,,,,,Percent of Total Billed Charges,,,,,10.05,,,,,,,Percent of Total Billed Charges,,,,,14.07,,,,,,,Percent of Total Billed Charges,,,,,40.2,,,,,,,Percent of Total Billed Charges,,,,,10.05,,,,,,,Percent of Total Billed Charges,,,, *MEPERIDINE (DEMEROL)PCA: 10MG/ML SYR** ,250,RC,,Outpatient,10,ME,23,18.4,17.18,,,,,,,Percent of Total Billed Charges,,17.18,17.18,,23,,,,,,,Percent of Total Billed Charges,,,,,22.08,,,,,,,Percent of Total Billed Charges,,,,,21.85,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,19.55,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,, *MEPERIDINE (DEMEROL) TAB : 50 MG****** ,250,RC,,Outpatient,50,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, MORPHINE CONC ORAL SOLN: 10 MG / 0.5 ML ,250,RC,,Outpatient,0.1,ME,7.35,5.88,5.49,,,,,,,Percent of Total Billed Charges,,5.49,5.49,,7.35,,,,,,,Percent of Total Billed Charges,,,,,7.06,,,,,,,Percent of Total Billed Charges,,,,,6.98,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.25,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,, MORPHINE INJ : 2 MG ,J2270 ,CPT,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, MORPHINE INJ : 4 MG ,J2270 ,CPT,,Outpatient,,,21.3,17.04,15.91,,,,,,,Percent of Total Billed Charges,,15.91,15.91,,21.3,,,,,,,Percent of Total Billed Charges,,,,,20.45,,,,,,,Percent of Total Billed Charges,,,,,20.24,,,,,,,Percent of Total Billed Charges,,,,,4.26,,,,,,,Percent of Total Billed Charges,,,,,18.11,,,,,,,Percent of Total Billed Charges,,,,,4.47,,,,,,,Percent of Total Billed Charges,,,,,19.17,,,,,,,Percent of Total Billed Charges,,,,,19.17,,,,,,,Percent of Total Billed Charges,,,,,4.26,,,,,,,Percent of Total Billed Charges,,,,,5.96,,,,,,,Percent of Total Billed Charges,,,,,17.04,,,,,,,Percent of Total Billed Charges,,,,,4.26,,,,,,,Percent of Total Billed Charges,,,, MORPHINE INJ : 15 MG ,J2270 ,CPT,,Outpatient,,,15.75,12.6,11.77,,,,,,,Percent of Total Billed Charges,,11.77,11.77,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,14.96,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.39,,,,,,,Percent of Total Billed Charges,,,,,3.31,,,,,,,Percent of Total Billed Charges,,,,,14.18,,,,,,,Percent of Total Billed Charges,,,,,14.18,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,, MORPHINE INJ : 10 MG ,J2270 ,CPT,,Outpatient,,,18.85,15.08,14.08,,,,,,,Percent of Total Billed Charges,,14.08,14.08,,18.85,,,,,,,Percent of Total Billed Charges,,,,,18.1,,,,,,,Percent of Total Billed Charges,,,,,17.91,,,,,,,Percent of Total Billed Charges,,,,,3.77,,,,,,,Percent of Total Billed Charges,,,,,16.02,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,,,16.97,,,,,,,Percent of Total Billed Charges,,,,,16.97,,,,,,,Percent of Total Billed Charges,,,,,3.77,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,15.08,,,,,,,Percent of Total Billed Charges,,,,,3.77,,,,,,,Percent of Total Billed Charges,,,, MORPHINE IR TAB: 15 MG (IMMED RELEASE) ,250,RC,,Outpatient,15,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, *MORPHINE INJ VIAL : 15MG/ML 20 ML MDV ,J2270 ,CPT,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, MORPHINE (PF) INJ : 10 MG ,J2270 ,CPT,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, MORPHINE INJ: 1000 MG/20ML (50MG/ML) ,J2270 ,CPT,,Outpatient,,,70.5,56.4,52.66,,,,,,,Percent of Total Billed Charges,,52.66,52.66,,70.5,,,,,,,Percent of Total Billed Charges,,,,,67.68,,,,,,,Percent of Total Billed Charges,,,,,66.98,,,,,,,Percent of Total Billed Charges,,,,,14.1,,,,,,,Percent of Total Billed Charges,,,,,59.93,,,,,,,Percent of Total Billed Charges,,,,,14.81,,,,,,,Percent of Total Billed Charges,,,,,63.45,,,,,,,Percent of Total Billed Charges,,,,,63.45,,,,,,,Percent of Total Billed Charges,,,,,14.1,,,,,,,Percent of Total Billed Charges,,,,,19.74,,,,,,,Percent of Total Billed Charges,,,,,56.4,,,,,,,Percent of Total Billed Charges,,,,,14.1,,,,,,,Percent of Total Billed Charges,,,, MORPHINE 10 MG/ML PCA FOR CADD PUMP*****,J2270 ,CPT,,Outpatient,,,32.5,26,24.28,,,,,,,Percent of Total Billed Charges,,24.28,24.28,,32.5,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,30.88,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,27.63,,,,,,,Percent of Total Billed Charges,,,,,6.83,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,, *MORPHINE PCA : 1MG/ML SYRINGE ,J2270 ,CPT,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, MORPHINE TAB CR (MS CONTIN) : 60 MG ,250,RC,,Outpatient,60,ME,2.9,2.32,2.17,,,,,,,Percent of Total Billed Charges,,2.17,2.17,,2.9,,,,,,,Percent of Total Billed Charges,,,,,2.78,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,2.32,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,, MORPHINE ORAL SOLN: 10 MG/5 ML ,250,RC,,Outpatient,10,ME,5.9,4.72,4.41,,,,,,,Percent of Total Billed Charges,,4.41,4.41,,5.9,,,,,,,Percent of Total Billed Charges,,,,,5.66,,,,,,,Percent of Total Billed Charges,,,,,5.61,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,5.02,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,5.31,,,,,,,Percent of Total Billed Charges,,,,,5.31,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,1.65,,,,,,,Percent of Total Billed Charges,,,,,4.72,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,, MORPHINE TAB CR (MS CONTIN) : 30 MG ,250,RC,,Outpatient,30,ME,4.7,3.76,3.51,,,,,,,Percent of Total Billed Charges,,3.51,3.51,,4.7,,,,,,,Percent of Total Billed Charges,,,,,4.51,,,,,,,Percent of Total Billed Charges,,,,,4.47,,,,,,,Percent of Total Billed Charges,,,,,0.94,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,0.99,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,0.94,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,,,0.94,,,,,,,Percent of Total Billed Charges,,,, MORPHINE INJ AMP: 10 MG/10ML (DURAMORPH),J2274 ,CPT,,Outpatient,,,25.3,20.24,18.9,,,,,,,Percent of Total Billed Charges,,18.9,18.9,,25.3,,,,,,,Percent of Total Billed Charges,,,,,24.29,,,,,,,Percent of Total Billed Charges,,,,,24.04,,,,,,,Percent of Total Billed Charges,,,,,5.06,,,,,,,Percent of Total Billed Charges,,,,,21.51,,,,,,,Percent of Total Billed Charges,,,,,5.31,,,,,,,Percent of Total Billed Charges,,,,,22.77,,,,,,,Percent of Total Billed Charges,,,,,22.77,,,,,,,Percent of Total Billed Charges,,,,,5.06,,,,,,,Percent of Total Billed Charges,,,,,7.08,,,,,,,Percent of Total Billed Charges,,,,,20.24,,,,,,,Percent of Total Billed Charges,,,,,5.06,,,,,,,Percent of Total Billed Charges,,,, PERCOCET 5/325 (OXYCODONE/APAP) TAB*NF ,250,RC,,Outpatient,5,ME,2.75,2.2,2.05,,,,,,,Percent of Total Billed Charges,,2.05,2.05,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,, MORPHINE TAB CR (MS CONTIN) : 15 MG ,250,RC,,Outpatient,15,ME,3.3,2.64,2.47,,,,,,,Percent of Total Billed Charges,,2.47,2.47,,3.3,,,,,,,Percent of Total Billed Charges,,,,,3.17,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,2.81,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,2.97,,,,,,,Percent of Total Billed Charges,,,,,2.97,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,0.92,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,, FENTANYL PATCH : 12 MCG ,250,RC,,Outpatient,12,ME,58.8,47.04,43.92,,,,,,,Percent of Total Billed Charges,,43.92,43.92,,58.8,,,,,,,Percent of Total Billed Charges,,,,,56.45,,,,,,,Percent of Total Billed Charges,,,,,55.86,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,49.98,,,,,,,Percent of Total Billed Charges,,,,,12.35,,,,,,,Percent of Total Billed Charges,,,,,52.92,,,,,,,Percent of Total Billed Charges,,,,,52.92,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,16.46,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,, FENTANYL PATCH : 25 MCG ,250,RC,,Outpatient,25,ME,26.9,21.52,20.09,,,,,,,Percent of Total Billed Charges,,20.09,20.09,,26.9,,,,,,,Percent of Total Billed Charges,,,,,25.82,,,,,,,Percent of Total Billed Charges,,,,,25.56,,,,,,,Percent of Total Billed Charges,,,,,5.38,,,,,,,Percent of Total Billed Charges,,,,,22.87,,,,,,,Percent of Total Billed Charges,,,,,5.65,,,,,,,Percent of Total Billed Charges,,,,,24.21,,,,,,,Percent of Total Billed Charges,,,,,24.21,,,,,,,Percent of Total Billed Charges,,,,,5.38,,,,,,,Percent of Total Billed Charges,,,,,7.53,,,,,,,Percent of Total Billed Charges,,,,,21.52,,,,,,,Percent of Total Billed Charges,,,,,5.38,,,,,,,Percent of Total Billed Charges,,,, FENTANYL PATCH : 50 MCG ,250,RC,,Outpatient,50,ME,44.1,35.28,32.94,,,,,,,Percent of Total Billed Charges,,32.94,32.94,,44.1,,,,,,,Percent of Total Billed Charges,,,,,42.34,,,,,,,Percent of Total Billed Charges,,,,,41.9,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.49,,,,,,,Percent of Total Billed Charges,,,,,9.26,,,,,,,Percent of Total Billed Charges,,,,,39.69,,,,,,,Percent of Total Billed Charges,,,,,39.69,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,12.35,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,, FENTANYL PATCH : 75 MCG ,250,RC,,Outpatient,75,ME,71.6,57.28,53.49,,,,,,,Percent of Total Billed Charges,,53.49,53.49,,71.6,,,,,,,Percent of Total Billed Charges,,,,,68.74,,,,,,,Percent of Total Billed Charges,,,,,68.02,,,,,,,Percent of Total Billed Charges,,,,,14.32,,,,,,,Percent of Total Billed Charges,,,,,60.86,,,,,,,Percent of Total Billed Charges,,,,,15.04,,,,,,,Percent of Total Billed Charges,,,,,64.44,,,,,,,Percent of Total Billed Charges,,,,,64.44,,,,,,,Percent of Total Billed Charges,,,,,14.32,,,,,,,Percent of Total Billed Charges,,,,,20.05,,,,,,,Percent of Total Billed Charges,,,,,57.28,,,,,,,Percent of Total Billed Charges,,,,,14.32,,,,,,,Percent of Total Billed Charges,,,, MORPHINE TAB CR (MS CONTIN) : 100 MG ,250,RC,,Outpatient,100,ME,4.2,3.36,3.14,,,,,,,Percent of Total Billed Charges,,3.14,3.14,,4.2,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,, FENTANYL PATCH : 100 MCG ,250,RC,,Outpatient,100,ME,78.1,62.48,58.34,,,,,,,Percent of Total Billed Charges,,58.34,58.34,,78.1,,,,,,,Percent of Total Billed Charges,,,,,74.98,,,,,,,Percent of Total Billed Charges,,,,,74.2,,,,,,,Percent of Total Billed Charges,,,,,15.62,,,,,,,Percent of Total Billed Charges,,,,,66.39,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,70.29,,,,,,,Percent of Total Billed Charges,,,,,70.29,,,,,,,Percent of Total Billed Charges,,,,,15.62,,,,,,,Percent of Total Billed Charges,,,,,21.87,,,,,,,Percent of Total Billed Charges,,,,,62.48,,,,,,,Percent of Total Billed Charges,,,,,15.62,,,,,,,Percent of Total Billed Charges,,,, OXYCODONE CR TAB (OXYCONTIN) : 20 MG ,250,RC,,Outpatient,20,ME,28.35,22.68,21.18,,,,,,,Percent of Total Billed Charges,,21.18,21.18,,28.35,,,,,,,Percent of Total Billed Charges,,,,,27.22,,,,,,,Percent of Total Billed Charges,,,,,26.93,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,25.52,,,,,,,Percent of Total Billed Charges,,,,,25.52,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,7.94,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,, METHYLPHENIDATE (RITALIN) : 5 MG TAB ,250,RC,,Outpatient,5,ME,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, OXY IR(IMMEDIATE RELEASE)CAP/TAB: 5 MG ,250,RC,,Outpatient,5,ME,2.65,2.12,1.98,,,,,,,Percent of Total Billed Charges,,1.98,1.98,,2.65,,,,,,,Percent of Total Billed Charges,,,,,2.54,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,, *METHYLPHENIDATE ER (RITALIN SR):20MG* ,250,RC,,Outpatient,20,ME,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, OXYCODONE CR TAB (OXYCONTIN) : 10 MG ,250,RC,,Outpatient,10,ME,15.9,12.72,11.88,,,,,,,Percent of Total Billed Charges,,11.88,11.88,,15.9,,,,,,,Percent of Total Billed Charges,,,,,15.26,,,,,,,Percent of Total Billed Charges,,,,,15.11,,,,,,,Percent of Total Billed Charges,,,,,3.18,,,,,,,Percent of Total Billed Charges,,,,,13.52,,,,,,,Percent of Total Billed Charges,,,,,3.34,,,,,,,Percent of Total Billed Charges,,,,,14.31,,,,,,,Percent of Total Billed Charges,,,,,14.31,,,,,,,Percent of Total Billed Charges,,,,,3.18,,,,,,,Percent of Total Billed Charges,,,,,4.45,,,,,,,Percent of Total Billed Charges,,,,,12.72,,,,,,,Percent of Total Billed Charges,,,,,3.18,,,,,,,Percent of Total Billed Charges,,,, *KADIAN SR CAP (MORPHINE) : 200 MG ,250,RC,,Outpatient,200,ME,105,84,78.44,,,,,,,Percent of Total Billed Charges,,78.44,78.44,,105,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,99.75,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,89.25,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,, PEDIALYTE (ELECTROLYTE) SOLN : 1 LITER ,250,RC,,Outpatient,1000,ML,27.95,22.36,20.88,,,,,,,Percent of Total Billed Charges,,20.88,20.88,,27.95,,,,,,,Percent of Total Billed Charges,,,,,26.83,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,5.59,,,,,,,Percent of Total Billed Charges,,,,,23.76,,,,,,,Percent of Total Billed Charges,,,,,5.87,,,,,,,Percent of Total Billed Charges,,,,,25.16,,,,,,,Percent of Total Billed Charges,,,,,25.16,,,,,,,Percent of Total Billed Charges,,,,,5.59,,,,,,,Percent of Total Billed Charges,,,,,7.83,,,,,,,Percent of Total Billed Charges,,,,,22.36,,,,,,,Percent of Total Billed Charges,,,,,5.59,,,,,,,Percent of Total Billed Charges,,,, *ULTRACAL ENTERAL FEEDING: 1000 ML **** ,250,RC,,Outpatient,1000,ML,79.5,63.6,59.39,,,,,,,Percent of Total Billed Charges,,59.39,59.39,,79.5,,,,,,,Percent of Total Billed Charges,,,,,76.32,,,,,,,Percent of Total Billed Charges,,,,,75.53,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,67.58,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,71.55,,,,,,,Percent of Total Billed Charges,,,,,71.55,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,63.6,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,, "BABY BOTTLE, NIPPLE & CAP ",250,RC,,Outpatient,,,6.8,5.44,5.08,,,,,,,Percent of Total Billed Charges,,5.08,5.08,,6.8,,,,,,,Percent of Total Billed Charges,,,,,6.53,,,,,,,Percent of Total Billed Charges,,,,,6.46,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,1.43,,,,,,,Percent of Total Billed Charges,,,,,6.12,,,,,,,Percent of Total Billed Charges,,,,,6.12,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,5.44,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,, ENSURE HI PROTEIN SUPPLEMNT: 8 OUNCE BOT,250,RC,,Outpatient,250,ML,6.1,4.88,4.56,,,,,,,Percent of Total Billed Charges,,4.56,4.56,,6.1,,,,,,,Percent of Total Billed Charges,,,,,5.86,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,1.22,,,,,,,Percent of Total Billed Charges,,,,,5.19,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,5.49,,,,,,,Percent of Total Billed Charges,,,,,5.49,,,,,,,Percent of Total Billed Charges,,,,,1.22,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,4.88,,,,,,,Percent of Total Billed Charges,,,,,1.22,,,,,,,Percent of Total Billed Charges,,,, *CHOICE DM (TF) : 1000 ML BOTTLE****** ,250,RC,,Outpatient,1000,ML,79.5,63.6,59.39,,,,,,,Percent of Total Billed Charges,,59.39,59.39,,79.5,,,,,,,Percent of Total Billed Charges,,,,,76.32,,,,,,,Percent of Total Billed Charges,,,,,75.53,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,67.58,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,71.55,,,,,,,Percent of Total Billed Charges,,,,,71.55,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,63.6,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,, *MAGNACAL SUPPLEMENT : 240 ML ******** ,250,RC,,Outpatient,240,ML,12,9.6,8.96,,,,,,,Percent of Total Billed Charges,,8.96,8.96,,12,,,,,,,Percent of Total Billed Charges,,,,,11.52,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,, *ENSURE PUDDING : 4 OUNCE********** ,250,RC,,Outpatient,150,ML,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, *PEDIALYTE 1 LITER*********** ,250,RC,,Outpatient,1000,ML,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, *BOOST HI PROTEIN SUPPLEMENT : 240 ML** ,250,RC,,Outpatient,240,ML,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, GLUCERNA DIABETIC SUPPLEMENT: 240 ML CAN,250,RC,,Outpatient,240,ML,7.4,5.92,5.53,,,,,,,Percent of Total Billed Charges,,5.53,5.53,,7.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,7.03,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,6.29,,,,,,,Percent of Total Billed Charges,,,,,1.55,,,,,,,Percent of Total Billed Charges,,,,,6.66,,,,,,,Percent of Total Billed Charges,,,,,6.66,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,5.92,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,, *PEDIALYTE POPS (PEDIA-POP) : 62.5 ML ,250,RC,,Outpatient,62.5,ML,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, *CRITICARE HN ELEMENTAL DIET : 237 ML** ,250,RC,,Outpatient,237,ML,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, GLUCERNA DIABETIC 1000 ML RTH BOTTLE ,250,RC,,Outpatient,1000,ML,75,60,56.03,,,,,,,Percent of Total Billed Charges,,56.03,56.03,,75,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,71.25,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,63.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,, *ISOCAL SUPPLEMENT : 1000 ML ******** ,250,RC,,Outpatient,1000,ML,79.5,63.6,59.39,,,,,,,Percent of Total Billed Charges,,59.39,59.39,,79.5,,,,,,,Percent of Total Billed Charges,,,,,76.32,,,,,,,Percent of Total Billed Charges,,,,,75.53,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,67.58,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,71.55,,,,,,,Percent of Total Billed Charges,,,,,71.55,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,63.6,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,, OSMOLITE SUPPLEMENT : 1000 ML ,250,RC,,Outpatient,1000,ML,75,60,56.03,,,,,,,Percent of Total Billed Charges,,56.03,56.03,,75,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,71.25,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,63.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,, *NUTRIHEP SUPPLEMENT : 240 ML ,250,RC,,Outpatient,240,ML,38,30.4,28.39,,,,,,,Percent of Total Billed Charges,,28.39,28.39,,38,,,,,,,Percent of Total Billed Charges,,,,,36.48,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,,,7.98,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,10.64,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,, ENFAMIL W/IRON FORMULA 16 OZ CAN ,250,RC,,Outpatient,,,34.05,27.24,25.44,,,,,,,Percent of Total Billed Charges,,25.44,25.44,,34.05,,,,,,,Percent of Total Billed Charges,,,,,32.69,,,,,,,Percent of Total Billed Charges,,,,,32.35,,,,,,,Percent of Total Billed Charges,,,,,6.81,,,,,,,Percent of Total Billed Charges,,,,,28.94,,,,,,,Percent of Total Billed Charges,,,,,7.15,,,,,,,Percent of Total Billed Charges,,,,,30.65,,,,,,,Percent of Total Billed Charges,,,,,30.65,,,,,,,Percent of Total Billed Charges,,,,,6.81,,,,,,,Percent of Total Billed Charges,,,,,9.53,,,,,,,Percent of Total Billed Charges,,,,,27.24,,,,,,,Percent of Total Billed Charges,,,,,6.81,,,,,,,Percent of Total Billed Charges,,,, JEVITY 1.5 CALORIE SUPPLEMENT : 1000 ML ,250,RC,,Outpatient,1000,ML,75,60,56.03,,,,,,,Percent of Total Billed Charges,,56.03,56.03,,75,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,71.25,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,63.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,, **RESOURCE DIABETISHEILD ,250,RC,,Outpatient,,,7.5,6,5.6,,,,,,,Percent of Total Billed Charges,,5.6,5.6,,7.5,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.13,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,2.1,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,, JEVITY SUPPLEMENT : 1000 ML ,250,RC,,Outpatient,1000,ML,75,60,56.03,,,,,,,Percent of Total Billed Charges,,56.03,56.03,,75,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,71.25,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,63.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,, TWO-CAL HN FEEDING : 240 ML ,250,RC,,Outpatient,240,ML,7.3,5.84,5.45,,,,,,,Percent of Total Billed Charges,,5.45,5.45,,7.3,,,,,,,Percent of Total Billed Charges,,,,,7.01,,,,,,,Percent of Total Billed Charges,,,,,6.94,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,,,6.21,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,6.57,,,,,,,Percent of Total Billed Charges,,,,,6.57,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,5.84,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,, *GLUCERNA DIABETIC W/FIBER: 240 ML CAN ,250,RC,,Outpatient,240,ML,5.65,4.52,4.22,,,,,,,Percent of Total Billed Charges,,4.22,4.22,,5.65,,,,,,,Percent of Total Billed Charges,,,,,5.42,,,,,,,Percent of Total Billed Charges,,,,,5.37,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,,,5.09,,,,,,,Percent of Total Billed Charges,,,,,5.09,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,4.52,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,, *NEPRO W/CARB STEADY: 240 ML CAN ,250,RC,,Outpatient,240,ML,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, *PROMOD PROTEIN SUPPLEMENT********* ,250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, *RESPALOR 240 ML CAN ************** ,250,RC,,Outpatient,240,ML,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, ACARBOSE (PRECOSE) TAB : 50 MG ,250,RC,,Outpatient,50,ME,3.85,3.08,2.88,,,,,,,Percent of Total Billed Charges,,2.88,2.88,,3.85,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,3.66,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,3.27,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,,,3.08,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,, ACETAMINOPHEN (TYLENOL)CHEW TAB : 80 MG ,250,RC,,Outpatient,80,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, ACETAMINOPHEN (TYLENOL): 325 MG TAB ,250,RC,,Outpatient,325,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, *ALBUTEROL REPETAB : 4 MG ************ ,250,RC,,Outpatient,4,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, *ACETAMINOPHEN(TYLENOL):650 MG(2 TABS)* ,250,RC,,Outpatient,650,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, ACETAMINOPHEN (TYLENOL): 500 MG TAB ,250,RC,,Outpatient,500,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, ACETAZOLAMIDE (DIAMOX) CAP : 500 MG ,250,RC,,Outpatient,500,ME,2.4,1.92,1.79,,,,,,,Percent of Total Billed Charges,,1.79,1.79,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,, ACETAZOLAMIDE (DIAMOX) TAB : 250 MG ,250,RC,,Outpatient,250,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, *ACTIFED TAB ************************ ,250,RC,,Outpatient,,,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, AGGRENOX (DIPYRIDAMOLE ER200/ASA 25) CAP,250,RC,,Outpatient,,,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, ALBUTEROL TAB : 2 MG ,250,RC,,Outpatient,2,ME,16.3,13.04,12.18,,,,,,,Percent of Total Billed Charges,,12.18,12.18,,16.3,,,,,,,Percent of Total Billed Charges,,,,,15.65,,,,,,,Percent of Total Billed Charges,,,,,15.49,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.86,,,,,,,Percent of Total Billed Charges,,,,,3.42,,,,,,,Percent of Total Billed Charges,,,,,14.67,,,,,,,Percent of Total Billed Charges,,,,,14.67,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,4.56,,,,,,,Percent of Total Billed Charges,,,,,13.04,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,, SPIRONOLACTONE (ALDACTONE) TAB : 25 MG ,250,RC,,Outpatient,25,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, *SODIUM BICARBONATE TAB : 325 MG***** ,250,RC,,Outpatient,325,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, ALENDRONATE (FOSAMAX) TAB : 70 MG ,250,RC,,Outpatient,70,ME,2.95,2.36,2.2,,,,,,,Percent of Total Billed Charges,,2.2,2.2,,2.95,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,, SOTALOL (BETAPACE) TAB : 80 MG ,250,RC,,Outpatient,80,ME,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, ALLOPURINOL (ZYLOPRIM) TAB : 100 MG ,250,RC,,Outpatient,100,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, ALLOPURINOL (ZYLOPRIM) TAB : 300 MG ,250,RC,,Outpatient,300,ME,2.7,2.16,2.02,,,,,,,Percent of Total Billed Charges,,2.02,2.02,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,, *ATENOLOL (TENORMIN) INJ : 5 MG **** ,250,RC,,Outpatient,5,ME,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, AMANTADINE (SYMMETREL) : 100 MG CAP ,250,RC,,Outpatient,100,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, AMIODARONE (CORDARONE) : 200 MG TAB ,250,RC,,Outpatient,200,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, AMITRIPTYLINE (ELAVIL) TAB : 25 MG ,250,RC,,Outpatient,25,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, ATORVASTATIN (LIPITOR) TAB : 10 MG ,250,RC,,Outpatient,10,ME,2.4,1.92,1.79,,,,,,,Percent of Total Billed Charges,,1.79,1.79,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,, AMITRIPTYLINE (ELAVIL) TAB : 50 MG ,250,RC,,Outpatient,50,ME,2.6,2.08,1.94,,,,,,,Percent of Total Billed Charges,,1.94,1.94,,2.6,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,, AMITRIPTYLINE (ELAVIL) TAB : 10 MG ,250,RC,,Outpatient,10,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, ATORVASTATIN (LIPITOR) TAB : 40 MG ,250,RC,,Outpatient,40,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, ATORVASTATIN (LIPITOR) TAB : 20 MG ,250,RC,,Outpatient,20,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, AMLODIPINE (NORVASC) TAB : 10 MG ,250,RC,,Outpatient,10,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, AMLODIPINE (NORVASC) TAB : 5 MG ,250,RC,,Outpatient,5,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, AMLODIPINE (NORVASC) TAB : 2.5 MG ,250,RC,,Outpatient,0.5,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, ASPIRIN EC TAB: 81 MG ,250,RC,,Outpatient,81,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, ASPIRIN BABY CHEW TAB : 81 MG ,250,RC,,Outpatient,81,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, ASPIRIN TAB BUFFERED: 325 MG ,250,RC,,Outpatient,325,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, ASPIRIN TAB : 325 MG ,250,RC,,Outpatient,325,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, ASPIRIN ENTERIC COATED TAB : 325 MG ,250,RC,,Outpatient,325,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, ATENOLOL (TENORMIN) TAB : 25 MG ,250,RC,,Outpatient,25,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, ATENOLOL (TENORMIN) TAB : 50 MG ,250,RC,,Outpatient,50,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, DEXAMETHASONE (DECADRON) TAB : 2 MG ,J8540 ,CPT,,Outpatient,,,3.25,2.6,2.43,,,,,,,Percent of Total Billed Charges,,2.43,2.43,,3.25,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,3.09,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,, NORTRIPTYLINE CAP : 25 MG ,250,RC,,Outpatient,25,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, ASCORBIC ACID (VIT C) TAB : 500 MG ,250,RC,,Outpatient,500,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, BACLOFEN (LIORESAL) TAB : 10 MG ,250,RC,,Outpatient,10,ME,2.65,2.12,1.98,,,,,,,Percent of Total Billed Charges,,1.98,1.98,,2.65,,,,,,,Percent of Total Billed Charges,,,,,2.54,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,, NORTRIPTYLINE CAP : 10 MG ,250,RC,,Outpatient,10,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, DICYCLOMINE (BENTYL) CAP : 10 MG ,250,RC,,Outpatient,10,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, TICAGRELOR (BRILINTA) TAB: 90 MG ,250,RC,,Outpatient,90,ME,24.4,19.52,18.23,,,,,,,Percent of Total Billed Charges,,18.23,18.23,,24.4,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,23.18,,,,,,,Percent of Total Billed Charges,,,,,4.88,,,,,,,Percent of Total Billed Charges,,,,,20.74,,,,,,,Percent of Total Billed Charges,,,,,5.12,,,,,,,Percent of Total Billed Charges,,,,,21.96,,,,,,,Percent of Total Billed Charges,,,,,21.96,,,,,,,Percent of Total Billed Charges,,,,,4.88,,,,,,,Percent of Total Billed Charges,,,,,6.83,,,,,,,Percent of Total Billed Charges,,,,,19.52,,,,,,,Percent of Total Billed Charges,,,,,4.88,,,,,,,Percent of Total Billed Charges,,,, DEXAMETHASONE (DECADRON) TAB : 4 MG ,J8540 ,CPT,,Outpatient,,,3.85,3.08,2.88,,,,,,,Percent of Total Billed Charges,,2.88,2.88,,3.85,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,3.66,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,3.27,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,,,3.08,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,, BISACODYL (DULCOLAX) TAB : 5 MG ,250,RC,,Outpatient,5,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, BETHANECOL (URECHOLINE) TAB : 10 MG ,250,RC,,Outpatient,10,ME,3.05,2.44,2.28,,,,,,,Percent of Total Billed Charges,,2.28,2.28,,3.05,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,2.44,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,, BETHANECOL (URECHOLINE) TAB : 25 MG ,250,RC,,Outpatient,25,ME,3.95,3.16,2.95,,,,,,,Percent of Total Billed Charges,,2.95,2.95,,3.95,,,,,,,Percent of Total Billed Charges,,,,,3.79,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,,,1.11,,,,,,,Percent of Total Billed Charges,,,,,3.16,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,, BUMETANIDE (BUMEX) TAB : 1 MG ,250,RC,,Outpatient,1,ME,3.7,2.96,2.76,,,,,,,Percent of Total Billed Charges,,2.76,2.76,,3.7,,,,,,,Percent of Total Billed Charges,,,,,3.55,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,1.04,,,,,,,Percent of Total Billed Charges,,,,,2.96,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,, BENAZEPRIL (LOTENSIN) TAB : 5 MG ,250,RC,,Outpatient,5,ME,2.8,2.24,2.09,,,,,,,Percent of Total Billed Charges,,2.09,2.09,,2.8,,,,,,,Percent of Total Billed Charges,,,,,2.69,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,, BUSPIRONE (BUSPAR) TAB : 10 MG ,250,RC,,Outpatient,10,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, BENAZEPRIL (LOTENSIN) TAB : 10 MG ,250,RC,,Outpatient,10,ME,2.9,2.32,2.17,,,,,,,Percent of Total Billed Charges,,2.17,2.17,,2.9,,,,,,,Percent of Total Billed Charges,,,,,2.78,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,2.32,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,, BUSPIRONE (BUSPAR) : 5 MG ,250,RC,,Outpatient,5,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, BENZONATATE (TESSALON PERLES) CAP:100 MG,250,RC,,Outpatient,100,ME,2.6,2.08,1.94,,,,,,,Percent of Total Billed Charges,,1.94,1.94,,2.6,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,, BENAZEPRIL (LOTENSIN) TAB : 20 MG ,250,RC,,Outpatient,20,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, BUPROPION SR TAB 12 HR(WELLBUTRIN):150MG,250,RC,,Outpatient,150,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, NF-CELESTONE SOLUSPAN INJ 30MG/5ML ,J0702 ,CPT,,Outpatient,,,165.65,132.52,123.74,,,,,,,Percent of Total Billed Charges,,123.74,123.74,,165.65,,,,,,,Percent of Total Billed Charges,,,,,159.02,,,,,,,Percent of Total Billed Charges,,,,,157.37,,,,,,,Percent of Total Billed Charges,,,,,33.13,,,,,,,Percent of Total Billed Charges,,,,,140.8,,,,,,,Percent of Total Billed Charges,,,,,34.79,,,,,,,Percent of Total Billed Charges,,,,,149.09,,,,,,,Percent of Total Billed Charges,,,,,149.09,,,,,,,Percent of Total Billed Charges,,,,,33.13,,,,,,,Percent of Total Billed Charges,,,,,46.38,,,,,,,Percent of Total Billed Charges,,,,,132.52,,,,,,,Percent of Total Billed Charges,,,,,33.13,,,,,,,Percent of Total Billed Charges,,,, *CAPTOPRIL (CAPOTEN) TAB : 6.25 MG* ,250,RC,,Outpatient,0.25,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, CAPTOPRIL (CAPOTEN) TAB : 12.5 MG ,250,RC,,Outpatient,0.5,ME,5.45,4.36,4.07,,,,,,,Percent of Total Billed Charges,,4.07,4.07,,5.45,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,1.09,,,,,,,Percent of Total Billed Charges,,,,,4.63,,,,,,,Percent of Total Billed Charges,,,,,1.14,,,,,,,Percent of Total Billed Charges,,,,,4.91,,,,,,,Percent of Total Billed Charges,,,,,4.91,,,,,,,Percent of Total Billed Charges,,,,,1.09,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,4.36,,,,,,,Percent of Total Billed Charges,,,,,1.09,,,,,,,Percent of Total Billed Charges,,,, CAPTOPRIL (CAPOTEN) TAB : 25 MG*********,250,RC,,Outpatient,25,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, CARVEDILOL (COREG) TAB : 25 MG ,250,RC,,Outpatient,25,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, CARBAMAZEPINE (TEGRETOL)TAB : 200 MG ,250,RC,,Outpatient,200,ME,4.05,3.24,3.03,,,,,,,Percent of Total Billed Charges,,3.03,3.03,,4.05,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,3.85,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,3.65,,,,,,,Percent of Total Billed Charges,,,,,3.65,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,,,3.24,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,, CARISOPRODOL (SOMA) TAB : 350 MG ,250,RC,,Outpatient,350,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, CARVEDILOL (COREG) TAB : 6.25 MG ,250,RC,,Outpatient,0.25,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, CARVEDILOL (COREG) TAB : 12.5 MG ,250,RC,,Outpatient,0.5,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, CEPACOL LOZENGES ,250,RC,,Outpatient,,,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, CARVEDILOL (COREG) TAB : 3.125 MG ,250,RC,,Outpatient,0.125,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, CETIRIZINE (ZYRTEC) TAB: 10 MG ,250,RC,,Outpatient,10,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, CILOSTAZOL (PLETAL) TAB: 100 MG ,250,RC,,Outpatient,100,ME,3.7,2.96,2.76,,,,,,,Percent of Total Billed Charges,,2.76,2.76,,3.7,,,,,,,Percent of Total Billed Charges,,,,,3.55,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,1.04,,,,,,,Percent of Total Billed Charges,,,,,2.96,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,, COUGH DROPS ,250,RC,,Outpatient,,,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, CITALOPRAM (CELEXA) TAB: 10 MG ,250,RC,,Outpatient,10,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, CHLORASEPTIC LOZENGE ,250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, CHROMIUM PICOLINATE CAP: 200 MCG ,250,RC,,Outpatient,200,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, CELECOXIB (CELEBREX) CAP: 100 MG ,250,RC,,Outpatient,100,ME,3.7,2.96,2.76,,,,,,,Percent of Total Billed Charges,,2.76,2.76,,3.7,,,,,,,Percent of Total Billed Charges,,,,,3.55,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,1.04,,,,,,,Percent of Total Billed Charges,,,,,2.96,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,, CITALOPRAM (CELEXA) TAB : 20 MG ,250,RC,,Outpatient,20,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, CITRACAL (CALC CITRATE + VIT D) TABLET ,250,RC,,Outpatient,,,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, *CITRACAL WITH D CAPLET ,250,RC,,Outpatient,,,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, CHLORPROMAZINE (THORAZINE) TAB : 25 MG ,250,RC,,Outpatient,25,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, CHLORPROMAZINE (THORAZINE) TAB: 10 MG ,250,RC,,Outpatient,10,ME,2.95,2.36,2.2,,,,,,,Percent of Total Billed Charges,,2.2,2.2,,2.95,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,, COL-BENEMID TAB(PROBENECID/COLCHICINE)**,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, *CISAPRIDE (PROPULSID) TAB : 10 MG *****,250,RC,,Outpatient,10,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, CYCLOBENZAPRINE (FLEXERIL) TAB: 5 MG ,250,RC,,Outpatient,5,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, CHLORTHALIDONE TAB: 25 MG ,250,RC,,Outpatient,25,ME,4.05,3.24,3.03,,,,,,,Percent of Total Billed Charges,,3.03,3.03,,4.05,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,3.85,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,3.65,,,,,,,Percent of Total Billed Charges,,,,,3.65,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,,,3.24,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,, CLOTRIMAZOLE 10 MG ORAL TROCHE ,250,RC,,Outpatient,,,2.45,1.96,1.83,,,,,,,Percent of Total Billed Charges,,1.83,1.83,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.33,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,, CLOPIDOGREL (PLAVIX) TAB : 300 MG ,250,RC,,Outpatient,300,ME,17.2,13.76,12.85,,,,,,,Percent of Total Billed Charges,,12.85,12.85,,17.2,,,,,,,Percent of Total Billed Charges,,,,,16.51,,,,,,,Percent of Total Billed Charges,,,,,16.34,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,,,14.62,,,,,,,Percent of Total Billed Charges,,,,,3.61,,,,,,,Percent of Total Billed Charges,,,,,15.48,,,,,,,Percent of Total Billed Charges,,,,,15.48,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,,,4.82,,,,,,,Percent of Total Billed Charges,,,,,13.76,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,, CLOPIDOGREL (PLAVIX) TAB : 75 MG ,250,RC,,Outpatient,75,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, CLONIDINE (CATAPRES) TAB : 0.1 MG ,250,RC,,Outpatient,0.1,ME,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, CYANOCOBALAMIN(VIT B-12) TAB :1000 MCG ,250,RC,,Outpatient,1000,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, COLCHICINE TAB : 0.6 MG ,250,RC,,Outpatient,0.6,ME,15.55,12.44,11.62,,,,,,,Percent of Total Billed Charges,,11.62,11.62,,15.55,,,,,,,Percent of Total Billed Charges,,,,,14.93,,,,,,,Percent of Total Billed Charges,,,,,14.77,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,13.22,,,,,,,Percent of Total Billed Charges,,,,,3.27,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,4.35,,,,,,,Percent of Total Billed Charges,,,,,12.44,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,, CYANOCOLBALMIN (VIT B-12) TAB : 250 MCG ,250,RC,,Outpatient,250,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, BENZTROPINE (COGENTIN) TAB : 1 MG ,250,RC,,Outpatient,1,ME,2.55,2.04,1.9,,,,,,,Percent of Total Billed Charges,,1.9,1.9,,2.55,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,, *CORRECTOL TAB****************** ,250,RC,,Outpatient,2,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, *BENZTROPINE (COGENTIN) TAB: 2 MG**** ,250,RC,,Outpatient,2,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, CYANOCOLBALMIN (VIT B-12) TAB : 100 MCG ,250,RC,,Outpatient,100,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, COMBIVIR (LAMIVUDINE/ZIDOVIDINE) TAB ,250,RC,,Outpatient,,,5.1,4.08,3.81,,,,,,,Percent of Total Billed Charges,,3.81,3.81,,5.1,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,4.85,,,,,,,Percent of Total Billed Charges,,,,,1.02,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,1.07,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,1.02,,,,,,,Percent of Total Billed Charges,,,,,1.43,,,,,,,Percent of Total Billed Charges,,,,,4.08,,,,,,,Percent of Total Billed Charges,,,,,1.02,,,,,,,Percent of Total Billed Charges,,,, DANTROLENE (DANTRIUM) CAP : 25 MG ,250,RC,,Outpatient,25,ME,4.65,3.72,3.47,,,,,,,Percent of Total Billed Charges,,3.47,3.47,,4.65,,,,,,,Percent of Total Billed Charges,,,,,4.46,,,,,,,Percent of Total Billed Charges,,,,,4.42,,,,,,,Percent of Total Billed Charges,,,,,0.93,,,,,,,Percent of Total Billed Charges,,,,,3.95,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,4.19,,,,,,,Percent of Total Billed Charges,,,,,4.19,,,,,,,Percent of Total Billed Charges,,,,,0.93,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,3.72,,,,,,,Percent of Total Billed Charges,,,,,0.93,,,,,,,Percent of Total Billed Charges,,,, DABIGATRAN (PRADAXA) CAP: 75 MG ,250,RC,,Outpatient,75,ME,11.4,9.12,8.52,,,,,,,Percent of Total Billed Charges,,8.52,8.52,,11.4,,,,,,,Percent of Total Billed Charges,,,,,10.94,,,,,,,Percent of Total Billed Charges,,,,,10.83,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,9.69,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,10.26,,,,,,,Percent of Total Billed Charges,,,,,10.26,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,, DEXAMETHASONE (DECADRON) TAB : 0.75 MG ,J8540 ,CPT,,Outpatient,,,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, HURRICAINE DOSE ,250,RC,,Outpatient,,,11.65,9.32,8.7,,,,,,,Percent of Total Billed Charges,,8.7,8.7,,11.65,,,,,,,Percent of Total Billed Charges,,,,,11.18,,,,,,,Percent of Total Billed Charges,,,,,11.07,,,,,,,Percent of Total Billed Charges,,,,,2.33,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,10.49,,,,,,,Percent of Total Billed Charges,,,,,10.49,,,,,,,Percent of Total Billed Charges,,,,,2.33,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,9.32,,,,,,,Percent of Total Billed Charges,,,,,2.33,,,,,,,Percent of Total Billed Charges,,,, DEXAMETHASONE (DECADRON) TAB : 0.5 MG ,J8540 ,CPT,,Outpatient,,,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, DIVALPROEX CAPSULE DELAY RELEASE: 125 MG,250,RC,,Outpatient,125,ME,3.75,3,2.8,,,,,,,Percent of Total Billed Charges,,2.8,2.8,,3.75,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,, LAMOTRIGINE (LAMICTAL) TAB: 25 MG ,250,RC,,Outpatient,25,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, DIGOXIN (LANOXIN) TAB : 0.125 MG ,250,RC,,Outpatient,0.125,ME,4.05,3.24,3.03,,,,,,,Percent of Total Billed Charges,,3.03,3.03,,4.05,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,3.85,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,3.65,,,,,,,Percent of Total Billed Charges,,,,,3.65,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,,,3.24,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,, DIGOXIN (LANOXIN) TAB : 0.25 MG ,250,RC,,Outpatient,0.25,ME,4.4,3.52,3.29,,,,,,,Percent of Total Billed Charges,,3.29,3.29,,4.4,,,,,,,Percent of Total Billed Charges,,,,,4.22,,,,,,,Percent of Total Billed Charges,,,,,4.18,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,0.92,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,1.23,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,, DILTIAZEM SR CAP (CARDIZEM) : 60 MG ,250,RC,,Outpatient,60,ME,11.7,9.36,8.74,,,,,,,Percent of Total Billed Charges,,8.74,8.74,,11.7,,,,,,,Percent of Total Billed Charges,,,,,11.23,,,,,,,Percent of Total Billed Charges,,,,,11.12,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,9.95,,,,,,,Percent of Total Billed Charges,,,,,2.46,,,,,,,Percent of Total Billed Charges,,,,,10.53,,,,,,,Percent of Total Billed Charges,,,,,10.53,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,3.28,,,,,,,Percent of Total Billed Charges,,,,,9.36,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,, DULOXETINE DR (CYMBALTA) CAP: 30 MG ,250,RC,,Outpatient,30,ME,3.85,3.08,2.88,,,,,,,Percent of Total Billed Charges,,2.88,2.88,,3.85,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,3.66,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,3.27,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,,,3.08,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,, DILTIAZEM SR CAP(CARDIZEM):120MG (12HR) ,250,RC,,Outpatient,120,ME,3.4,2.72,2.54,,,,,,,Percent of Total Billed Charges,,2.54,2.54,,3.4,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,2.89,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,, PHENYTOIN (DILANTIN) CAP ER : 100 MG ,250,RC,,Outpatient,100,ME,4.6,3.68,3.44,,,,,,,Percent of Total Billed Charges,,3.44,3.44,,4.6,,,,,,,Percent of Total Billed Charges,,,,,4.42,,,,,,,Percent of Total Billed Charges,,,,,4.37,,,,,,,Percent of Total Billed Charges,,,,,0.92,,,,,,,Percent of Total Billed Charges,,,,,3.91,,,,,,,Percent of Total Billed Charges,,,,,0.97,,,,,,,Percent of Total Billed Charges,,,,,4.14,,,,,,,Percent of Total Billed Charges,,,,,4.14,,,,,,,Percent of Total Billed Charges,,,,,0.92,,,,,,,Percent of Total Billed Charges,,,,,1.29,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,0.92,,,,,,,Percent of Total Billed Charges,,,, DILTIAZEM SR CAP (CARDIZEM) : 90 MG ,250,RC,,Outpatient,90,ME,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, DILTIAZEM (CARDIZEM) TAB : 30 MG ,250,RC,,Outpatient,30,ME,2.7,2.16,2.02,,,,,,,Percent of Total Billed Charges,,2.02,2.02,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,, DILTIAZEM (CARDIZEM) TAB : 60 MG ,250,RC,,Outpatient,60,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, "DILTIAZEM CD CAP (TIAZAC,CARDIZEM):360MG",250,RC,,Outpatient,360,ME,2.75,2.2,2.05,,,,,,,Percent of Total Billed Charges,,2.05,2.05,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,, DIPHENHYDRAMINE (BENADRYL) CAP/TAB 25 MG,250,RC,,Outpatient,25,ME,2.3,1.84,1.72,,,,,,,Percent of Total Billed Charges,,1.72,1.72,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,, DILTIAZEM CD CAP (CARDIZEM) : 300 MG ,250,RC,,Outpatient,300,ME,5.6,4.48,4.18,,,,,,,Percent of Total Billed Charges,,4.18,4.18,,5.6,,,,,,,Percent of Total Billed Charges,,,,,5.38,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,, DIPHENHYDRAMINE (BENADRYL) CAP : 50 MG ,250,RC,,Outpatient,50,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, DILTIAZEM CD CAP (CARDIZEM) : 240 MG ,250,RC,,Outpatient,240,ME,2.7,2.16,2.02,,,,,,,Percent of Total Billed Charges,,2.02,2.02,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,, DIPYRIDAMOLE (PERSANTINE) TAB : 25 MG ,250,RC,,Outpatient,25,ME,2.95,2.36,2.2,,,,,,,Percent of Total Billed Charges,,2.2,2.2,,2.95,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,, DILTIAZEM CD CAP (CARDIZEM) : 180 MG ,250,RC,,Outpatient,180,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, DIPYRIDAMOLE (PERSANTINE) TAB : 50 MG ,250,RC,,Outpatient,50,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, ENALAPRIL (VASOTEC) TAB : 2.5 MG ,250,RC,,Outpatient,0.5,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, DULOXETINE DR (CYMBALTA) CAP: 60 MG ,250,RC,,Outpatient,60,ME,3.85,3.08,2.88,,,,,,,Percent of Total Billed Charges,,2.88,2.88,,3.85,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,3.66,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,3.27,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,,,3.08,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,, DIMENHYDRINATE (DRAMAMINE) TAB : 50 MG ,250,RC,,Outpatient,50,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, PANTOPRAZOLE (PROTONIX) DR TAB: 20 MG ,250,RC,,Outpatient,20,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, OXYBUTYNIN XL (DITROPAN XL) TAB: 5 MG ,250,RC,,Outpatient,5,ME,5.8,4.64,4.33,,,,,,,Percent of Total Billed Charges,,4.33,4.33,,5.8,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,5.51,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.93,,,,,,,Percent of Total Billed Charges,,,,,1.22,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,4.64,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,, DOCUSATE SODIUM (COLACE) CAP: 100 MG ,250,RC,,Outpatient,100,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, DILTIAZEM CD CAP (CARDIZEM) : 120 MG ,250,RC,,Outpatient,120,ME,2.65,2.12,1.98,,,,,,,Percent of Total Billed Charges,,1.98,1.98,,2.65,,,,,,,Percent of Total Billed Charges,,,,,2.54,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,, DOCUSATE CALCIUM (SURFAK) CAP : 240 MG ,250,RC,,Outpatient,240,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, DOXAZOSIN (CARDURA) TAB : 2 MG ,250,RC,,Outpatient,2,ME,2.85,2.28,2.13,,,,,,,Percent of Total Billed Charges,,2.13,2.13,,2.85,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,2.71,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,, DONEPEZIL (ARICEPT) TAB : 10 MG ,250,RC,,Outpatient,10,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, OXYBUTYNIN (DITROPAN) TAB : 5 MG ,250,RC,,Outpatient,5,ME,2.65,2.12,1.98,,,,,,,Percent of Total Billed Charges,,1.98,1.98,,2.65,,,,,,,Percent of Total Billed Charges,,,,,2.54,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,, DONNATAL TAB ,250,RC,,Outpatient,,,13.25,10.6,9.9,,,,,,,Percent of Total Billed Charges,,9.9,9.9,,13.25,,,,,,,Percent of Total Billed Charges,,,,,12.72,,,,,,,Percent of Total Billed Charges,,,,,12.59,,,,,,,Percent of Total Billed Charges,,,,,2.65,,,,,,,Percent of Total Billed Charges,,,,,11.26,,,,,,,Percent of Total Billed Charges,,,,,2.78,,,,,,,Percent of Total Billed Charges,,,,,11.93,,,,,,,Percent of Total Billed Charges,,,,,11.93,,,,,,,Percent of Total Billed Charges,,,,,2.65,,,,,,,Percent of Total Billed Charges,,,,,3.71,,,,,,,Percent of Total Billed Charges,,,,,10.6,,,,,,,Percent of Total Billed Charges,,,,,2.65,,,,,,,Percent of Total Billed Charges,,,, ETHACRYNIC ACID TAB: 25 MG ,250,RC,,Outpatient,25,ME,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, DOXEPIN CAPSULE : 10 MG ,250,RC,,Outpatient,10,ME,3.05,2.44,2.28,,,,,,,Percent of Total Billed Charges,,2.28,2.28,,3.05,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,2.44,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,, DONEPEZIL (ARICEPT) TAB : 5 MG ,250,RC,,Outpatient,5,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, DOXEPIN CAPSULE : 25 MG ,250,RC,,Outpatient,25,ME,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, ENALAPRIL (VASOTEC) TAB : 5 MG ,250,RC,,Outpatient,5,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, ESOMEPRAZOLE (NEXIUM) ER CAP: 40 MG ,250,RC,,Outpatient,40,ME,2.3,1.84,1.72,,,,,,,Percent of Total Billed Charges,,1.72,1.72,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,, *ENALAPRIL (VASOTEC) TAB: 10 MG***** ,250,RC,,Outpatient,10,ME,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, *PERICOLACE TAB (DOCUSATE & SENNA)**** ,250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, FERROUS - Gluconate TAB: 324 MG ,250,RC,,Outpatient,324,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, *DYAZIDE(TRIAMTERENE 37.5/HCTZ 25)******,250,RC,,Outpatient,37.5,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, PANTOPRAZOLE (PROTONIX) ER TAB: 40 MG ,250,RC,,Outpatient,40,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, FINASTERIDE (PROSCAR) TAB: 5 MG ,250,RC,,Outpatient,5,ME,2.8,2.24,2.09,,,,,,,Percent of Total Billed Charges,,2.09,2.09,,2.8,,,,,,,Percent of Total Billed Charges,,,,,2.69,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,, FISH OIL CAPSULE 1000 MG ,250,RC,,Outpatient,1000,ME,2.3,1.84,1.72,,,,,,,Percent of Total Billed Charges,,1.72,1.72,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,, ETHAMBUTOL (MYAMBUTOL) TAB : 400 MG ,250,RC,,Outpatient,400,ME,6.4,5.12,4.78,,,,,,,Percent of Total Billed Charges,,4.78,4.78,,6.4,,,,,,,Percent of Total Billed Charges,,,,,6.14,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,5.44,,,,,,,Percent of Total Billed Charges,,,,,1.34,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,5.12,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,, CYCLOSPORINE MODIFIED (NEORAL)CAP:100 MG,J7502 ,CPT,,Outpatient,,,15.55,12.44,11.62,,,,,,,Percent of Total Billed Charges,,11.62,11.62,,15.55,,,,,,,Percent of Total Billed Charges,,,,,14.93,,,,,,,Percent of Total Billed Charges,,,,,14.77,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,13.22,,,,,,,Percent of Total Billed Charges,,,,,3.27,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,4.35,,,,,,,Percent of Total Billed Charges,,,,,12.44,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,, FERROUS SULFATE SR (SLO-FE): 140MG ,250,RC,,Outpatient,140,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, Ferrous -GLUCONATE TAB : 225 MG ,250,RC,,Outpatient,225,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, FERROUS SULFATE TAB : 324 MG ,250,RC,,Outpatient,324,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, FIBER TAB: 625 MG ,250,RC,,Outpatient,625,ME,3.25,2.6,2.43,,,,,,,Percent of Total Billed Charges,,2.43,2.43,,3.25,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,3.09,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,, CYCLOBENZAPRINE (FLEXERIL) TAB : 10 MG ,250,RC,,Outpatient,10,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, FLECAINIDE (TAMBOCOR) TAB : 50 MG ,250,RC,,Outpatient,50,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, FOLIC ACID EXTRA TABLET ,250,RC,,Outpatient,,,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, FLUOXETINE (PROZAC) TAB : 10 MG ,250,RC,,Outpatient,10,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, FLUDROCORTISONE (FLORINEF) TAB : 0.1 MG ,250,RC,,Outpatient,0.1,ME,2.65,2.12,1.98,,,,,,,Percent of Total Billed Charges,,1.98,1.98,,2.65,,,,,,,Percent of Total Billed Charges,,,,,2.54,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,, FLUOXETINE (PROZAC) CAP : 20 MG ,250,RC,,Outpatient,20,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, FOLIC ACID (FOLVITE) TAB : 1 MG ,250,RC,,Outpatient,1,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, *FOLGARD 2.2 TABLET ,250,RC,,Outpatient,2.2,EA,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, FUROSEMIDE (LASIX) TAB : 20 MG ,250,RC,,Outpatient,20,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, FAMOTIDINE (PEPCID) TAB: 20 MG ,250,RC,,Outpatient,20,ME,3.75,3,2.8,,,,,,,Percent of Total Billed Charges,,2.8,2.8,,3.75,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,, FUROSEMIDE (LASIX) TAB : 40 MG ,250,RC,,Outpatient,40,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, *FAMOTIDINE (PEPCID)TAB: 40 MG******** ,250,RC,,Outpatient,40,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, FUROSEMIDE (LASIX) TAB : 80 MG ,250,RC,,Outpatient,80,ME,2.9,2.32,2.17,,,,,,,Percent of Total Billed Charges,,2.17,2.17,,2.9,,,,,,,Percent of Total Billed Charges,,,,,2.78,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,2.32,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,, *ENTEX PSE : GUAIFENESIN & SUDAFED *** ,250,RC,,Outpatient,,,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, GAVISCON CHEW TAB ,250,RC,,Outpatient,,,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, GLIPIZIDE (GLUCOTROL) TAB : 5 MG ,250,RC,,Outpatient,5,ME,2.3,1.84,1.72,,,,,,,Percent of Total Billed Charges,,1.72,1.72,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,, GLIPIZIDE (GLUCOTROL) TAB : 10 MG ,250,RC,,Outpatient,10,ME,2.7,2.16,2.02,,,,,,,Percent of Total Billed Charges,,2.02,2.02,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,, GABAPENTIN (NEURONTIN) CAP : 300 MG ,250,RC,,Outpatient,300,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, GLIMEPIRIDE (AMARYL) TAB: 2 MG ,250,RC,,Outpatient,2,ME,2.75,2.2,2.05,,,,,,,Percent of Total Billed Charges,,2.05,2.05,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,, GLUCOTROL XL (GLIPIZIDE ER)TAB : 2.5 MG ,250,RC,,Outpatient,25,ME,2.45,1.96,1.83,,,,,,,Percent of Total Billed Charges,,1.83,1.83,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.33,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,, GLYBURIDE TAB : 2.5 MG ,250,RC,,Outpatient,2.5,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, GLUCOTROL XL (GLIPIZIDE ER) TAB : 5 MG ,250,RC,,Outpatient,5,ME,3.1,2.48,2.32,,,,,,,Percent of Total Billed Charges,,2.32,2.32,,3.1,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,2.95,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,0.87,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,, GLYBURIDE TAB : 5 MG ,250,RC,,Outpatient,5,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, GABAPENTIN (NEURONTIN) CAP : 400 MG ,250,RC,,Outpatient,400,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, *GALANTAMINE (RAZADYNE ER):NON FORM. 4MG,250,RC,,Outpatient,4,ME,5.4,4.32,4.03,,,,,,,Percent of Total Billed Charges,,4.03,4.03,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,5.13,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,,,1.51,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,, GABAPENTIN (NEURONTIN) CAP : 100 MG ,250,RC,,Outpatient,100,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, HALOPERIDOL (HALDOL) TAB : 5 MG ,250,RC,,Outpatient,5,ME,3.2,2.56,2.39,,,,,,,Percent of Total Billed Charges,,2.39,2.39,,3.2,,,,,,,Percent of Total Billed Charges,,,,,3.07,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,2.56,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,, HALOPERIDOL (HALDOL) TAB : 0.5 MG ,250,RC,,Outpatient,0.5,ME,2.4,1.92,1.79,,,,,,,Percent of Total Billed Charges,,1.79,1.79,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,, GLUCOTROL XL (GLIPIZIDE ER) TAB: 10 MG ,250,RC,,Outpatient,10,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, HURRICAINE SPRAY (BENZOCAINE) ,250,RC,,Outpatient,,,105,84,78.44,,,,,,,Percent of Total Billed Charges,,78.44,78.44,,105,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,99.75,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,89.25,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,, HYDRALAZINE (APRESOLINE) TAB : 10 MG ,250,RC,,Outpatient,10,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, GUAIFENESIN ER (MUCINEX) TAB: 600 MG ,250,RC,,Outpatient,600,ME,3.75,3,2.8,,,,,,,Percent of Total Billed Charges,,2.8,2.8,,3.75,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,, HYDRALAZINE (APRESOLINE) TAB : 25 MG ,250,RC,,Outpatient,25,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, HYDRALAZINE (APRESOLINE) TAB : 50 MG ,250,RC,,Outpatient,50,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, HYDROCHLOROTHIAZIDE CAP: 12.5 MG ,250,RC,,Outpatient,12.5,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, HYDROCHLOROTHIAZIDE TAB: 25 MG ,250,RC,,Outpatient,25,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, HYDROCHLOROTHIAZIDE TAB : 50 MG ,250,RC,,Outpatient,50,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, NF-TIZANIDINE TAB (ZANAFLEX) : 2 MG ,250,RC,,Outpatient,2,ME,3.45,2.76,2.58,,,,,,,Percent of Total Billed Charges,,2.58,2.58,,3.45,,,,,,,Percent of Total Billed Charges,,,,,3.31,,,,,,,Percent of Total Billed Charges,,,,,3.28,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,0.72,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,0.97,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,, HYDROCORTISONE TAB : 20 MG ,250,RC,,Outpatient,20,ME,2.45,1.96,1.83,,,,,,,Percent of Total Billed Charges,,1.83,1.83,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.33,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,, "HYDROXYZINE TAB(VISTARIL, ATARAX):10MG ",250,RC,,Outpatient,10,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, "HYDROXYZINE TAB(VISTARIL, ATARAX):25 MG ",250,RC,,Outpatient,25,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, "HYDROXYZINE TAB (VISTARIL, ATARAX):50 MG",250,RC,,Outpatient,50,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, IBUPROFEN TAB (MOTRIN) : 200 MG ,250,RC,,Outpatient,200,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, IBUPROFEN TAB (MOTRIN) : 400 MG ,250,RC,,Outpatient,400,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, IBUPROFEN TAB (MOTRIN) : 600 MG ,250,RC,,Outpatient,600,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, IMDUR TAB(ISOSORBIDE MONONITRATE):30 MG ,250,RC,,Outpatient,30,ME,4.2,3.36,3.14,,,,,,,Percent of Total Billed Charges,,3.14,3.14,,4.2,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,, IBUPROFEN TAB (MOTRIN) : 800 MG ,250,RC,,Outpatient,800,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, IMDUR TAB(ISOSORBIDE MONONITRATE):60 MG ,250,RC,,Outpatient,60,ME,2.95,2.36,2.2,,,,,,,Percent of Total Billed Charges,,2.2,2.2,,2.95,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,, IMIPRAMINE (TOFRANIL) TAB : 10 MG ,250,RC,,Outpatient,10,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, IRBESARTAN (AVAPRO) TAB : 150 MG ,250,RC,,Outpatient,150,ME,8.55,6.84,6.39,,,,,,,Percent of Total Billed Charges,,6.39,6.39,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.21,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,7.27,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,6.84,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,, IMIPRAMINE (TOFRANIL) TAB : 25 MG ,250,RC,,Outpatient,25,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, IRBESARTAN (AVAPRO) TAB : 300 MG ,250,RC,,Outpatient,300,ME,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, INDOMETHACIN (INDOCIN) CAP : 25 MG ,250,RC,,Outpatient,25,ME,2.3,1.84,1.72,,,,,,,Percent of Total Billed Charges,,1.72,1.72,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,, ISMO (ISOSORBIDE SR) TAB : 20 MG ,250,RC,,Outpatient,20,ME,2.8,2.24,2.09,,,,,,,Percent of Total Billed Charges,,2.09,2.09,,2.8,,,,,,,Percent of Total Billed Charges,,,,,2.69,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,, ISONIAZID TAB (INH) : 300 MG ,250,RC,,Outpatient,300,ME,10.3,8.24,7.69,,,,,,,Percent of Total Billed Charges,,7.69,7.69,,10.3,,,,,,,Percent of Total Billed Charges,,,,,9.89,,,,,,,Percent of Total Billed Charges,,,,,9.79,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,8.76,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,9.27,,,,,,,Percent of Total Billed Charges,,,,,9.27,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,8.24,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,, LEVETIRACETAM (KEPPRA) TAB: 250 MG ,250,RC,,Outpatient,250,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, ISOSORBIDE TAB (ISORDIL) : 10 MG ,250,RC,,Outpatient,10,ME,2.8,2.24,2.09,,,,,,,Percent of Total Billed Charges,,2.09,2.09,,2.8,,,,,,,Percent of Total Billed Charges,,,,,2.69,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,, ISRADIPINE (DYNACIRC) CAP : 2.5 MG ,250,RC,,Outpatient,0.5,ME,4.05,3.24,3.03,,,,,,,Percent of Total Billed Charges,,3.03,3.03,,4.05,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,3.85,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,3.65,,,,,,,Percent of Total Billed Charges,,,,,3.65,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,,,3.24,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,, ISOSORBIDE TAB (ISORDIL) : 20 MG ,250,RC,,Outpatient,20,ME,3.05,2.44,2.28,,,,,,,Percent of Total Billed Charges,,2.28,2.28,,3.05,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,2.44,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,, KETOROLAC (TORADOL) TAB : 10 MG ,250,RC,,Outpatient,10,ME,14.95,11.96,11.17,,,,,,,Percent of Total Billed Charges,,11.17,11.17,,14.95,,,,,,,Percent of Total Billed Charges,,,,,14.35,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,2.99,,,,,,,Percent of Total Billed Charges,,,,,12.71,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,,,13.46,,,,,,,Percent of Total Billed Charges,,,,,13.46,,,,,,,Percent of Total Billed Charges,,,,,2.99,,,,,,,Percent of Total Billed Charges,,,,,4.19,,,,,,,Percent of Total Billed Charges,,,,,11.96,,,,,,,Percent of Total Billed Charges,,,,,2.99,,,,,,,Percent of Total Billed Charges,,,, K-25 MEQ EFFERVESCENT TAB ,250,RC,,Outpatient,25,ME,2.55,2.04,1.9,,,,,,,Percent of Total Billed Charges,,1.9,1.9,,2.55,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,, POTASSIUM PHOSPHATE TAB: 500 MG ,250,RC,,Outpatient,500,ME,2.95,2.36,2.2,,,,,,,Percent of Total Billed Charges,,2.2,2.2,,2.95,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,, *ISOSORBIDE TAB (ISORDIL) : 40 MG****** ,250,RC,,Outpatient,40,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, LEVOFLOXACIN (LEVAQUIN) TAB : 750 MG ,250,RC,,Outpatient,750,ME,3.05,2.44,2.28,,,,,,,Percent of Total Billed Charges,,2.28,2.28,,3.05,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,2.44,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,, LEVOFLOXACIN (LEVAQUIN) TAB : 500 MG ,250,RC,,Outpatient,500,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, LEVOFLOXACIN (LEVAQUIN) TAB : 250 MG ,250,RC,,Outpatient,250,ME,2.3,1.84,1.72,,,,,,,Percent of Total Billed Charges,,1.72,1.72,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,, KCL 10 MEQ TAB ,250,RC,,Outpatient,10,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, KCL 20 MEQ TAB/CAP ,250,RC,,Outpatient,20,ME,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, LEVONORGESTREL (PLAN B) TAB :1.5 MG ,250,RC,,Outpatient,0.15,ME,15.6,12.48,11.65,,,,,,,Percent of Total Billed Charges,,11.65,11.65,,15.6,,,,,,,Percent of Total Billed Charges,,,,,14.98,,,,,,,Percent of Total Billed Charges,,,,,14.82,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,13.26,,,,,,,Percent of Total Billed Charges,,,,,3.28,,,,,,,Percent of Total Billed Charges,,,,,14.04,,,,,,,Percent of Total Billed Charges,,,,,14.04,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,4.37,,,,,,,Percent of Total Billed Charges,,,,,12.48,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,, KETOCONAZOLE (NIZORAL) TAB:200 MG***** ,250,RC,,Outpatient,200,ME,6.05,4.84,4.52,,,,,,,Percent of Total Billed Charges,,4.52,4.52,,6.05,,,,,,,Percent of Total Billed Charges,,,,,5.81,,,,,,,Percent of Total Billed Charges,,,,,5.75,,,,,,,Percent of Total Billed Charges,,,,,1.21,,,,,,,Percent of Total Billed Charges,,,,,5.14,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,,,5.45,,,,,,,Percent of Total Billed Charges,,,,,5.45,,,,,,,Percent of Total Billed Charges,,,,,1.21,,,,,,,Percent of Total Billed Charges,,,,,1.69,,,,,,,Percent of Total Billed Charges,,,,,4.84,,,,,,,Percent of Total Billed Charges,,,,,1.21,,,,,,,Percent of Total Billed Charges,,,, LACTAID CAPLETS ,250,RC,,Outpatient,,,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, LABETALOL (TRANDATE) TAB : 200 MG ,250,RC,,Outpatient,200,ME,2.95,2.36,2.2,,,,,,,Percent of Total Billed Charges,,2.2,2.2,,2.95,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,, LEVOTHYROXINE (SYNTHROID) TAB : 25 MCG ,250,RC,,Outpatient,25,ME,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, LEVOTHYROXINE (SYNTHROID) TAB : 88 MCG ,250,RC,,Outpatient,88,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, LEVOTHYROXINE (SYNTHROID) TAB : 75 MCG ,250,RC,,Outpatient,75,ME,7.3,5.84,5.45,,,,,,,Percent of Total Billed Charges,,5.45,5.45,,7.3,,,,,,,Percent of Total Billed Charges,,,,,7.01,,,,,,,Percent of Total Billed Charges,,,,,6.94,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,,,6.21,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,6.57,,,,,,,Percent of Total Billed Charges,,,,,6.57,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,5.84,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,, LISINOPRIL(ZESTRIL PRINIVIL) TAB: 2.5 MG,250,RC,,Outpatient,0.25,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, LEVOTHYROXINE (SYNTHROID) TAB : 50 MCG ,250,RC,,Outpatient,50,ME,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, LISINOPRIL(ZESTRIL PRINIVIL) TAB: 5 MG ,250,RC,,Outpatient,5,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, LEVOTHYROXINE (SYNTHROID) TAB : 100 MCG,250,RC,,Outpatient,100,ME,6.75,5.4,5.04,,,,,,,Percent of Total Billed Charges,,5.04,5.04,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.48,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,1.42,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,, LEVOTHYROXINE (SYNTHROID) TAB : 112 MCG,250,RC,,Outpatient,112,ME,6.75,5.4,5.04,,,,,,,Percent of Total Billed Charges,,5.04,5.04,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.48,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,1.42,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,, LEVOTHYROXINE (SYNTHROID) TAB : 150 MCG,250,RC,,Outpatient,150,ME,6.75,5.4,5.04,,,,,,,Percent of Total Billed Charges,,5.04,5.04,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.48,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,1.42,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,, LISINOPRIL(ZESTRIL PRINIVIL) TAB: 10 MG ,250,RC,,Outpatient,10,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, LEVOTHYROXINE (SYNTHROID) TAB : 175 MCG,250,RC,,Outpatient,175,ME,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, LISINOPRIL(ZESTRIL PRINIVIL) TAB:20 MG ,250,RC,,Outpatient,20,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, LOSARTAN (COZAAR) TAB : 25 MG ,250,RC,,Outpatient,25,ME,2.55,2.04,1.9,,,,,,,Percent of Total Billed Charges,,1.9,1.9,,2.55,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,, LEVOTHYROXINE (SYNTHROID) TAB : 125 MCG,250,RC,,Outpatient,125,ME,6.75,5.4,5.04,,,,,,,Percent of Total Billed Charges,,5.04,5.04,,6.75,,,,,,,Percent of Total Billed Charges,,,,,6.48,,,,,,,Percent of Total Billed Charges,,,,,6.41,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,1.42,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,, LITHIUM CARBONATE TAB/CAP : 300 MG ,250,RC,,Outpatient,300,ME,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, LOVASTATIN (MEVACOR) TAB : 10 MG ,250,RC,,Outpatient,10,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, LOSARTAN (COZAAR) TAB : 50 MG ,250,RC,,Outpatient,50,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, LORATIDINE (CLARITIN) TAB : 10 MG ,250,RC,,Outpatient,10,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, GEMFIBROZIL (LOPID) TAB : 600 MG ,250,RC,,Outpatient,600,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, LOVASTATIN (MEVACOR) TAB : 20 MG ,250,RC,,Outpatient,20,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, LEVOTHYROXINE (SYNTHROID) TAB : 137 MCG,250,RC,,Outpatient,137,ME,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, MAGNESIUM GLUCONATE TAB : 500 MG ,250,RC,,Outpatient,500,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, MAGNESIUM CHLORIDE (SLOW-MAG) TAB 64 MG ,250,RC,,Outpatient,64,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, MAGNESIUM OXIDE TAB : 400 MG ,250,RC,,Outpatient,400,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, MECLIZINE (ANTIVERT) TAB : 12.5 MG ,250,RC,,Outpatient,0.5,ME,2.55,2.04,1.9,,,,,,,Percent of Total Billed Charges,,1.9,1.9,,2.55,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,, MEMANTINE (NAMENDA) TAB: 5 MG ,250,RC,,Outpatient,5,ME,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, MECLIZINE (ANTIVERT) TAB : 25 MG ,250,RC,,Outpatient,25,ME,2.85,2.28,2.13,,,,,,,Percent of Total Billed Charges,,2.13,2.13,,2.85,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,2.71,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,, *MEGESTROL (MEGACE) TAB : 40 MG******** ,250,RC,,Outpatient,40,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, MEMANTINE (NAMENDA) TAB: 10 MG ,250,RC,,Outpatient,10,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, MELOXICAM (MOBIC) TAB: 7.5 MG ,250,RC,,Outpatient,7.5,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, MELOXICAM (MOBIC) TAB: 15 MG ,250,RC,,Outpatient,15,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, MESALAMINE (DELZICOL) SR TAB : 400 MG ,250,RC,,Outpatient,400,ME,18.15,14.52,13.56,,,,,,,Percent of Total Billed Charges,,13.56,13.56,,18.15,,,,,,,Percent of Total Billed Charges,,,,,17.42,,,,,,,Percent of Total Billed Charges,,,,,17.24,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,,,15.43,,,,,,,Percent of Total Billed Charges,,,,,3.81,,,,,,,Percent of Total Billed Charges,,,,,16.34,,,,,,,Percent of Total Billed Charges,,,,,16.34,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,,,5.08,,,,,,,Percent of Total Billed Charges,,,,,14.52,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,, MESALAMINE (PENTASA) CR CAP : 250 MG ,250,RC,,Outpatient,250,ME,10.95,8.76,8.18,,,,,,,Percent of Total Billed Charges,,8.18,8.18,,10.95,,,,,,,Percent of Total Billed Charges,,,,,10.51,,,,,,,Percent of Total Billed Charges,,,,,10.4,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,9.31,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.86,,,,,,,Percent of Total Billed Charges,,,,,9.86,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,3.07,,,,,,,Percent of Total Billed Charges,,,,,8.76,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,, MONTELUKAST (SINGULAIR) TAB : 10 MG ,250,RC,,Outpatient,10,ME,2.65,2.12,1.98,,,,,,,Percent of Total Billed Charges,,1.98,1.98,,2.65,,,,,,,Percent of Total Billed Charges,,,,,2.54,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,2.39,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,, METHYLDOPA TAB (ALDOMET) : 250 MG ,250,RC,,Outpatient,250,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, METFORMIN (GLUCOPHAGE) TAB : 500 MG ,250,RC,,Outpatient,500,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, METHYLPREDNISOLONE TAB : 4 MG ,J7509 ,CPT,,Outpatient,,,2.75,2.2,2.05,,,,,,,Percent of Total Billed Charges,,2.05,2.05,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,, METOCLOPRAMIDE (REGLAN) TAB : 10 MG ,250,RC,,Outpatient,10,ME,3.05,2.44,2.28,,,,,,,Percent of Total Billed Charges,,2.28,2.28,,3.05,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,2.44,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,, METOLAZONE (ZAROXOLYN) : 2.5 MG ,250,RC,,Outpatient,2.5,ME,7.95,6.36,5.94,,,,,,,Percent of Total Billed Charges,,5.94,5.94,,7.95,,,,,,,Percent of Total Billed Charges,,,,,7.63,,,,,,,Percent of Total Billed Charges,,,,,7.55,,,,,,,Percent of Total Billed Charges,,,,,1.59,,,,,,,Percent of Total Billed Charges,,,,,6.76,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,7.16,,,,,,,Percent of Total Billed Charges,,,,,7.16,,,,,,,Percent of Total Billed Charges,,,,,1.59,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,6.36,,,,,,,Percent of Total Billed Charges,,,,,1.59,,,,,,,Percent of Total Billed Charges,,,, METOPROLOL TARTRATE(LOPRESSOR):50 MG TAB,250,RC,,Outpatient,50,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, METOLAZONE (ZAROXOLYN) TAB : 5 MG ,250,RC,,Outpatient,5,ME,9.3,7.44,6.95,,,,,,,Percent of Total Billed Charges,,6.95,6.95,,9.3,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,8.84,,,,,,,Percent of Total Billed Charges,,,,,1.86,,,,,,,Percent of Total Billed Charges,,,,,7.91,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,8.37,,,,,,,Percent of Total Billed Charges,,,,,8.37,,,,,,,Percent of Total Billed Charges,,,,,1.86,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,7.44,,,,,,,Percent of Total Billed Charges,,,,,1.86,,,,,,,Percent of Total Billed Charges,,,, MIDODRINE (PROAMANTINE)TAB:10MG *NONFRM ,250,RC,,Outpatient,10,ME,2.45,1.96,1.83,,,,,,,Percent of Total Billed Charges,,1.83,1.83,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.33,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,, MIRTAZAPINE (REMERON) TAB: 15 MG ,250,RC,,Outpatient,15,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, *MODURETIC 5/50 TAB************* ,250,RC,,Outpatient,5,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, METOPROLOL TARTRATE(LOPRESSOR) :25 MG TA,250,RC,,Outpatient,25,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, MONTELUKAST (SINGULAIR) TAB : 5 MG *NF ,250,RC,,Outpatient,5,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, MULTI VITAMIN THERAPEUTIC TAB ,250,RC,,Outpatient,,,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, METFORMIN ER(GLUCOPHAGE ER) TAB:500MG ,250,RC,,Outpatient,500,ME,2.6,2.08,1.94,,,,,,,Percent of Total Billed Charges,,1.94,1.94,,2.6,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,, MVI TAB FOR SENIORS (GEN CENTRUM SILVER),250,RC,,Outpatient,,,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, METOCLOPRAMIDE (REGLAN) TAB : 5 MG ,250,RC,,Outpatient,5,ME,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, SIMETHICONE CHEW TAB : 80 MG ,250,RC,,Outpatient,80,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, MISOPROSTOL (CYTOTEC) TAB : 200 MCG ,250,RC,,Outpatient,200,ME,4.55,3.64,3.4,,,,,,,Percent of Total Billed Charges,,3.4,3.4,,4.55,,,,,,,Percent of Total Billed Charges,,,,,4.37,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,, *METOPROLOL SUCC(TOPROL XL)TAB: 12.5 MG ,250,RC,,Outpatient,12.5,ME,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, *MISOPROSTOL (CYTOTEC) : 100 MCG****** ,250,RC,,Outpatient,100,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, MIRTAZAPINE (REMERON) TAB: 30 MG ,250,RC,,Outpatient,30,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, MULTI VIT W/IRON & MINERALS TABLET ,250,RC,,Outpatient,,,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, NAPROXEN (NAPROSYN) TAB : 250 MG ,250,RC,,Outpatient,250,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, METOPROLOL SUCCINATE(TOPROL XL):25 MG TA,250,RC,,Outpatient,25,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, NAPROXEN (NAPROSYN) TAB : 375 MG ,250,RC,,Outpatient,375,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, NAPROXEN (NAPROSYN) TAB : 500 MG ,250,RC,,Outpatient,500,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, METOPROLOL SUCCINATE(TOPROL XL):50 MG TA,250,RC,,Outpatient,50,ME,2.4,1.92,1.79,,,,,,,Percent of Total Billed Charges,,1.79,1.79,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,, NIFEDIPINE (PROCARDIA) XL TAB : 60 MG ,250,RC,,Outpatient,60,ME,5.65,4.52,4.22,,,,,,,Percent of Total Billed Charges,,4.22,4.22,,5.65,,,,,,,Percent of Total Billed Charges,,,,,5.42,,,,,,,Percent of Total Billed Charges,,,,,5.37,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,,,5.09,,,,,,,Percent of Total Billed Charges,,,,,5.09,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,4.52,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,, NIFEDIPINE (PROCARDIA) XL TAB : 90 MG ,250,RC,,Outpatient,90,ME,4.55,3.64,3.4,,,,,,,Percent of Total Billed Charges,,3.4,3.4,,4.55,,,,,,,Percent of Total Billed Charges,,,,,4.37,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,, NITROGLYCERIN 0.3 MG SL TAB ,250,RC,,Outpatient,0.3,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, *NEUTRA PHOSPHATE **************** ,250,RC,,Outpatient,,,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, OCUVITE TABLET ,250,RC,,Outpatient,,,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, METOPROLOL SUCCINATE(TOPROL XL):100MG TA,250,RC,,Outpatient,100,ME,3.05,2.44,2.28,,,,,,,Percent of Total Billed Charges,,2.28,2.28,,3.05,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,2.44,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,, NIFEDIPINE (PROCARDIA) XL TAB : 30 MG ,250,RC,,Outpatient,30,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, NABUMETONE (RELAFEN) TAB: 500 MG ,250,RC,,Outpatient,500,ME,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, NICOTINIC ACID (NIACIN) TAB : 100 MG ,250,RC,,Outpatient,100,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, *NIFEDIPINE (PROCARDIA) CAP : 10 MG *** ,250,RC,,Outpatient,10,ME,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, NABUMETONE (RELAFEN) TAB: 750 MG ,250,RC,,Outpatient,750,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, OSELTAMIVIR (TAMIFLU) CAP : 75 MG ,250,RC,,Outpatient,75,ME,7.35,5.88,5.49,,,,,,,Percent of Total Billed Charges,,5.49,5.49,,7.35,,,,,,,Percent of Total Billed Charges,,,,,7.06,,,,,,,Percent of Total Billed Charges,,,,,6.98,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.25,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,, PANCRELIPASE ER CAP (GEN PANCREASE) ,250,RC,,Outpatient,,,20.45,16.36,15.28,,,,,,,Percent of Total Billed Charges,,15.28,15.28,,20.45,,,,,,,Percent of Total Billed Charges,,,,,19.63,,,,,,,Percent of Total Billed Charges,,,,,19.43,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,,,17.38,,,,,,,Percent of Total Billed Charges,,,,,4.29,,,,,,,Percent of Total Billed Charges,,,,,18.41,,,,,,,Percent of Total Billed Charges,,,,,18.41,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,,,5.73,,,,,,,Percent of Total Billed Charges,,,,,16.36,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,, *NIFEREX TAB ******************** ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, NITROGLYCERIN 0.4 MG SL TAB ,250,RC,,Outpatient,0.4,ME,9.6,7.68,7.17,,,,,,,Percent of Total Billed Charges,,7.17,7.17,,9.6,,,,,,,Percent of Total Billed Charges,,,,,9.22,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,2.69,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,, LANSOPRAZOLE (PREVACID) CAP : 30 MG ,250,RC,,Outpatient,30,ME,3.85,3.08,2.88,,,,,,,Percent of Total Billed Charges,,2.88,2.88,,3.85,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,3.66,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,3.27,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,,,3.08,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,, OMEPRAZOLE (PRILOSEC) : 20 MG ER CAPSULE,250,RC,,Outpatient,20,ME,2.3,1.84,1.72,,,,,,,Percent of Total Billed Charges,,1.72,1.72,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,, CALCIUM 600MG/VIT D 400 UNIT ,250,RC,,Outpatient,600,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, LANSOPRAZOLE (PREVACID) CAP : 15 MG ,250,RC,,Outpatient,15,ME,3.1,2.48,2.32,,,,,,,Percent of Total Billed Charges,,2.32,2.32,,3.1,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,2.95,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,0.87,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,, *OS CAL TABLET : 500 MG********** ,250,RC,,Outpatient,500,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, NORTRIPTYLINE CAP : 50 MG ,250,RC,,Outpatient,50,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, OLOPATADINE (PATADAY) OPHTH 0.1% 5 ML,250,RC,,Outpatient,0.15,ML,35.15,28.12,26.26,,,,,,,Percent of Total Billed Charges,,26.26,26.26,,35.15,,,,,,,Percent of Total Billed Charges,,,,,33.74,,,,,,,Percent of Total Billed Charges,,,,,33.39,,,,,,,Percent of Total Billed Charges,,,,,7.03,,,,,,,Percent of Total Billed Charges,,,,,29.88,,,,,,,Percent of Total Billed Charges,,,,,7.38,,,,,,,Percent of Total Billed Charges,,,,,31.64,,,,,,,Percent of Total Billed Charges,,,,,31.64,,,,,,,Percent of Total Billed Charges,,,,,7.03,,,,,,,Percent of Total Billed Charges,,,,,9.84,,,,,,,Percent of Total Billed Charges,,,,,28.12,,,,,,,Percent of Total Billed Charges,,,,,7.03,,,,,,,Percent of Total Billed Charges,,,, PRESERVISION (AREDS 2) CAPSULE ,250,RC,,Outpatient,,,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, OLANZAPINE (ZYPREXA) TAB: 10 MG ,250,RC,,Outpatient,10,ME,2.85,2.28,2.13,,,,,,,Percent of Total Billed Charges,,2.13,2.13,,2.85,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,2.71,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,, PAROXETINE (PAXIL) TAB: 10 MG TAB ,250,RC,,Outpatient,10,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, *PRAVASTATIN (PRAVACHOL) TAB: 10 MG ,250,RC,,Outpatient,10,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, *PANCRELIPASE CAPS (PANCREASE)******* ,250,RC,,Outpatient,,,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, PRAVASTATIN (PRAVACHOL) TAB: 20 MG ,250,RC,,Outpatient,20,ME,2.85,2.28,2.13,,,,,,,Percent of Total Billed Charges,,2.13,2.13,,2.85,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,2.71,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,, PRENATAL VITAMIN TABLETS ,250,RC,,Outpatient,,,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, *PRAVASTATIN (PRAVACHOL) TAB: 40 MG ,250,RC,,Outpatient,40,ME,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, NIFEREX-150 CAPSULE ,250,RC,,Outpatient,,,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, *PRAVASTATIN (PRAVACHOL) TAB: 80 MG ,250,RC,,Outpatient,80,ME,11,8.8,8.22,,,,,,,Percent of Total Billed Charges,,8.22,8.22,,11,,,,,,,Percent of Total Billed Charges,,,,,10.56,,,,,,,Percent of Total Billed Charges,,,,,10.45,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,9.35,,,,,,,Percent of Total Billed Charges,,,,,2.31,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,3.08,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,, PENTOXIFYLLINE ER(TRENTAL) TAB : 400 MG ,250,RC,,Outpatient,400,ME,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, PAROXETINE (PAXIL)TAB: 40 MG TAB NONFORM,250,RC,,Outpatient,40,ME,2.8,2.24,2.09,,,,,,,Percent of Total Billed Charges,,2.09,2.09,,2.8,,,,,,,Percent of Total Billed Charges,,,,,2.69,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,, PRAMIPEXOLE (MIRAPEX) TAB: 0.25 MG ,250,RC,,Outpatient,0.25,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, PAROXETINE (PAXIL)TAB: 20 MG TAB ,250,RC,,Outpatient,20,ME,2.55,2.04,1.9,,,,,,,Percent of Total Billed Charges,,1.9,1.9,,2.55,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,, PHENAZOPYRIDINE (PYRIDIUM) TAB : 200 MG ,250,RC,,Outpatient,200,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, PRAMIPEXOLE (MIRAPEX) TAB: 0.5 MG ,250,RC,,Outpatient,0.5,ME,3.55,2.84,2.65,,,,,,,Percent of Total Billed Charges,,2.65,2.65,,3.55,,,,,,,Percent of Total Billed Charges,,,,,3.41,,,,,,,Percent of Total Billed Charges,,,,,3.37,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,0.99,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,, PRAMIPEXOLE (MIRAPEX) TAB: 1 MG ,250,RC,,Outpatient,1,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, *PIROXICAM (FELDENE) CAP : 20 MG***** ,250,RC,,Outpatient,20,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, PRAVASTATIN (PRAVACHOL) TAB: 10 MG ,250,RC,,Outpatient,10,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, PRAMIPEXOLE (MIRAPEX) TAB: 0.125 MG ,250,RC,,Outpatient,0.125,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, ORPHENADRINE (NORFLEX) TAB: 100 MG ,250,RC,,Outpatient,100,ME,2.6,2.08,1.94,,,,,,,Percent of Total Billed Charges,,1.94,1.94,,2.6,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,, METFORMIN (GLUCOPHAGE) TAB : 850 MG ,250,RC,,Outpatient,850,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, PHYTONADIONE (MEPHYTON) TAB : 5 MG ,250,RC,,Outpatient,5,ME,168.3,134.64,125.72,,,,,,,Percent of Total Billed Charges,,125.72,125.72,,168.3,,,,,,,Percent of Total Billed Charges,,,,,161.57,,,,,,,Percent of Total Billed Charges,,,,,159.89,,,,,,,Percent of Total Billed Charges,,,,,33.66,,,,,,,Percent of Total Billed Charges,,,,,143.06,,,,,,,Percent of Total Billed Charges,,,,,35.34,,,,,,,Percent of Total Billed Charges,,,,,151.47,,,,,,,Percent of Total Billed Charges,,,,,151.47,,,,,,,Percent of Total Billed Charges,,,,,33.66,,,,,,,Percent of Total Billed Charges,,,,,47.12,,,,,,,Percent of Total Billed Charges,,,,,134.64,,,,,,,Percent of Total Billed Charges,,,,,33.66,,,,,,,Percent of Total Billed Charges,,,, EMPAGLIFLOZIN (JARDIANCE) TAB : 10 MG ,250,RC,,Outpatient,10,ME,52.55,42.04,39.25,,,,,,,Percent of Total Billed Charges,,39.25,39.25,,52.55,,,,,,,Percent of Total Billed Charges,,,,,50.45,,,,,,,Percent of Total Billed Charges,,,,,49.92,,,,,,,Percent of Total Billed Charges,,,,,10.51,,,,,,,Percent of Total Billed Charges,,,,,44.67,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,47.3,,,,,,,Percent of Total Billed Charges,,,,,47.3,,,,,,,Percent of Total Billed Charges,,,,,10.51,,,,,,,Percent of Total Billed Charges,,,,,14.71,,,,,,,Percent of Total Billed Charges,,,,,42.04,,,,,,,Percent of Total Billed Charges,,,,,10.51,,,,,,,Percent of Total Billed Charges,,,, PREDNISONE TAB : 1 MG ,J7512 ,CPT,,Outpatient,,,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, PREDNISONE TAB : 5 MG ,J7512 ,CPT,,Outpatient,,,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, PREDNISONE LIQ : 5 MG / 5 ML ,J7512 ,CPT,,Outpatient,,,10.6,8.48,7.92,,,,,,,Percent of Total Billed Charges,,7.92,7.92,,10.6,,,,,,,Percent of Total Billed Charges,,,,,10.18,,,,,,,Percent of Total Billed Charges,,,,,10.07,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,9.01,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,9.54,,,,,,,Percent of Total Billed Charges,,,,,9.54,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.97,,,,,,,Percent of Total Billed Charges,,,,,8.48,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,, PREDNISONE TAB : 10 MG ,J7512 ,CPT,,Outpatient,,,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, PREDNISONE TAB : 2.5 MG ,J7512 ,CPT,,Outpatient,,,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, PREDNISONE TAB : 20 MG ,J7512 ,CPT,,Outpatient,,,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, CONJUGATED ESTROGEN TAB : 0.625 MG ,250,RC,,Outpatient,0.625,ME,9.7,7.76,7.25,,,,,,,Percent of Total Billed Charges,,7.25,7.25,,9.7,,,,,,,Percent of Total Billed Charges,,,,,9.31,,,,,,,Percent of Total Billed Charges,,,,,9.22,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,8.25,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,8.73,,,,,,,Percent of Total Billed Charges,,,,,8.73,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,7.76,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,, CONJUGATED ESTROGEN TAB : 0.9 MG ,250,RC,,Outpatient,0.9,ME,9.7,7.76,7.25,,,,,,,Percent of Total Billed Charges,,7.25,7.25,,9.7,,,,,,,Percent of Total Billed Charges,,,,,9.31,,,,,,,Percent of Total Billed Charges,,,,,9.22,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,8.25,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,8.73,,,,,,,Percent of Total Billed Charges,,,,,8.73,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,7.76,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,, CONJUGATED ESTROGEN TAB : 0.3 MG ,250,RC,,Outpatient,0.3,ME,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, CONJUGATED ESTROGEN TAB : 1.25 MG ,250,RC,,Outpatient,0.25,ME,9.7,7.76,7.25,,,,,,,Percent of Total Billed Charges,,7.25,7.25,,9.7,,,,,,,Percent of Total Billed Charges,,,,,9.31,,,,,,,Percent of Total Billed Charges,,,,,9.22,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,8.25,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,8.73,,,,,,,Percent of Total Billed Charges,,,,,8.73,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,7.76,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,, LACTINEX TABLET ,250,RC,,Outpatient,,,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, PROBENECID TAB : 500 MG ,250,RC,,Outpatient,500,ME,2.9,2.32,2.17,,,,,,,Percent of Total Billed Charges,,2.17,2.17,,2.9,,,,,,,Percent of Total Billed Charges,,,,,2.78,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,2.32,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,, CALCITRIOL (ROCALTROL) CAP : 0.25 MCG ,250,RC,,Outpatient,0.25,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, CULTURELLE (PROBIOTIC) CAP ,250,RC,,Outpatient,,,4.25,3.4,3.17,,,,,,,Percent of Total Billed Charges,,3.17,3.17,,4.25,,,,,,,Percent of Total Billed Charges,,,,,4.08,,,,,,,Percent of Total Billed Charges,,,,,4.04,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,3.61,,,,,,,Percent of Total Billed Charges,,,,,0.89,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,1.19,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,, APIXABAN (ELIQUIS) TAB 2.5 MG ,250,RC,,Outpatient,0.5,ME,25.4,20.32,18.97,,,,,,,Percent of Total Billed Charges,,18.97,18.97,,25.4,,,,,,,Percent of Total Billed Charges,,,,,24.38,,,,,,,Percent of Total Billed Charges,,,,,24.13,,,,,,,Percent of Total Billed Charges,,,,,5.08,,,,,,,Percent of Total Billed Charges,,,,,21.59,,,,,,,Percent of Total Billed Charges,,,,,5.33,,,,,,,Percent of Total Billed Charges,,,,,22.86,,,,,,,Percent of Total Billed Charges,,,,,22.86,,,,,,,Percent of Total Billed Charges,,,,,5.08,,,,,,,Percent of Total Billed Charges,,,,,7.11,,,,,,,Percent of Total Billed Charges,,,,,20.32,,,,,,,Percent of Total Billed Charges,,,,,5.08,,,,,,,Percent of Total Billed Charges,,,, APIXABAN (ELIQUIS) TAB: 5 MG ,250,RC,,Outpatient,5,ME,23.6,18.88,17.63,,,,,,,Percent of Total Billed Charges,,17.63,17.63,,23.6,,,,,,,Percent of Total Billed Charges,,,,,22.66,,,,,,,Percent of Total Billed Charges,,,,,22.42,,,,,,,Percent of Total Billed Charges,,,,,4.72,,,,,,,Percent of Total Billed Charges,,,,,20.06,,,,,,,Percent of Total Billed Charges,,,,,4.96,,,,,,,Percent of Total Billed Charges,,,,,21.24,,,,,,,Percent of Total Billed Charges,,,,,21.24,,,,,,,Percent of Total Billed Charges,,,,,4.72,,,,,,,Percent of Total Billed Charges,,,,,6.61,,,,,,,Percent of Total Billed Charges,,,,,18.88,,,,,,,Percent of Total Billed Charges,,,,,4.72,,,,,,,Percent of Total Billed Charges,,,, ROPINIROLE (REQUIP) TAB: 1 MG ,250,RC,,Outpatient,1,ME,2.6,2.08,1.94,,,,,,,Percent of Total Billed Charges,,1.94,1.94,,2.6,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,, RIVAROXABAN (XARELTO) TAB: 15 MG ,250,RC,,Outpatient,15,ME,48.6,38.88,36.3,,,,,,,Percent of Total Billed Charges,,36.3,36.3,,48.6,,,,,,,Percent of Total Billed Charges,,,,,46.66,,,,,,,Percent of Total Billed Charges,,,,,46.17,,,,,,,Percent of Total Billed Charges,,,,,9.72,,,,,,,Percent of Total Billed Charges,,,,,41.31,,,,,,,Percent of Total Billed Charges,,,,,10.21,,,,,,,Percent of Total Billed Charges,,,,,43.74,,,,,,,Percent of Total Billed Charges,,,,,43.74,,,,,,,Percent of Total Billed Charges,,,,,9.72,,,,,,,Percent of Total Billed Charges,,,,,13.61,,,,,,,Percent of Total Billed Charges,,,,,38.88,,,,,,,Percent of Total Billed Charges,,,,,9.72,,,,,,,Percent of Total Billed Charges,,,, ONDANSETRON (ZOFRAN) ODT: 4 MG ,250,RC,,Outpatient,4,ME,2.7,2.16,2.02,,,,,,,Percent of Total Billed Charges,,2.02,2.02,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,, PROCHLORPERAZINE (COMPAZINE) TAB: 10 MG ,250,RC,,Outpatient,10,ME,4.8,3.84,3.59,,,,,,,Percent of Total Billed Charges,,3.59,3.59,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.61,,,,,,,Percent of Total Billed Charges,,,,,4.56,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,4.08,,,,,,,Percent of Total Billed Charges,,,,,1.01,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,1.34,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,, PROCHLORPERAZINE (COMPAZINE) TAB: 5 MG ,250,RC,,Outpatient,5,ME,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, PROMETHAZINE (PHENERGAN) TAB : 25 MG ,250,RC,,Outpatient,25,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, PROPAFENONE (RYTHMOL) TAB : 150 MG ,250,RC,,Outpatient,150,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, RIVAROXABAN (XARELTO) TAB: 20 MG ,250,RC,,Outpatient,20,ME,44.25,35.4,33.05,,,,,,,Percent of Total Billed Charges,,33.05,33.05,,44.25,,,,,,,Percent of Total Billed Charges,,,,,42.48,,,,,,,Percent of Total Billed Charges,,,,,42.04,,,,,,,Percent of Total Billed Charges,,,,,8.85,,,,,,,Percent of Total Billed Charges,,,,,37.61,,,,,,,Percent of Total Billed Charges,,,,,9.29,,,,,,,Percent of Total Billed Charges,,,,,39.83,,,,,,,Percent of Total Billed Charges,,,,,39.83,,,,,,,Percent of Total Billed Charges,,,,,8.85,,,,,,,Percent of Total Billed Charges,,,,,12.39,,,,,,,Percent of Total Billed Charges,,,,,35.4,,,,,,,Percent of Total Billed Charges,,,,,8.85,,,,,,,Percent of Total Billed Charges,,,, PROPRANOLOL (INDERAL) TAB : 10 MG ,250,RC,,Outpatient,10,ME,2.6,2.08,1.94,,,,,,,Percent of Total Billed Charges,,1.94,1.94,,2.6,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,, RIVAROXABAN (XARELTO) TAB: 10 MG ,250,RC,,Outpatient,10,ME,44.25,35.4,33.05,,,,,,,Percent of Total Billed Charges,,33.05,33.05,,44.25,,,,,,,Percent of Total Billed Charges,,,,,42.48,,,,,,,Percent of Total Billed Charges,,,,,42.04,,,,,,,Percent of Total Billed Charges,,,,,8.85,,,,,,,Percent of Total Billed Charges,,,,,37.61,,,,,,,Percent of Total Billed Charges,,,,,9.29,,,,,,,Percent of Total Billed Charges,,,,,39.83,,,,,,,Percent of Total Billed Charges,,,,,39.83,,,,,,,Percent of Total Billed Charges,,,,,8.85,,,,,,,Percent of Total Billed Charges,,,,,12.39,,,,,,,Percent of Total Billed Charges,,,,,35.4,,,,,,,Percent of Total Billed Charges,,,,,8.85,,,,,,,Percent of Total Billed Charges,,,, PROPRANOLOL (INDERAL) TAB : 20 MG ,250,RC,,Outpatient,20,ME,2.6,2.08,1.94,,,,,,,Percent of Total Billed Charges,,1.94,1.94,,2.6,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,, PROPRANOLOL LA CAP : 60 MG ,250,RC,,Outpatient,60,ME,3.1,2.48,2.32,,,,,,,Percent of Total Billed Charges,,2.32,2.32,,3.1,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,2.95,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,0.87,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,, PROPRANOLOL (INDERAL) TAB : 40 MG ,250,RC,,Outpatient,40,ME,2.85,2.28,2.13,,,,,,,Percent of Total Billed Charges,,2.13,2.13,,2.85,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,2.71,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,, ROPINIROLE (REQUIP) TAB: 0.5 MG ,250,RC,,Outpatient,0.5,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, PROPRANOLOL LA CAP : 80 MG ,250,RC,,Outpatient,80,ME,5.1,4.08,3.81,,,,,,,Percent of Total Billed Charges,,3.81,3.81,,5.1,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,4.85,,,,,,,Percent of Total Billed Charges,,,,,1.02,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,1.07,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,1.02,,,,,,,Percent of Total Billed Charges,,,,,1.43,,,,,,,Percent of Total Billed Charges,,,,,4.08,,,,,,,Percent of Total Billed Charges,,,,,1.02,,,,,,,Percent of Total Billed Charges,,,, QUINAPRIL (ACCUPRIL) TAB : 10 MG ,250,RC,,Outpatient,10,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, PROPYLTHIOURACIL TAB : 50 MG ,250,RC,,Outpatient,50,ME,8.65,6.92,6.46,,,,,,,Percent of Total Billed Charges,,6.46,6.46,,8.65,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,8.22,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,7.79,,,,,,,Percent of Total Billed Charges,,,,,7.79,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,6.92,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,, MEDROXYPROGESTERONE (PROVERA) TAB: 10 MG,250,RC,,Outpatient,10,ME,5.25,4.2,3.92,,,,,,,Percent of Total Billed Charges,,3.92,3.92,,5.25,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,4.99,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.46,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,, PSEUDOEPHEDRINE TAB : 30 MG ,250,RC,,Outpatient,30,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, MEDROXYPROGESTERONE TAB (PROVERA):2.5 MG,250,RC,,Outpatient,0.5,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, PYRIDOXINE TAB (VITAMIN B-6) : 100 MG ,250,RC,,Outpatient,100,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, PANTOPRAZOLE (PROTONIX): 40 MG INJECTION,250,RC,,Outpatient,40,ME,16.1,12.88,12.03,,,,,,,Percent of Total Billed Charges,,12.03,12.03,,16.1,,,,,,,Percent of Total Billed Charges,,,,,15.46,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,13.69,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,4.51,,,,,,,Percent of Total Billed Charges,,,,,12.88,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,, QUETIAPINE (SEROQUEL): 50 MG TAB ,250,RC,,Outpatient,50,ME,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, *RETROBULBAR SOLN :LIDO & BUPIV ,250,RC,,Outpatient,,,33,26.4,24.65,,,,,,,Percent of Total Billed Charges,,24.65,24.65,,33,,,,,,,Percent of Total Billed Charges,,,,,31.68,,,,,,,Percent of Total Billed Charges,,,,,31.35,,,,,,,Percent of Total Billed Charges,,,,,6.6,,,,,,,Percent of Total Billed Charges,,,,,28.05,,,,,,,Percent of Total Billed Charges,,,,,6.93,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,6.6,,,,,,,Percent of Total Billed Charges,,,,,9.24,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,6.6,,,,,,,Percent of Total Billed Charges,,,, QUININE SULFATE (QUINAM) TAB : 260 MG ,250,RC,,Outpatient,260,ME,2.3,1.84,1.72,,,,,,,Percent of Total Billed Charges,,1.72,1.72,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,, QUINAPRIL (ACCUPRIL) TAB : 5 MG ,250,RC,,Outpatient,5,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, QUINIDINE GLUCONATE ER TAB : 324 MG ,250,RC,,Outpatient,32,ME,19.15,15.32,14.31,,,,,,,Percent of Total Billed Charges,,14.31,14.31,,19.15,,,,,,,Percent of Total Billed Charges,,,,,18.38,,,,,,,Percent of Total Billed Charges,,,,,18.19,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,16.28,,,,,,,Percent of Total Billed Charges,,,,,4.02,,,,,,,Percent of Total Billed Charges,,,,,17.24,,,,,,,Percent of Total Billed Charges,,,,,17.24,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,15.32,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,, *ROFECOXIB (VIOXX) TAB : 25 MG********* ,250,RC,,Outpatient,25,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, QUININE SULFATE CAP/TAB : 324 MG ,250,RC,,Outpatient,324,ME,3.6,2.88,2.69,,,,,,,Percent of Total Billed Charges,,2.69,2.69,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.46,,,,,,,Percent of Total Billed Charges,,,,,3.42,,,,,,,Percent of Total Billed Charges,,,,,0.72,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,,,3.24,,,,,,,Percent of Total Billed Charges,,,,,3.24,,,,,,,Percent of Total Billed Charges,,,,,0.72,,,,,,,Percent of Total Billed Charges,,,,,1.01,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,0.72,,,,,,,Percent of Total Billed Charges,,,, RALOXIFENE (EVISTA) TAB: 60 MG ,250,RC,,Outpatient,60,ME,2.4,1.92,1.79,,,,,,,Percent of Total Billed Charges,,1.79,1.79,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,, *RANITIDINE (ZANTAC)TAB: 150MG ,250,RC,,Outpatient,150,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, ROLAIDS CHEW TAB : 1 ROLL ,250,RC,,Outpatient,,,2.8,2.24,2.09,,,,,,,Percent of Total Billed Charges,,2.09,2.09,,2.8,,,,,,,Percent of Total Billed Charges,,,,,2.69,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,, *ROFECOXIB (VIOXX) TAB : 12.5 MG****** ,250,RC,,Outpatient,0.5,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, SALT TABLET : 1 GRAM ,250,RC,,Outpatient,1,GR,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, SENOKOT TABLET ,250,RC,,Outpatient,,,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, SENOKOT 'S' TABLET ,250,RC,,Outpatient,,,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, PANTOPRAZOLE (PROTONIX) : 40 MG PB ,250,RC,,Outpatient,40,ME,16.1,12.88,12.03,,,,,,,Percent of Total Billed Charges,,12.03,12.03,,16.1,,,,,,,Percent of Total Billed Charges,,,,,15.46,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,13.69,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,4.51,,,,,,,Percent of Total Billed Charges,,,,,12.88,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,, RISPERIDONE (RISPERDAL) TAB : 1 MG ,250,RC,,Outpatient,1,ME,13,10.4,9.71,,,,,,,Percent of Total Billed Charges,,9.71,9.71,,13,,,,,,,Percent of Total Billed Charges,,,,,12.48,,,,,,,Percent of Total Billed Charges,,,,,12.35,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,11.05,,,,,,,Percent of Total Billed Charges,,,,,2.73,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,10.4,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,, RISPERIDONE (RISPERDAL) TAB : 0.25 MG ,250,RC,,Outpatient,0.25,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, SERTRALINE (ZOLOFT) TAB : 25 MG ,250,RC,,Outpatient,25,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, SINEMET 10/100 TAB (CARBIDOPA/LEVODOPA) ,250,RC,,Outpatient,10,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, SERTRALINE (ZOLOFT) TAB : 50 MG ,250,RC,,Outpatient,50,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, SINEMET 25/100 TAB (CARBIDOPA/LEVODOPA) ,250,RC,,Outpatient,25,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, SINEMET CR TAB 50-200 (CARBIDOPA/LEVOPA),250,RC,,Outpatient,50,ME,3.3,2.64,2.47,,,,,,,Percent of Total Billed Charges,,2.47,2.47,,3.3,,,,,,,Percent of Total Billed Charges,,,,,3.17,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,2.81,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,2.97,,,,,,,Percent of Total Billed Charges,,,,,2.97,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,0.92,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,, SINEMET 25/250 TAB (CARBIDOPA/LEVODOPA) ,250,RC,,Outpatient,25,ME,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, TAMSULOSIN (FLOMAX) CAP : 0.4 MG ,250,RC,,Outpatient,0.4,ME,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, SUCRALFATE (CARAFATE) : 1 GM TAB ,250,RC,,Outpatient,1,GR,2.45,1.96,1.83,,,,,,,Percent of Total Billed Charges,,1.83,1.83,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.33,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,, TERAZOSIN (HYTRIN) CAP : 5 MG ,250,RC,,Outpatient,5,ME,3.35,2.68,2.5,,,,,,,Percent of Total Billed Charges,,2.5,2.5,,3.35,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,3.18,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,0.94,,,,,,,Percent of Total Billed Charges,,,,,2.68,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,, SULFASALAZINE TAB : 500 MG ,250,RC,,Outpatient,500,ME,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, TERAZOSIN (HYTRIN) CAP : 1 MG ,250,RC,,Outpatient,1,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, TERBUTALINE (BRETHINE) TAB : 2.5 MG ,250,RC,,Outpatient,0.5,ME,4.55,3.64,3.4,,,,,,,Percent of Total Billed Charges,,3.4,3.4,,4.55,,,,,,,Percent of Total Billed Charges,,,,,4.37,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,, TERAZOSIN (HYTRIN) CAP : 2 MG ,250,RC,,Outpatient,2,ME,3.35,2.68,2.5,,,,,,,Percent of Total Billed Charges,,2.5,2.5,,3.35,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,3.18,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,0.94,,,,,,,Percent of Total Billed Charges,,,,,2.68,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,, TERBUTALINE (BRETHINE) TAB : 5 MG ,250,RC,,Outpatient,5,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, TESTOSTERONE GEL 1% 5 GRAM TUBE ,250,RC,,Outpatient,5,GR,19.75,15.8,14.75,,,,,,,Percent of Total Billed Charges,,14.75,14.75,,19.75,,,,,,,Percent of Total Billed Charges,,,,,18.96,,,,,,,Percent of Total Billed Charges,,,,,18.76,,,,,,,Percent of Total Billed Charges,,,,,3.95,,,,,,,Percent of Total Billed Charges,,,,,16.79,,,,,,,Percent of Total Billed Charges,,,,,4.15,,,,,,,Percent of Total Billed Charges,,,,,17.78,,,,,,,Percent of Total Billed Charges,,,,,17.78,,,,,,,Percent of Total Billed Charges,,,,,3.95,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,3.95,,,,,,,Percent of Total Billed Charges,,,, RISPERIDONE (RISPERDAL) TAB : 0.5 MG ,250,RC,,Outpatient,0.5,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, ROSUVASTATIN (CRESTOR) TAB : 10 MG ,250,RC,,Outpatient,10,ME,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, QUETIAPINE (SEROQUEL): 25 MG TAB ,250,RC,,Outpatient,25,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, THEOPHYLLINE ER CAP(24HR) : 200 MG ,250,RC,,Outpatient,200,ME,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, THEOPHYLLINE SR TAB : 300 MG ,250,RC,,Outpatient,300,ME,10.35,8.28,7.73,,,,,,,Percent of Total Billed Charges,,7.73,7.73,,10.35,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,9.83,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,9.32,,,,,,,Percent of Total Billed Charges,,,,,9.32,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,8.28,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,, THIAMINE TAB (VITAMIN B-1) : 100 MG ,250,RC,,Outpatient,100,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, THIORIDAZINE (MELLARIL) TAB : 10 MG ,250,RC,,Outpatient,10,ME,2.85,2.28,2.13,,,,,,,Percent of Total Billed Charges,,2.13,2.13,,2.85,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,2.71,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,, THIORIDAZINE (MELLARIL) TAB : 25 MG ,250,RC,,Outpatient,25,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, SIMVASTATIN (ZOCOR)TAB: 20 MG ,250,RC,,Outpatient,20,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, SIMVASTATIN (ZOCOR)TAB: 40 MG ,250,RC,,Outpatient,40,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, ESCITALOPRAM (LEXAPRO) TAB : 10 MG ,250,RC,,Outpatient,10,ME,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, SIMVASTATIN (ZOCOR)TAB: 10 MG ,250,RC,,Outpatient,10,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, EZETIMIBE (ZETIA) TAB: 10 MG ,250,RC,,Outpatient,10,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, ESCITALOPRAM (LEXAPRO) TAB : 20 MG ,250,RC,,Outpatient,20,ME,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, TORSEMIDE (DEMADEX) TAB : 20 MG ,250,RC,,Outpatient,20,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, TORSEMIDE (DEMADEX) TAB : 100 MG ,250,RC,,Outpatient,100,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, PIOGLITAZONE (ACTOS) TAB: 15 MG ,250,RC,,Outpatient,15,ME,4.3,3.44,3.21,,,,,,,Percent of Total Billed Charges,,3.21,3.21,,4.3,,,,,,,Percent of Total Billed Charges,,,,,4.13,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,,,0.86,,,,,,,Percent of Total Billed Charges,,,,,3.66,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,0.86,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,,,0.86,,,,,,,Percent of Total Billed Charges,,,, PIOGLITAZONE (ACTOS) TABLET : 30 MG ,250,RC,,Outpatient,30,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, PIOGLITAZONE (ACTOS) TABLET : 45 MG ,250,RC,,Outpatient,45,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, TRAMADOL (ULTRAM) TAB : 50 MG ,250,RC,,Outpatient,50,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, ULTRACET (TRAMADOL 37.5/APAP 325) TAB ,250,RC,,Outpatient,37.5,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, ROSIGLITAZONE (AVANDIA) TAB: 8 MG ,250,RC,,Outpatient,8,ME,21.4,17.12,15.99,,,,,,,Percent of Total Billed Charges,,15.99,15.99,,21.4,,,,,,,Percent of Total Billed Charges,,,,,20.54,,,,,,,Percent of Total Billed Charges,,,,,20.33,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,18.19,,,,,,,Percent of Total Billed Charges,,,,,4.49,,,,,,,Percent of Total Billed Charges,,,,,19.26,,,,,,,Percent of Total Billed Charges,,,,,19.26,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,5.99,,,,,,,Percent of Total Billed Charges,,,,,17.12,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,, TRAZODONE (DESYREL) TAB : 50 MG ,250,RC,,Outpatient,50,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, *TROGLITAZONE (REZULIN) TAB:400 MG *** ,250,RC,,Outpatient,400,ME,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, MAXZIDE 25 TAB (TRIAM 37.5/HCTZ 25 MG) ,250,RC,,Outpatient,25,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, CALCIUM CARBONATE (TUMS) TAB : 500 MG ,250,RC,,Outpatient,500,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, *TRIMETHOPRIM TAB : 100 MG******** ,250,RC,,Outpatient,100,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, PHOSLO TABLETS (CALCIUM ACETATE) ,250,RC,,Outpatient,,,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, VENLAFAXINE XR (EFFEXOR XR): 75 MG CAP ,250,RC,,Outpatient,75,ME,2.9,2.32,2.17,,,,,,,Percent of Total Billed Charges,,2.17,2.17,,2.9,,,,,,,Percent of Total Billed Charges,,,,,2.78,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,2.61,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,,,0.81,,,,,,,Percent of Total Billed Charges,,,,,2.32,,,,,,,Percent of Total Billed Charges,,,,,0.58,,,,,,,Percent of Total Billed Charges,,,, *VALDECOXIB (BEXTRA) TAB: 10 MG****** ,250,RC,,Outpatient,10,ME,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, *VERAPAMIL 1/2 TAB:40 MG ********** ,250,RC,,Outpatient,40,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, VARENICILINE (CHANTIX) TAB: 0.5 MG ,250,RC,,Outpatient,0.5,ME,25.2,20.16,18.82,,,,,,,Percent of Total Billed Charges,,18.82,18.82,,25.2,,,,,,,Percent of Total Billed Charges,,,,,24.19,,,,,,,Percent of Total Billed Charges,,,,,23.94,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,5.29,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,7.06,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,, "VERAPAMIL (CALAN,ISOPTIN) TAB : 80 MG ",250,RC,,Outpatient,80,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, "VERAPAMIL (CALAN,ISOPTIN) SR TAB: 120MG ",250,RC,,Outpatient,120,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, VIT D-3 TAB (CHOLECALCIFEROL): 1000 UNIT,250,RC,,Outpatient,1000,UN,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, "VERAPAMIL (CALAN,ISOPTIN) SR TAB: 240 MG",250,RC,,Outpatient,240,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, VARENICILINE (CHANTIX) TAB: 1 MG ,250,RC,,Outpatient,1,ME,15.7,12.56,11.73,,,,,,,Percent of Total Billed Charges,,11.73,11.73,,15.7,,,,,,,Percent of Total Billed Charges,,,,,15.07,,,,,,,Percent of Total Billed Charges,,,,,14.92,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,,,13.35,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.13,,,,,,,Percent of Total Billed Charges,,,,,14.13,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,12.56,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,, "VERAPAMIL (CALAN,ISOPTIN) SR TAB: 180 MG",250,RC,,Outpatient,180,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, VIT D-3 TAB (CHOLECALCIFEROL): 400 UNIT ,250,RC,,Outpatient,400,UN,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, B-COMPLEX TAB/CAP ,250,RC,,Outpatient,,,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, "ERGOCALCIFEROL (VIT D-2) : 50,000 UNITS ",250,RC,,Outpatient,50000,UN,4.2,3.36,3.14,,,,,,,Percent of Total Billed Charges,,3.14,3.14,,4.2,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,, VALSARTAN (DIOVAN) TAB: 80 MG ,250,RC,,Outpatient,80,ME,4.4,3.52,3.29,,,,,,,Percent of Total Billed Charges,,3.29,3.29,,4.4,,,,,,,Percent of Total Billed Charges,,,,,4.22,,,,,,,Percent of Total Billed Charges,,,,,4.18,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,0.92,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,1.23,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,, VITAMIN E CAP : 400 UNIT ,250,RC,,Outpatient,400,UN,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, WARFARIN (COUMADIN) TAB : 1 MG ,250,RC,,Outpatient,1,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, WARFARIN (COUMADIN) TAB : 2 MG ,250,RC,,Outpatient,2,ME,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, WARFARIN (COUMADIN) TAB : 7.5 MG ,250,RC,,Outpatient,0.5,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, WARFARIN (COUMADIN) TAB : 2.5 MG ,250,RC,,Outpatient,0.5,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, WARFARIN (COUMADIN) TAB : 3 MG ,250,RC,,Outpatient,3,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, WARFARIN (COUMADIN) TAB : 4 MG ,250,RC,,Outpatient,4,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, VITAMIN E CAP : 200 UNIT ,250,RC,,Outpatient,200,UN,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, WARFARIN (COUMADIN) TAB : 5 MG ,250,RC,,Outpatient,5,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, ZALEPLON (SONATA) CAP: 10 MG ,250,RC,,Outpatient,10,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, ZIPRASIDONE (GEODON) CAP: 20 MG ,250,RC,,Outpatient,20,ME,11.25,9,8.4,,,,,,,Percent of Total Billed Charges,,8.4,8.4,,11.25,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,10.69,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,9.56,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,,,10.13,,,,,,,Percent of Total Billed Charges,,,,,10.13,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,, ZOLPIDEM (AMBIEN) : 5 MG ,250,RC,,Outpatient,5,ME,1.85,1.48,1.38,,,,,,,Percent of Total Billed Charges,,1.38,1.38,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,1.67,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,, WARFARIN (COUMADIN)TAB : 10 MG ,250,RC,,Outpatient,10,ME,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, ZOLPIDEM (AMBIEN) TAB : 10 MG ,250,RC,,Outpatient,10,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, ZINC SULFATE TAB / CAP : 220 MG ,250,RC,,Outpatient,220,ME,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, "CHOLECALCIFEROL (VIT D-3) 50,000 UNITS ",250,RC,,Outpatient,50000,UN,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, ETIDRONATE (DIDRONEL) TAB : 400 MG ,250,RC,,Outpatient,400,ME,11.2,8.96,8.37,,,,,,,Percent of Total Billed Charges,,8.37,8.37,,11.2,,,,,,,Percent of Total Billed Charges,,,,,10.75,,,,,,,Percent of Total Billed Charges,,,,,10.64,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,9.52,,,,,,,Percent of Total Billed Charges,,,,,2.35,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,,,8.96,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,, *ACETAMINOPHEN LIQ (160MG/5ML):120ML*** ,250,RC,,Outpatient,5,ML,23.5,18.8,17.55,,,,,,,Percent of Total Billed Charges,,17.55,17.55,,23.5,,,,,,,Percent of Total Billed Charges,,,,,22.56,,,,,,,Percent of Total Billed Charges,,,,,22.33,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,19.98,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,, GLUCOSE TABLET 4 GRAM ,250,RC,,Outpatient,4,GR,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, *ACETAMINOPHEN LQ :120MG/3.75 ML******* ,250,RC,,Outpatient,0.75,ML,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, ACETAMINOPHEN LIQ : 325 MG/10.15 ML ,250,RC,,Outpatient,0.1015,ML,5.8,4.64,4.33,,,,,,,Percent of Total Billed Charges,,4.33,4.33,,5.8,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,5.51,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.93,,,,,,,Percent of Total Billed Charges,,,,,1.22,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,4.64,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,, *ACETAMINOPHEN LIQ:650MG/20.3 ML******* ,250,RC,,Outpatient,0.3,ML,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, ALBUTEROL SYRUP: 4 MG/10 ML ,250,RC,,Outpatient,4,ME,3.4,2.72,2.54,,,,,,,Percent of Total Billed Charges,,2.54,2.54,,3.4,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,2.89,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,, FERROUS SULFATE DROPS:75MG/ML 50ML ,250,RC,,Outpatient,50,ML,29.3,23.44,21.89,,,,,,,Percent of Total Billed Charges,,21.89,21.89,,29.3,,,,,,,Percent of Total Billed Charges,,,,,28.13,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,5.86,,,,,,,Percent of Total Billed Charges,,,,,24.91,,,,,,,Percent of Total Billed Charges,,,,,6.15,,,,,,,Percent of Total Billed Charges,,,,,26.37,,,,,,,Percent of Total Billed Charges,,,,,26.37,,,,,,,Percent of Total Billed Charges,,,,,5.86,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,23.44,,,,,,,Percent of Total Billed Charges,,,,,5.86,,,,,,,Percent of Total Billed Charges,,,, FERROUS SULFATE LIQUID : 220 MG / 5 ML ,250,RC,,Outpatient,220,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, *FLEET PHOSPHO-SODA : 45 ML ******* ,250,RC,,Outpatient,45,ML,23,18.4,17.18,,,,,,,Percent of Total Billed Charges,,17.18,17.18,,23,,,,,,,Percent of Total Billed Charges,,,,,22.08,,,,,,,Percent of Total Billed Charges,,,,,21.85,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,19.55,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,, *BICITRA:SOD CITRATE/CITRIC ACID LIQ 5ML,250,RC,,Outpatient,5,ML,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, ALUMINUM HYDROXIDE GEL : 30 ML ,250,RC,,Outpatient,30,ML,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, BICITRA:SOD CITRATE/CITRIC ACID LIQ:30ML,250,RC,,Outpatient,30,ML,16.75,13.4,12.51,,,,,,,Percent of Total Billed Charges,,12.51,12.51,,16.75,,,,,,,Percent of Total Billed Charges,,,,,16.08,,,,,,,Percent of Total Billed Charges,,,,,15.91,,,,,,,Percent of Total Billed Charges,,,,,3.35,,,,,,,Percent of Total Billed Charges,,,,,14.24,,,,,,,Percent of Total Billed Charges,,,,,3.52,,,,,,,Percent of Total Billed Charges,,,,,15.08,,,,,,,Percent of Total Billed Charges,,,,,15.08,,,,,,,Percent of Total Billed Charges,,,,,3.35,,,,,,,Percent of Total Billed Charges,,,,,4.69,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,3.35,,,,,,,Percent of Total Billed Charges,,,, CLARITHROMYCIN (BIAXIN) SUSP:250MG/5ML ,250,RC,,Outpatient,250,ME,130.3,104.24,97.33,,,,,,,Percent of Total Billed Charges,,97.33,97.33,,130.3,,,,,,,Percent of Total Billed Charges,,,,,125.09,,,,,,,Percent of Total Billed Charges,,,,,123.79,,,,,,,Percent of Total Billed Charges,,,,,26.06,,,,,,,Percent of Total Billed Charges,,,,,110.76,,,,,,,Percent of Total Billed Charges,,,,,27.36,,,,,,,Percent of Total Billed Charges,,,,,117.27,,,,,,,Percent of Total Billed Charges,,,,,117.27,,,,,,,Percent of Total Billed Charges,,,,,26.06,,,,,,,Percent of Total Billed Charges,,,,,36.48,,,,,,,Percent of Total Billed Charges,,,,,104.24,,,,,,,Percent of Total Billed Charges,,,,,26.06,,,,,,,Percent of Total Billed Charges,,,, CASTOR OIL : 180 ML ,250,RC,,Outpatient,180,ML,23.8,19.04,17.78,,,,,,,Percent of Total Billed Charges,,17.78,17.78,,23.8,,,,,,,Percent of Total Billed Charges,,,,,22.85,,,,,,,Percent of Total Billed Charges,,,,,22.61,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,20.23,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,6.66,,,,,,,Percent of Total Billed Charges,,,,,19.04,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,, CARBAMAZEPINE (TEGRETOL) SUSP:100MG/5ML ,250,RC,,Outpatient,100,ME,3.15,2.52,2.35,,,,,,,Percent of Total Billed Charges,,2.35,2.35,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,2.99,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.68,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,, IBUPROFEN (MOTRIN) SUSP : 4 OZ BOTTLE ,250,RC,,Outpatient,118,ML,35.8,28.64,26.74,,,,,,,Percent of Total Billed Charges,,26.74,26.74,,35.8,,,,,,,Percent of Total Billed Charges,,,,,34.37,,,,,,,Percent of Total Billed Charges,,,,,34.01,,,,,,,Percent of Total Billed Charges,,,,,7.16,,,,,,,Percent of Total Billed Charges,,,,,30.43,,,,,,,Percent of Total Billed Charges,,,,,7.52,,,,,,,Percent of Total Billed Charges,,,,,32.22,,,,,,,Percent of Total Billed Charges,,,,,32.22,,,,,,,Percent of Total Billed Charges,,,,,7.16,,,,,,,Percent of Total Billed Charges,,,,,10.02,,,,,,,Percent of Total Billed Charges,,,,,28.64,,,,,,,Percent of Total Billed Charges,,,,,7.16,,,,,,,Percent of Total Billed Charges,,,, *DIGOXIN LIQ (LANOXIN): 0.125MG/2.5 ML ,250,RC,,Outpatient,0.125,ME,24.5,19.6,18.3,,,,,,,Percent of Total Billed Charges,,18.3,18.3,,24.5,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,23.28,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,20.83,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,6.86,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,, *DIGOXIN LIQ (LANOXIN): 0.25MG/5 ML ,250,RC,,Outpatient,0.125,ME,47,37.6,35.11,,,,,,,Percent of Total Billed Charges,,35.11,35.11,,47,,,,,,,Percent of Total Billed Charges,,,,,45.12,,,,,,,Percent of Total Billed Charges,,,,,44.65,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,39.95,,,,,,,Percent of Total Billed Charges,,,,,9.87,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,13.16,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,, *PHENYTOIN (DILANTIN) SUSP: 125MG/5ML** ,250,RC,,Outpatient,125,ME,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, DIPHENHYDRAMINE LIQ (BENADRYL):25MG/10ML,250,RC,,Outpatient,25,ME,10.85,8.68,8.1,,,,,,,Percent of Total Billed Charges,,8.1,8.1,,10.85,,,,,,,Percent of Total Billed Charges,,,,,10.42,,,,,,,Percent of Total Billed Charges,,,,,10.31,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,9.22,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,9.77,,,,,,,Percent of Total Billed Charges,,,,,9.77,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,, *DIPHENHYDRAMINE LIQ:12.5MG/5ML***** ,250,RC,,Outpatient,0.5,ML,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, DOCUSATE SOD LIQ 100MG/10ML ,250,RC,,Outpatient,100,ME,7.05,5.64,5.27,,,,,,,Percent of Total Billed Charges,,5.27,5.27,,7.05,,,,,,,Percent of Total Billed Charges,,,,,6.77,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,1.41,,,,,,,Percent of Total Billed Charges,,,,,5.99,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,6.35,,,,,,,Percent of Total Billed Charges,,,,,6.35,,,,,,,Percent of Total Billed Charges,,,,,1.41,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,5.64,,,,,,,Percent of Total Billed Charges,,,,,1.41,,,,,,,Percent of Total Billed Charges,,,, GUAIFENESIN SYRUP : 10 ML UD ,250,RC,,Outpatient,10,ML,6.8,5.44,5.08,,,,,,,Percent of Total Billed Charges,,5.08,5.08,,6.8,,,,,,,Percent of Total Billed Charges,,,,,6.53,,,,,,,Percent of Total Billed Charges,,,,,6.46,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,1.43,,,,,,,Percent of Total Billed Charges,,,,,6.12,,,,,,,Percent of Total Billed Charges,,,,,6.12,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,5.44,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,, GLUCOSE LIQUID : 24 GRAM ,250,RC,,Outpatient,24,GR,25.45,20.36,19.01,,,,,,,Percent of Total Billed Charges,,19.01,19.01,,25.45,,,,,,,Percent of Total Billed Charges,,,,,24.43,,,,,,,Percent of Total Billed Charges,,,,,24.18,,,,,,,Percent of Total Billed Charges,,,,,5.09,,,,,,,Percent of Total Billed Charges,,,,,21.63,,,,,,,Percent of Total Billed Charges,,,,,5.34,,,,,,,Percent of Total Billed Charges,,,,,22.91,,,,,,,Percent of Total Billed Charges,,,,,22.91,,,,,,,Percent of Total Billed Charges,,,,,5.09,,,,,,,Percent of Total Billed Charges,,,,,7.13,,,,,,,Percent of Total Billed Charges,,,,,20.36,,,,,,,Percent of Total Billed Charges,,,,,5.09,,,,,,,Percent of Total Billed Charges,,,, GUAIFENESIN DM SYRUP : 5 ML ,250,RC,,Outpatient,5,ML,7.3,5.84,5.45,,,,,,,Percent of Total Billed Charges,,5.45,5.45,,7.3,,,,,,,Percent of Total Billed Charges,,,,,7.01,,,,,,,Percent of Total Billed Charges,,,,,6.94,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,,,6.21,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,6.57,,,,,,,Percent of Total Billed Charges,,,,,6.57,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,5.84,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,, *GUAIFENESIN CF SYRUP : 120 ML***** ,250,RC,,Outpatient,120,ML,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, MEGESTROL SUSPENS. (MEGACE): 400MG/10 ML,250,RC,,Outpatient,0.1,ML,16.8,13.44,12.55,,,,,,,Percent of Total Billed Charges,,12.55,12.55,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.13,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,3.53,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,, *IPECAC SYRUP : 30 ML ******************,250,RC,,Outpatient,30,ML,28.5,22.8,21.29,,,,,,,Percent of Total Billed Charges,,21.29,21.29,,28.5,,,,,,,Percent of Total Billed Charges,,,,,27.36,,,,,,,Percent of Total Billed Charges,,,,,27.08,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.99,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,7.98,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,, KAOPECTATE (BISM. SUBSALICYLATE) : 30 ML,250,RC,,Outpatient,30,ML,3.25,2.6,2.43,,,,,,,Percent of Total Billed Charges,,2.43,2.43,,3.25,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,3.09,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,, *SOD POLYSTYRENE SUSP: 30GRAM/120 ML ,250,RC,,Outpatient,120,ML,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, *IBUPROFEN (MOTRIN) SUSP : 100MG/5 ML***,250,RC,,Outpatient,100,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, LACTULOSE LIQUID : 20 GRAM / 30 ML ,250,RC,,Outpatient,30,ML,5.2,4.16,3.88,,,,,,,Percent of Total Billed Charges,,3.88,3.88,,5.2,,,,,,,Percent of Total Billed Charges,,,,,4.99,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,1.04,,,,,,,Percent of Total Billed Charges,,,,,4.42,,,,,,,Percent of Total Billed Charges,,,,,1.09,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.04,,,,,,,Percent of Total Billed Charges,,,,,1.46,,,,,,,Percent of Total Billed Charges,,,,,4.16,,,,,,,Percent of Total Billed Charges,,,,,1.04,,,,,,,Percent of Total Billed Charges,,,, *LACTULOSE LIQUID : 60 ML************ ,250,RC,,Outpatient,60,ML,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 2% VISCOUS : 15 ML TUB ,250,RC,,Outpatient,15,ML,17.35,13.88,12.96,,,,,,,Percent of Total Billed Charges,,12.96,12.96,,17.35,,,,,,,Percent of Total Billed Charges,,,,,16.66,,,,,,,Percent of Total Billed Charges,,,,,16.48,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.75,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,15.62,,,,,,,Percent of Total Billed Charges,,,,,15.62,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,13.88,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,, *METOCLOPRAMIDE (REGLAN) SYRUP:5 MG/5 ML,250,RC,,Outpatient,5,ML,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, *MAALOX SUSPENSION 30 ML ,250,RC,,Outpatient,30,ML,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, MAGNESIUM SULFATE INJ : 5 GRAM / 10 ML ,J3475 ,CPT,,Outpatient,,,17.15,13.72,12.81,,,,,,,Percent of Total Billed Charges,,12.81,12.81,,17.15,,,,,,,Percent of Total Billed Charges,,,,,16.46,,,,,,,Percent of Total Billed Charges,,,,,16.29,,,,,,,Percent of Total Billed Charges,,,,,3.43,,,,,,,Percent of Total Billed Charges,,,,,14.58,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,3.43,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,13.72,,,,,,,Percent of Total Billed Charges,,,,,3.43,,,,,,,Percent of Total Billed Charges,,,, METOCLOPRAMIDE (REGLAN)SYRUP:10 MG/10 ML,250,RC,,Outpatient,10,ML,10.1,8.08,7.54,,,,,,,Percent of Total Billed Charges,,7.54,7.54,,10.1,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,8.59,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,9.09,,,,,,,Percent of Total Billed Charges,,,,,9.09,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,, *MEGESTROL SUSPENS(MEGACE): 400MG/10 ML ,250,RC,,Outpatient,10,ML,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, MILK OF MAGNESIA : 30 ML ,250,RC,,Outpatient,30,ML,4.95,3.96,3.7,,,,,,,Percent of Total Billed Charges,,3.7,3.7,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,0.99,,,,,,,Percent of Total Billed Charges,,,,,4.21,,,,,,,Percent of Total Billed Charges,,,,,1.04,,,,,,,Percent of Total Billed Charges,,,,,4.46,,,,,,,Percent of Total Billed Charges,,,,,4.46,,,,,,,Percent of Total Billed Charges,,,,,0.99,,,,,,,Percent of Total Billed Charges,,,,,1.39,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,,,0.99,,,,,,,Percent of Total Billed Charges,,,, *CODITUSS DM LIQUID : 120 ML********** ,250,RC,,Outpatient,120,ML,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, MAGNESIUM SULFATE INJ : 1 GRAM ,J3475 ,CPT,,Outpatient,,,15.95,12.76,11.91,,,,,,,Percent of Total Billed Charges,,11.91,11.91,,15.95,,,,,,,Percent of Total Billed Charges,,,,,15.31,,,,,,,Percent of Total Billed Charges,,,,,15.15,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,13.56,,,,,,,Percent of Total Billed Charges,,,,,3.35,,,,,,,Percent of Total Billed Charges,,,,,14.36,,,,,,,Percent of Total Billed Charges,,,,,14.36,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,4.47,,,,,,,Percent of Total Billed Charges,,,,,12.76,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,, POLYETHYLENE GLYCOL 3350 (MIRALAX):238GM,250,RC,,Outpatient,238,GR,17.7,14.16,13.22,,,,,,,Percent of Total Billed Charges,,13.22,13.22,,17.7,,,,,,,Percent of Total Billed Charges,,,,,16.99,,,,,,,Percent of Total Billed Charges,,,,,16.82,,,,,,,Percent of Total Billed Charges,,,,,3.54,,,,,,,Percent of Total Billed Charges,,,,,15.05,,,,,,,Percent of Total Billed Charges,,,,,3.72,,,,,,,Percent of Total Billed Charges,,,,,15.93,,,,,,,Percent of Total Billed Charges,,,,,15.93,,,,,,,Percent of Total Billed Charges,,,,,3.54,,,,,,,Percent of Total Billed Charges,,,,,4.96,,,,,,,Percent of Total Billed Charges,,,,,14.16,,,,,,,Percent of Total Billed Charges,,,,,3.54,,,,,,,Percent of Total Billed Charges,,,, MINERAL OIL : 30 ML LIQ ,250,RC,,Outpatient,30,ML,2.3,1.84,1.72,,,,,,,Percent of Total Billed Charges,,1.72,1.72,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,, DONNATAL ELIXIR : 10 ML ,250,RC,,Outpatient,10,ML,20.45,16.36,15.28,,,,,,,Percent of Total Billed Charges,,15.28,15.28,,20.45,,,,,,,Percent of Total Billed Charges,,,,,19.63,,,,,,,Percent of Total Billed Charges,,,,,19.43,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,,,17.38,,,,,,,Percent of Total Billed Charges,,,,,4.29,,,,,,,Percent of Total Billed Charges,,,,,18.41,,,,,,,Percent of Total Billed Charges,,,,,18.41,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,,,5.73,,,,,,,Percent of Total Billed Charges,,,,,16.36,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,, *MAGNESIUM SULFATE 2GRAM/50ML ,J3475 ,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, IBUPROFEN (MOTRIN) SUSP: 200MG/10 ML ,250,RC,,Outpatient,10,ML,5.9,4.72,4.41,,,,,,,Percent of Total Billed Charges,,4.41,4.41,,5.9,,,,,,,Percent of Total Billed Charges,,,,,5.66,,,,,,,Percent of Total Billed Charges,,,,,5.61,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,5.02,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,5.31,,,,,,,Percent of Total Billed Charges,,,,,5.31,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,,,1.65,,,,,,,Percent of Total Billed Charges,,,,,4.72,,,,,,,Percent of Total Billed Charges,,,,,1.18,,,,,,,Percent of Total Billed Charges,,,, *MAGNESIUM SULFATE 4 GRAM/100 ML ,J3475 ,CPT,,Outpatient,,,19.95,15.96,14.9,,,,,,,Percent of Total Billed Charges,,14.9,14.9,,19.95,,,,,,,Percent of Total Billed Charges,,,,,19.15,,,,,,,Percent of Total Billed Charges,,,,,18.95,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,16.96,,,,,,,Percent of Total Billed Charges,,,,,4.19,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,5.59,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,, SUCRALFATE (CARAFATE) SUSP : 1GM/10ML ,250,RC,,Outpatient,10,ML,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, MULTIVITAMIN SYRUP : 5 ML ,250,RC,,Outpatient,5,ML,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, SIMETHICONE DROPS 30 ML ,250,RC,,Outpatient,30,ML,19.35,15.48,14.45,,,,,,,Percent of Total Billed Charges,,14.45,14.45,,19.35,,,,,,,Percent of Total Billed Charges,,,,,18.58,,,,,,,Percent of Total Billed Charges,,,,,18.38,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,16.45,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,17.42,,,,,,,Percent of Total Billed Charges,,,,,17.42,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,5.42,,,,,,,Percent of Total Billed Charges,,,,,15.48,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,, MYLANTA SUSP : 30 ML ,250,RC,,Outpatient,30,ML,10.2,8.16,7.62,,,,,,,Percent of Total Billed Charges,,7.62,7.62,,10.2,,,,,,,Percent of Total Billed Charges,,,,,9.79,,,,,,,Percent of Total Billed Charges,,,,,9.69,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,8.67,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,9.18,,,,,,,Percent of Total Billed Charges,,,,,9.18,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,2.86,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,, OSELTAMIVIR (TAMIFLU):6 MG/ML SUSP 60ML ,250,RC,,Outpatient,60,ML,37.7,30.16,28.16,,,,,,,Percent of Total Billed Charges,,28.16,28.16,,37.7,,,,,,,Percent of Total Billed Charges,,,,,36.19,,,,,,,Percent of Total Billed Charges,,,,,35.82,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,,,32.05,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,33.93,,,,,,,Percent of Total Billed Charges,,,,,33.93,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,,,10.56,,,,,,,Percent of Total Billed Charges,,,,,30.16,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,, MYLANTA II SUSP : 30 ML ,250,RC,,Outpatient,30,ML,13.7,10.96,10.23,,,,,,,Percent of Total Billed Charges,,10.23,10.23,,13.7,,,,,,,Percent of Total Billed Charges,,,,,13.15,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,11.65,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,10.96,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,, POLYCITRA SOLUTION : 5-15 ML ,250,RC,,Outpatient,15,ML,2.55,2.04,1.9,,,,,,,Percent of Total Billed Charges,,1.9,1.9,,2.55,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,, *NIFEREX LIQ : 10 ML ************** ,250,RC,,Outpatient,10,ML,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, POTASSIUM CHLORIDE LIQ 10% : 473 ML BTL ,250,RC,,Outpatient,473,ML,96.2,76.96,71.86,,,,,,,Percent of Total Billed Charges,,71.86,71.86,,96.2,,,,,,,Percent of Total Billed Charges,,,,,92.35,,,,,,,Percent of Total Billed Charges,,,,,91.39,,,,,,,Percent of Total Billed Charges,,,,,19.24,,,,,,,Percent of Total Billed Charges,,,,,81.77,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,86.58,,,,,,,Percent of Total Billed Charges,,,,,86.58,,,,,,,Percent of Total Billed Charges,,,,,19.24,,,,,,,Percent of Total Billed Charges,,,,,26.94,,,,,,,Percent of Total Billed Charges,,,,,76.96,,,,,,,Percent of Total Billed Charges,,,,,19.24,,,,,,,Percent of Total Billed Charges,,,, POTASSIUM CHLORIDE LIQ 10% : 20 MEQ/15ML,250,RC,,Outpatient,15,ML,25.85,20.68,19.31,,,,,,,Percent of Total Billed Charges,,19.31,19.31,,25.85,,,,,,,Percent of Total Billed Charges,,,,,24.82,,,,,,,Percent of Total Billed Charges,,,,,24.56,,,,,,,Percent of Total Billed Charges,,,,,5.17,,,,,,,Percent of Total Billed Charges,,,,,21.97,,,,,,,Percent of Total Billed Charges,,,,,5.43,,,,,,,Percent of Total Billed Charges,,,,,23.27,,,,,,,Percent of Total Billed Charges,,,,,23.27,,,,,,,Percent of Total Billed Charges,,,,,5.17,,,,,,,Percent of Total Billed Charges,,,,,7.24,,,,,,,Percent of Total Billed Charges,,,,,20.68,,,,,,,Percent of Total Billed Charges,,,,,5.17,,,,,,,Percent of Total Billed Charges,,,, POLYETHYLENE GLYCOL 3350 (MIRALAX):17GM ,250,RC,,Outpatient,17,GR,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, *SSKI DROPS : POTASSIUM IODINE 30 ML*** ,250,RC,,Outpatient,30,ML,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, *PREDNISONE LIQUID : 5MG/ML********** ,250,RC,,Outpatient,5,ME,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, POLYCITRA 'K' SOLUTION : 15 ML ,250,RC,,Outpatient,15,ML,3.45,2.76,2.58,,,,,,,Percent of Total Billed Charges,,2.58,2.58,,3.45,,,,,,,Percent of Total Billed Charges,,,,,3.31,,,,,,,Percent of Total Billed Charges,,,,,3.28,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,0.72,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,0.97,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,, PREDNISOLONE LIQ (ORAPRED):15 MG / 5 ML ,J7510 ,CPT,,Outpatient,,,4.35,3.48,3.25,,,,,,,Percent of Total Billed Charges,,3.25,3.25,,4.35,,,,,,,Percent of Total Billed Charges,,,,,4.18,,,,,,,Percent of Total Billed Charges,,,,,4.13,,,,,,,Percent of Total Billed Charges,,,,,0.87,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,0.87,,,,,,,Percent of Total Billed Charges,,,,,1.22,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,,,0.87,,,,,,,Percent of Total Billed Charges,,,, PEPTO BISMOL SUSPENSION ,250,RC,,Outpatient,,,19.2,15.36,14.34,,,,,,,Percent of Total Billed Charges,,14.34,14.34,,19.2,,,,,,,Percent of Total Billed Charges,,,,,18.43,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,5.38,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,, PROMETHAZINE SYRUP : 6.25 MG/5 ML ,250,RC,,Outpatient,6.25,ME,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, PROMETHAZINE W/COD SYRUP : 5 ML UD ,250,RC,,Outpatient,5,ML,2.25,1.8,1.68,,,,,,,Percent of Total Billed Charges,,1.68,1.68,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.14,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,2.03,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,, PSYLLIUM MUCILLOID PACKET SUGAR FREE ,250,RC,,Outpatient,,,3.05,2.44,2.28,,,,,,,Percent of Total Billed Charges,,2.28,2.28,,3.05,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,2.75,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,2.44,,,,,,,Percent of Total Billed Charges,,,,,0.61,,,,,,,Percent of Total Billed Charges,,,, GUAIFENESIN AC (ROBITUSSIN AC) LIQ :10ML,250,RC,,Outpatient,10,ML,12.95,10.36,9.67,,,,,,,Percent of Total Billed Charges,,9.67,9.67,,12.95,,,,,,,Percent of Total Billed Charges,,,,,12.43,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,11.01,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,11.66,,,,,,,Percent of Total Billed Charges,,,,,11.66,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,,,10.36,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,, *PSYLLIUM MUCILLOID 15 GRAM ,250,RC,,Outpatient,15,GR,49.5,39.6,36.98,,,,,,,Percent of Total Billed Charges,,36.98,36.98,,49.5,,,,,,,Percent of Total Billed Charges,,,,,47.52,,,,,,,Percent of Total Billed Charges,,,,,47.03,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,42.08,,,,,,,Percent of Total Billed Charges,,,,,10.4,,,,,,,Percent of Total Billed Charges,,,,,44.55,,,,,,,Percent of Total Billed Charges,,,,,44.55,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,13.86,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,, GUAIFENESIN AC (ROBITUSSIN AC) LIQ:120ML,250,RC,,Outpatient,120,ML,51.45,41.16,38.43,,,,,,,Percent of Total Billed Charges,,38.43,38.43,,51.45,,,,,,,Percent of Total Billed Charges,,,,,49.39,,,,,,,Percent of Total Billed Charges,,,,,48.88,,,,,,,Percent of Total Billed Charges,,,,,10.29,,,,,,,Percent of Total Billed Charges,,,,,43.73,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,46.31,,,,,,,Percent of Total Billed Charges,,,,,46.31,,,,,,,Percent of Total Billed Charges,,,,,10.29,,,,,,,Percent of Total Billed Charges,,,,,14.41,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,10.29,,,,,,,Percent of Total Billed Charges,,,, *PSYLLIUM MUCILLOID 30 GRAM******** ,250,RC,,Outpatient,30,GR,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, *GUAIFENESIN DM SYRUP :10 ML************,250,RC,,Outpatient,10,ML,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, NF-DONEPEZIL (ARICEPT) TAB 23 MG ,250,RC,,Outpatient,,,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, *RIOPAN SUSP : 30 ML************** ,250,RC,,Outpatient,30,ML,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, *RANITIDINE SYRUP (ZANTAC): 150 MG/10 ML,250,RC,,Outpatient,10,ML,2.85,2.28,2.13,,,,,,,Percent of Total Billed Charges,,2.13,2.13,,2.85,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,2.71,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,, THEOPHYLLINE SYRUP : 200 MG/37 ML ,250,RC,,Outpatient,37,ML,13,10.4,9.71,,,,,,,Percent of Total Billed Charges,,9.71,9.71,,13,,,,,,,Percent of Total Billed Charges,,,,,12.48,,,,,,,Percent of Total Billed Charges,,,,,12.35,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,11.05,,,,,,,Percent of Total Billed Charges,,,,,2.73,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,10.4,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,, CITRUCEL PWD ,250,RC,,Outpatient,,,51.05,40.84,38.13,,,,,,,Percent of Total Billed Charges,,38.13,38.13,,51.05,,,,,,,Percent of Total Billed Charges,,,,,49.01,,,,,,,Percent of Total Billed Charges,,,,,48.5,,,,,,,Percent of Total Billed Charges,,,,,10.21,,,,,,,Percent of Total Billed Charges,,,,,43.39,,,,,,,Percent of Total Billed Charges,,,,,10.72,,,,,,,Percent of Total Billed Charges,,,,,45.95,,,,,,,Percent of Total Billed Charges,,,,,45.95,,,,,,,Percent of Total Billed Charges,,,,,10.21,,,,,,,Percent of Total Billed Charges,,,,,14.29,,,,,,,Percent of Total Billed Charges,,,,,40.84,,,,,,,Percent of Total Billed Charges,,,,,10.21,,,,,,,Percent of Total Billed Charges,,,, PRALIDOXIME (PROTOPAM) INJ : 1 GRAM ,J2730 ,CPT,,Outpatient,,,301.5,241.2,225.22,,,,,,,Percent of Total Billed Charges,,225.22,225.22,,301.5,,,,,,,Percent of Total Billed Charges,,,,,289.44,,,,,,,Percent of Total Billed Charges,,,,,286.43,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,256.28,,,,,,,Percent of Total Billed Charges,,,,,63.32,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,84.42,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,, ZIDOVUDINE (RETROVIR) SYRUP: 50 MG / 5ML,250,RC,,Outpatient,50,ME,4,3.2,2.99,,,,,,,Percent of Total Billed Charges,,2.99,2.99,,4,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,, CLINDAMYCIN 75MG/5ML SOLN. 100 ML BOTTLE,250,RC,,Outpatient,0.1,ML,69.4,55.52,51.84,,,,,,,Percent of Total Billed Charges,,51.84,51.84,,69.4,,,,,,,Percent of Total Billed Charges,,,,,66.62,,,,,,,Percent of Total Billed Charges,,,,,65.93,,,,,,,Percent of Total Billed Charges,,,,,13.88,,,,,,,Percent of Total Billed Charges,,,,,58.99,,,,,,,Percent of Total Billed Charges,,,,,14.57,,,,,,,Percent of Total Billed Charges,,,,,62.46,,,,,,,Percent of Total Billed Charges,,,,,62.46,,,,,,,Percent of Total Billed Charges,,,,,13.88,,,,,,,Percent of Total Billed Charges,,,,,19.43,,,,,,,Percent of Total Billed Charges,,,,,55.52,,,,,,,Percent of Total Billed Charges,,,,,13.88,,,,,,,Percent of Total Billed Charges,,,, *TUSSIONEX SUSP : 5 ML ,250,RC,,Outpatient,5,ML,7,5.6,5.23,,,,,,,Percent of Total Billed Charges,,5.23,5.23,,7,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,6.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,, TUSSIONEX SUSP : 10 ML ,250,RC,,Outpatient,10,ML,14.25,11.4,10.64,,,,,,,Percent of Total Billed Charges,,10.64,10.64,,14.25,,,,,,,Percent of Total Billed Charges,,,,,13.68,,,,,,,Percent of Total Billed Charges,,,,,13.54,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,12.11,,,,,,,Percent of Total Billed Charges,,,,,2.99,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,, VALPROIC ACID SYRUP : 250MG/5 ML ,250,RC,,Outpatient,250,ME,3.15,2.52,2.35,,,,,,,Percent of Total Billed Charges,,2.35,2.35,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,2.99,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.68,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,, SOD POLYSTYRENE SUSP : 15 GRAM / 60 ML ,250,RC,,Outpatient,15,GR,59.95,47.96,44.78,,,,,,,Percent of Total Billed Charges,,44.78,44.78,,59.95,,,,,,,Percent of Total Billed Charges,,,,,57.55,,,,,,,Percent of Total Billed Charges,,,,,56.95,,,,,,,Percent of Total Billed Charges,,,,,11.99,,,,,,,Percent of Total Billed Charges,,,,,50.96,,,,,,,Percent of Total Billed Charges,,,,,12.59,,,,,,,Percent of Total Billed Charges,,,,,53.96,,,,,,,Percent of Total Billed Charges,,,,,53.96,,,,,,,Percent of Total Billed Charges,,,,,11.99,,,,,,,Percent of Total Billed Charges,,,,,16.79,,,,,,,Percent of Total Billed Charges,,,,,47.96,,,,,,,Percent of Total Billed Charges,,,,,11.99,,,,,,,Percent of Total Billed Charges,,,, SOD ZIRCONIUM CYCLOSILICATE: 5 GRAM PKT ,250,RC,,Outpatient,5,GR,66.6,53.28,49.75,,,,,,,Percent of Total Billed Charges,,49.75,49.75,,66.6,,,,,,,Percent of Total Billed Charges,,,,,63.94,,,,,,,Percent of Total Billed Charges,,,,,63.27,,,,,,,Percent of Total Billed Charges,,,,,13.32,,,,,,,Percent of Total Billed Charges,,,,,56.61,,,,,,,Percent of Total Billed Charges,,,,,13.99,,,,,,,Percent of Total Billed Charges,,,,,59.94,,,,,,,Percent of Total Billed Charges,,,,,59.94,,,,,,,Percent of Total Billed Charges,,,,,13.32,,,,,,,Percent of Total Billed Charges,,,,,18.65,,,,,,,Percent of Total Billed Charges,,,,,53.28,,,,,,,Percent of Total Billed Charges,,,,,13.32,,,,,,,Percent of Total Billed Charges,,,, SOD ZIRCONIUM CYCLOSILICATE: 10 GRAM PKT,250,RC,,Outpatient,10,GR,69.85,55.88,52.18,,,,,,,Percent of Total Billed Charges,,52.18,52.18,,69.85,,,,,,,Percent of Total Billed Charges,,,,,67.06,,,,,,,Percent of Total Billed Charges,,,,,66.36,,,,,,,Percent of Total Billed Charges,,,,,13.97,,,,,,,Percent of Total Billed Charges,,,,,59.37,,,,,,,Percent of Total Billed Charges,,,,,14.67,,,,,,,Percent of Total Billed Charges,,,,,62.87,,,,,,,Percent of Total Billed Charges,,,,,62.87,,,,,,,Percent of Total Billed Charges,,,,,13.97,,,,,,,Percent of Total Billed Charges,,,,,19.56,,,,,,,Percent of Total Billed Charges,,,,,55.88,,,,,,,Percent of Total Billed Charges,,,,,13.97,,,,,,,Percent of Total Billed Charges,,,, LEVONORGESTREL (KYLEENA) IUD: 19.5 MG-NF,J7296 ,CPT,,Outpatient,,,3482.9,2786.32,2601.73,,,,,,,Percent of Total Billed Charges,,2601.73,2601.73,,3482.9,,,,,,,Percent of Total Billed Charges,,,,,3343.58,,,,,,,Percent of Total Billed Charges,,,,,3308.76,,,,,,,Percent of Total Billed Charges,,,,,696.58,,,,,,,Percent of Total Billed Charges,,,,,2960.47,,,,,,,Percent of Total Billed Charges,,,,,731.41,,,,,,,Percent of Total Billed Charges,,,,,3134.61,,,,,,,Percent of Total Billed Charges,,,,,3134.61,,,,,,,Percent of Total Billed Charges,,,,,696.58,,,,,,,Percent of Total Billed Charges,,,,,975.21,,,,,,,Percent of Total Billed Charges,,,,,2786.32,,,,,,,Percent of Total Billed Charges,,,,,696.58,,,,,,,Percent of Total Billed Charges,,,, FORANE 150 - 179 MIN ,250,RC,,Outpatient,,,118.15,94.52,88.26,,,,,,,Percent of Total Billed Charges,,88.26,88.26,,118.15,,,,,,,Percent of Total Billed Charges,,,,,113.42,,,,,,,Percent of Total Billed Charges,,,,,112.24,,,,,,,Percent of Total Billed Charges,,,,,23.63,,,,,,,Percent of Total Billed Charges,,,,,100.43,,,,,,,Percent of Total Billed Charges,,,,,24.81,,,,,,,Percent of Total Billed Charges,,,,,106.34,,,,,,,Percent of Total Billed Charges,,,,,106.34,,,,,,,Percent of Total Billed Charges,,,,,23.63,,,,,,,Percent of Total Billed Charges,,,,,33.08,,,,,,,Percent of Total Billed Charges,,,,,94.52,,,,,,,Percent of Total Billed Charges,,,,,23.63,,,,,,,Percent of Total Billed Charges,,,, UNASYN (AMP/SULBACTAM):1.5 GM IVPB ,J0295 ,CPT,,Outpatient,,,20.25,16.2,15.13,,,,,,,Percent of Total Billed Charges,,15.13,15.13,,20.25,,,,,,,Percent of Total Billed Charges,,,,,19.44,,,,,,,Percent of Total Billed Charges,,,,,19.24,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,17.21,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,18.23,,,,,,,Percent of Total Billed Charges,,,,,18.23,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,, *ALATROFLOXACIN (TROVAN)INJ:200MG/20ML**,250,RC,,Outpatient,200,ME,54.5,43.6,40.71,,,,,,,Percent of Total Billed Charges,,40.71,40.71,,54.5,,,,,,,Percent of Total Billed Charges,,,,,52.32,,,,,,,Percent of Total Billed Charges,,,,,51.78,,,,,,,Percent of Total Billed Charges,,,,,10.9,,,,,,,Percent of Total Billed Charges,,,,,46.33,,,,,,,Percent of Total Billed Charges,,,,,11.45,,,,,,,Percent of Total Billed Charges,,,,,49.05,,,,,,,Percent of Total Billed Charges,,,,,49.05,,,,,,,Percent of Total Billed Charges,,,,,10.9,,,,,,,Percent of Total Billed Charges,,,,,15.26,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,10.9,,,,,,,Percent of Total Billed Charges,,,, UNASYN (AMP/SULBACTAM): 3 GM IVPB ,J0295 ,CPT,,Outpatient,,,24.15,19.32,18.04,,,,,,,Percent of Total Billed Charges,,18.04,18.04,,24.15,,,,,,,Percent of Total Billed Charges,,,,,23.18,,,,,,,Percent of Total Billed Charges,,,,,22.94,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,20.53,,,,,,,Percent of Total Billed Charges,,,,,5.07,,,,,,,Percent of Total Billed Charges,,,,,21.74,,,,,,,Percent of Total Billed Charges,,,,,21.74,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,6.76,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,, AMIKACIN (AMIKIN) INJ : 500 MG PIGGYBACK,J0278 ,CPT,,Outpatient,,,20.05,16.04,14.98,,,,,,,Percent of Total Billed Charges,,14.98,14.98,,20.05,,,,,,,Percent of Total Billed Charges,,,,,19.25,,,,,,,Percent of Total Billed Charges,,,,,19.05,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,,,17.04,,,,,,,Percent of Total Billed Charges,,,,,4.21,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,,,5.61,,,,,,,Percent of Total Billed Charges,,,,,16.04,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,, *ALATROFLOXACIN (TROVAN)INJ:300MG/30ML* ,250,RC,,Outpatient,300,ME,76,60.8,56.77,,,,,,,Percent of Total Billed Charges,,56.77,56.77,,76,,,,,,,Percent of Total Billed Charges,,,,,72.96,,,,,,,Percent of Total Billed Charges,,,,,72.2,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,64.6,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,21.28,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,, AMIKACIN (AMIKIN) INJECTION: 500 MG ,J0278 ,CPT,,Outpatient,,,20.05,16.04,14.98,,,,,,,Percent of Total Billed Charges,,14.98,14.98,,20.05,,,,,,,Percent of Total Billed Charges,,,,,19.25,,,,,,,Percent of Total Billed Charges,,,,,19.05,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,,,17.04,,,,,,,Percent of Total Billed Charges,,,,,4.21,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,,,5.61,,,,,,,Percent of Total Billed Charges,,,,,16.04,,,,,,,Percent of Total Billed Charges,,,,,4.01,,,,,,,Percent of Total Billed Charges,,,, *TROVAFLOXACIN (TROVAN)TAB:200 MG***** ,250,RC,,Outpatient,200,ME,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, *CHOICE DM FEEDING : 240 ML ******** ,250,RC,,Outpatient,240,ML,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, *TIMENTIN INJ(TICARCILLIN/CLAV): 2GM*** ,250,RC,,Outpatient,2,GR,37,29.6,27.64,,,,,,,Percent of Total Billed Charges,,27.64,27.64,,37,,,,,,,Percent of Total Billed Charges,,,,,35.52,,,,,,,Percent of Total Billed Charges,,,,,35.15,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,,,31.45,,,,,,,Percent of Total Billed Charges,,,,,7.77,,,,,,,Percent of Total Billed Charges,,,,,33.3,,,,,,,Percent of Total Billed Charges,,,,,33.3,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,,,10.36,,,,,,,Percent of Total Billed Charges,,,,,29.6,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,, AMPHOTERICIN B : 50 MG INJ ,J0285 ,CPT,,Outpatient,,,31.15,24.92,23.27,,,,,,,Percent of Total Billed Charges,,23.27,23.27,,31.15,,,,,,,Percent of Total Billed Charges,,,,,29.9,,,,,,,Percent of Total Billed Charges,,,,,29.59,,,,,,,Percent of Total Billed Charges,,,,,6.23,,,,,,,Percent of Total Billed Charges,,,,,26.48,,,,,,,Percent of Total Billed Charges,,,,,6.54,,,,,,,Percent of Total Billed Charges,,,,,28.04,,,,,,,Percent of Total Billed Charges,,,,,28.04,,,,,,,Percent of Total Billed Charges,,,,,6.23,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,24.92,,,,,,,Percent of Total Billed Charges,,,,,6.23,,,,,,,Percent of Total Billed Charges,,,, UNASYN (AMP/SULBACTAM) INJ : 1.5 GRAM ,J0295 ,CPT,,Outpatient,,,19.6,15.68,14.64,,,,,,,Percent of Total Billed Charges,,14.64,14.64,,19.6,,,,,,,Percent of Total Billed Charges,,,,,18.82,,,,,,,Percent of Total Billed Charges,,,,,18.62,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,16.66,,,,,,,Percent of Total Billed Charges,,,,,4.12,,,,,,,Percent of Total Billed Charges,,,,,17.64,,,,,,,Percent of Total Billed Charges,,,,,17.64,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,5.49,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,, *TIMENTIN (TICARCILLIN/CLAV):3.1GM PB**,250,RC,,Outpatient,3.1,GR,53.5,42.8,39.96,,,,,,,Percent of Total Billed Charges,,39.96,39.96,,53.5,,,,,,,Percent of Total Billed Charges,,,,,51.36,,,,,,,Percent of Total Billed Charges,,,,,50.83,,,,,,,Percent of Total Billed Charges,,,,,10.7,,,,,,,Percent of Total Billed Charges,,,,,45.48,,,,,,,Percent of Total Billed Charges,,,,,11.24,,,,,,,Percent of Total Billed Charges,,,,,48.15,,,,,,,Percent of Total Billed Charges,,,,,48.15,,,,,,,Percent of Total Billed Charges,,,,,10.7,,,,,,,Percent of Total Billed Charges,,,,,14.98,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,,,10.7,,,,,,,Percent of Total Billed Charges,,,, UNASYN (AMP/SULBACTAM) INJ : 3 GRAM ,J0295 ,CPT,,Outpatient,,,24.15,19.32,18.04,,,,,,,Percent of Total Billed Charges,,18.04,18.04,,24.15,,,,,,,Percent of Total Billed Charges,,,,,23.18,,,,,,,Percent of Total Billed Charges,,,,,22.94,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,20.53,,,,,,,Percent of Total Billed Charges,,,,,5.07,,,,,,,Percent of Total Billed Charges,,,,,21.74,,,,,,,Percent of Total Billed Charges,,,,,21.74,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,6.76,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,, AMPICILLIN PIGGYBACK INJ : 250 MG ,J0290 ,CPT,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, *ZOSYN INJ : 4.5 GRAM ,J2543 ,CPT,,Outpatient,,,24.45,19.56,18.26,,,,,,,Percent of Total Billed Charges,,18.26,18.26,,24.45,,,,,,,Percent of Total Billed Charges,,,,,23.47,,,,,,,Percent of Total Billed Charges,,,,,23.23,,,,,,,Percent of Total Billed Charges,,,,,4.89,,,,,,,Percent of Total Billed Charges,,,,,20.78,,,,,,,Percent of Total Billed Charges,,,,,5.13,,,,,,,Percent of Total Billed Charges,,,,,22.01,,,,,,,Percent of Total Billed Charges,,,,,22.01,,,,,,,Percent of Total Billed Charges,,,,,4.89,,,,,,,Percent of Total Billed Charges,,,,,6.85,,,,,,,Percent of Total Billed Charges,,,,,19.56,,,,,,,Percent of Total Billed Charges,,,,,4.89,,,,,,,Percent of Total Billed Charges,,,, AMPICILLIN PIGGYBACK INJ: 500 MG ,J0290 ,CPT,,Outpatient,,,16.6,13.28,12.4,,,,,,,Percent of Total Billed Charges,,12.4,12.4,,16.6,,,,,,,Percent of Total Billed Charges,,,,,15.94,,,,,,,Percent of Total Billed Charges,,,,,15.77,,,,,,,Percent of Total Billed Charges,,,,,3.32,,,,,,,Percent of Total Billed Charges,,,,,14.11,,,,,,,Percent of Total Billed Charges,,,,,3.49,,,,,,,Percent of Total Billed Charges,,,,,14.94,,,,,,,Percent of Total Billed Charges,,,,,14.94,,,,,,,Percent of Total Billed Charges,,,,,3.32,,,,,,,Percent of Total Billed Charges,,,,,4.65,,,,,,,Percent of Total Billed Charges,,,,,13.28,,,,,,,Percent of Total Billed Charges,,,,,3.32,,,,,,,Percent of Total Billed Charges,,,, AZITHROMYCIN (ZITHROMAX) TAB : 250 MG ,250,RC,,Outpatient,250,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, AMPICILLIN PIGGYBACK INJ : 1 GRAM ,J0290 ,CPT,,Outpatient,,,16.95,13.56,12.66,,,,,,,Percent of Total Billed Charges,,12.66,12.66,,16.95,,,,,,,Percent of Total Billed Charges,,,,,16.27,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,3.39,,,,,,,Percent of Total Billed Charges,,,,,14.41,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,15.26,,,,,,,Percent of Total Billed Charges,,,,,15.26,,,,,,,Percent of Total Billed Charges,,,,,3.39,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,13.56,,,,,,,Percent of Total Billed Charges,,,,,3.39,,,,,,,Percent of Total Billed Charges,,,, AMPICILLIN PIGGYBACK INJ : 2 GRAM ,J0290 ,CPT,,Outpatient,,,21.75,17.4,16.25,,,,,,,Percent of Total Billed Charges,,16.25,16.25,,21.75,,,,,,,Percent of Total Billed Charges,,,,,20.88,,,,,,,Percent of Total Billed Charges,,,,,20.66,,,,,,,Percent of Total Billed Charges,,,,,4.35,,,,,,,Percent of Total Billed Charges,,,,,18.49,,,,,,,Percent of Total Billed Charges,,,,,4.57,,,,,,,Percent of Total Billed Charges,,,,,19.58,,,,,,,Percent of Total Billed Charges,,,,,19.58,,,,,,,Percent of Total Billed Charges,,,,,4.35,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,4.35,,,,,,,Percent of Total Billed Charges,,,, *ZOSYN INJ : 3.375 GRAM ,J2543 ,CPT,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, CEFOTETAN (CEFOTAN) : 1 GRAM PIGGYBACK ,250,RC,,Outpatient,1,GR,44.15,35.32,32.98,,,,,,,Percent of Total Billed Charges,,32.98,32.98,,44.15,,,,,,,Percent of Total Billed Charges,,,,,42.38,,,,,,,Percent of Total Billed Charges,,,,,41.94,,,,,,,Percent of Total Billed Charges,,,,,8.83,,,,,,,Percent of Total Billed Charges,,,,,37.53,,,,,,,Percent of Total Billed Charges,,,,,9.27,,,,,,,Percent of Total Billed Charges,,,,,39.74,,,,,,,Percent of Total Billed Charges,,,,,39.74,,,,,,,Percent of Total Billed Charges,,,,,8.83,,,,,,,Percent of Total Billed Charges,,,,,12.36,,,,,,,Percent of Total Billed Charges,,,,,35.32,,,,,,,Percent of Total Billed Charges,,,,,8.83,,,,,,,Percent of Total Billed Charges,,,, "BACITRACIN POWDER 50,000 UNITS STERILE ",250,RC,,Outpatient,50000,UN,28.6,22.88,21.36,,,,,,,Percent of Total Billed Charges,,21.36,21.36,,28.6,,,,,,,Percent of Total Billed Charges,,,,,27.46,,,,,,,Percent of Total Billed Charges,,,,,27.17,,,,,,,Percent of Total Billed Charges,,,,,5.72,,,,,,,Percent of Total Billed Charges,,,,,24.31,,,,,,,Percent of Total Billed Charges,,,,,6.01,,,,,,,Percent of Total Billed Charges,,,,,25.74,,,,,,,Percent of Total Billed Charges,,,,,25.74,,,,,,,Percent of Total Billed Charges,,,,,5.72,,,,,,,Percent of Total Billed Charges,,,,,8.01,,,,,,,Percent of Total Billed Charges,,,,,22.88,,,,,,,Percent of Total Billed Charges,,,,,5.72,,,,,,,Percent of Total Billed Charges,,,, AZITHROMYCIN (ZITHROMAX) INJ: 500 MG ,J0456 ,CPT,,Outpatient,,,18.8,15.04,14.04,,,,,,,Percent of Total Billed Charges,,14.04,14.04,,18.8,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,17.86,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,,,15.98,,,,,,,Percent of Total Billed Charges,,,,,3.95,,,,,,,Percent of Total Billed Charges,,,,,16.92,,,,,,,Percent of Total Billed Charges,,,,,16.92,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,,,5.26,,,,,,,Percent of Total Billed Charges,,,,,15.04,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,, BICILLIN LA 1.2 MILLION UNIT INJ ,J0561 ,CPT,,Outpatient,,,895.8,716.64,669.16,,,,,,,Percent of Total Billed Charges,,669.16,669.16,,895.8,,,,,,,Percent of Total Billed Charges,,,,,859.97,,,,,,,Percent of Total Billed Charges,,,,,851.01,,,,,,,Percent of Total Billed Charges,,,,,179.16,,,,,,,Percent of Total Billed Charges,,,,,761.43,,,,,,,Percent of Total Billed Charges,,,,,188.12,,,,,,,Percent of Total Billed Charges,,,,,806.22,,,,,,,Percent of Total Billed Charges,,,,,806.22,,,,,,,Percent of Total Billed Charges,,,,,179.16,,,,,,,Percent of Total Billed Charges,,,,,250.82,,,,,,,Percent of Total Billed Charges,,,,,716.64,,,,,,,Percent of Total Billed Charges,,,,,179.16,,,,,,,Percent of Total Billed Charges,,,, BICILLIN C-R 1.2 MILLION UNIT INJ ,J0558 ,CPT,,Outpatient,,,89.95,71.96,67.19,,,,,,,Percent of Total Billed Charges,,67.19,67.19,,89.95,,,,,,,Percent of Total Billed Charges,,,,,86.35,,,,,,,Percent of Total Billed Charges,,,,,85.45,,,,,,,Percent of Total Billed Charges,,,,,17.99,,,,,,,Percent of Total Billed Charges,,,,,76.46,,,,,,,Percent of Total Billed Charges,,,,,18.89,,,,,,,Percent of Total Billed Charges,,,,,80.96,,,,,,,Percent of Total Billed Charges,,,,,80.96,,,,,,,Percent of Total Billed Charges,,,,,17.99,,,,,,,Percent of Total Billed Charges,,,,,25.19,,,,,,,Percent of Total Billed Charges,,,,,71.96,,,,,,,Percent of Total Billed Charges,,,,,17.99,,,,,,,Percent of Total Billed Charges,,,, *ZOSYN INJ : 2.25 GRAM ,J2543 ,CPT,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, AZTREONAM (AZACTAM) PB : 1 GRAM ,250,RC,,Outpatient,1,GR,88.1,70.48,65.81,,,,,,,Percent of Total Billed Charges,,65.81,65.81,,88.1,,,,,,,Percent of Total Billed Charges,,,,,84.58,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,17.62,,,,,,,Percent of Total Billed Charges,,,,,74.89,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,,,79.29,,,,,,,Percent of Total Billed Charges,,,,,79.29,,,,,,,Percent of Total Billed Charges,,,,,17.62,,,,,,,Percent of Total Billed Charges,,,,,24.67,,,,,,,Percent of Total Billed Charges,,,,,70.48,,,,,,,Percent of Total Billed Charges,,,,,17.62,,,,,,,Percent of Total Billed Charges,,,, "*CEFAZOLIN (ANCEF,KEFZOL) 1 GRAM/50 ML ",J0690 ,CPT,,Outpatient,,,39.8,31.84,29.73,,,,,,,Percent of Total Billed Charges,,29.73,29.73,,39.8,,,,,,,Percent of Total Billed Charges,,,,,38.21,,,,,,,Percent of Total Billed Charges,,,,,37.81,,,,,,,Percent of Total Billed Charges,,,,,7.96,,,,,,,Percent of Total Billed Charges,,,,,33.83,,,,,,,Percent of Total Billed Charges,,,,,8.36,,,,,,,Percent of Total Billed Charges,,,,,35.82,,,,,,,Percent of Total Billed Charges,,,,,35.82,,,,,,,Percent of Total Billed Charges,,,,,7.96,,,,,,,Percent of Total Billed Charges,,,,,11.14,,,,,,,Percent of Total Billed Charges,,,,,31.84,,,,,,,Percent of Total Billed Charges,,,,,7.96,,,,,,,Percent of Total Billed Charges,,,, AZTREONAM (AZACTAM) INJ : 1 GRAM ,250,RC,,Outpatient,1,GR,90.4,72.32,67.53,,,,,,,Percent of Total Billed Charges,,67.53,67.53,,90.4,,,,,,,Percent of Total Billed Charges,,,,,86.78,,,,,,,Percent of Total Billed Charges,,,,,85.88,,,,,,,Percent of Total Billed Charges,,,,,18.08,,,,,,,Percent of Total Billed Charges,,,,,76.84,,,,,,,Percent of Total Billed Charges,,,,,18.98,,,,,,,Percent of Total Billed Charges,,,,,81.36,,,,,,,Percent of Total Billed Charges,,,,,81.36,,,,,,,Percent of Total Billed Charges,,,,,18.08,,,,,,,Percent of Total Billed Charges,,,,,25.31,,,,,,,Percent of Total Billed Charges,,,,,72.32,,,,,,,Percent of Total Billed Charges,,,,,18.08,,,,,,,Percent of Total Billed Charges,,,, ZOSYN IVPB : 2.25 GM ,J2543 ,CPT,,Outpatient,,,21.95,17.56,16.4,,,,,,,Percent of Total Billed Charges,,16.4,16.4,,21.95,,,,,,,Percent of Total Billed Charges,,,,,21.07,,,,,,,Percent of Total Billed Charges,,,,,20.85,,,,,,,Percent of Total Billed Charges,,,,,4.39,,,,,,,Percent of Total Billed Charges,,,,,18.66,,,,,,,Percent of Total Billed Charges,,,,,4.61,,,,,,,Percent of Total Billed Charges,,,,,19.76,,,,,,,Percent of Total Billed Charges,,,,,19.76,,,,,,,Percent of Total Billed Charges,,,,,4.39,,,,,,,Percent of Total Billed Charges,,,,,6.15,,,,,,,Percent of Total Billed Charges,,,,,17.56,,,,,,,Percent of Total Billed Charges,,,,,4.39,,,,,,,Percent of Total Billed Charges,,,, *CEFTAZADIME (FORTAZ) 2GM/50ML PIGGYBACK,J0713 ,CPT,,Outpatient,,,87.05,69.64,65.03,,,,,,,Percent of Total Billed Charges,,65.03,65.03,,87.05,,,,,,,Percent of Total Billed Charges,,,,,83.57,,,,,,,Percent of Total Billed Charges,,,,,82.7,,,,,,,Percent of Total Billed Charges,,,,,17.41,,,,,,,Percent of Total Billed Charges,,,,,73.99,,,,,,,Percent of Total Billed Charges,,,,,18.28,,,,,,,Percent of Total Billed Charges,,,,,78.35,,,,,,,Percent of Total Billed Charges,,,,,78.35,,,,,,,Percent of Total Billed Charges,,,,,17.41,,,,,,,Percent of Total Billed Charges,,,,,24.37,,,,,,,Percent of Total Billed Charges,,,,,69.64,,,,,,,Percent of Total Billed Charges,,,,,17.41,,,,,,,Percent of Total Billed Charges,,,, "*CEFAZOLIN (ANCEF,KEFZOL) 2 GRAM /50ML ",J0690 ,CPT,,Outpatient,,,45.1,36.08,33.69,,,,,,,Percent of Total Billed Charges,,33.69,33.69,,45.1,,,,,,,Percent of Total Billed Charges,,,,,43.3,,,,,,,Percent of Total Billed Charges,,,,,42.85,,,,,,,Percent of Total Billed Charges,,,,,9.02,,,,,,,Percent of Total Billed Charges,,,,,38.34,,,,,,,Percent of Total Billed Charges,,,,,9.47,,,,,,,Percent of Total Billed Charges,,,,,40.59,,,,,,,Percent of Total Billed Charges,,,,,40.59,,,,,,,Percent of Total Billed Charges,,,,,9.02,,,,,,,Percent of Total Billed Charges,,,,,12.63,,,,,,,Percent of Total Billed Charges,,,,,36.08,,,,,,,Percent of Total Billed Charges,,,,,9.02,,,,,,,Percent of Total Billed Charges,,,, *CEFTAZADIME (FORTAZ): 1GM/50ML ,J0713 ,CPT,,Outpatient,,,65.4,52.32,48.85,,,,,,,Percent of Total Billed Charges,,48.85,48.85,,65.4,,,,,,,Percent of Total Billed Charges,,,,,62.78,,,,,,,Percent of Total Billed Charges,,,,,62.13,,,,,,,Percent of Total Billed Charges,,,,,13.08,,,,,,,Percent of Total Billed Charges,,,,,55.59,,,,,,,Percent of Total Billed Charges,,,,,13.73,,,,,,,Percent of Total Billed Charges,,,,,58.86,,,,,,,Percent of Total Billed Charges,,,,,58.86,,,,,,,Percent of Total Billed Charges,,,,,13.08,,,,,,,Percent of Total Billed Charges,,,,,18.31,,,,,,,Percent of Total Billed Charges,,,,,52.32,,,,,,,Percent of Total Billed Charges,,,,,13.08,,,,,,,Percent of Total Billed Charges,,,, *CEFOTETAN (CEFOTAN) INJ : 2 GM **** ,250,RC,,Outpatient,2,GR,35,28,26.15,,,,,,,Percent of Total Billed Charges,,26.15,26.15,,35,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,33.25,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,29.75,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,, ZOSYN IVPB: 3.375 GRAM ,J2543 ,CPT,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, CEFOTAXIME (CLAFORAN) : 1 GM INJ PIGGYBK,J0698 ,CPT,,Outpatient,,,25.2,20.16,18.82,,,,,,,Percent of Total Billed Charges,,18.82,18.82,,25.2,,,,,,,Percent of Total Billed Charges,,,,,24.19,,,,,,,Percent of Total Billed Charges,,,,,23.94,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,5.29,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,7.06,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,, CEFTRIAXONE (ROCEPHIN) :250 MG PIGGYBCK ,J0696 ,CPT,,Outpatient,,,17.4,13.92,13,,,,,,,Percent of Total Billed Charges,,13,13,,17.4,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,16.53,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,,,14.79,,,,,,,Percent of Total Billed Charges,,,,,3.65,,,,,,,Percent of Total Billed Charges,,,,,15.66,,,,,,,Percent of Total Billed Charges,,,,,15.66,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,, *CEFOTAXIME (CLAFORAN) : 2 GM INJ*** ,J0698 ,CPT,,Outpatient,,,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, CEFTRIAXONE (ROCEPHIN) :500 MG PIGGYBACK,J0696 ,CPT,,Outpatient,,,14.65,11.72,10.94,,,,,,,Percent of Total Billed Charges,,10.94,10.94,,14.65,,,,,,,Percent of Total Billed Charges,,,,,14.06,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,12.45,,,,,,,Percent of Total Billed Charges,,,,,3.08,,,,,,,Percent of Total Billed Charges,,,,,13.19,,,,,,,Percent of Total Billed Charges,,,,,13.19,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,11.72,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,, *CEFTRIAXONE (ROCEPHIN) 2GM/50ML PIGGYBK,J0696 ,CPT,,Outpatient,,,67.5,54,50.42,,,,,,,Percent of Total Billed Charges,,50.42,50.42,,67.5,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,64.13,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,57.38,,,,,,,Percent of Total Billed Charges,,,,,14.18,,,,,,,Percent of Total Billed Charges,,,,,60.75,,,,,,,Percent of Total Billed Charges,,,,,60.75,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,, *CIPROFLOXACIN (CIPRO)INJ: 400 MG **** ,250,RC,,Outpatient,400,ME,45,36,33.62,,,,,,,Percent of Total Billed Charges,,33.62,33.62,,45,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,42.75,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,38.25,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,, ZOSYN IVPB : 4.5 GRAM ,J2543 ,CPT,,Outpatient,,,20.6,16.48,15.39,,,,,,,Percent of Total Billed Charges,,15.39,15.39,,20.6,,,,,,,Percent of Total Billed Charges,,,,,19.78,,,,,,,Percent of Total Billed Charges,,,,,19.57,,,,,,,Percent of Total Billed Charges,,,,,4.12,,,,,,,Percent of Total Billed Charges,,,,,17.51,,,,,,,Percent of Total Billed Charges,,,,,4.33,,,,,,,Percent of Total Billed Charges,,,,,18.54,,,,,,,Percent of Total Billed Charges,,,,,18.54,,,,,,,Percent of Total Billed Charges,,,,,4.12,,,,,,,Percent of Total Billed Charges,,,,,5.77,,,,,,,Percent of Total Billed Charges,,,,,16.48,,,,,,,Percent of Total Billed Charges,,,,,4.12,,,,,,,Percent of Total Billed Charges,,,, *CEFTRIAXONE (ROCEPHIN) 1GM/50ML PIGGYBK,J0696 ,CPT,,Outpatient,,,59.9,47.92,44.75,,,,,,,Percent of Total Billed Charges,,44.75,44.75,,59.9,,,,,,,Percent of Total Billed Charges,,,,,57.5,,,,,,,Percent of Total Billed Charges,,,,,56.91,,,,,,,Percent of Total Billed Charges,,,,,11.98,,,,,,,Percent of Total Billed Charges,,,,,50.92,,,,,,,Percent of Total Billed Charges,,,,,12.58,,,,,,,Percent of Total Billed Charges,,,,,53.91,,,,,,,Percent of Total Billed Charges,,,,,53.91,,,,,,,Percent of Total Billed Charges,,,,,11.98,,,,,,,Percent of Total Billed Charges,,,,,16.77,,,,,,,Percent of Total Billed Charges,,,,,47.92,,,,,,,Percent of Total Billed Charges,,,,,11.98,,,,,,,Percent of Total Billed Charges,,,, CHLORAMPHENICOL : 1 GRAM PIGGYBACK ,J0720 ,CPT,,Outpatient,,,27.85,22.28,20.8,,,,,,,Percent of Total Billed Charges,,20.8,20.8,,27.85,,,,,,,Percent of Total Billed Charges,,,,,26.74,,,,,,,Percent of Total Billed Charges,,,,,26.46,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,23.67,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,25.07,,,,,,,Percent of Total Billed Charges,,,,,25.07,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,22.28,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,, *CEFEPIME (MAXIPIME) : 1 GRAM/50 ML PB ,J0692 ,CPT,,Outpatient,,,54.1,43.28,40.41,,,,,,,Percent of Total Billed Charges,,40.41,40.41,,54.1,,,,,,,Percent of Total Billed Charges,,,,,51.94,,,,,,,Percent of Total Billed Charges,,,,,51.4,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,45.99,,,,,,,Percent of Total Billed Charges,,,,,11.36,,,,,,,Percent of Total Billed Charges,,,,,48.69,,,,,,,Percent of Total Billed Charges,,,,,48.69,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,15.15,,,,,,,Percent of Total Billed Charges,,,,,43.28,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,, *CEFEPIME (MAXIPIME) : 2 GRAM/50 ML PB ,J0692 ,CPT,,Outpatient,,,75.25,60.2,56.21,,,,,,,Percent of Total Billed Charges,,56.21,56.21,,75.25,,,,,,,Percent of Total Billed Charges,,,,,72.24,,,,,,,Percent of Total Billed Charges,,,,,71.49,,,,,,,Percent of Total Billed Charges,,,,,15.05,,,,,,,Percent of Total Billed Charges,,,,,63.96,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,67.73,,,,,,,Percent of Total Billed Charges,,,,,67.73,,,,,,,Percent of Total Billed Charges,,,,,15.05,,,,,,,Percent of Total Billed Charges,,,,,21.07,,,,,,,Percent of Total Billed Charges,,,,,60.2,,,,,,,Percent of Total Billed Charges,,,,,15.05,,,,,,,Percent of Total Billed Charges,,,, MICAFUNGIN (MYCAMINE): 100 MG INJ ,J2248 ,CPT,,Outpatient,,,666.5,533.2,497.88,,,,,,,Percent of Total Billed Charges,,497.88,497.88,,666.5,,,,,,,Percent of Total Billed Charges,,,,,639.84,,,,,,,Percent of Total Billed Charges,,,,,633.18,,,,,,,Percent of Total Billed Charges,,,,,133.3,,,,,,,Percent of Total Billed Charges,,,,,566.53,,,,,,,Percent of Total Billed Charges,,,,,139.97,,,,,,,Percent of Total Billed Charges,,,,,599.85,,,,,,,Percent of Total Billed Charges,,,,,599.85,,,,,,,Percent of Total Billed Charges,,,,,133.3,,,,,,,Percent of Total Billed Charges,,,,,186.62,,,,,,,Percent of Total Billed Charges,,,,,533.2,,,,,,,Percent of Total Billed Charges,,,,,133.3,,,,,,,Percent of Total Billed Charges,,,, "BICILLIN LA 600,000 UNIT DEEP IM INJ ",J0561 ,CPT,,Outpatient,,,329.15,263.32,245.88,,,,,,,Percent of Total Billed Charges,,245.88,245.88,,329.15,,,,,,,Percent of Total Billed Charges,,,,,315.98,,,,,,,Percent of Total Billed Charges,,,,,312.69,,,,,,,Percent of Total Billed Charges,,,,,65.83,,,,,,,Percent of Total Billed Charges,,,,,279.78,,,,,,,Percent of Total Billed Charges,,,,,69.12,,,,,,,Percent of Total Billed Charges,,,,,296.24,,,,,,,Percent of Total Billed Charges,,,,,296.24,,,,,,,Percent of Total Billed Charges,,,,,65.83,,,,,,,Percent of Total Billed Charges,,,,,92.16,,,,,,,Percent of Total Billed Charges,,,,,263.32,,,,,,,Percent of Total Billed Charges,,,,,65.83,,,,,,,Percent of Total Billed Charges,,,, *CIPROFLOXACIN (CIPRO)INJ: 200 MG*** ,250,RC,,Outpatient,200,ME,29.5,23.6,22.04,,,,,,,Percent of Total Billed Charges,,22.04,22.04,,29.5,,,,,,,Percent of Total Billed Charges,,,,,28.32,,,,,,,Percent of Total Billed Charges,,,,,28.03,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,25.08,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,8.26,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,, *CLINDAMYCIN (CLEOCIN):900 MG/50ML PREMI,J0736 ,CPT,,Outpatient,,,30.35,24.28,22.67,,,,,,,Percent of Total Billed Charges,,22.67,22.67,,30.35,,,,,,,Percent of Total Billed Charges,,,,,29.14,,,,,,,Percent of Total Billed Charges,,,,,28.83,,,,,,,Percent of Total Billed Charges,,,,,6.07,,,,,,,Percent of Total Billed Charges,,,,,25.8,,,,,,,Percent of Total Billed Charges,,,,,6.37,,,,,,,Percent of Total Billed Charges,,,,,27.32,,,,,,,Percent of Total Billed Charges,,,,,27.32,,,,,,,Percent of Total Billed Charges,,,,,6.07,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,24.28,,,,,,,Percent of Total Billed Charges,,,,,6.07,,,,,,,Percent of Total Billed Charges,,,, *CEFAZOLIN (KEFZOL) INJ : 500 MG****** ,250,RC,,Outpatient,500,ME,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, DOXYCYCLINE : 100 MG PIGGYBACK ,250,RC,,Outpatient,100,ME,71.05,56.84,53.07,,,,,,,Percent of Total Billed Charges,,53.07,53.07,,71.05,,,,,,,Percent of Total Billed Charges,,,,,68.21,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,14.21,,,,,,,Percent of Total Billed Charges,,,,,60.39,,,,,,,Percent of Total Billed Charges,,,,,14.92,,,,,,,Percent of Total Billed Charges,,,,,63.95,,,,,,,Percent of Total Billed Charges,,,,,63.95,,,,,,,Percent of Total Billed Charges,,,,,14.21,,,,,,,Percent of Total Billed Charges,,,,,19.89,,,,,,,Percent of Total Billed Charges,,,,,56.84,,,,,,,Percent of Total Billed Charges,,,,,14.21,,,,,,,Percent of Total Billed Charges,,,, *LEVOFLOXACIN INJ(LEVAQUIN) 750MG PREMIX,J1956 ,CPT,,Outpatient,,,19.45,15.56,14.53,,,,,,,Percent of Total Billed Charges,,14.53,14.53,,19.45,,,,,,,Percent of Total Billed Charges,,,,,18.67,,,,,,,Percent of Total Billed Charges,,,,,18.48,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.53,,,,,,,Percent of Total Billed Charges,,,,,4.08,,,,,,,Percent of Total Billed Charges,,,,,17.51,,,,,,,Percent of Total Billed Charges,,,,,17.51,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,5.45,,,,,,,Percent of Total Billed Charges,,,,,15.56,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,, *CLINDAMYCIN (CLEOCIN):600MG/50ML PREMIX,J0736 ,CPT,,Outpatient,,,28.2,22.56,21.07,,,,,,,Percent of Total Billed Charges,,21.07,21.07,,28.2,,,,,,,Percent of Total Billed Charges,,,,,27.07,,,,,,,Percent of Total Billed Charges,,,,,26.79,,,,,,,Percent of Total Billed Charges,,,,,5.64,,,,,,,Percent of Total Billed Charges,,,,,23.97,,,,,,,Percent of Total Billed Charges,,,,,5.92,,,,,,,Percent of Total Billed Charges,,,,,25.38,,,,,,,Percent of Total Billed Charges,,,,,25.38,,,,,,,Percent of Total Billed Charges,,,,,5.64,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,22.56,,,,,,,Percent of Total Billed Charges,,,,,5.64,,,,,,,Percent of Total Billed Charges,,,, ERYTHROMYCIN INJ :500 MG ,J1364 ,CPT,,Outpatient,,,223.2,178.56,166.73,,,,,,,Percent of Total Billed Charges,,166.73,166.73,,223.2,,,,,,,Percent of Total Billed Charges,,,,,214.27,,,,,,,Percent of Total Billed Charges,,,,,212.04,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,,,189.72,,,,,,,Percent of Total Billed Charges,,,,,46.87,,,,,,,Percent of Total Billed Charges,,,,,200.88,,,,,,,Percent of Total Billed Charges,,,,,200.88,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,178.56,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,, *GENTAMICIN INJ : 40 MG / ML********* ,250,RC,,Outpatient,40,ME,14,11.2,10.46,,,,,,,Percent of Total Billed Charges,,10.46,10.46,,14,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,, *ERYTHROMYCIN INJ : 2 GM********* ,250,RC,,Outpatient,2,GR,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, ERTAPENEM (INVANZ): 1 GRAM VIAL PB ,J1335 ,CPT,,Outpatient,,,94.4,75.52,70.52,,,,,,,Percent of Total Billed Charges,,70.52,70.52,,94.4,,,,,,,Percent of Total Billed Charges,,,,,90.62,,,,,,,Percent of Total Billed Charges,,,,,89.68,,,,,,,Percent of Total Billed Charges,,,,,18.88,,,,,,,Percent of Total Billed Charges,,,,,80.24,,,,,,,Percent of Total Billed Charges,,,,,19.82,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,18.88,,,,,,,Percent of Total Billed Charges,,,,,26.43,,,,,,,Percent of Total Billed Charges,,,,,75.52,,,,,,,Percent of Total Billed Charges,,,,,18.88,,,,,,,Percent of Total Billed Charges,,,, ERTAPENEM (INVANZ): 1 GRAM INJECTION ,J1335 ,CPT,,Outpatient,,,94.4,75.52,70.52,,,,,,,Percent of Total Billed Charges,,70.52,70.52,,94.4,,,,,,,Percent of Total Billed Charges,,,,,90.62,,,,,,,Percent of Total Billed Charges,,,,,89.68,,,,,,,Percent of Total Billed Charges,,,,,18.88,,,,,,,Percent of Total Billed Charges,,,,,80.24,,,,,,,Percent of Total Billed Charges,,,,,19.82,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,18.88,,,,,,,Percent of Total Billed Charges,,,,,26.43,,,,,,,Percent of Total Billed Charges,,,,,75.52,,,,,,,Percent of Total Billed Charges,,,,,18.88,,,,,,,Percent of Total Billed Charges,,,, *GENTAMICIN INJ : 80 MG / 2 ML****** ,250,RC,,Outpatient,80,ME,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, GENTAMICIN : 800 MG / 20 ML PIGGYBACK ,J1580 ,CPT,,Outpatient,,,76.25,61,56.96,,,,,,,Percent of Total Billed Charges,,56.96,56.96,,76.25,,,,,,,Percent of Total Billed Charges,,,,,73.2,,,,,,,Percent of Total Billed Charges,,,,,72.44,,,,,,,Percent of Total Billed Charges,,,,,15.25,,,,,,,Percent of Total Billed Charges,,,,,64.81,,,,,,,Percent of Total Billed Charges,,,,,16.01,,,,,,,Percent of Total Billed Charges,,,,,68.63,,,,,,,Percent of Total Billed Charges,,,,,68.63,,,,,,,Percent of Total Billed Charges,,,,,15.25,,,,,,,Percent of Total Billed Charges,,,,,21.35,,,,,,,Percent of Total Billed Charges,,,,,61,,,,,,,Percent of Total Billed Charges,,,,,15.25,,,,,,,Percent of Total Billed Charges,,,, *GENTAMICIN INJ : 100 MG / 2.5 ML****** ,250,RC,,Outpatient,100,ME,14,11.2,10.46,,,,,,,Percent of Total Billed Charges,,10.46,10.46,,14,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,, *LEVOFLOXACIN INJ(LEVAQUIN) 500MG PREMIX,J1956 ,CPT,,Outpatient,,,18.95,15.16,14.16,,,,,,,Percent of Total Billed Charges,,14.16,14.16,,18.95,,,,,,,Percent of Total Billed Charges,,,,,18.19,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,3.79,,,,,,,Percent of Total Billed Charges,,,,,16.11,,,,,,,Percent of Total Billed Charges,,,,,3.98,,,,,,,Percent of Total Billed Charges,,,,,17.06,,,,,,,Percent of Total Billed Charges,,,,,17.06,,,,,,,Percent of Total Billed Charges,,,,,3.79,,,,,,,Percent of Total Billed Charges,,,,,5.31,,,,,,,Percent of Total Billed Charges,,,,,15.16,,,,,,,Percent of Total Billed Charges,,,,,3.79,,,,,,,Percent of Total Billed Charges,,,, *GENTAMICIN INJ : 120 MG / 3 ML****** ,250,RC,,Outpatient,120,ME,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, *LEVOFLOXACIN INJ(LEVAQUIN) 250MG PREMIX,J1956 ,CPT,,Outpatient,,,17.3,13.84,12.92,,,,,,,Percent of Total Billed Charges,,12.92,12.92,,17.3,,,,,,,Percent of Total Billed Charges,,,,,16.61,,,,,,,Percent of Total Billed Charges,,,,,16.44,,,,,,,Percent of Total Billed Charges,,,,,3.46,,,,,,,Percent of Total Billed Charges,,,,,14.71,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,,,15.57,,,,,,,Percent of Total Billed Charges,,,,,15.57,,,,,,,Percent of Total Billed Charges,,,,,3.46,,,,,,,Percent of Total Billed Charges,,,,,4.84,,,,,,,Percent of Total Billed Charges,,,,,13.84,,,,,,,Percent of Total Billed Charges,,,,,3.46,,,,,,,Percent of Total Billed Charges,,,, *LEVOFLOXACIN INJ(LEVAQUIN): 750MG PREMX,J1956 ,CPT,,Outpatient,,,27,21.6,20.17,,,,,,,Percent of Total Billed Charges,,20.17,20.17,,27,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,, *LEVOFLOXACIN INJ(LEVAQUIN):500MG PREMIX,J1956 ,CPT,,Outpatient,,,26.5,21.2,19.8,,,,,,,Percent of Total Billed Charges,,19.8,19.8,,26.5,,,,,,,Percent of Total Billed Charges,,,,,25.44,,,,,,,Percent of Total Billed Charges,,,,,25.18,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,22.53,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,7.42,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,, *METRONIDAZOLE PREMIX PB (FLAGYL):500 MG,J1836 ,CPT,,Outpatient,,,17.85,14.28,13.33,,,,,,,Percent of Total Billed Charges,,13.33,13.33,,17.85,,,,,,,Percent of Total Billed Charges,,,,,17.14,,,,,,,Percent of Total Billed Charges,,,,,16.96,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.17,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,, MEROPENEM (MERREM): 1 GRAM INJ ,J2185 ,CPT,,Outpatient,,,13.7,10.96,10.23,,,,,,,Percent of Total Billed Charges,,10.23,10.23,,13.7,,,,,,,Percent of Total Billed Charges,,,,,13.15,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,11.65,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,10.96,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,, OXACILLIN INJ: 1GRAM ,J2700 ,CPT,,Outpatient,,,24.95,19.96,18.64,,,,,,,Percent of Total Billed Charges,,18.64,18.64,,24.95,,,,,,,Percent of Total Billed Charges,,,,,23.95,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,,,4.99,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,5.24,,,,,,,Percent of Total Billed Charges,,,,,22.46,,,,,,,Percent of Total Billed Charges,,,,,22.46,,,,,,,Percent of Total Billed Charges,,,,,4.99,,,,,,,Percent of Total Billed Charges,,,,,6.99,,,,,,,Percent of Total Billed Charges,,,,,19.96,,,,,,,Percent of Total Billed Charges,,,,,4.99,,,,,,,Percent of Total Billed Charges,,,, CEFOTETAN (CEFOTAN) IVPB: 2 GRAM ,250,RC,,Outpatient,2,GR,69.2,55.36,51.69,,,,,,,Percent of Total Billed Charges,,51.69,51.69,,69.2,,,,,,,Percent of Total Billed Charges,,,,,66.43,,,,,,,Percent of Total Billed Charges,,,,,65.74,,,,,,,Percent of Total Billed Charges,,,,,13.84,,,,,,,Percent of Total Billed Charges,,,,,58.82,,,,,,,Percent of Total Billed Charges,,,,,14.53,,,,,,,Percent of Total Billed Charges,,,,,62.28,,,,,,,Percent of Total Billed Charges,,,,,62.28,,,,,,,Percent of Total Billed Charges,,,,,13.84,,,,,,,Percent of Total Billed Charges,,,,,19.38,,,,,,,Percent of Total Billed Charges,,,,,55.36,,,,,,,Percent of Total Billed Charges,,,,,13.84,,,,,,,Percent of Total Billed Charges,,,, NAFCILLIN : 1 GRAM PIGGYBACK ,250,RC,,Outpatient,1,GR,23.5,18.8,17.55,,,,,,,Percent of Total Billed Charges,,17.55,17.55,,23.5,,,,,,,Percent of Total Billed Charges,,,,,22.56,,,,,,,Percent of Total Billed Charges,,,,,22.33,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,19.98,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,, OXACILLIN INJECTION : 2 GRAM ,J2700 ,CPT,,Outpatient,,,84.45,67.56,63.08,,,,,,,Percent of Total Billed Charges,,63.08,63.08,,84.45,,,,,,,Percent of Total Billed Charges,,,,,81.07,,,,,,,Percent of Total Billed Charges,,,,,80.23,,,,,,,Percent of Total Billed Charges,,,,,16.89,,,,,,,Percent of Total Billed Charges,,,,,71.78,,,,,,,Percent of Total Billed Charges,,,,,17.73,,,,,,,Percent of Total Billed Charges,,,,,76.01,,,,,,,Percent of Total Billed Charges,,,,,76.01,,,,,,,Percent of Total Billed Charges,,,,,16.89,,,,,,,Percent of Total Billed Charges,,,,,23.65,,,,,,,Percent of Total Billed Charges,,,,,67.56,,,,,,,Percent of Total Billed Charges,,,,,16.89,,,,,,,Percent of Total Billed Charges,,,, *DROTRECOGIN (XIGRIS) INJ:20MG ******* ,250,RC,,Outpatient,20,ME,2811,2248.8,2099.82,,,,,,,Percent of Total Billed Charges,,2099.82,2099.82,,2811,,,,,,,Percent of Total Billed Charges,,,,,2698.56,,,,,,,Percent of Total Billed Charges,,,,,2670.45,,,,,,,Percent of Total Billed Charges,,,,,562.2,,,,,,,Percent of Total Billed Charges,,,,,2389.35,,,,,,,Percent of Total Billed Charges,,,,,590.31,,,,,,,Percent of Total Billed Charges,,,,,2529.9,,,,,,,Percent of Total Billed Charges,,,,,2529.9,,,,,,,Percent of Total Billed Charges,,,,,562.2,,,,,,,Percent of Total Billed Charges,,,,,787.08,,,,,,,Percent of Total Billed Charges,,,,,2248.8,,,,,,,Percent of Total Billed Charges,,,,,562.2,,,,,,,Percent of Total Billed Charges,,,, NAFCILLIN : 2 GRAM PIGGYBACK ,250,RC,,Outpatient,2,GR,33.9,27.12,25.32,,,,,,,Percent of Total Billed Charges,,25.32,25.32,,33.9,,,,,,,Percent of Total Billed Charges,,,,,32.54,,,,,,,Percent of Total Billed Charges,,,,,32.21,,,,,,,Percent of Total Billed Charges,,,,,6.78,,,,,,,Percent of Total Billed Charges,,,,,28.82,,,,,,,Percent of Total Billed Charges,,,,,7.12,,,,,,,Percent of Total Billed Charges,,,,,30.51,,,,,,,Percent of Total Billed Charges,,,,,30.51,,,,,,,Percent of Total Billed Charges,,,,,6.78,,,,,,,Percent of Total Billed Charges,,,,,9.49,,,,,,,Percent of Total Billed Charges,,,,,27.12,,,,,,,Percent of Total Billed Charges,,,,,6.78,,,,,,,Percent of Total Billed Charges,,,, *LINEZOLID INJ (ZYVOX) : 600 MG ,J2020 ,CPT,,Outpatient,,,37.7,30.16,28.16,,,,,,,Percent of Total Billed Charges,,28.16,28.16,,37.7,,,,,,,Percent of Total Billed Charges,,,,,36.19,,,,,,,Percent of Total Billed Charges,,,,,35.82,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,,,32.05,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,33.93,,,,,,,Percent of Total Billed Charges,,,,,33.93,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,,,10.56,,,,,,,Percent of Total Billed Charges,,,,,30.16,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,, MEROPENEM (MERREM): 500 MG PIGGYBACK ,J2185 ,CPT,,Outpatient,,,14.55,11.64,10.87,,,,,,,Percent of Total Billed Charges,,10.87,10.87,,14.55,,,,,,,Percent of Total Billed Charges,,,,,13.97,,,,,,,Percent of Total Billed Charges,,,,,13.82,,,,,,,Percent of Total Billed Charges,,,,,2.91,,,,,,,Percent of Total Billed Charges,,,,,12.37,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,,,2.91,,,,,,,Percent of Total Billed Charges,,,,,4.07,,,,,,,Percent of Total Billed Charges,,,,,11.64,,,,,,,Percent of Total Billed Charges,,,,,2.91,,,,,,,Percent of Total Billed Charges,,,, *FLUCONAZOLE INJ (DIFLUCAN)200 MG PREMIX,J1450 ,CPT,,Outpatient,,,33.6,26.88,25.1,,,,,,,Percent of Total Billed Charges,,25.1,25.1,,33.6,,,,,,,Percent of Total Billed Charges,,,,,32.26,,,,,,,Percent of Total Billed Charges,,,,,31.92,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,28.56,,,,,,,Percent of Total Billed Charges,,,,,7.06,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,9.41,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,, *PENICILLIN G AQ : 1 MIL UNIT INJ ,J2540 ,CPT,,Outpatient,,,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, PENICILLIN G INJ: 5 MILLION UNIT ,J2540 ,CPT,,Outpatient,,,138.55,110.84,103.5,,,,,,,Percent of Total Billed Charges,,103.5,103.5,,138.55,,,,,,,Percent of Total Billed Charges,,,,,133.01,,,,,,,Percent of Total Billed Charges,,,,,131.62,,,,,,,Percent of Total Billed Charges,,,,,27.71,,,,,,,Percent of Total Billed Charges,,,,,117.77,,,,,,,Percent of Total Billed Charges,,,,,29.1,,,,,,,Percent of Total Billed Charges,,,,,124.7,,,,,,,Percent of Total Billed Charges,,,,,124.7,,,,,,,Percent of Total Billed Charges,,,,,27.71,,,,,,,Percent of Total Billed Charges,,,,,38.79,,,,,,,Percent of Total Billed Charges,,,,,110.84,,,,,,,Percent of Total Billed Charges,,,,,27.71,,,,,,,Percent of Total Billed Charges,,,, REMDESIVIR INJ: 100 MG ,J0248 ,CPT,,Outpatient,,,1917.05,1533.64,1432.04,,,,,,,Percent of Total Billed Charges,,1432.04,1432.04,,1917.05,,,,,,,Percent of Total Billed Charges,,,,,1840.37,,,,,,,Percent of Total Billed Charges,,,,,1821.2,,,,,,,Percent of Total Billed Charges,,,,,383.41,,,,,,,Percent of Total Billed Charges,,,,,1629.49,,,,,,,Percent of Total Billed Charges,,,,,402.58,,,,,,,Percent of Total Billed Charges,,,,,1725.35,,,,,,,Percent of Total Billed Charges,,,,,1725.35,,,,,,,Percent of Total Billed Charges,,,,,383.41,,,,,,,Percent of Total Billed Charges,,,,,536.77,,,,,,,Percent of Total Billed Charges,,,,,1533.64,,,,,,,Percent of Total Billed Charges,,,,,383.41,,,,,,,Percent of Total Billed Charges,,,, SMZ TMP INJ : 80MG SMZ/16MGTMP/ML 10ML ,250,RC,,Outpatient,80,ME,37.45,29.96,27.98,,,,,,,Percent of Total Billed Charges,,27.98,27.98,,37.45,,,,,,,Percent of Total Billed Charges,,,,,35.95,,,,,,,Percent of Total Billed Charges,,,,,35.58,,,,,,,Percent of Total Billed Charges,,,,,7.49,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,7.86,,,,,,,Percent of Total Billed Charges,,,,,33.71,,,,,,,Percent of Total Billed Charges,,,,,33.71,,,,,,,Percent of Total Billed Charges,,,,,7.49,,,,,,,Percent of Total Billed Charges,,,,,10.49,,,,,,,Percent of Total Billed Charges,,,,,29.96,,,,,,,Percent of Total Billed Charges,,,,,7.49,,,,,,,Percent of Total Billed Charges,,,, TIGECYCLINE (TYGACIL) : 50 MG IVPB ,J3243 ,CPT,,Outpatient,,,205.45,164.36,153.47,,,,,,,Percent of Total Billed Charges,,153.47,153.47,,205.45,,,,,,,Percent of Total Billed Charges,,,,,197.23,,,,,,,Percent of Total Billed Charges,,,,,195.18,,,,,,,Percent of Total Billed Charges,,,,,41.09,,,,,,,Percent of Total Billed Charges,,,,,174.63,,,,,,,Percent of Total Billed Charges,,,,,43.14,,,,,,,Percent of Total Billed Charges,,,,,184.91,,,,,,,Percent of Total Billed Charges,,,,,184.91,,,,,,,Percent of Total Billed Charges,,,,,41.09,,,,,,,Percent of Total Billed Charges,,,,,57.53,,,,,,,Percent of Total Billed Charges,,,,,164.36,,,,,,,Percent of Total Billed Charges,,,,,41.09,,,,,,,Percent of Total Billed Charges,,,, PRIMAXIN (IMIPENEM/CILASTATIN):500MG PB ,J0743 ,CPT,,Outpatient,,,46.15,36.92,34.47,,,,,,,Percent of Total Billed Charges,,34.47,34.47,,46.15,,,,,,,Percent of Total Billed Charges,,,,,44.3,,,,,,,Percent of Total Billed Charges,,,,,43.84,,,,,,,Percent of Total Billed Charges,,,,,9.23,,,,,,,Percent of Total Billed Charges,,,,,39.23,,,,,,,Percent of Total Billed Charges,,,,,9.69,,,,,,,Percent of Total Billed Charges,,,,,41.54,,,,,,,Percent of Total Billed Charges,,,,,41.54,,,,,,,Percent of Total Billed Charges,,,,,9.23,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,36.92,,,,,,,Percent of Total Billed Charges,,,,,9.23,,,,,,,Percent of Total Billed Charges,,,, "POLYMYXIN-B : 500,000 UNIT INJ ",250,RC,,Outpatient,500000,UN,23.55,18.84,17.59,,,,,,,Percent of Total Billed Charges,,17.59,17.59,,23.55,,,,,,,Percent of Total Billed Charges,,,,,22.61,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,4.71,,,,,,,Percent of Total Billed Charges,,,,,20.02,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,4.71,,,,,,,Percent of Total Billed Charges,,,,,6.59,,,,,,,Percent of Total Billed Charges,,,,,18.84,,,,,,,Percent of Total Billed Charges,,,,,4.71,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN ORAL USE : 500 MG INJ ,250,RC,,Outpatient,500,ME,19.9,15.92,14.87,,,,,,,Percent of Total Billed Charges,,14.87,14.87,,19.9,,,,,,,Percent of Total Billed Charges,,,,,19.1,,,,,,,Percent of Total Billed Charges,,,,,18.91,,,,,,,Percent of Total Billed Charges,,,,,3.98,,,,,,,Percent of Total Billed Charges,,,,,16.92,,,,,,,Percent of Total Billed Charges,,,,,4.18,,,,,,,Percent of Total Billed Charges,,,,,17.91,,,,,,,Percent of Total Billed Charges,,,,,17.91,,,,,,,Percent of Total Billed Charges,,,,,3.98,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,15.92,,,,,,,Percent of Total Billed Charges,,,,,3.98,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN INJ : 1250 MG IVPB ,J3373 ,CPT,,Outpatient,,,62,49.6,46.31,,,,,,,Percent of Total Billed Charges,,46.31,46.31,,62,,,,,,,Percent of Total Billed Charges,,,,,59.52,,,,,,,Percent of Total Billed Charges,,,,,58.9,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,17.36,,,,,,,Percent of Total Billed Charges,,,,,49.6,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN INJ : 2000 MG IVPB ,J3373 ,CPT,,Outpatient,,,38.2,30.56,28.54,,,,,,,Percent of Total Billed Charges,,28.54,28.54,,38.2,,,,,,,Percent of Total Billed Charges,,,,,36.67,,,,,,,Percent of Total Billed Charges,,,,,36.29,,,,,,,Percent of Total Billed Charges,,,,,7.64,,,,,,,Percent of Total Billed Charges,,,,,32.47,,,,,,,Percent of Total Billed Charges,,,,,8.02,,,,,,,Percent of Total Billed Charges,,,,,34.38,,,,,,,Percent of Total Billed Charges,,,,,34.38,,,,,,,Percent of Total Billed Charges,,,,,7.64,,,,,,,Percent of Total Billed Charges,,,,,10.7,,,,,,,Percent of Total Billed Charges,,,,,30.56,,,,,,,Percent of Total Billed Charges,,,,,7.64,,,,,,,Percent of Total Billed Charges,,,, TOBRAMYCIN INJECTION : 80MG/2ML ,J3260 ,CPT,,Outpatient,,,14.25,11.4,10.64,,,,,,,Percent of Total Billed Charges,,10.64,10.64,,14.25,,,,,,,Percent of Total Billed Charges,,,,,13.68,,,,,,,Percent of Total Billed Charges,,,,,13.54,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,12.11,,,,,,,Percent of Total Billed Charges,,,,,2.99,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN INJ : 1750 MG IVPB ,J3373 ,CPT,,Outpatient,,,62,49.6,46.31,,,,,,,Percent of Total Billed Charges,,46.31,46.31,,62,,,,,,,Percent of Total Billed Charges,,,,,59.52,,,,,,,Percent of Total Billed Charges,,,,,58.9,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,17.36,,,,,,,Percent of Total Billed Charges,,,,,49.6,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN INJ : 750 MG IVPB ,J3373 ,CPT,,Outpatient,,,36.05,28.84,26.93,,,,,,,Percent of Total Billed Charges,,26.93,26.93,,36.05,,,,,,,Percent of Total Billed Charges,,,,,34.61,,,,,,,Percent of Total Billed Charges,,,,,34.25,,,,,,,Percent of Total Billed Charges,,,,,7.21,,,,,,,Percent of Total Billed Charges,,,,,30.64,,,,,,,Percent of Total Billed Charges,,,,,7.57,,,,,,,Percent of Total Billed Charges,,,,,32.45,,,,,,,Percent of Total Billed Charges,,,,,32.45,,,,,,,Percent of Total Billed Charges,,,,,7.21,,,,,,,Percent of Total Billed Charges,,,,,10.09,,,,,,,Percent of Total Billed Charges,,,,,28.84,,,,,,,Percent of Total Billed Charges,,,,,7.21,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN INJ : 1500 MG IVPB ,J3373 ,CPT,,Outpatient,,,62,49.6,46.31,,,,,,,Percent of Total Billed Charges,,46.31,46.31,,62,,,,,,,Percent of Total Billed Charges,,,,,59.52,,,,,,,Percent of Total Billed Charges,,,,,58.9,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,17.36,,,,,,,Percent of Total Billed Charges,,,,,49.6,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN INJ : 500 MG IVPB ,J3373 ,CPT,,Outpatient,,,23.05,18.44,17.22,,,,,,,Percent of Total Billed Charges,,17.22,17.22,,23.05,,,,,,,Percent of Total Billed Charges,,,,,22.13,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,4.61,,,,,,,Percent of Total Billed Charges,,,,,19.59,,,,,,,Percent of Total Billed Charges,,,,,4.84,,,,,,,Percent of Total Billed Charges,,,,,20.75,,,,,,,Percent of Total Billed Charges,,,,,20.75,,,,,,,Percent of Total Billed Charges,,,,,4.61,,,,,,,Percent of Total Billed Charges,,,,,6.45,,,,,,,Percent of Total Billed Charges,,,,,18.44,,,,,,,Percent of Total Billed Charges,,,,,4.61,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN INJ : 1 GRAM IVPB ,J3373 ,CPT,,Outpatient,,,26.6,21.28,19.87,,,,,,,Percent of Total Billed Charges,,19.87,19.87,,26.6,,,,,,,Percent of Total Billed Charges,,,,,25.54,,,,,,,Percent of Total Billed Charges,,,,,25.27,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,22.61,,,,,,,Percent of Total Billed Charges,,,,,5.59,,,,,,,Percent of Total Billed Charges,,,,,23.94,,,,,,,Percent of Total Billed Charges,,,,,23.94,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,7.45,,,,,,,Percent of Total Billed Charges,,,,,21.28,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN ORAL LIQ: 50 MG/ML 150 ML BTL,250,RC,,Outpatient,50,ME,447.85,358.28,334.54,,,,,,,Percent of Total Billed Charges,,334.54,334.54,,447.85,,,,,,,Percent of Total Billed Charges,,,,,429.94,,,,,,,Percent of Total Billed Charges,,,,,425.46,,,,,,,Percent of Total Billed Charges,,,,,89.57,,,,,,,Percent of Total Billed Charges,,,,,380.67,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,403.07,,,,,,,Percent of Total Billed Charges,,,,,403.07,,,,,,,Percent of Total Billed Charges,,,,,89.57,,,,,,,Percent of Total Billed Charges,,,,,125.4,,,,,,,Percent of Total Billed Charges,,,,,358.28,,,,,,,Percent of Total Billed Charges,,,,,89.57,,,,,,,Percent of Total Billed Charges,,,, DALBAVANCIN (DALVANCE) INJ : 500 MG - NF,J0875 ,CPT,,Outpatient,,,5614,4491.2,4193.66,,,,,,,Percent of Total Billed Charges,,4193.66,4193.66,,5614,,,,,,,Percent of Total Billed Charges,,,,,5389.44,,,,,,,Percent of Total Billed Charges,,,,,5333.3,,,,,,,Percent of Total Billed Charges,,,,,1122.8,,,,,,,Percent of Total Billed Charges,,,,,4771.9,,,,,,,Percent of Total Billed Charges,,,,,1178.94,,,,,,,Percent of Total Billed Charges,,,,,5052.6,,,,,,,Percent of Total Billed Charges,,,,,5052.6,,,,,,,Percent of Total Billed Charges,,,,,1122.8,,,,,,,Percent of Total Billed Charges,,,,,1571.92,,,,,,,Percent of Total Billed Charges,,,,,4491.2,,,,,,,Percent of Total Billed Charges,,,,,1122.8,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN CAPSULE: 250 MG ,250,RC,,Outpatient,250,ME,7.4,5.92,5.53,,,,,,,Percent of Total Billed Charges,,5.53,5.53,,7.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,7.03,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,6.29,,,,,,,Percent of Total Billed Charges,,,,,1.55,,,,,,,Percent of Total Billed Charges,,,,,6.66,,,,,,,Percent of Total Billed Charges,,,,,6.66,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,5.92,,,,,,,Percent of Total Billed Charges,,,,,1.48,,,,,,,Percent of Total Billed Charges,,,, AMOXICILLIN CHEW TAB : 250 MG ,250,RC,,Outpatient,250,ME,2.55,2.04,1.9,,,,,,,Percent of Total Billed Charges,,1.9,1.9,,2.55,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,2.17,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.51,,,,,,,Percent of Total Billed Charges,,,, AMPICILLIN SUSP : 250MG/5ML 100 ML ,250,RC,,Outpatient,250,ME,32.6,26.08,24.35,,,,,,,Percent of Total Billed Charges,,24.35,24.35,,32.6,,,,,,,Percent of Total Billed Charges,,,,,31.3,,,,,,,Percent of Total Billed Charges,,,,,30.97,,,,,,,Percent of Total Billed Charges,,,,,6.52,,,,,,,Percent of Total Billed Charges,,,,,27.71,,,,,,,Percent of Total Billed Charges,,,,,6.85,,,,,,,Percent of Total Billed Charges,,,,,29.34,,,,,,,Percent of Total Billed Charges,,,,,29.34,,,,,,,Percent of Total Billed Charges,,,,,6.52,,,,,,,Percent of Total Billed Charges,,,,,9.13,,,,,,,Percent of Total Billed Charges,,,,,26.08,,,,,,,Percent of Total Billed Charges,,,,,6.52,,,,,,,Percent of Total Billed Charges,,,, AMOXICILLIN SUSP : 250MG/5ML 150 ML ,250,RC,,Outpatient,250,ME,18.2,14.56,13.6,,,,,,,Percent of Total Billed Charges,,13.6,13.6,,18.2,,,,,,,Percent of Total Billed Charges,,,,,17.47,,,,,,,Percent of Total Billed Charges,,,,,17.29,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,15.47,,,,,,,Percent of Total Billed Charges,,,,,3.82,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,14.56,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,, AMOXICILLIN SUSP : 125MG/5 ML 150 ML ,250,RC,,Outpatient,125,ME,20.3,16.24,15.16,,,,,,,Percent of Total Billed Charges,,15.16,15.16,,20.3,,,,,,,Percent of Total Billed Charges,,,,,19.49,,,,,,,Percent of Total Billed Charges,,,,,19.29,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,17.26,,,,,,,Percent of Total Billed Charges,,,,,4.26,,,,,,,Percent of Total Billed Charges,,,,,18.27,,,,,,,Percent of Total Billed Charges,,,,,18.27,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,5.68,,,,,,,Percent of Total Billed Charges,,,,,16.24,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,, AZITHROMYCIN (ZITHROMAX) SUSP:200MG/5ML ,250,RC,,Outpatient,200,ME,91.25,73,68.16,,,,,,,Percent of Total Billed Charges,,68.16,68.16,,91.25,,,,,,,Percent of Total Billed Charges,,,,,87.6,,,,,,,Percent of Total Billed Charges,,,,,86.69,,,,,,,Percent of Total Billed Charges,,,,,18.25,,,,,,,Percent of Total Billed Charges,,,,,77.56,,,,,,,Percent of Total Billed Charges,,,,,19.16,,,,,,,Percent of Total Billed Charges,,,,,82.13,,,,,,,Percent of Total Billed Charges,,,,,82.13,,,,,,,Percent of Total Billed Charges,,,,,18.25,,,,,,,Percent of Total Billed Charges,,,,,25.55,,,,,,,Percent of Total Billed Charges,,,,,73,,,,,,,Percent of Total Billed Charges,,,,,18.25,,,,,,,Percent of Total Billed Charges,,,, AUGMENTIN LIQUID : 125 MG/5 ML 75 ML ,250,RC,,Outpatient,125,ME,151.2,120.96,112.95,,,,,,,Percent of Total Billed Charges,,112.95,112.95,,151.2,,,,,,,Percent of Total Billed Charges,,,,,145.15,,,,,,,Percent of Total Billed Charges,,,,,143.64,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,128.52,,,,,,,Percent of Total Billed Charges,,,,,31.75,,,,,,,Percent of Total Billed Charges,,,,,136.08,,,,,,,Percent of Total Billed Charges,,,,,136.08,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,42.34,,,,,,,Percent of Total Billed Charges,,,,,120.96,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,, AUGMENTIN LIQUID : 400MG/5ML 75 ML ,250,RC,,Outpatient,400,ME,52.9,42.32,39.52,,,,,,,Percent of Total Billed Charges,,39.52,39.52,,52.9,,,,,,,Percent of Total Billed Charges,,,,,50.78,,,,,,,Percent of Total Billed Charges,,,,,50.26,,,,,,,Percent of Total Billed Charges,,,,,10.58,,,,,,,Percent of Total Billed Charges,,,,,44.97,,,,,,,Percent of Total Billed Charges,,,,,11.11,,,,,,,Percent of Total Billed Charges,,,,,47.61,,,,,,,Percent of Total Billed Charges,,,,,47.61,,,,,,,Percent of Total Billed Charges,,,,,10.58,,,,,,,Percent of Total Billed Charges,,,,,14.81,,,,,,,Percent of Total Billed Charges,,,,,42.32,,,,,,,Percent of Total Billed Charges,,,,,10.58,,,,,,,Percent of Total Billed Charges,,,, AUGMENTIN LIQUID : 250 MG/5 ML 100 ML ,250,RC,,Outpatient,250,ME,154.25,123.4,115.22,,,,,,,Percent of Total Billed Charges,,115.22,115.22,,154.25,,,,,,,Percent of Total Billed Charges,,,,,148.08,,,,,,,Percent of Total Billed Charges,,,,,146.54,,,,,,,Percent of Total Billed Charges,,,,,30.85,,,,,,,Percent of Total Billed Charges,,,,,131.11,,,,,,,Percent of Total Billed Charges,,,,,32.39,,,,,,,Percent of Total Billed Charges,,,,,138.83,,,,,,,Percent of Total Billed Charges,,,,,138.83,,,,,,,Percent of Total Billed Charges,,,,,30.85,,,,,,,Percent of Total Billed Charges,,,,,43.19,,,,,,,Percent of Total Billed Charges,,,,,123.4,,,,,,,Percent of Total Billed Charges,,,,,30.85,,,,,,,Percent of Total Billed Charges,,,, CEFACLOR (CECLOR)SUSP: 125 MG/5ML 75 ML*,250,RC,,Outpatient,125,ME,27.45,21.96,20.51,,,,,,,Percent of Total Billed Charges,,20.51,20.51,,27.45,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,26.08,,,,,,,Percent of Total Billed Charges,,,,,5.49,,,,,,,Percent of Total Billed Charges,,,,,23.33,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,24.71,,,,,,,Percent of Total Billed Charges,,,,,24.71,,,,,,,Percent of Total Billed Charges,,,,,5.49,,,,,,,Percent of Total Billed Charges,,,,,7.69,,,,,,,Percent of Total Billed Charges,,,,,21.96,,,,,,,Percent of Total Billed Charges,,,,,5.49,,,,,,,Percent of Total Billed Charges,,,, CEFACLOR (CECLOR)SUSP:250MG/5ML 75 ML** ,250,RC,,Outpatient,250,ME,37.95,30.36,28.35,,,,,,,Percent of Total Billed Charges,,28.35,28.35,,37.95,,,,,,,Percent of Total Billed Charges,,,,,36.43,,,,,,,Percent of Total Billed Charges,,,,,36.05,,,,,,,Percent of Total Billed Charges,,,,,7.59,,,,,,,Percent of Total Billed Charges,,,,,32.26,,,,,,,Percent of Total Billed Charges,,,,,7.97,,,,,,,Percent of Total Billed Charges,,,,,34.16,,,,,,,Percent of Total Billed Charges,,,,,34.16,,,,,,,Percent of Total Billed Charges,,,,,7.59,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,30.36,,,,,,,Percent of Total Billed Charges,,,,,7.59,,,,,,,Percent of Total Billed Charges,,,, ATOVAQUONE (MEPRON) SUSP: 750 MG/5 ML ,250,RC,,Outpatient,750,ME,66.5,53.2,49.68,,,,,,,Percent of Total Billed Charges,,49.68,49.68,,66.5,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,63.18,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,56.53,,,,,,,Percent of Total Billed Charges,,,,,13.97,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,18.62,,,,,,,Percent of Total Billed Charges,,,,,53.2,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,, CEPHALEXIN SUSP (KEFLEX):125MG/5ML 100ML,250,RC,,Outpatient,125,ME,48.8,39.04,36.45,,,,,,,Percent of Total Billed Charges,,36.45,36.45,,48.8,,,,,,,Percent of Total Billed Charges,,,,,46.85,,,,,,,Percent of Total Billed Charges,,,,,46.36,,,,,,,Percent of Total Billed Charges,,,,,9.76,,,,,,,Percent of Total Billed Charges,,,,,41.48,,,,,,,Percent of Total Billed Charges,,,,,10.25,,,,,,,Percent of Total Billed Charges,,,,,43.92,,,,,,,Percent of Total Billed Charges,,,,,43.92,,,,,,,Percent of Total Billed Charges,,,,,9.76,,,,,,,Percent of Total Billed Charges,,,,,13.66,,,,,,,Percent of Total Billed Charges,,,,,39.04,,,,,,,Percent of Total Billed Charges,,,,,9.76,,,,,,,Percent of Total Billed Charges,,,, CEPHALEXIN SUSP (KEFLEX):250MG/5ML 200ML,250,RC,,Outpatient,250,ME,67.65,54.12,50.53,,,,,,,Percent of Total Billed Charges,,50.53,50.53,,67.65,,,,,,,Percent of Total Billed Charges,,,,,64.94,,,,,,,Percent of Total Billed Charges,,,,,64.27,,,,,,,Percent of Total Billed Charges,,,,,13.53,,,,,,,Percent of Total Billed Charges,,,,,57.5,,,,,,,Percent of Total Billed Charges,,,,,14.21,,,,,,,Percent of Total Billed Charges,,,,,60.89,,,,,,,Percent of Total Billed Charges,,,,,60.89,,,,,,,Percent of Total Billed Charges,,,,,13.53,,,,,,,Percent of Total Billed Charges,,,,,18.94,,,,,,,Percent of Total Billed Charges,,,,,54.12,,,,,,,Percent of Total Billed Charges,,,,,13.53,,,,,,,Percent of Total Billed Charges,,,, AZITHROMYCIN 1 GRAM POWDER PACKET ,250,RC,,Outpatient,1,GR,74.3,59.44,55.5,,,,,,,Percent of Total Billed Charges,,55.5,55.5,,74.3,,,,,,,Percent of Total Billed Charges,,,,,71.33,,,,,,,Percent of Total Billed Charges,,,,,70.59,,,,,,,Percent of Total Billed Charges,,,,,14.86,,,,,,,Percent of Total Billed Charges,,,,,63.16,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,66.87,,,,,,,Percent of Total Billed Charges,,,,,66.87,,,,,,,Percent of Total Billed Charges,,,,,14.86,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,59.44,,,,,,,Percent of Total Billed Charges,,,,,14.86,,,,,,,Percent of Total Billed Charges,,,, *CEFACLOR (CECLOR) SUSP: 250 MG UD *** ,250,RC,,Outpatient,250,ME,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, NF-CEFADROXIL (DURICEF) CAP : 500MG ,250,RC,,Outpatient,500,ME,2.6,2.08,1.94,,,,,,,Percent of Total Billed Charges,,1.94,1.94,,2.6,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,, PENICILLIN VK SUSP : 125MG/5ML 100ML ,250,RC,,Outpatient,125,ME,32.7,26.16,24.43,,,,,,,Percent of Total Billed Charges,,24.43,24.43,,32.7,,,,,,,Percent of Total Billed Charges,,,,,31.39,,,,,,,Percent of Total Billed Charges,,,,,31.07,,,,,,,Percent of Total Billed Charges,,,,,6.54,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,,,6.87,,,,,,,Percent of Total Billed Charges,,,,,29.43,,,,,,,Percent of Total Billed Charges,,,,,29.43,,,,,,,Percent of Total Billed Charges,,,,,6.54,,,,,,,Percent of Total Billed Charges,,,,,9.16,,,,,,,Percent of Total Billed Charges,,,,,26.16,,,,,,,Percent of Total Billed Charges,,,,,6.54,,,,,,,Percent of Total Billed Charges,,,, PENICILLIN VK SUSP : 250MG/5ML 100 ML ,250,RC,,Outpatient,250,ME,42.55,34.04,31.78,,,,,,,Percent of Total Billed Charges,,31.78,31.78,,42.55,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,40.42,,,,,,,Percent of Total Billed Charges,,,,,8.51,,,,,,,Percent of Total Billed Charges,,,,,36.17,,,,,,,Percent of Total Billed Charges,,,,,8.94,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,8.51,,,,,,,Percent of Total Billed Charges,,,,,11.91,,,,,,,Percent of Total Billed Charges,,,,,34.04,,,,,,,Percent of Total Billed Charges,,,,,8.51,,,,,,,Percent of Total Billed Charges,,,, AMPICILLIN SUSP : 125MG/5 ML 100 ML ,250,RC,,Outpatient,125,ME,22.05,17.64,16.47,,,,,,,Percent of Total Billed Charges,,16.47,16.47,,22.05,,,,,,,Percent of Total Billed Charges,,,,,21.17,,,,,,,Percent of Total Billed Charges,,,,,20.95,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,18.74,,,,,,,Percent of Total Billed Charges,,,,,4.63,,,,,,,Percent of Total Billed Charges,,,,,19.85,,,,,,,Percent of Total Billed Charges,,,,,19.85,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,6.17,,,,,,,Percent of Total Billed Charges,,,,,17.64,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,, ACYCLOVIR (ZOVIRAX) TAB : 800 MG ,250,RC,,Outpatient,800,ME,3.1,2.48,2.32,,,,,,,Percent of Total Billed Charges,,2.32,2.32,,3.1,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,2.95,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,0.87,,,,,,,Percent of Total Billed Charges,,,,,2.48,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,, ACYCLOVIR (ZOVIRAX) CAP : 200 MG ,250,RC,,Outpatient,200,ME,2.3,1.84,1.72,,,,,,,Percent of Total Billed Charges,,1.72,1.72,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,2.19,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.96,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,2.07,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,0.64,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,, *AMOXICILLIN LIQUID : 125MG/5ML DOSE ** ,250,RC,,Outpatient,125,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, *AMOXICILLIN LIQUID : 250MG/5ML DOSE** ,250,RC,,Outpatient,250,ME,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, *PEDIAZOLE 200/600 SUSP : 100ML****** ,250,RC,,Outpatient,100,ML,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, SMZ-TMP SUSP : 20 ML ,250,RC,,Outpatient,20,ML,5.7,4.56,4.26,,,,,,,Percent of Total Billed Charges,,4.26,4.26,,5.7,,,,,,,Percent of Total Billed Charges,,,,,5.47,,,,,,,Percent of Total Billed Charges,,,,,5.42,,,,,,,Percent of Total Billed Charges,,,,,1.14,,,,,,,Percent of Total Billed Charges,,,,,4.85,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.13,,,,,,,Percent of Total Billed Charges,,,,,5.13,,,,,,,Percent of Total Billed Charges,,,,,1.14,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,4.56,,,,,,,Percent of Total Billed Charges,,,,,1.14,,,,,,,Percent of Total Billed Charges,,,, *CEFIXIME (SUPRAX) SUSP: 100MG/5ML *** ,250,RC,,Outpatient,100,ME,58,46.4,43.33,,,,,,,Percent of Total Billed Charges,,43.33,43.33,,58,,,,,,,Percent of Total Billed Charges,,,,,55.68,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,16.24,,,,,,,Percent of Total Billed Charges,,,,,46.4,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,, *SMZ-TMP SUSP : 20 ML***** ,250,RC,,Outpatient,20,ML,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, *ERYTHROMYCIN 400MG/5ML SUSP:100 ML** ,250,RC,,Outpatient,100,ML,21.5,17.2,16.06,,,,,,,Percent of Total Billed Charges,,16.06,16.06,,21.5,,,,,,,Percent of Total Billed Charges,,,,,20.64,,,,,,,Percent of Total Billed Charges,,,,,20.43,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,18.28,,,,,,,Percent of Total Billed Charges,,,,,4.52,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,6.02,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,, AMOXICILLIN CAP : 250 MG ,250,RC,,Outpatient,250,ME,6.45,5.16,4.82,,,,,,,Percent of Total Billed Charges,,4.82,4.82,,6.45,,,,,,,Percent of Total Billed Charges,,,,,6.19,,,,,,,Percent of Total Billed Charges,,,,,6.13,,,,,,,Percent of Total Billed Charges,,,,,1.29,,,,,,,Percent of Total Billed Charges,,,,,5.48,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,5.81,,,,,,,Percent of Total Billed Charges,,,,,5.81,,,,,,,Percent of Total Billed Charges,,,,,1.29,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,5.16,,,,,,,Percent of Total Billed Charges,,,,,1.29,,,,,,,Percent of Total Billed Charges,,,, *CEFIXIME (SUPRAX) TAB : 400 MG***** ,250,RC,,Outpatient,400,ME,11,8.8,8.22,,,,,,,Percent of Total Billed Charges,,8.22,8.22,,11,,,,,,,Percent of Total Billed Charges,,,,,10.56,,,,,,,Percent of Total Billed Charges,,,,,10.45,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,9.35,,,,,,,Percent of Total Billed Charges,,,,,2.31,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,3.08,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,, AMOXICILLIN CAP : 500 MG ,250,RC,,Outpatient,500,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, AUGMENTIN TAB (Amoxicillin/Clav): 875 MG,250,RC,,Outpatient,875,ME,7.45,5.96,5.57,,,,,,,Percent of Total Billed Charges,,5.57,5.57,,7.45,,,,,,,Percent of Total Billed Charges,,,,,7.15,,,,,,,Percent of Total Billed Charges,,,,,7.08,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,6.33,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,6.71,,,,,,,Percent of Total Billed Charges,,,,,6.71,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,5.96,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,, AMPICILLIN CAP : 250 MG ,250,RC,,Outpatient,250,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, AUGMENTIN TAB (Amoxicillin/Clav): 500 MG,250,RC,,Outpatient,500,ME,7.2,5.76,5.38,,,,,,,Percent of Total Billed Charges,,5.38,5.38,,7.2,,,,,,,Percent of Total Billed Charges,,,,,6.91,,,,,,,Percent of Total Billed Charges,,,,,6.84,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,6.12,,,,,,,Percent of Total Billed Charges,,,,,1.51,,,,,,,Percent of Total Billed Charges,,,,,6.48,,,,,,,Percent of Total Billed Charges,,,,,6.48,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,, AMPICILLIN CAP : 500 MG ,250,RC,,Outpatient,500,ME,3.15,2.52,2.35,,,,,,,Percent of Total Billed Charges,,2.35,2.35,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,2.99,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.68,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,, AUGMENTIN TAB (Amoxicillin/Clav):250 MG ,250,RC,,Outpatient,250,ME,6.65,5.32,4.97,,,,,,,Percent of Total Billed Charges,,4.97,4.97,,6.65,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,6.32,,,,,,,Percent of Total Billed Charges,,,,,1.33,,,,,,,Percent of Total Billed Charges,,,,,5.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.99,,,,,,,Percent of Total Billed Charges,,,,,5.99,,,,,,,Percent of Total Billed Charges,,,,,1.33,,,,,,,Percent of Total Billed Charges,,,,,1.86,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,1.33,,,,,,,Percent of Total Billed Charges,,,, *CARBENICILLIN (GEOCILLIN) TAB 382MG ** ,250,RC,,Outpatient,,,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, *ERYTHROMYCIN ES 200MG/5ML SUSP:100ML***,250,RC,,Outpatient,100,ML,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, *CEFACLOR (CECLOR) CAP : 250 MG **** ,250,RC,,Outpatient,250,ME,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, CEFPROZIL (CEFZIL) TAB : 250 MG ,250,RC,,Outpatient,250,ME,3.45,2.76,2.58,,,,,,,Percent of Total Billed Charges,,2.58,2.58,,3.45,,,,,,,Percent of Total Billed Charges,,,,,3.31,,,,,,,Percent of Total Billed Charges,,,,,3.28,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,0.72,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,3.11,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,0.97,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,, *CEFACLOR (CECLOR) CAP : 500 MG *** ,250,RC,,Outpatient,500,ME,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, CEFPROZIL 125 MG / 50 ML ,250,RC,,Outpatient,,,42.85,34.28,32.01,,,,,,,Percent of Total Billed Charges,,32.01,32.01,,42.85,,,,,,,Percent of Total Billed Charges,,,,,41.14,,,,,,,Percent of Total Billed Charges,,,,,40.71,,,,,,,Percent of Total Billed Charges,,,,,8.57,,,,,,,Percent of Total Billed Charges,,,,,36.42,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,38.57,,,,,,,Percent of Total Billed Charges,,,,,38.57,,,,,,,Percent of Total Billed Charges,,,,,8.57,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,34.28,,,,,,,Percent of Total Billed Charges,,,,,8.57,,,,,,,Percent of Total Billed Charges,,,, CEPHALEXIN (KEFLEX) CAP : 250 MG ,250,RC,,Outpatient,250,ME,2.4,1.92,1.79,,,,,,,Percent of Total Billed Charges,,1.79,1.79,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,, CEFPROZIL (CEFZIL) SUSP : 250MG/5ML ,250,RC,,Outpatient,250,ME,130.4,104.32,97.41,,,,,,,Percent of Total Billed Charges,,97.41,97.41,,130.4,,,,,,,Percent of Total Billed Charges,,,,,125.18,,,,,,,Percent of Total Billed Charges,,,,,123.88,,,,,,,Percent of Total Billed Charges,,,,,26.08,,,,,,,Percent of Total Billed Charges,,,,,110.84,,,,,,,Percent of Total Billed Charges,,,,,27.38,,,,,,,Percent of Total Billed Charges,,,,,117.36,,,,,,,Percent of Total Billed Charges,,,,,117.36,,,,,,,Percent of Total Billed Charges,,,,,26.08,,,,,,,Percent of Total Billed Charges,,,,,36.51,,,,,,,Percent of Total Billed Charges,,,,,104.32,,,,,,,Percent of Total Billed Charges,,,,,26.08,,,,,,,Percent of Total Billed Charges,,,, CEPHALEXIN (KEFLEX) CAP : 500 MG ,250,RC,,Outpatient,500,ME,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, CIPROFLOXACIN (CIPRO) TAB : 250 MG ,250,RC,,Outpatient,250,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, CLINDAMYCIN (CLEOCIN) CAP : 150 MG ,250,RC,,Outpatient,150,ME,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, CIPROFLOXACIN (CIPRO) TAB : 500 MG ,250,RC,,Outpatient,500,ME,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, DICLOXACILLIN (DYNAPEN) CAP : 250 MG ,250,RC,,Outpatient,250,ME,3.3,2.64,2.47,,,,,,,Percent of Total Billed Charges,,2.47,2.47,,3.3,,,,,,,Percent of Total Billed Charges,,,,,3.17,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,2.81,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,2.97,,,,,,,Percent of Total Billed Charges,,,,,2.97,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,0.92,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,, DOXYCYCLINE (VIBRAMYCIN) TAB : 100 MG ,250,RC,,Outpatient,100,ME,6.25,5,4.67,,,,,,,Percent of Total Billed Charges,,4.67,4.67,,6.25,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,5.94,,,,,,,Percent of Total Billed Charges,,,,,1.25,,,,,,,Percent of Total Billed Charges,,,,,5.31,,,,,,,Percent of Total Billed Charges,,,,,1.31,,,,,,,Percent of Total Billed Charges,,,,,5.63,,,,,,,Percent of Total Billed Charges,,,,,5.63,,,,,,,Percent of Total Billed Charges,,,,,1.25,,,,,,,Percent of Total Billed Charges,,,,,1.75,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,1.25,,,,,,,Percent of Total Billed Charges,,,, DEMECLOCYCLINE (DECLOMYCIN)TAB : 300 MG ,250,RC,,Outpatient,300,ME,32.8,26.24,24.5,,,,,,,Percent of Total Billed Charges,,24.5,24.5,,32.8,,,,,,,Percent of Total Billed Charges,,,,,31.49,,,,,,,Percent of Total Billed Charges,,,,,31.16,,,,,,,Percent of Total Billed Charges,,,,,6.56,,,,,,,Percent of Total Billed Charges,,,,,27.88,,,,,,,Percent of Total Billed Charges,,,,,6.89,,,,,,,Percent of Total Billed Charges,,,,,29.52,,,,,,,Percent of Total Billed Charges,,,,,29.52,,,,,,,Percent of Total Billed Charges,,,,,6.56,,,,,,,Percent of Total Billed Charges,,,,,9.18,,,,,,,Percent of Total Billed Charges,,,,,26.24,,,,,,,Percent of Total Billed Charges,,,,,6.56,,,,,,,Percent of Total Billed Charges,,,, *ERYTHROMYCIN EC TAB : 250 MG****** ,250,RC,,Outpatient,250,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, DEMECLOCYCLINE (DECLOMYCIN)TAB : 150 MG ,250,RC,,Outpatient,150,ME,24.15,19.32,18.04,,,,,,,Percent of Total Billed Charges,,18.04,18.04,,24.15,,,,,,,Percent of Total Billed Charges,,,,,23.18,,,,,,,Percent of Total Billed Charges,,,,,22.94,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,20.53,,,,,,,Percent of Total Billed Charges,,,,,5.07,,,,,,,Percent of Total Billed Charges,,,,,21.74,,,,,,,Percent of Total Billed Charges,,,,,21.74,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,6.76,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,, *ERYTHROMYCIN EC TAB : 400 MG******* ,250,RC,,Outpatient,400,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, FLUCONAZOLE (DIFLUCAN) :TAB 100 MG ,250,RC,,Outpatient,100,ME,4.95,3.96,3.7,,,,,,,Percent of Total Billed Charges,,3.7,3.7,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,0.99,,,,,,,Percent of Total Billed Charges,,,,,4.21,,,,,,,Percent of Total Billed Charges,,,,,1.04,,,,,,,Percent of Total Billed Charges,,,,,4.46,,,,,,,Percent of Total Billed Charges,,,,,4.46,,,,,,,Percent of Total Billed Charges,,,,,0.99,,,,,,,Percent of Total Billed Charges,,,,,1.39,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,,,0.99,,,,,,,Percent of Total Billed Charges,,,, ERYTHROMYCIN BASE TAB : 500 MG ,250,RC,,Outpatient,500,ME,36.45,29.16,27.23,,,,,,,Percent of Total Billed Charges,,27.23,27.23,,36.45,,,,,,,Percent of Total Billed Charges,,,,,34.99,,,,,,,Percent of Total Billed Charges,,,,,34.63,,,,,,,Percent of Total Billed Charges,,,,,7.29,,,,,,,Percent of Total Billed Charges,,,,,30.98,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,32.81,,,,,,,Percent of Total Billed Charges,,,,,32.81,,,,,,,Percent of Total Billed Charges,,,,,7.29,,,,,,,Percent of Total Billed Charges,,,,,10.21,,,,,,,Percent of Total Billed Charges,,,,,29.16,,,,,,,Percent of Total Billed Charges,,,,,7.29,,,,,,,Percent of Total Billed Charges,,,, FLUCONAZOLE (DIFLUCAN) TABLET: 150 MG ,250,RC,,Outpatient,150,ME,8.4,6.72,6.27,,,,,,,Percent of Total Billed Charges,,6.27,6.27,,8.4,,,,,,,Percent of Total Billed Charges,,,,,8.06,,,,,,,Percent of Total Billed Charges,,,,,7.98,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,2.35,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,, METRONIDAZOLE TAB (FLAGYL) : 250 MG ,250,RC,,Outpatient,250,ME,2.2,1.76,1.64,,,,,,,Percent of Total Billed Charges,,1.64,1.64,,2.2,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,1.98,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,, FLUCONAZOLE (DIFLUCAN) : 50MG ,250,RC,,Outpatient,50,ME,9.95,7.96,7.43,,,,,,,Percent of Total Billed Charges,,7.43,7.43,,9.95,,,,,,,Percent of Total Billed Charges,,,,,9.55,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,1.99,,,,,,,Percent of Total Billed Charges,,,,,8.46,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,8.96,,,,,,,Percent of Total Billed Charges,,,,,8.96,,,,,,,Percent of Total Billed Charges,,,,,1.99,,,,,,,Percent of Total Billed Charges,,,,,2.79,,,,,,,Percent of Total Billed Charges,,,,,7.96,,,,,,,Percent of Total Billed Charges,,,,,1.99,,,,,,,Percent of Total Billed Charges,,,, ITRACONAZOLE (SPORANOX) CAP : 100 MG ,250,RC,,Outpatient,100,ME,23.6,18.88,17.63,,,,,,,Percent of Total Billed Charges,,17.63,17.63,,23.6,,,,,,,Percent of Total Billed Charges,,,,,22.66,,,,,,,Percent of Total Billed Charges,,,,,22.42,,,,,,,Percent of Total Billed Charges,,,,,4.72,,,,,,,Percent of Total Billed Charges,,,,,20.06,,,,,,,Percent of Total Billed Charges,,,,,4.96,,,,,,,Percent of Total Billed Charges,,,,,21.24,,,,,,,Percent of Total Billed Charges,,,,,21.24,,,,,,,Percent of Total Billed Charges,,,,,4.72,,,,,,,Percent of Total Billed Charges,,,,,6.61,,,,,,,Percent of Total Billed Charges,,,,,18.88,,,,,,,Percent of Total Billed Charges,,,,,4.72,,,,,,,Percent of Total Billed Charges,,,, CLARITHROMYCIN (BIAXIN) TAB : 500 MG ,250,RC,,Outpatient,500,ME,6.45,5.16,4.82,,,,,,,Percent of Total Billed Charges,,4.82,4.82,,6.45,,,,,,,Percent of Total Billed Charges,,,,,6.19,,,,,,,Percent of Total Billed Charges,,,,,6.13,,,,,,,Percent of Total Billed Charges,,,,,1.29,,,,,,,Percent of Total Billed Charges,,,,,5.48,,,,,,,Percent of Total Billed Charges,,,,,1.35,,,,,,,Percent of Total Billed Charges,,,,,5.81,,,,,,,Percent of Total Billed Charges,,,,,5.81,,,,,,,Percent of Total Billed Charges,,,,,1.29,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,5.16,,,,,,,Percent of Total Billed Charges,,,,,1.29,,,,,,,Percent of Total Billed Charges,,,, NEOMYCIN TAB : 500 MG ,250,RC,,Outpatient,500,ME,3.75,3,2.8,,,,,,,Percent of Total Billed Charges,,2.8,2.8,,3.75,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,, NITROFURANTOIN (MACRODANTIN) CAP : 50 MG,250,RC,,Outpatient,50,ME,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, MINOCYCLINE (MINOCIN) CAP : 100 MG*NF ,250,RC,,Outpatient,100,ME,2.8,2.24,2.09,,,,,,,Percent of Total Billed Charges,,2.09,2.09,,2.8,,,,,,,Percent of Total Billed Charges,,,,,2.69,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,, SMZ - TMP DS TABLET ,250,RC,,Outpatient,,,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, PENICILLIN VK : 250 MG TAB ,250,RC,,Outpatient,250,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, RIFAMPIN CAP : 300 MG ,250,RC,,Outpatient,300,ME,6.4,5.12,4.78,,,,,,,Percent of Total Billed Charges,,4.78,4.78,,6.4,,,,,,,Percent of Total Billed Charges,,,,,6.14,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,5.44,,,,,,,Percent of Total Billed Charges,,,,,1.34,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,5.12,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,, TETRACYCLINE CAP : 250 MG ,250,RC,,Outpatient,250,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, TETRACYCLINE CAP : 500 MG ,250,RC,,Outpatient,500,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, AMPICILLIN IM INJ : 1 GRAM ,J0290 ,CPT,,Outpatient,,,16.95,13.56,12.66,,,,,,,Percent of Total Billed Charges,,12.66,12.66,,16.95,,,,,,,Percent of Total Billed Charges,,,,,16.27,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,3.39,,,,,,,Percent of Total Billed Charges,,,,,14.41,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,15.26,,,,,,,Percent of Total Billed Charges,,,,,15.26,,,,,,,Percent of Total Billed Charges,,,,,3.39,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,13.56,,,,,,,Percent of Total Billed Charges,,,,,3.39,,,,,,,Percent of Total Billed Charges,,,, AMPICILLIN IM INJ : 2 GRAM ,J0290 ,CPT,,Outpatient,,,21.75,17.4,16.25,,,,,,,Percent of Total Billed Charges,,16.25,16.25,,21.75,,,,,,,Percent of Total Billed Charges,,,,,20.88,,,,,,,Percent of Total Billed Charges,,,,,20.66,,,,,,,Percent of Total Billed Charges,,,,,4.35,,,,,,,Percent of Total Billed Charges,,,,,18.49,,,,,,,Percent of Total Billed Charges,,,,,4.57,,,,,,,Percent of Total Billed Charges,,,,,19.58,,,,,,,Percent of Total Billed Charges,,,,,19.58,,,,,,,Percent of Total Billed Charges,,,,,4.35,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,4.35,,,,,,,Percent of Total Billed Charges,,,, AMPICILLIN IM INJ : 250 MG ,J0290 ,CPT,,Outpatient,,,14.6,11.68,10.91,,,,,,,Percent of Total Billed Charges,,10.91,10.91,,14.6,,,,,,,Percent of Total Billed Charges,,,,,14.02,,,,,,,Percent of Total Billed Charges,,,,,13.87,,,,,,,Percent of Total Billed Charges,,,,,2.92,,,,,,,Percent of Total Billed Charges,,,,,12.41,,,,,,,Percent of Total Billed Charges,,,,,3.07,,,,,,,Percent of Total Billed Charges,,,,,13.14,,,,,,,Percent of Total Billed Charges,,,,,13.14,,,,,,,Percent of Total Billed Charges,,,,,2.92,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,,,11.68,,,,,,,Percent of Total Billed Charges,,,,,2.92,,,,,,,Percent of Total Billed Charges,,,, AMPICILLIN IM INJ: 500 MG ,J0290 ,CPT,,Outpatient,,,16.6,13.28,12.4,,,,,,,Percent of Total Billed Charges,,12.4,12.4,,16.6,,,,,,,Percent of Total Billed Charges,,,,,15.94,,,,,,,Percent of Total Billed Charges,,,,,15.77,,,,,,,Percent of Total Billed Charges,,,,,3.32,,,,,,,Percent of Total Billed Charges,,,,,14.11,,,,,,,Percent of Total Billed Charges,,,,,3.49,,,,,,,Percent of Total Billed Charges,,,,,14.94,,,,,,,Percent of Total Billed Charges,,,,,14.94,,,,,,,Percent of Total Billed Charges,,,,,3.32,,,,,,,Percent of Total Billed Charges,,,,,4.65,,,,,,,Percent of Total Billed Charges,,,,,13.28,,,,,,,Percent of Total Billed Charges,,,,,3.32,,,,,,,Percent of Total Billed Charges,,,, "CEFAZOLIN (ANCEF,KEFZOL) IM INJ: 1 GRAM ",J0690 ,CPT,,Outpatient,,,14.45,11.56,10.79,,,,,,,Percent of Total Billed Charges,,10.79,10.79,,14.45,,,,,,,Percent of Total Billed Charges,,,,,13.87,,,,,,,Percent of Total Billed Charges,,,,,13.73,,,,,,,Percent of Total Billed Charges,,,,,2.89,,,,,,,Percent of Total Billed Charges,,,,,12.28,,,,,,,Percent of Total Billed Charges,,,,,3.03,,,,,,,Percent of Total Billed Charges,,,,,13.01,,,,,,,Percent of Total Billed Charges,,,,,13.01,,,,,,,Percent of Total Billed Charges,,,,,2.89,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,11.56,,,,,,,Percent of Total Billed Charges,,,,,2.89,,,,,,,Percent of Total Billed Charges,,,, CEFEPIME (MAXIPIME) INJ : 1 GRAM ,J0692 ,CPT,,Outpatient,,,20.45,16.36,15.28,,,,,,,Percent of Total Billed Charges,,15.28,15.28,,20.45,,,,,,,Percent of Total Billed Charges,,,,,19.63,,,,,,,Percent of Total Billed Charges,,,,,19.43,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,,,17.38,,,,,,,Percent of Total Billed Charges,,,,,4.29,,,,,,,Percent of Total Billed Charges,,,,,18.41,,,,,,,Percent of Total Billed Charges,,,,,18.41,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,,,5.73,,,,,,,Percent of Total Billed Charges,,,,,16.36,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,, CEFOTAXIME (CLAFORAN) IM INJ : 1 GRAM ,J0698 ,CPT,,Outpatient,,,16.25,13,12.14,,,,,,,Percent of Total Billed Charges,,12.14,12.14,,16.25,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,3.25,,,,,,,Percent of Total Billed Charges,,,,,13.81,,,,,,,Percent of Total Billed Charges,,,,,3.41,,,,,,,Percent of Total Billed Charges,,,,,14.63,,,,,,,Percent of Total Billed Charges,,,,,14.63,,,,,,,Percent of Total Billed Charges,,,,,3.25,,,,,,,Percent of Total Billed Charges,,,,,4.55,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,3.25,,,,,,,Percent of Total Billed Charges,,,, CEFOTETAN (CEFOTAN) IM INJ : 1 GM ,250,RC,,Outpatient,1,GR,44.15,35.32,32.98,,,,,,,Percent of Total Billed Charges,,32.98,32.98,,44.15,,,,,,,Percent of Total Billed Charges,,,,,42.38,,,,,,,Percent of Total Billed Charges,,,,,41.94,,,,,,,Percent of Total Billed Charges,,,,,8.83,,,,,,,Percent of Total Billed Charges,,,,,37.53,,,,,,,Percent of Total Billed Charges,,,,,9.27,,,,,,,Percent of Total Billed Charges,,,,,39.74,,,,,,,Percent of Total Billed Charges,,,,,39.74,,,,,,,Percent of Total Billed Charges,,,,,8.83,,,,,,,Percent of Total Billed Charges,,,,,12.36,,,,,,,Percent of Total Billed Charges,,,,,35.32,,,,,,,Percent of Total Billed Charges,,,,,8.83,,,,,,,Percent of Total Billed Charges,,,, CEFTAZIDIME (FORTAZ) VIAL INJ : 1 GRAM ,J0713 ,CPT,,Outpatient,,,21.75,17.4,16.25,,,,,,,Percent of Total Billed Charges,,16.25,16.25,,21.75,,,,,,,Percent of Total Billed Charges,,,,,20.88,,,,,,,Percent of Total Billed Charges,,,,,20.66,,,,,,,Percent of Total Billed Charges,,,,,4.35,,,,,,,Percent of Total Billed Charges,,,,,18.49,,,,,,,Percent of Total Billed Charges,,,,,4.57,,,,,,,Percent of Total Billed Charges,,,,,19.58,,,,,,,Percent of Total Billed Charges,,,,,19.58,,,,,,,Percent of Total Billed Charges,,,,,4.35,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,4.35,,,,,,,Percent of Total Billed Charges,,,, CEFTRIAXONE (ROCEPHIN) IM INJ : 1 GRAM ,J0696 ,CPT,,Outpatient,,,15.6,12.48,11.65,,,,,,,Percent of Total Billed Charges,,11.65,11.65,,15.6,,,,,,,Percent of Total Billed Charges,,,,,14.98,,,,,,,Percent of Total Billed Charges,,,,,14.82,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,13.26,,,,,,,Percent of Total Billed Charges,,,,,3.28,,,,,,,Percent of Total Billed Charges,,,,,14.04,,,,,,,Percent of Total Billed Charges,,,,,14.04,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,4.37,,,,,,,Percent of Total Billed Charges,,,,,12.48,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,, CEFTRIAXONE (ROCEPHIN) IM INJ : 250 MG ,J0696 ,CPT,,Outpatient,,,17.4,13.92,13,,,,,,,Percent of Total Billed Charges,,13,13,,17.4,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,16.53,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,,,14.79,,,,,,,Percent of Total Billed Charges,,,,,3.65,,,,,,,Percent of Total Billed Charges,,,,,15.66,,,,,,,Percent of Total Billed Charges,,,,,15.66,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,, CEFTRIAXONE (ROCEPHIN) IM INJ : 500 MG ,J0696 ,CPT,,Outpatient,,,14.65,11.72,10.94,,,,,,,Percent of Total Billed Charges,,10.94,10.94,,14.65,,,,,,,Percent of Total Billed Charges,,,,,14.06,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,12.45,,,,,,,Percent of Total Billed Charges,,,,,3.08,,,,,,,Percent of Total Billed Charges,,,,,13.19,,,,,,,Percent of Total Billed Charges,,,,,13.19,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,11.72,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,, CEFTAZIDIME (FORTAZ) VIAL INJ : 2 GRAM ,J0713 ,CPT,,Outpatient,,,25.7,20.56,19.2,,,,,,,Percent of Total Billed Charges,,19.2,19.2,,25.7,,,,,,,Percent of Total Billed Charges,,,,,24.67,,,,,,,Percent of Total Billed Charges,,,,,24.42,,,,,,,Percent of Total Billed Charges,,,,,5.14,,,,,,,Percent of Total Billed Charges,,,,,21.85,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,23.13,,,,,,,Percent of Total Billed Charges,,,,,23.13,,,,,,,Percent of Total Billed Charges,,,,,5.14,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,20.56,,,,,,,Percent of Total Billed Charges,,,,,5.14,,,,,,,Percent of Total Billed Charges,,,, CLINDAMYCIN (CLEOCIN) INJ VIAL : 900MG ,J0736 ,CPT,,Outpatient,,,18.7,14.96,13.97,,,,,,,Percent of Total Billed Charges,,13.97,13.97,,18.7,,,,,,,Percent of Total Billed Charges,,,,,17.95,,,,,,,Percent of Total Billed Charges,,,,,17.77,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,3.93,,,,,,,Percent of Total Billed Charges,,,,,16.83,,,,,,,Percent of Total Billed Charges,,,,,16.83,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,5.24,,,,,,,Percent of Total Billed Charges,,,,,14.96,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,, GENTAMICIN :IM INJECTION 800 MG / 20 ML ,J1580 ,CPT,,Outpatient,,,87.45,69.96,65.33,,,,,,,Percent of Total Billed Charges,,65.33,65.33,,87.45,,,,,,,Percent of Total Billed Charges,,,,,83.95,,,,,,,Percent of Total Billed Charges,,,,,83.08,,,,,,,Percent of Total Billed Charges,,,,,17.49,,,,,,,Percent of Total Billed Charges,,,,,74.33,,,,,,,Percent of Total Billed Charges,,,,,18.36,,,,,,,Percent of Total Billed Charges,,,,,78.71,,,,,,,Percent of Total Billed Charges,,,,,78.71,,,,,,,Percent of Total Billed Charges,,,,,17.49,,,,,,,Percent of Total Billed Charges,,,,,24.49,,,,,,,Percent of Total Billed Charges,,,,,69.96,,,,,,,Percent of Total Billed Charges,,,,,17.49,,,,,,,Percent of Total Billed Charges,,,, TOBRAMYCIN : 80MG/2ML IM INJECTION ,J3260 ,CPT,,Outpatient,,,16.95,13.56,12.66,,,,,,,Percent of Total Billed Charges,,12.66,12.66,,16.95,,,,,,,Percent of Total Billed Charges,,,,,16.27,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,3.39,,,,,,,Percent of Total Billed Charges,,,,,14.41,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,15.26,,,,,,,Percent of Total Billed Charges,,,,,15.26,,,,,,,Percent of Total Billed Charges,,,,,3.39,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,13.56,,,,,,,Percent of Total Billed Charges,,,,,3.39,,,,,,,Percent of Total Billed Charges,,,, NAFCILLIN : 1 GRAM IM INJECTION ,250,RC,,Outpatient,1,GR,23.05,18.44,17.22,,,,,,,Percent of Total Billed Charges,,17.22,17.22,,23.05,,,,,,,Percent of Total Billed Charges,,,,,22.13,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,4.61,,,,,,,Percent of Total Billed Charges,,,,,19.59,,,,,,,Percent of Total Billed Charges,,,,,4.84,,,,,,,Percent of Total Billed Charges,,,,,20.75,,,,,,,Percent of Total Billed Charges,,,,,20.75,,,,,,,Percent of Total Billed Charges,,,,,4.61,,,,,,,Percent of Total Billed Charges,,,,,6.45,,,,,,,Percent of Total Billed Charges,,,,,18.44,,,,,,,Percent of Total Billed Charges,,,,,4.61,,,,,,,Percent of Total Billed Charges,,,, NAFCILLIN : 2 GRAM IM INJECTION ,250,RC,,Outpatient,2,GR,30.85,24.68,23.04,,,,,,,Percent of Total Billed Charges,,23.04,23.04,,30.85,,,,,,,Percent of Total Billed Charges,,,,,29.62,,,,,,,Percent of Total Billed Charges,,,,,29.31,,,,,,,Percent of Total Billed Charges,,,,,6.17,,,,,,,Percent of Total Billed Charges,,,,,26.22,,,,,,,Percent of Total Billed Charges,,,,,6.48,,,,,,,Percent of Total Billed Charges,,,,,27.77,,,,,,,Percent of Total Billed Charges,,,,,27.77,,,,,,,Percent of Total Billed Charges,,,,,6.17,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,6.17,,,,,,,Percent of Total Billed Charges,,,, DAPTOMYCIN (CUBICIN) INJ: 500 MG ,J0878 ,CPT,,Outpatient,,,62.9,50.32,46.99,,,,,,,Percent of Total Billed Charges,,46.99,46.99,,62.9,,,,,,,Percent of Total Billed Charges,,,,,60.38,,,,,,,Percent of Total Billed Charges,,,,,59.76,,,,,,,Percent of Total Billed Charges,,,,,12.58,,,,,,,Percent of Total Billed Charges,,,,,53.47,,,,,,,Percent of Total Billed Charges,,,,,13.21,,,,,,,Percent of Total Billed Charges,,,,,56.61,,,,,,,Percent of Total Billed Charges,,,,,56.61,,,,,,,Percent of Total Billed Charges,,,,,12.58,,,,,,,Percent of Total Billed Charges,,,,,17.61,,,,,,,Percent of Total Billed Charges,,,,,50.32,,,,,,,Percent of Total Billed Charges,,,,,12.58,,,,,,,Percent of Total Billed Charges,,,, CEFTRIAXONE (ROCEPHIN) IM INJ : 2 GRAM ,J0696 ,CPT,,Outpatient,,,23.05,18.44,17.22,,,,,,,Percent of Total Billed Charges,,17.22,17.22,,23.05,,,,,,,Percent of Total Billed Charges,,,,,22.13,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,4.61,,,,,,,Percent of Total Billed Charges,,,,,19.59,,,,,,,Percent of Total Billed Charges,,,,,4.84,,,,,,,Percent of Total Billed Charges,,,,,20.75,,,,,,,Percent of Total Billed Charges,,,,,20.75,,,,,,,Percent of Total Billed Charges,,,,,4.61,,,,,,,Percent of Total Billed Charges,,,,,6.45,,,,,,,Percent of Total Billed Charges,,,,,18.44,,,,,,,Percent of Total Billed Charges,,,,,4.61,,,,,,,Percent of Total Billed Charges,,,, CEFEPIME (MAXIPIME) INJ: 2 GRAM ,J0692 ,CPT,,Outpatient,,,27.4,21.92,20.47,,,,,,,Percent of Total Billed Charges,,20.47,20.47,,27.4,,,,,,,Percent of Total Billed Charges,,,,,26.3,,,,,,,Percent of Total Billed Charges,,,,,26.03,,,,,,,Percent of Total Billed Charges,,,,,5.48,,,,,,,Percent of Total Billed Charges,,,,,23.29,,,,,,,Percent of Total Billed Charges,,,,,5.75,,,,,,,Percent of Total Billed Charges,,,,,24.66,,,,,,,Percent of Total Billed Charges,,,,,24.66,,,,,,,Percent of Total Billed Charges,,,,,5.48,,,,,,,Percent of Total Billed Charges,,,,,7.67,,,,,,,Percent of Total Billed Charges,,,,,21.92,,,,,,,Percent of Total Billed Charges,,,,,5.48,,,,,,,Percent of Total Billed Charges,,,, CEFOTETAN (CEFOTAN) IM INJ: 2 GRAM ,250,RC,,Outpatient,2,GR,75.75,60.6,56.59,,,,,,,Percent of Total Billed Charges,,56.59,56.59,,75.75,,,,,,,Percent of Total Billed Charges,,,,,72.72,,,,,,,Percent of Total Billed Charges,,,,,71.96,,,,,,,Percent of Total Billed Charges,,,,,15.15,,,,,,,Percent of Total Billed Charges,,,,,64.39,,,,,,,Percent of Total Billed Charges,,,,,15.91,,,,,,,Percent of Total Billed Charges,,,,,68.18,,,,,,,Percent of Total Billed Charges,,,,,68.18,,,,,,,Percent of Total Billed Charges,,,,,15.15,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,15.15,,,,,,,Percent of Total Billed Charges,,,, DAPTOMYCIN (CUBICIN) INJ: 350 MG ,J0878 ,CPT,,Outpatient,,,53.45,42.76,39.93,,,,,,,Percent of Total Billed Charges,,39.93,39.93,,53.45,,,,,,,Percent of Total Billed Charges,,,,,51.31,,,,,,,Percent of Total Billed Charges,,,,,50.78,,,,,,,Percent of Total Billed Charges,,,,,10.69,,,,,,,Percent of Total Billed Charges,,,,,45.43,,,,,,,Percent of Total Billed Charges,,,,,11.22,,,,,,,Percent of Total Billed Charges,,,,,48.11,,,,,,,Percent of Total Billed Charges,,,,,48.11,,,,,,,Percent of Total Billed Charges,,,,,10.69,,,,,,,Percent of Total Billed Charges,,,,,14.97,,,,,,,Percent of Total Billed Charges,,,,,42.76,,,,,,,Percent of Total Billed Charges,,,,,10.69,,,,,,,Percent of Total Billed Charges,,,, *ONDANSETRON (ZOFRAN) INJ:12MG/6 ML**** ,250,RC,,Outpatient,6,ML,147,117.6,109.81,,,,,,,Percent of Total Billed Charges,,109.81,109.81,,147,,,,,,,Percent of Total Billed Charges,,,,,141.12,,,,,,,Percent of Total Billed Charges,,,,,139.65,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,124.95,,,,,,,Percent of Total Billed Charges,,,,,30.87,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,, DOLASETRON (ANZEMET) INJ : 100MG / 5 ML ,J1260 ,CPT,,Outpatient,,,156.9,125.52,117.2,,,,,,,Percent of Total Billed Charges,,117.2,117.2,,156.9,,,,,,,Percent of Total Billed Charges,,,,,150.62,,,,,,,Percent of Total Billed Charges,,,,,149.06,,,,,,,Percent of Total Billed Charges,,,,,31.38,,,,,,,Percent of Total Billed Charges,,,,,133.37,,,,,,,Percent of Total Billed Charges,,,,,32.95,,,,,,,Percent of Total Billed Charges,,,,,141.21,,,,,,,Percent of Total Billed Charges,,,,,141.21,,,,,,,Percent of Total Billed Charges,,,,,31.38,,,,,,,Percent of Total Billed Charges,,,,,43.93,,,,,,,Percent of Total Billed Charges,,,,,125.52,,,,,,,Percent of Total Billed Charges,,,,,31.38,,,,,,,Percent of Total Billed Charges,,,, VINORELBINE (NAVELBINE) INJ: 50MG/5 ML ,J9390 ,CPT,,Outpatient,,,691.6,553.28,516.63,,,,,,,Percent of Total Billed Charges,,516.63,516.63,,691.6,,,,,,,Percent of Total Billed Charges,,,,,663.94,,,,,,,Percent of Total Billed Charges,,,,,657.02,,,,,,,Percent of Total Billed Charges,,,,,138.32,,,,,,,Percent of Total Billed Charges,,,,,587.86,,,,,,,Percent of Total Billed Charges,,,,,145.24,,,,,,,Percent of Total Billed Charges,,,,,622.44,,,,,,,Percent of Total Billed Charges,,,,,622.44,,,,,,,Percent of Total Billed Charges,,,,,138.32,,,,,,,Percent of Total Billed Charges,,,,,193.65,,,,,,,Percent of Total Billed Charges,,,,,553.28,,,,,,,Percent of Total Billed Charges,,,,,138.32,,,,,,,Percent of Total Billed Charges,,,, DOLASETRON (ANZEMET) INJ:12.5MG/0.625 ML,J1260 ,CPT,,Outpatient,,,61.7,49.36,46.09,,,,,,,Percent of Total Billed Charges,,46.09,46.09,,61.7,,,,,,,Percent of Total Billed Charges,,,,,59.23,,,,,,,Percent of Total Billed Charges,,,,,58.62,,,,,,,Percent of Total Billed Charges,,,,,12.34,,,,,,,Percent of Total Billed Charges,,,,,52.45,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,55.53,,,,,,,Percent of Total Billed Charges,,,,,55.53,,,,,,,Percent of Total Billed Charges,,,,,12.34,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,49.36,,,,,,,Percent of Total Billed Charges,,,,,12.34,,,,,,,Percent of Total Billed Charges,,,, ONDANSETRON (ZOFRAN) INJ : 4 MG / 2 ML ,J2405 ,CPT,,Outpatient,,,13.25,10.6,9.9,,,,,,,Percent of Total Billed Charges,,9.9,9.9,,13.25,,,,,,,Percent of Total Billed Charges,,,,,12.72,,,,,,,Percent of Total Billed Charges,,,,,12.59,,,,,,,Percent of Total Billed Charges,,,,,2.65,,,,,,,Percent of Total Billed Charges,,,,,11.26,,,,,,,Percent of Total Billed Charges,,,,,2.78,,,,,,,Percent of Total Billed Charges,,,,,11.93,,,,,,,Percent of Total Billed Charges,,,,,11.93,,,,,,,Percent of Total Billed Charges,,,,,2.65,,,,,,,Percent of Total Billed Charges,,,,,3.71,,,,,,,Percent of Total Billed Charges,,,,,10.6,,,,,,,Percent of Total Billed Charges,,,,,2.65,,,,,,,Percent of Total Billed Charges,,,, PALONOSETRON (ALOXI) INJ: 0.25MG/5ML ,250,RC,,Outpatient,5,ML,575,460,429.53,,,,,,,Percent of Total Billed Charges,,429.53,429.53,,575,,,,,,,Percent of Total Billed Charges,,,,,552,,,,,,,Percent of Total Billed Charges,,,,,546.25,,,,,,,Percent of Total Billed Charges,,,,,115,,,,,,,Percent of Total Billed Charges,,,,,488.75,,,,,,,Percent of Total Billed Charges,,,,,120.75,,,,,,,Percent of Total Billed Charges,,,,,517.5,,,,,,,Percent of Total Billed Charges,,,,,517.5,,,,,,,Percent of Total Billed Charges,,,,,115,,,,,,,Percent of Total Billed Charges,,,,,161,,,,,,,Percent of Total Billed Charges,,,,,460,,,,,,,Percent of Total Billed Charges,,,,,115,,,,,,,Percent of Total Billed Charges,,,, CETUXIMAB (ERBITUX) INJ : 100 MG /50 ML ,250,RC,,Outpatient,50,ML,1083,866.4,809,,,,,,,Percent of Total Billed Charges,,809,809,,1083,,,,,,,Percent of Total Billed Charges,,,,,1039.68,,,,,,,Percent of Total Billed Charges,,,,,1028.85,,,,,,,Percent of Total Billed Charges,,,,,216.6,,,,,,,Percent of Total Billed Charges,,,,,920.55,,,,,,,Percent of Total Billed Charges,,,,,227.43,,,,,,,Percent of Total Billed Charges,,,,,974.7,,,,,,,Percent of Total Billed Charges,,,,,974.7,,,,,,,Percent of Total Billed Charges,,,,,216.6,,,,,,,Percent of Total Billed Charges,,,,,303.24,,,,,,,Percent of Total Billed Charges,,,,,866.4,,,,,,,Percent of Total Billed Charges,,,,,216.6,,,,,,,Percent of Total Billed Charges,,,, VINORELBINE (NAVELBINE) INJ: 10MG/1 ML ,J9390 ,CPT,,Outpatient,,,138,110.4,103.09,,,,,,,Percent of Total Billed Charges,,103.09,103.09,,138,,,,,,,Percent of Total Billed Charges,,,,,132.48,,,,,,,Percent of Total Billed Charges,,,,,131.1,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,,,117.3,,,,,,,Percent of Total Billed Charges,,,,,28.98,,,,,,,Percent of Total Billed Charges,,,,,124.2,,,,,,,Percent of Total Billed Charges,,,,,124.2,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,,,38.64,,,,,,,Percent of Total Billed Charges,,,,,110.4,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,, CISPLATIN (PLATINOL) : 50 MG INJ ,J9060 ,CPT,,Outpatient,,,520,416,388.44,,,,,,,Percent of Total Billed Charges,,388.44,388.44,,520,,,,,,,Percent of Total Billed Charges,,,,,499.2,,,,,,,Percent of Total Billed Charges,,,,,494,,,,,,,Percent of Total Billed Charges,,,,,104,,,,,,,Percent of Total Billed Charges,,,,,442,,,,,,,Percent of Total Billed Charges,,,,,109.2,,,,,,,Percent of Total Billed Charges,,,,,468,,,,,,,Percent of Total Billed Charges,,,,,468,,,,,,,Percent of Total Billed Charges,,,,,104,,,,,,,Percent of Total Billed Charges,,,,,145.6,,,,,,,Percent of Total Billed Charges,,,,,416,,,,,,,Percent of Total Billed Charges,,,,,104,,,,,,,Percent of Total Billed Charges,,,, CISPLATIN (PLATINOL) INJ : 100 MG ,J9060 ,CPT,,Outpatient,,,628.8,503.04,469.71,,,,,,,Percent of Total Billed Charges,,469.71,469.71,,628.8,,,,,,,Percent of Total Billed Charges,,,,,603.65,,,,,,,Percent of Total Billed Charges,,,,,597.36,,,,,,,Percent of Total Billed Charges,,,,,125.76,,,,,,,Percent of Total Billed Charges,,,,,534.48,,,,,,,Percent of Total Billed Charges,,,,,132.05,,,,,,,Percent of Total Billed Charges,,,,,565.92,,,,,,,Percent of Total Billed Charges,,,,,565.92,,,,,,,Percent of Total Billed Charges,,,,,125.76,,,,,,,Percent of Total Billed Charges,,,,,176.06,,,,,,,Percent of Total Billed Charges,,,,,503.04,,,,,,,Percent of Total Billed Charges,,,,,125.76,,,,,,,Percent of Total Billed Charges,,,, CYTARABINE INJ : 100 MG ,250,RC,,Outpatient,100,ME,89.7,71.76,67.01,,,,,,,Percent of Total Billed Charges,,67.01,67.01,,89.7,,,,,,,Percent of Total Billed Charges,,,,,86.11,,,,,,,Percent of Total Billed Charges,,,,,85.22,,,,,,,Percent of Total Billed Charges,,,,,17.94,,,,,,,Percent of Total Billed Charges,,,,,76.25,,,,,,,Percent of Total Billed Charges,,,,,18.84,,,,,,,Percent of Total Billed Charges,,,,,80.73,,,,,,,Percent of Total Billed Charges,,,,,80.73,,,,,,,Percent of Total Billed Charges,,,,,17.94,,,,,,,Percent of Total Billed Charges,,,,,25.12,,,,,,,Percent of Total Billed Charges,,,,,71.76,,,,,,,Percent of Total Billed Charges,,,,,17.94,,,,,,,Percent of Total Billed Charges,,,, IRINOTECAN (CAMPTOSAR) INJ: 100 MG/5 ML ,J9206 ,CPT,,Outpatient,,,1363.7,1090.96,1018.68,,,,,,,Percent of Total Billed Charges,,1018.68,1018.68,,1363.7,,,,,,,Percent of Total Billed Charges,,,,,1309.15,,,,,,,Percent of Total Billed Charges,,,,,1295.52,,,,,,,Percent of Total Billed Charges,,,,,272.74,,,,,,,Percent of Total Billed Charges,,,,,1159.15,,,,,,,Percent of Total Billed Charges,,,,,286.38,,,,,,,Percent of Total Billed Charges,,,,,1227.33,,,,,,,Percent of Total Billed Charges,,,,,1227.33,,,,,,,Percent of Total Billed Charges,,,,,272.74,,,,,,,Percent of Total Billed Charges,,,,,381.84,,,,,,,Percent of Total Billed Charges,,,,,1090.96,,,,,,,Percent of Total Billed Charges,,,,,272.74,,,,,,,Percent of Total Billed Charges,,,, IRINOTECAN (CAMPTOSAR) INJ: 40MG/2ML ,J9206 ,CPT,,Outpatient,,,590.5,472.4,441.1,,,,,,,Percent of Total Billed Charges,,441.1,441.1,,590.5,,,,,,,Percent of Total Billed Charges,,,,,566.88,,,,,,,Percent of Total Billed Charges,,,,,560.98,,,,,,,Percent of Total Billed Charges,,,,,118.1,,,,,,,Percent of Total Billed Charges,,,,,501.93,,,,,,,Percent of Total Billed Charges,,,,,124.01,,,,,,,Percent of Total Billed Charges,,,,,531.45,,,,,,,Percent of Total Billed Charges,,,,,531.45,,,,,,,Percent of Total Billed Charges,,,,,118.1,,,,,,,Percent of Total Billed Charges,,,,,165.34,,,,,,,Percent of Total Billed Charges,,,,,472.4,,,,,,,Percent of Total Billed Charges,,,,,118.1,,,,,,,Percent of Total Billed Charges,,,, *DEXRAZOXANE (ZINECARD) INJ: 500 MG ,250,RC,,Outpatient,500,ME,937,749.6,699.94,,,,,,,Percent of Total Billed Charges,,699.94,699.94,,937,,,,,,,Percent of Total Billed Charges,,,,,899.52,,,,,,,Percent of Total Billed Charges,,,,,890.15,,,,,,,Percent of Total Billed Charges,,,,,187.4,,,,,,,Percent of Total Billed Charges,,,,,796.45,,,,,,,Percent of Total Billed Charges,,,,,196.77,,,,,,,Percent of Total Billed Charges,,,,,843.3,,,,,,,Percent of Total Billed Charges,,,,,843.3,,,,,,,Percent of Total Billed Charges,,,,,187.4,,,,,,,Percent of Total Billed Charges,,,,,262.36,,,,,,,Percent of Total Billed Charges,,,,,749.6,,,,,,,Percent of Total Billed Charges,,,,,187.4,,,,,,,Percent of Total Billed Charges,,,, FULVESTRANT (FASLODEX) INJ: 250MG/5ML ,J9395 ,CPT,,Outpatient,,,1644.45,1315.56,1228.4,,,,,,,Percent of Total Billed Charges,,1228.4,1228.4,,1644.45,,,,,,,Percent of Total Billed Charges,,,,,1578.67,,,,,,,Percent of Total Billed Charges,,,,,1562.23,,,,,,,Percent of Total Billed Charges,,,,,328.89,,,,,,,Percent of Total Billed Charges,,,,,1397.78,,,,,,,Percent of Total Billed Charges,,,,,345.33,,,,,,,Percent of Total Billed Charges,,,,,1480.01,,,,,,,Percent of Total Billed Charges,,,,,1480.01,,,,,,,Percent of Total Billed Charges,,,,,328.89,,,,,,,Percent of Total Billed Charges,,,,,460.45,,,,,,,Percent of Total Billed Charges,,,,,1315.56,,,,,,,Percent of Total Billed Charges,,,,,328.89,,,,,,,Percent of Total Billed Charges,,,, *ONDANSETRON(ZOFRAN)INJ:16 MG/8 ML***** ,J2405 ,CPT,,Outpatient,,,91.5,73.2,68.35,,,,,,,Percent of Total Billed Charges,,68.35,68.35,,91.5,,,,,,,Percent of Total Billed Charges,,,,,87.84,,,,,,,Percent of Total Billed Charges,,,,,86.93,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,,,77.78,,,,,,,Percent of Total Billed Charges,,,,,19.22,,,,,,,Percent of Total Billed Charges,,,,,82.35,,,,,,,Percent of Total Billed Charges,,,,,82.35,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,,,25.62,,,,,,,Percent of Total Billed Charges,,,,,73.2,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,, GEMCITOBINE (GEMZAR) INJ : 200 MG ,J9201 ,CPT,,Outpatient,,,302.7,242.16,226.12,,,,,,,Percent of Total Billed Charges,,226.12,226.12,,302.7,,,,,,,Percent of Total Billed Charges,,,,,290.59,,,,,,,Percent of Total Billed Charges,,,,,287.57,,,,,,,Percent of Total Billed Charges,,,,,60.54,,,,,,,Percent of Total Billed Charges,,,,,257.3,,,,,,,Percent of Total Billed Charges,,,,,63.57,,,,,,,Percent of Total Billed Charges,,,,,272.43,,,,,,,Percent of Total Billed Charges,,,,,272.43,,,,,,,Percent of Total Billed Charges,,,,,60.54,,,,,,,Percent of Total Billed Charges,,,,,84.76,,,,,,,Percent of Total Billed Charges,,,,,242.16,,,,,,,Percent of Total Billed Charges,,,,,60.54,,,,,,,Percent of Total Billed Charges,,,, CARBOPLATIN 450 MG INJ (PARAPLATIN) ,J9045 ,CPT,,Outpatient,,,1121.8,897.44,837.98,,,,,,,Percent of Total Billed Charges,,837.98,837.98,,1121.8,,,,,,,Percent of Total Billed Charges,,,,,1076.93,,,,,,,Percent of Total Billed Charges,,,,,1065.71,,,,,,,Percent of Total Billed Charges,,,,,224.36,,,,,,,Percent of Total Billed Charges,,,,,953.53,,,,,,,Percent of Total Billed Charges,,,,,235.58,,,,,,,Percent of Total Billed Charges,,,,,1009.62,,,,,,,Percent of Total Billed Charges,,,,,1009.62,,,,,,,Percent of Total Billed Charges,,,,,224.36,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,897.44,,,,,,,Percent of Total Billed Charges,,,,,224.36,,,,,,,Percent of Total Billed Charges,,,, FLUDARABINE (FLUDARA) INJ : 50 MG ,J9185 ,CPT,,Outpatient,,,395.5,316.4,295.44,,,,,,,Percent of Total Billed Charges,,295.44,295.44,,395.5,,,,,,,Percent of Total Billed Charges,,,,,379.68,,,,,,,Percent of Total Billed Charges,,,,,375.73,,,,,,,Percent of Total Billed Charges,,,,,79.1,,,,,,,Percent of Total Billed Charges,,,,,336.18,,,,,,,Percent of Total Billed Charges,,,,,83.06,,,,,,,Percent of Total Billed Charges,,,,,355.95,,,,,,,Percent of Total Billed Charges,,,,,355.95,,,,,,,Percent of Total Billed Charges,,,,,79.1,,,,,,,Percent of Total Billed Charges,,,,,110.74,,,,,,,Percent of Total Billed Charges,,,,,316.4,,,,,,,Percent of Total Billed Charges,,,,,79.1,,,,,,,Percent of Total Billed Charges,,,, CARBOPLATIN INJ (PARAPLATIN): 150 MG ,J9045 ,CPT,,Outpatient,,,168.95,135.16,126.21,,,,,,,Percent of Total Billed Charges,,126.21,126.21,,168.95,,,,,,,Percent of Total Billed Charges,,,,,162.19,,,,,,,Percent of Total Billed Charges,,,,,160.5,,,,,,,Percent of Total Billed Charges,,,,,33.79,,,,,,,Percent of Total Billed Charges,,,,,143.61,,,,,,,Percent of Total Billed Charges,,,,,35.48,,,,,,,Percent of Total Billed Charges,,,,,152.06,,,,,,,Percent of Total Billed Charges,,,,,152.06,,,,,,,Percent of Total Billed Charges,,,,,33.79,,,,,,,Percent of Total Billed Charges,,,,,47.31,,,,,,,Percent of Total Billed Charges,,,,,135.16,,,,,,,Percent of Total Billed Charges,,,,,33.79,,,,,,,Percent of Total Billed Charges,,,, FILGRASTIM (NEUPOGEN/ZARXIO) 480MCG INJ ,J1442 ,CPT,,Outpatient,,,1411.1,1128.88,1054.09,,,,,,,Percent of Total Billed Charges,,1054.09,1054.09,,1411.1,,,,,,,Percent of Total Billed Charges,,,,,1354.66,,,,,,,Percent of Total Billed Charges,,,,,1340.55,,,,,,,Percent of Total Billed Charges,,,,,282.22,,,,,,,Percent of Total Billed Charges,,,,,1199.44,,,,,,,Percent of Total Billed Charges,,,,,296.33,,,,,,,Percent of Total Billed Charges,,,,,1269.99,,,,,,,Percent of Total Billed Charges,,,,,1269.99,,,,,,,Percent of Total Billed Charges,,,,,282.22,,,,,,,Percent of Total Billed Charges,,,,,395.11,,,,,,,Percent of Total Billed Charges,,,,,1128.88,,,,,,,Percent of Total Billed Charges,,,,,282.22,,,,,,,Percent of Total Billed Charges,,,, CARBOPLATIN (PARAPLATIN) INJ : 50 MG ,J9045 ,CPT,,Outpatient,,,106.7,85.36,79.7,,,,,,,Percent of Total Billed Charges,,79.7,79.7,,106.7,,,,,,,Percent of Total Billed Charges,,,,,102.43,,,,,,,Percent of Total Billed Charges,,,,,101.37,,,,,,,Percent of Total Billed Charges,,,,,21.34,,,,,,,Percent of Total Billed Charges,,,,,90.7,,,,,,,Percent of Total Billed Charges,,,,,22.41,,,,,,,Percent of Total Billed Charges,,,,,96.03,,,,,,,Percent of Total Billed Charges,,,,,96.03,,,,,,,Percent of Total Billed Charges,,,,,21.34,,,,,,,Percent of Total Billed Charges,,,,,29.88,,,,,,,Percent of Total Billed Charges,,,,,85.36,,,,,,,Percent of Total Billed Charges,,,,,21.34,,,,,,,Percent of Total Billed Charges,,,, ETOPOSIDE INJ (VP 16) : 100 MG ,J9181 ,CPT,,Outpatient,,,83.85,67.08,62.64,,,,,,,Percent of Total Billed Charges,,62.64,62.64,,83.85,,,,,,,Percent of Total Billed Charges,,,,,80.5,,,,,,,Percent of Total Billed Charges,,,,,79.66,,,,,,,Percent of Total Billed Charges,,,,,16.77,,,,,,,Percent of Total Billed Charges,,,,,71.27,,,,,,,Percent of Total Billed Charges,,,,,17.61,,,,,,,Percent of Total Billed Charges,,,,,75.47,,,,,,,Percent of Total Billed Charges,,,,,75.47,,,,,,,Percent of Total Billed Charges,,,,,16.77,,,,,,,Percent of Total Billed Charges,,,,,23.48,,,,,,,Percent of Total Billed Charges,,,,,67.08,,,,,,,Percent of Total Billed Charges,,,,,16.77,,,,,,,Percent of Total Billed Charges,,,, LEUCOVORIN INJ : 50 MG ,J0640 ,CPT,,Outpatient,,,79.5,63.6,59.39,,,,,,,Percent of Total Billed Charges,,59.39,59.39,,79.5,,,,,,,Percent of Total Billed Charges,,,,,76.32,,,,,,,Percent of Total Billed Charges,,,,,75.53,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,67.58,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,71.55,,,,,,,Percent of Total Billed Charges,,,,,71.55,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,63.6,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,, FLUOROURACIL INJ : 500 MG ,J9190 ,CPT,,Outpatient,,,78.95,63.16,58.98,,,,,,,Percent of Total Billed Charges,,58.98,58.98,,78.95,,,,,,,Percent of Total Billed Charges,,,,,75.79,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,15.79,,,,,,,Percent of Total Billed Charges,,,,,67.11,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,71.06,,,,,,,Percent of Total Billed Charges,,,,,71.06,,,,,,,Percent of Total Billed Charges,,,,,15.79,,,,,,,Percent of Total Billed Charges,,,,,22.11,,,,,,,Percent of Total Billed Charges,,,,,63.16,,,,,,,Percent of Total Billed Charges,,,,,15.79,,,,,,,Percent of Total Billed Charges,,,, METHOTREXATE TAB : 2.5 MG ,J8610 ,CPT,,Outpatient,,,12,9.6,8.96,,,,,,,Percent of Total Billed Charges,,8.96,8.96,,12,,,,,,,Percent of Total Billed Charges,,,,,11.52,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,, GEMCITOBINE (GEMZAR) INJ : 1000 MG ,J9201 ,CPT,,Outpatient,,,1273.3,1018.64,951.16,,,,,,,Percent of Total Billed Charges,,951.16,951.16,,1273.3,,,,,,,Percent of Total Billed Charges,,,,,1222.37,,,,,,,Percent of Total Billed Charges,,,,,1209.64,,,,,,,Percent of Total Billed Charges,,,,,254.66,,,,,,,Percent of Total Billed Charges,,,,,1082.31,,,,,,,Percent of Total Billed Charges,,,,,267.39,,,,,,,Percent of Total Billed Charges,,,,,1145.97,,,,,,,Percent of Total Billed Charges,,,,,1145.97,,,,,,,Percent of Total Billed Charges,,,,,254.66,,,,,,,Percent of Total Billed Charges,,,,,356.52,,,,,,,Percent of Total Billed Charges,,,,,1018.64,,,,,,,Percent of Total Billed Charges,,,,,254.66,,,,,,,Percent of Total Billed Charges,,,, HYDROXYUREA CAP (HYDREA) : 500 MG ,250,RC,,Outpatient,500,ME,3.65,2.92,2.73,,,,,,,Percent of Total Billed Charges,,2.73,2.73,,3.65,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,3.29,,,,,,,Percent of Total Billed Charges,,,,,3.29,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,1.02,,,,,,,Percent of Total Billed Charges,,,,,2.92,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,, METHOTREXATE INJ : 50 MG ,J9260 ,CPT,,Outpatient,,,116.4,93.12,86.95,,,,,,,Percent of Total Billed Charges,,86.95,86.95,,116.4,,,,,,,Percent of Total Billed Charges,,,,,111.74,,,,,,,Percent of Total Billed Charges,,,,,110.58,,,,,,,Percent of Total Billed Charges,,,,,23.28,,,,,,,Percent of Total Billed Charges,,,,,98.94,,,,,,,Percent of Total Billed Charges,,,,,24.44,,,,,,,Percent of Total Billed Charges,,,,,104.76,,,,,,,Percent of Total Billed Charges,,,,,104.76,,,,,,,Percent of Total Billed Charges,,,,,23.28,,,,,,,Percent of Total Billed Charges,,,,,32.59,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,23.28,,,,,,,Percent of Total Billed Charges,,,, LEUCOVORIN INJ : 100 MG ,J0640 ,CPT,,Outpatient,,,79.65,63.72,59.5,,,,,,,Percent of Total Billed Charges,,59.5,59.5,,79.65,,,,,,,Percent of Total Billed Charges,,,,,76.46,,,,,,,Percent of Total Billed Charges,,,,,75.67,,,,,,,Percent of Total Billed Charges,,,,,15.93,,,,,,,Percent of Total Billed Charges,,,,,67.7,,,,,,,Percent of Total Billed Charges,,,,,16.73,,,,,,,Percent of Total Billed Charges,,,,,71.69,,,,,,,Percent of Total Billed Charges,,,,,71.69,,,,,,,Percent of Total Billed Charges,,,,,15.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,63.72,,,,,,,Percent of Total Billed Charges,,,,,15.93,,,,,,,Percent of Total Billed Charges,,,, "ERYTHROPOETIN INJ : 10,000 UNIT / ML ",250,RC,,Outpatient,10000,ML,381.55,305.24,285.02,,,,,,,Percent of Total Billed Charges,,285.02,285.02,,381.55,,,,,,,Percent of Total Billed Charges,,,,,366.29,,,,,,,Percent of Total Billed Charges,,,,,362.47,,,,,,,Percent of Total Billed Charges,,,,,76.31,,,,,,,Percent of Total Billed Charges,,,,,324.32,,,,,,,Percent of Total Billed Charges,,,,,80.13,,,,,,,Percent of Total Billed Charges,,,,,343.4,,,,,,,Percent of Total Billed Charges,,,,,343.4,,,,,,,Percent of Total Billed Charges,,,,,76.31,,,,,,,Percent of Total Billed Charges,,,,,106.83,,,,,,,Percent of Total Billed Charges,,,,,305.24,,,,,,,Percent of Total Billed Charges,,,,,76.31,,,,,,,Percent of Total Billed Charges,,,, "ERYTHROPOETIN INJ : 40,000 UNIT / ML ",250,RC,,Outpatient,40000,ML,1199.15,959.32,895.77,,,,,,,Percent of Total Billed Charges,,895.77,895.77,,1199.15,,,,,,,Percent of Total Billed Charges,,,,,1151.18,,,,,,,Percent of Total Billed Charges,,,,,1139.19,,,,,,,Percent of Total Billed Charges,,,,,239.83,,,,,,,Percent of Total Billed Charges,,,,,1019.28,,,,,,,Percent of Total Billed Charges,,,,,251.82,,,,,,,Percent of Total Billed Charges,,,,,1079.24,,,,,,,Percent of Total Billed Charges,,,,,1079.24,,,,,,,Percent of Total Billed Charges,,,,,239.83,,,,,,,Percent of Total Billed Charges,,,,,335.76,,,,,,,Percent of Total Billed Charges,,,,,959.32,,,,,,,Percent of Total Billed Charges,,,,,239.83,,,,,,,Percent of Total Billed Charges,,,, TAMOXIFEN (NOLVADEX) TAB : 10 MG ,250,RC,,Outpatient,10,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, "ERYTHROPOETIN INJ : 4,000 UNIT/ML ",250,RC,,Outpatient,4000,ML,299.8,239.84,223.95,,,,,,,Percent of Total Billed Charges,,223.95,223.95,,299.8,,,,,,,Percent of Total Billed Charges,,,,,287.81,,,,,,,Percent of Total Billed Charges,,,,,284.81,,,,,,,Percent of Total Billed Charges,,,,,59.96,,,,,,,Percent of Total Billed Charges,,,,,254.83,,,,,,,Percent of Total Billed Charges,,,,,62.96,,,,,,,Percent of Total Billed Charges,,,,,269.82,,,,,,,Percent of Total Billed Charges,,,,,269.82,,,,,,,Percent of Total Billed Charges,,,,,59.96,,,,,,,Percent of Total Billed Charges,,,,,83.94,,,,,,,Percent of Total Billed Charges,,,,,239.84,,,,,,,Percent of Total Billed Charges,,,,,59.96,,,,,,,Percent of Total Billed Charges,,,, FILGRASTIM (NEUPOGEN) INJ : 300 MCG/1 ML,J1442 ,CPT,,Outpatient,,,1023.65,818.92,764.67,,,,,,,Percent of Total Billed Charges,,764.67,764.67,,1023.65,,,,,,,Percent of Total Billed Charges,,,,,982.7,,,,,,,Percent of Total Billed Charges,,,,,972.47,,,,,,,Percent of Total Billed Charges,,,,,204.73,,,,,,,Percent of Total Billed Charges,,,,,870.1,,,,,,,Percent of Total Billed Charges,,,,,214.97,,,,,,,Percent of Total Billed Charges,,,,,921.29,,,,,,,Percent of Total Billed Charges,,,,,921.29,,,,,,,Percent of Total Billed Charges,,,,,204.73,,,,,,,Percent of Total Billed Charges,,,,,286.62,,,,,,,Percent of Total Billed Charges,,,,,818.92,,,,,,,Percent of Total Billed Charges,,,,,204.73,,,,,,,Percent of Total Billed Charges,,,, "ERYTHROPOETIN INJ : 20,000 UNIT / ML ",250,RC,,Outpatient,20000,ML,688.05,550.44,513.97,,,,,,,Percent of Total Billed Charges,,513.97,513.97,,688.05,,,,,,,Percent of Total Billed Charges,,,,,660.53,,,,,,,Percent of Total Billed Charges,,,,,653.65,,,,,,,Percent of Total Billed Charges,,,,,137.61,,,,,,,Percent of Total Billed Charges,,,,,584.84,,,,,,,Percent of Total Billed Charges,,,,,144.49,,,,,,,Percent of Total Billed Charges,,,,,619.25,,,,,,,Percent of Total Billed Charges,,,,,619.25,,,,,,,Percent of Total Billed Charges,,,,,137.61,,,,,,,Percent of Total Billed Charges,,,,,192.65,,,,,,,Percent of Total Billed Charges,,,,,550.44,,,,,,,Percent of Total Billed Charges,,,,,137.61,,,,,,,Percent of Total Billed Charges,,,, LEUCOVORIN INJ : 350 MG ,J0640 ,CPT,,Outpatient,,,88.55,70.84,66.15,,,,,,,Percent of Total Billed Charges,,66.15,66.15,,88.55,,,,,,,Percent of Total Billed Charges,,,,,85.01,,,,,,,Percent of Total Billed Charges,,,,,84.12,,,,,,,Percent of Total Billed Charges,,,,,17.71,,,,,,,Percent of Total Billed Charges,,,,,75.27,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,79.7,,,,,,,Percent of Total Billed Charges,,,,,79.7,,,,,,,Percent of Total Billed Charges,,,,,17.71,,,,,,,Percent of Total Billed Charges,,,,,24.79,,,,,,,Percent of Total Billed Charges,,,,,70.84,,,,,,,Percent of Total Billed Charges,,,,,17.71,,,,,,,Percent of Total Billed Charges,,,, TOPOTECAN (HYCAMTIN) INJ : 4 MG ,J9351 ,CPT,,Outpatient,,,1507.7,1206.16,1126.25,,,,,,,Percent of Total Billed Charges,,1126.25,1126.25,,1507.7,,,,,,,Percent of Total Billed Charges,,,,,1447.39,,,,,,,Percent of Total Billed Charges,,,,,1432.32,,,,,,,Percent of Total Billed Charges,,,,,301.54,,,,,,,Percent of Total Billed Charges,,,,,1281.55,,,,,,,Percent of Total Billed Charges,,,,,316.62,,,,,,,Percent of Total Billed Charges,,,,,1356.93,,,,,,,Percent of Total Billed Charges,,,,,1356.93,,,,,,,Percent of Total Billed Charges,,,,,301.54,,,,,,,Percent of Total Billed Charges,,,,,422.16,,,,,,,Percent of Total Billed Charges,,,,,1206.16,,,,,,,Percent of Total Billed Charges,,,,,301.54,,,,,,,Percent of Total Billed Charges,,,, PACLITAXEL (TAXOL) INJ : 30 MG/5 ML ,J9267 ,CPT,,Outpatient,,,116.15,92.92,86.76,,,,,,,Percent of Total Billed Charges,,86.76,86.76,,116.15,,,,,,,Percent of Total Billed Charges,,,,,111.5,,,,,,,Percent of Total Billed Charges,,,,,110.34,,,,,,,Percent of Total Billed Charges,,,,,23.23,,,,,,,Percent of Total Billed Charges,,,,,98.73,,,,,,,Percent of Total Billed Charges,,,,,24.39,,,,,,,Percent of Total Billed Charges,,,,,104.54,,,,,,,Percent of Total Billed Charges,,,,,104.54,,,,,,,Percent of Total Billed Charges,,,,,23.23,,,,,,,Percent of Total Billed Charges,,,,,32.52,,,,,,,Percent of Total Billed Charges,,,,,92.92,,,,,,,Percent of Total Billed Charges,,,,,23.23,,,,,,,Percent of Total Billed Charges,,,, OPRELVEKIN INJ (NEUMEGA): 5 MG ,J2355 ,CPT,,Outpatient,,,439.1,351.28,328.01,,,,,,,Percent of Total Billed Charges,,328.01,328.01,,439.1,,,,,,,Percent of Total Billed Charges,,,,,421.54,,,,,,,Percent of Total Billed Charges,,,,,417.15,,,,,,,Percent of Total Billed Charges,,,,,87.82,,,,,,,Percent of Total Billed Charges,,,,,373.24,,,,,,,Percent of Total Billed Charges,,,,,92.21,,,,,,,Percent of Total Billed Charges,,,,,395.19,,,,,,,Percent of Total Billed Charges,,,,,395.19,,,,,,,Percent of Total Billed Charges,,,,,87.82,,,,,,,Percent of Total Billed Charges,,,,,122.95,,,,,,,Percent of Total Billed Charges,,,,,351.28,,,,,,,Percent of Total Billed Charges,,,,,87.82,,,,,,,Percent of Total Billed Charges,,,, PACLITAXEL (TAXOL) INJ : 100 MG/16.7ML ,J9267 ,CPT,,Outpatient,,,207.3,165.84,154.85,,,,,,,Percent of Total Billed Charges,,154.85,154.85,,207.3,,,,,,,Percent of Total Billed Charges,,,,,199.01,,,,,,,Percent of Total Billed Charges,,,,,196.94,,,,,,,Percent of Total Billed Charges,,,,,41.46,,,,,,,Percent of Total Billed Charges,,,,,176.21,,,,,,,Percent of Total Billed Charges,,,,,43.53,,,,,,,Percent of Total Billed Charges,,,,,186.57,,,,,,,Percent of Total Billed Charges,,,,,186.57,,,,,,,Percent of Total Billed Charges,,,,,41.46,,,,,,,Percent of Total Billed Charges,,,,,58.04,,,,,,,Percent of Total Billed Charges,,,,,165.84,,,,,,,Percent of Total Billed Charges,,,,,41.46,,,,,,,Percent of Total Billed Charges,,,, LUPRON 3.75 MG INJECTION ,J1950 ,CPT,,Outpatient,,,4808,3846.4,3591.58,,,,,,,Percent of Total Billed Charges,,3591.58,3591.58,,4808,,,,,,,Percent of Total Billed Charges,,,,,4615.68,,,,,,,Percent of Total Billed Charges,,,,,4567.6,,,,,,,Percent of Total Billed Charges,,,,,961.6,,,,,,,Percent of Total Billed Charges,,,,,4086.8,,,,,,,Percent of Total Billed Charges,,,,,1009.68,,,,,,,Percent of Total Billed Charges,,,,,4327.2,,,,,,,Percent of Total Billed Charges,,,,,4327.2,,,,,,,Percent of Total Billed Charges,,,,,961.6,,,,,,,Percent of Total Billed Charges,,,,,1346.24,,,,,,,Percent of Total Billed Charges,,,,,3846.4,,,,,,,Percent of Total Billed Charges,,,,,961.6,,,,,,,Percent of Total Billed Charges,,,, FILGRASTIM (NIVESTYM) 300 MCG INJ ,Q5110 ,CPT,,Outpatient,,,514.9,411.92,384.63,,,,,,,Percent of Total Billed Charges,,384.63,384.63,,514.9,,,,,,,Percent of Total Billed Charges,,,,,494.3,,,,,,,Percent of Total Billed Charges,,,,,489.16,,,,,,,Percent of Total Billed Charges,,,,,102.98,,,,,,,Percent of Total Billed Charges,,,,,437.67,,,,,,,Percent of Total Billed Charges,,,,,108.13,,,,,,,Percent of Total Billed Charges,,,,,463.41,,,,,,,Percent of Total Billed Charges,,,,,463.41,,,,,,,Percent of Total Billed Charges,,,,,102.98,,,,,,,Percent of Total Billed Charges,,,,,144.17,,,,,,,Percent of Total Billed Charges,,,,,411.92,,,,,,,Percent of Total Billed Charges,,,,,102.98,,,,,,,Percent of Total Billed Charges,,,, CHEMOTHERAPY ADMIN. - IV INFUSION ,96413,CPT,,Outpatient,,,35,28,26.15,,,,,,,Percent of Total Billed Charges,,26.15,26.15,,35,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,33.25,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,29.75,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,, "CHEMOTHERAPY ADM-INJECTION (IM, SC) ",96401,CPT,,Outpatient,,,35,28,26.15,,,,,,,Percent of Total Billed Charges,,26.15,26.15,,35,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,33.25,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,29.75,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,, CHEMOTHERAPY ADMIN. -- IV PUSH ,96409,CPT,,Outpatient,,,35,28,26.15,,,,,,,Percent of Total Billed Charges,,26.15,26.15,,35,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,33.25,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,29.75,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,, DARBEPOETIN (ARANESP) : 200 MCG INJ ,250,RC,,Outpatient,,,3359.7,2687.76,2509.7,,,,,,,Percent of Total Billed Charges,,2509.7,2509.7,,3359.7,,,,,,,Percent of Total Billed Charges,,,,,3225.31,,,,,,,Percent of Total Billed Charges,,,,,3191.72,,,,,,,Percent of Total Billed Charges,,,,,671.94,,,,,,,Percent of Total Billed Charges,,,,,2855.75,,,,,,,Percent of Total Billed Charges,,,,,705.54,,,,,,,Percent of Total Billed Charges,,,,,3023.73,,,,,,,Percent of Total Billed Charges,,,,,3023.73,,,,,,,Percent of Total Billed Charges,,,,,671.94,,,,,,,Percent of Total Billed Charges,,,,,940.72,,,,,,,Percent of Total Billed Charges,,,,,2687.76,,,,,,,Percent of Total Billed Charges,,,,,671.94,,,,,,,Percent of Total Billed Charges,,,, DARBEPOETIN (ARANESP) : 100 MCG INJ ,250,RC,,Outpatient,,,1667.5,1334,1245.62,,,,,,,Percent of Total Billed Charges,,1245.62,1245.62,,1667.5,,,,,,,Percent of Total Billed Charges,,,,,1600.8,,,,,,,Percent of Total Billed Charges,,,,,1584.13,,,,,,,Percent of Total Billed Charges,,,,,333.5,,,,,,,Percent of Total Billed Charges,,,,,1417.38,,,,,,,Percent of Total Billed Charges,,,,,350.18,,,,,,,Percent of Total Billed Charges,,,,,1500.75,,,,,,,Percent of Total Billed Charges,,,,,1500.75,,,,,,,Percent of Total Billed Charges,,,,,333.5,,,,,,,Percent of Total Billed Charges,,,,,466.9,,,,,,,Percent of Total Billed Charges,,,,,1334,,,,,,,Percent of Total Billed Charges,,,,,333.5,,,,,,,Percent of Total Billed Charges,,,, DARBEPOETIN (ARANESP) : 60 MCG INJ ,250,RC,,Outpatient,,,1060.4,848.32,792.12,,,,,,,Percent of Total Billed Charges,,792.12,792.12,,1060.4,,,,,,,Percent of Total Billed Charges,,,,,1017.98,,,,,,,Percent of Total Billed Charges,,,,,1007.38,,,,,,,Percent of Total Billed Charges,,,,,212.08,,,,,,,Percent of Total Billed Charges,,,,,901.34,,,,,,,Percent of Total Billed Charges,,,,,222.68,,,,,,,Percent of Total Billed Charges,,,,,954.36,,,,,,,Percent of Total Billed Charges,,,,,954.36,,,,,,,Percent of Total Billed Charges,,,,,212.08,,,,,,,Percent of Total Billed Charges,,,,,296.91,,,,,,,Percent of Total Billed Charges,,,,,848.32,,,,,,,Percent of Total Billed Charges,,,,,212.08,,,,,,,Percent of Total Billed Charges,,,, PAMIDRONATE (AREDIA) INJECTION : 30 MG ,J2430 ,CPT,,Outpatient,,,94.4,75.52,70.52,,,,,,,Percent of Total Billed Charges,,70.52,70.52,,94.4,,,,,,,Percent of Total Billed Charges,,,,,90.62,,,,,,,Percent of Total Billed Charges,,,,,89.68,,,,,,,Percent of Total Billed Charges,,,,,18.88,,,,,,,Percent of Total Billed Charges,,,,,80.24,,,,,,,Percent of Total Billed Charges,,,,,19.82,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,18.88,,,,,,,Percent of Total Billed Charges,,,,,26.43,,,,,,,Percent of Total Billed Charges,,,,,75.52,,,,,,,Percent of Total Billed Charges,,,,,18.88,,,,,,,Percent of Total Billed Charges,,,, DARBEPOETIN (ARANESP) : 300 MCG INJ ,250,RC,,Outpatient,,,4852.5,3882,3624.82,,,,,,,Percent of Total Billed Charges,,3624.82,3624.82,,4852.5,,,,,,,Percent of Total Billed Charges,,,,,4658.4,,,,,,,Percent of Total Billed Charges,,,,,4609.88,,,,,,,Percent of Total Billed Charges,,,,,970.5,,,,,,,Percent of Total Billed Charges,,,,,4124.63,,,,,,,Percent of Total Billed Charges,,,,,1019.03,,,,,,,Percent of Total Billed Charges,,,,,4367.25,,,,,,,Percent of Total Billed Charges,,,,,4367.25,,,,,,,Percent of Total Billed Charges,,,,,970.5,,,,,,,Percent of Total Billed Charges,,,,,1358.7,,,,,,,Percent of Total Billed Charges,,,,,3882,,,,,,,Percent of Total Billed Charges,,,,,970.5,,,,,,,Percent of Total Billed Charges,,,, VINCRISTINE (VINCASAR) INJ : 2MG/2ML ,J9370 ,CPT,,Outpatient,,,84.5,67.6,63.12,,,,,,,Percent of Total Billed Charges,,63.12,63.12,,84.5,,,,,,,Percent of Total Billed Charges,,,,,81.12,,,,,,,Percent of Total Billed Charges,,,,,80.28,,,,,,,Percent of Total Billed Charges,,,,,16.9,,,,,,,Percent of Total Billed Charges,,,,,71.83,,,,,,,Percent of Total Billed Charges,,,,,17.75,,,,,,,Percent of Total Billed Charges,,,,,76.05,,,,,,,Percent of Total Billed Charges,,,,,76.05,,,,,,,Percent of Total Billed Charges,,,,,16.9,,,,,,,Percent of Total Billed Charges,,,,,23.66,,,,,,,Percent of Total Billed Charges,,,,,67.6,,,,,,,Percent of Total Billed Charges,,,,,16.9,,,,,,,Percent of Total Billed Charges,,,, VINBLASTINE (VELBAN) INJ : 1 MG ,J9360 ,CPT,,Outpatient,,,76.65,61.32,57.26,,,,,,,Percent of Total Billed Charges,,57.26,57.26,,76.65,,,,,,,Percent of Total Billed Charges,,,,,73.58,,,,,,,Percent of Total Billed Charges,,,,,72.82,,,,,,,Percent of Total Billed Charges,,,,,15.33,,,,,,,Percent of Total Billed Charges,,,,,65.15,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,68.99,,,,,,,Percent of Total Billed Charges,,,,,68.99,,,,,,,Percent of Total Billed Charges,,,,,15.33,,,,,,,Percent of Total Billed Charges,,,,,21.46,,,,,,,Percent of Total Billed Charges,,,,,61.32,,,,,,,Percent of Total Billed Charges,,,,,15.33,,,,,,,Percent of Total Billed Charges,,,, *BLEOMYCIN (BLENOXANE) INJ : 30 UNIT*** ,250,RC,,Outpatient,30,UN,318.5,254.8,237.92,,,,,,,Percent of Total Billed Charges,,237.92,237.92,,318.5,,,,,,,Percent of Total Billed Charges,,,,,305.76,,,,,,,Percent of Total Billed Charges,,,,,302.58,,,,,,,Percent of Total Billed Charges,,,,,63.7,,,,,,,Percent of Total Billed Charges,,,,,270.73,,,,,,,Percent of Total Billed Charges,,,,,66.89,,,,,,,Percent of Total Billed Charges,,,,,286.65,,,,,,,Percent of Total Billed Charges,,,,,286.65,,,,,,,Percent of Total Billed Charges,,,,,63.7,,,,,,,Percent of Total Billed Charges,,,,,89.18,,,,,,,Percent of Total Billed Charges,,,,,254.8,,,,,,,Percent of Total Billed Charges,,,,,63.7,,,,,,,Percent of Total Billed Charges,,,, DARBEPOETIN (ARANESP) : 40 MCG INJ ,250,RC,,Outpatient,,,731.95,585.56,546.77,,,,,,,Percent of Total Billed Charges,,546.77,546.77,,731.95,,,,,,,Percent of Total Billed Charges,,,,,702.67,,,,,,,Percent of Total Billed Charges,,,,,695.35,,,,,,,Percent of Total Billed Charges,,,,,146.39,,,,,,,Percent of Total Billed Charges,,,,,622.16,,,,,,,Percent of Total Billed Charges,,,,,153.71,,,,,,,Percent of Total Billed Charges,,,,,658.76,,,,,,,Percent of Total Billed Charges,,,,,658.76,,,,,,,Percent of Total Billed Charges,,,,,146.39,,,,,,,Percent of Total Billed Charges,,,,,204.95,,,,,,,Percent of Total Billed Charges,,,,,585.56,,,,,,,Percent of Total Billed Charges,,,,,146.39,,,,,,,Percent of Total Billed Charges,,,, OXALIPLATIN (ELOXATIN) INJ : 100 MG ,250,RC,,Outpatient,100,ME,4356,3484.8,3253.93,,,,,,,Percent of Total Billed Charges,,3253.93,3253.93,,4356,,,,,,,Percent of Total Billed Charges,,,,,4181.76,,,,,,,Percent of Total Billed Charges,,,,,4138.2,,,,,,,Percent of Total Billed Charges,,,,,871.2,,,,,,,Percent of Total Billed Charges,,,,,3702.6,,,,,,,Percent of Total Billed Charges,,,,,914.76,,,,,,,Percent of Total Billed Charges,,,,,3920.4,,,,,,,Percent of Total Billed Charges,,,,,3920.4,,,,,,,Percent of Total Billed Charges,,,,,871.2,,,,,,,Percent of Total Billed Charges,,,,,1219.68,,,,,,,Percent of Total Billed Charges,,,,,3484.8,,,,,,,Percent of Total Billed Charges,,,,,871.2,,,,,,,Percent of Total Billed Charges,,,, OXALIPLATIN (ELOXATIN) INJ : 50 MG ,250,RC,,Outpatient,50,ME,1745.4,1396.32,1303.81,,,,,,,Percent of Total Billed Charges,,1303.81,1303.81,,1745.4,,,,,,,Percent of Total Billed Charges,,,,,1675.58,,,,,,,Percent of Total Billed Charges,,,,,1658.13,,,,,,,Percent of Total Billed Charges,,,,,349.08,,,,,,,Percent of Total Billed Charges,,,,,1483.59,,,,,,,Percent of Total Billed Charges,,,,,366.53,,,,,,,Percent of Total Billed Charges,,,,,1570.86,,,,,,,Percent of Total Billed Charges,,,,,1570.86,,,,,,,Percent of Total Billed Charges,,,,,349.08,,,,,,,Percent of Total Billed Charges,,,,,488.71,,,,,,,Percent of Total Billed Charges,,,,,1396.32,,,,,,,Percent of Total Billed Charges,,,,,349.08,,,,,,,Percent of Total Billed Charges,,,, RITUXIMAB (RUXIENCE) INJ: 100 MG ,J9312 ,CPT,,Outpatient,,,1029.25,823.4,768.85,,,,,,,Percent of Total Billed Charges,,768.85,768.85,,1029.25,,,,,,,Percent of Total Billed Charges,,,,,988.08,,,,,,,Percent of Total Billed Charges,,,,,977.79,,,,,,,Percent of Total Billed Charges,,,,,205.85,,,,,,,Percent of Total Billed Charges,,,,,874.86,,,,,,,Percent of Total Billed Charges,,,,,216.14,,,,,,,Percent of Total Billed Charges,,,,,926.33,,,,,,,Percent of Total Billed Charges,,,,,926.33,,,,,,,Percent of Total Billed Charges,,,,,205.85,,,,,,,Percent of Total Billed Charges,,,,,288.19,,,,,,,Percent of Total Billed Charges,,,,,823.4,,,,,,,Percent of Total Billed Charges,,,,,205.85,,,,,,,Percent of Total Billed Charges,,,, RITUXIMAB (RUXIENCE) INJ: 500 MG ,J9312 ,CPT,,Outpatient,,,7790,6232,5819.13,,,,,,,Percent of Total Billed Charges,,5819.13,5819.13,,7790,,,,,,,Percent of Total Billed Charges,,,,,7478.4,,,,,,,Percent of Total Billed Charges,,,,,7400.5,,,,,,,Percent of Total Billed Charges,,,,,1558,,,,,,,Percent of Total Billed Charges,,,,,6621.5,,,,,,,Percent of Total Billed Charges,,,,,1635.9,,,,,,,Percent of Total Billed Charges,,,,,7011,,,,,,,Percent of Total Billed Charges,,,,,7011,,,,,,,Percent of Total Billed Charges,,,,,1558,,,,,,,Percent of Total Billed Charges,,,,,2181.2,,,,,,,Percent of Total Billed Charges,,,,,6232,,,,,,,Percent of Total Billed Charges,,,,,1558,,,,,,,Percent of Total Billed Charges,,,, DOCETAXEL (TAXOTERE) INJ: 80MG/2ML ,J9171 ,CPT,,Outpatient,,,3187,2549.6,2380.69,,,,,,,Percent of Total Billed Charges,,2380.69,2380.69,,3187,,,,,,,Percent of Total Billed Charges,,,,,3059.52,,,,,,,Percent of Total Billed Charges,,,,,3027.65,,,,,,,Percent of Total Billed Charges,,,,,637.4,,,,,,,Percent of Total Billed Charges,,,,,2708.95,,,,,,,Percent of Total Billed Charges,,,,,669.27,,,,,,,Percent of Total Billed Charges,,,,,2868.3,,,,,,,Percent of Total Billed Charges,,,,,2868.3,,,,,,,Percent of Total Billed Charges,,,,,637.4,,,,,,,Percent of Total Billed Charges,,,,,892.36,,,,,,,Percent of Total Billed Charges,,,,,2549.6,,,,,,,Percent of Total Billed Charges,,,,,637.4,,,,,,,Percent of Total Billed Charges,,,, DOXORUBICIN (ADRIAMYCIN) INJ: 50 MG ,J9000 ,CPT,,Outpatient,,,159,127.2,118.77,,,,,,,Percent of Total Billed Charges,,118.77,118.77,,159,,,,,,,Percent of Total Billed Charges,,,,,152.64,,,,,,,Percent of Total Billed Charges,,,,,151.05,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,135.15,,,,,,,Percent of Total Billed Charges,,,,,33.39,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,127.2,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,, MITOXANTRONE (NOVANTRONE) INJ: 20 MG ,J9293 ,CPT,,Outpatient,,,3107,2485.6,2320.93,,,,,,,Percent of Total Billed Charges,,2320.93,2320.93,,3107,,,,,,,Percent of Total Billed Charges,,,,,2982.72,,,,,,,Percent of Total Billed Charges,,,,,2951.65,,,,,,,Percent of Total Billed Charges,,,,,621.4,,,,,,,Percent of Total Billed Charges,,,,,2640.95,,,,,,,Percent of Total Billed Charges,,,,,652.47,,,,,,,Percent of Total Billed Charges,,,,,2796.3,,,,,,,Percent of Total Billed Charges,,,,,2796.3,,,,,,,Percent of Total Billed Charges,,,,,621.4,,,,,,,Percent of Total Billed Charges,,,,,869.96,,,,,,,Percent of Total Billed Charges,,,,,2485.6,,,,,,,Percent of Total Billed Charges,,,,,621.4,,,,,,,Percent of Total Billed Charges,,,, CYCLOPHOSPHAMIDE (CYTOXAN): 500 MG VIAL ,J9075` ,CPT,,Outpatient,,,101.7,81.36,75.97,,,,,,,Percent of Total Billed Charges,,75.97,75.97,,101.7,,,,,,,Percent of Total Billed Charges,,,,,97.63,,,,,,,Percent of Total Billed Charges,,,,,96.62,,,,,,,Percent of Total Billed Charges,,,,,20.34,,,,,,,Percent of Total Billed Charges,,,,,86.45,,,,,,,Percent of Total Billed Charges,,,,,21.36,,,,,,,Percent of Total Billed Charges,,,,,91.53,,,,,,,Percent of Total Billed Charges,,,,,91.53,,,,,,,Percent of Total Billed Charges,,,,,20.34,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,81.36,,,,,,,Percent of Total Billed Charges,,,,,20.34,,,,,,,Percent of Total Billed Charges,,,, PEMETREXED (ALIMTA)INJ: 500 MG VIAL ,J9305 ,CPT,,Outpatient,,,5260,4208,3929.22,,,,,,,Percent of Total Billed Charges,,3929.22,3929.22,,5260,,,,,,,Percent of Total Billed Charges,,,,,5049.6,,,,,,,Percent of Total Billed Charges,,,,,4997,,,,,,,Percent of Total Billed Charges,,,,,1052,,,,,,,Percent of Total Billed Charges,,,,,4471,,,,,,,Percent of Total Billed Charges,,,,,1104.6,,,,,,,Percent of Total Billed Charges,,,,,4734,,,,,,,Percent of Total Billed Charges,,,,,4734,,,,,,,Percent of Total Billed Charges,,,,,1052,,,,,,,Percent of Total Billed Charges,,,,,1472.8,,,,,,,Percent of Total Billed Charges,,,,,4208,,,,,,,Percent of Total Billed Charges,,,,,1052,,,,,,,Percent of Total Billed Charges,,,, PEGFILGRASTIM (FULPHILA) INJ: 6 MG/0.6ML,Q5108 ,CPT,,Outpatient,,,4738,3790.4,3539.29,,,,,,,Percent of Total Billed Charges,,3539.29,3539.29,,4738,,,,,,,Percent of Total Billed Charges,,,,,4548.48,,,,,,,Percent of Total Billed Charges,,,,,4501.1,,,,,,,Percent of Total Billed Charges,,,,,947.6,,,,,,,Percent of Total Billed Charges,,,,,4027.3,,,,,,,Percent of Total Billed Charges,,,,,994.98,,,,,,,Percent of Total Billed Charges,,,,,4264.2,,,,,,,Percent of Total Billed Charges,,,,,4264.2,,,,,,,Percent of Total Billed Charges,,,,,947.6,,,,,,,Percent of Total Billed Charges,,,,,1326.64,,,,,,,Percent of Total Billed Charges,,,,,3790.4,,,,,,,Percent of Total Billed Charges,,,,,947.6,,,,,,,Percent of Total Billed Charges,,,, ZOLEDRONIC ACID (ZOMETA) INJ: 4 MG ,J3489 ,CPT,,Outpatient,,,87.85,70.28,65.62,,,,,,,Percent of Total Billed Charges,,65.62,65.62,,87.85,,,,,,,Percent of Total Billed Charges,,,,,84.34,,,,,,,Percent of Total Billed Charges,,,,,83.46,,,,,,,Percent of Total Billed Charges,,,,,17.57,,,,,,,Percent of Total Billed Charges,,,,,74.67,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,79.07,,,,,,,Percent of Total Billed Charges,,,,,79.07,,,,,,,Percent of Total Billed Charges,,,,,17.57,,,,,,,Percent of Total Billed Charges,,,,,24.6,,,,,,,Percent of Total Billed Charges,,,,,70.28,,,,,,,Percent of Total Billed Charges,,,,,17.57,,,,,,,Percent of Total Billed Charges,,,, LEUCOVORIN INJ : 500 MG ,J0641 ,CPT,,Outpatient,,,96,76.8,71.71,,,,,,,Percent of Total Billed Charges,,71.71,71.71,,96,,,,,,,Percent of Total Billed Charges,,,,,92.16,,,,,,,Percent of Total Billed Charges,,,,,91.2,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,, DARBEPOETIN (ARANESP) AF: 25 MCG INJ ,250,RC,,Outpatient,,,217.65,174.12,162.58,,,,,,,Percent of Total Billed Charges,,162.58,162.58,,217.65,,,,,,,Percent of Total Billed Charges,,,,,208.94,,,,,,,Percent of Total Billed Charges,,,,,206.77,,,,,,,Percent of Total Billed Charges,,,,,43.53,,,,,,,Percent of Total Billed Charges,,,,,185,,,,,,,Percent of Total Billed Charges,,,,,45.71,,,,,,,Percent of Total Billed Charges,,,,,195.89,,,,,,,Percent of Total Billed Charges,,,,,195.89,,,,,,,Percent of Total Billed Charges,,,,,43.53,,,,,,,Percent of Total Billed Charges,,,,,60.94,,,,,,,Percent of Total Billed Charges,,,,,174.12,,,,,,,Percent of Total Billed Charges,,,,,43.53,,,,,,,Percent of Total Billed Charges,,,, *ZOLEDRONIC ACID (RECLAST) INJ: 5 MG ,J3489 ,CPT,,Outpatient,,,107,85.6,79.93,,,,,,,Percent of Total Billed Charges,,79.93,79.93,,107,,,,,,,Percent of Total Billed Charges,,,,,102.72,,,,,,,Percent of Total Billed Charges,,,,,101.65,,,,,,,Percent of Total Billed Charges,,,,,21.4,,,,,,,Percent of Total Billed Charges,,,,,90.95,,,,,,,Percent of Total Billed Charges,,,,,22.47,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,21.4,,,,,,,Percent of Total Billed Charges,,,,,29.96,,,,,,,Percent of Total Billed Charges,,,,,85.6,,,,,,,Percent of Total Billed Charges,,,,,21.4,,,,,,,Percent of Total Billed Charges,,,, OCRELIZUMAB (OCREVUS) INJ : 300 MG ,J2350 ,CPT,,Outpatient,,,54196,43356.8,40484.41,,,,,,,Percent of Total Billed Charges,,40484.41,40484.41,,54196,,,,,,,Percent of Total Billed Charges,,,,,52028.16,,,,,,,Percent of Total Billed Charges,,,,,51486.2,,,,,,,Percent of Total Billed Charges,,,,,10839.2,,,,,,,Percent of Total Billed Charges,,,,,46066.6,,,,,,,Percent of Total Billed Charges,,,,,11381.16,,,,,,,Percent of Total Billed Charges,,,,,48776.4,,,,,,,Percent of Total Billed Charges,,,,,48776.4,,,,,,,Percent of Total Billed Charges,,,,,10839.2,,,,,,,Percent of Total Billed Charges,,,,,15174.88,,,,,,,Percent of Total Billed Charges,,,,,43356.8,,,,,,,Percent of Total Billed Charges,,,,,10839.2,,,,,,,Percent of Total Billed Charges,,,, VEDOLIZUMAB (ENTYVIO) INJ: 300 MG ,J3380 ,CPT,,Outpatient,,,23413,18730.4,17489.51,,,,,,,Percent of Total Billed Charges,,17489.51,17489.51,,23413,,,,,,,Percent of Total Billed Charges,,,,,22476.48,,,,,,,Percent of Total Billed Charges,,,,,22242.35,,,,,,,Percent of Total Billed Charges,,,,,4682.6,,,,,,,Percent of Total Billed Charges,,,,,19901.05,,,,,,,Percent of Total Billed Charges,,,,,4916.73,,,,,,,Percent of Total Billed Charges,,,,,21071.7,,,,,,,Percent of Total Billed Charges,,,,,21071.7,,,,,,,Percent of Total Billed Charges,,,,,4682.6,,,,,,,Percent of Total Billed Charges,,,,,6555.64,,,,,,,Percent of Total Billed Charges,,,,,18730.4,,,,,,,Percent of Total Billed Charges,,,,,4682.6,,,,,,,Percent of Total Billed Charges,,,, OSELTAMIVIR (TAMIFLU) CAP : 30 MG ,250,RC,,Outpatient,30,ME,5.75,4.6,4.3,,,,,,,Percent of Total Billed Charges,,4.3,4.3,,5.75,,,,,,,Percent of Total Billed Charges,,,,,5.52,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,1.15,,,,,,,Percent of Total Billed Charges,,,,,4.89,,,,,,,Percent of Total Billed Charges,,,,,1.21,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,1.15,,,,,,,Percent of Total Billed Charges,,,,,1.61,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,1.15,,,,,,,Percent of Total Billed Charges,,,, DROPERIDOL INJ : 5 MG / 2 ML VIAL ,250,RC,,Outpatient,5,ME,39.05,31.24,29.17,,,,,,,Percent of Total Billed Charges,,29.17,29.17,,39.05,,,,,,,Percent of Total Billed Charges,,,,,37.49,,,,,,,Percent of Total Billed Charges,,,,,37.1,,,,,,,Percent of Total Billed Charges,,,,,7.81,,,,,,,Percent of Total Billed Charges,,,,,33.19,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,35.15,,,,,,,Percent of Total Billed Charges,,,,,35.15,,,,,,,Percent of Total Billed Charges,,,,,7.81,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,31.24,,,,,,,Percent of Total Billed Charges,,,,,7.81,,,,,,,Percent of Total Billed Charges,,,, *DROPERIDOL INJ (INAPSINE) : 2.5MG/1ML**,J1790 ,CPT,,Outpatient,,,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, FENTANYL 100 MCG / 2 ML INJ ,J3010 ,CPT,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, *FENTANYL 125 MCG / 2.5 ML INJ ** ,250,RC,,Outpatient,2.5,ML,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, *FENTANYL INJ : 250 MCG / 5 ML**** ,J3010 ,CPT,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, FLUMAZENIL (ROMAZICON) INJ : 0.5MG/5ML ,250,RC,,Outpatient,0.5,ME,22.95,18.36,17.14,,,,,,,Percent of Total Billed Charges,,17.14,17.14,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.03,,,,,,,Percent of Total Billed Charges,,,,,21.8,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,19.51,,,,,,,Percent of Total Billed Charges,,,,,4.82,,,,,,,Percent of Total Billed Charges,,,,,20.66,,,,,,,Percent of Total Billed Charges,,,,,20.66,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,6.43,,,,,,,Percent of Total Billed Charges,,,,,18.36,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,, SOTRADECOL IV SOLUTION 1% (20MG/2ML) ,J3490 ,CPT,,Outpatient,,,246.25,197,183.95,,,,,,,Percent of Total Billed Charges,,183.95,183.95,,246.25,,,,,,,Percent of Total Billed Charges,,,,,236.4,,,,,,,Percent of Total Billed Charges,,,,,233.94,,,,,,,Percent of Total Billed Charges,,,,,49.25,,,,,,,Percent of Total Billed Charges,,,,,209.31,,,,,,,Percent of Total Billed Charges,,,,,51.71,,,,,,,Percent of Total Billed Charges,,,,,221.63,,,,,,,Percent of Total Billed Charges,,,,,221.63,,,,,,,Percent of Total Billed Charges,,,,,49.25,,,,,,,Percent of Total Billed Charges,,,,,68.95,,,,,,,Percent of Total Billed Charges,,,,,197,,,,,,,Percent of Total Billed Charges,,,,,49.25,,,,,,,Percent of Total Billed Charges,,,, BUPIVACAINE 100 MG IMPLANT (XARACOLL) ,250,RC,,Outpatient,,,734.9,587.92,548.97,,,,,,,Percent of Total Billed Charges,,548.97,548.97,,734.9,,,,,,,Percent of Total Billed Charges,,,,,705.5,,,,,,,Percent of Total Billed Charges,,,,,698.16,,,,,,,Percent of Total Billed Charges,,,,,146.98,,,,,,,Percent of Total Billed Charges,,,,,624.67,,,,,,,Percent of Total Billed Charges,,,,,154.33,,,,,,,Percent of Total Billed Charges,,,,,661.41,,,,,,,Percent of Total Billed Charges,,,,,661.41,,,,,,,Percent of Total Billed Charges,,,,,146.98,,,,,,,Percent of Total Billed Charges,,,,,205.77,,,,,,,Percent of Total Billed Charges,,,,,587.92,,,,,,,Percent of Total Billed Charges,,,,,146.98,,,,,,,Percent of Total Billed Charges,,,, FORANE 15 - 29 MIN ,250,RC,,Outpatient,,,81.95,65.56,61.22,,,,,,,Percent of Total Billed Charges,,61.22,61.22,,81.95,,,,,,,Percent of Total Billed Charges,,,,,78.67,,,,,,,Percent of Total Billed Charges,,,,,77.85,,,,,,,Percent of Total Billed Charges,,,,,16.39,,,,,,,Percent of Total Billed Charges,,,,,69.66,,,,,,,Percent of Total Billed Charges,,,,,17.21,,,,,,,Percent of Total Billed Charges,,,,,73.76,,,,,,,Percent of Total Billed Charges,,,,,73.76,,,,,,,Percent of Total Billed Charges,,,,,16.39,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,65.56,,,,,,,Percent of Total Billed Charges,,,,,16.39,,,,,,,Percent of Total Billed Charges,,,, FORANE 30 - 44 MIN ,250,RC,,Outpatient,,,85.6,68.48,63.94,,,,,,,Percent of Total Billed Charges,,63.94,63.94,,85.6,,,,,,,Percent of Total Billed Charges,,,,,82.18,,,,,,,Percent of Total Billed Charges,,,,,81.32,,,,,,,Percent of Total Billed Charges,,,,,17.12,,,,,,,Percent of Total Billed Charges,,,,,72.76,,,,,,,Percent of Total Billed Charges,,,,,17.98,,,,,,,Percent of Total Billed Charges,,,,,77.04,,,,,,,Percent of Total Billed Charges,,,,,77.04,,,,,,,Percent of Total Billed Charges,,,,,17.12,,,,,,,Percent of Total Billed Charges,,,,,23.97,,,,,,,Percent of Total Billed Charges,,,,,68.48,,,,,,,Percent of Total Billed Charges,,,,,17.12,,,,,,,Percent of Total Billed Charges,,,, FORANE 45 - 59 MIN ,250,RC,,Outpatient,,,89.4,71.52,66.78,,,,,,,Percent of Total Billed Charges,,66.78,66.78,,89.4,,,,,,,Percent of Total Billed Charges,,,,,85.82,,,,,,,Percent of Total Billed Charges,,,,,84.93,,,,,,,Percent of Total Billed Charges,,,,,17.88,,,,,,,Percent of Total Billed Charges,,,,,75.99,,,,,,,Percent of Total Billed Charges,,,,,18.77,,,,,,,Percent of Total Billed Charges,,,,,80.46,,,,,,,Percent of Total Billed Charges,,,,,80.46,,,,,,,Percent of Total Billed Charges,,,,,17.88,,,,,,,Percent of Total Billed Charges,,,,,25.03,,,,,,,Percent of Total Billed Charges,,,,,71.52,,,,,,,Percent of Total Billed Charges,,,,,17.88,,,,,,,Percent of Total Billed Charges,,,, FORANE 60 - 89 MIN ,250,RC,,Outpatient,,,96.6,77.28,72.16,,,,,,,Percent of Total Billed Charges,,72.16,72.16,,96.6,,,,,,,Percent of Total Billed Charges,,,,,92.74,,,,,,,Percent of Total Billed Charges,,,,,91.77,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,82.11,,,,,,,Percent of Total Billed Charges,,,,,20.29,,,,,,,Percent of Total Billed Charges,,,,,86.94,,,,,,,Percent of Total Billed Charges,,,,,86.94,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,27.05,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,, FORANE 90 - 119 MIN ,250,RC,,Outpatient,,,104.4,83.52,77.99,,,,,,,Percent of Total Billed Charges,,77.99,77.99,,104.4,,,,,,,Percent of Total Billed Charges,,,,,100.22,,,,,,,Percent of Total Billed Charges,,,,,99.18,,,,,,,Percent of Total Billed Charges,,,,,20.88,,,,,,,Percent of Total Billed Charges,,,,,88.74,,,,,,,Percent of Total Billed Charges,,,,,21.92,,,,,,,Percent of Total Billed Charges,,,,,93.96,,,,,,,Percent of Total Billed Charges,,,,,93.96,,,,,,,Percent of Total Billed Charges,,,,,20.88,,,,,,,Percent of Total Billed Charges,,,,,29.23,,,,,,,Percent of Total Billed Charges,,,,,83.52,,,,,,,Percent of Total Billed Charges,,,,,20.88,,,,,,,Percent of Total Billed Charges,,,, FORANE 250 ML BOTTLE ,250,RC,,Outpatient,250,ML,109.55,87.64,81.83,,,,,,,Percent of Total Billed Charges,,81.83,81.83,,109.55,,,,,,,Percent of Total Billed Charges,,,,,105.17,,,,,,,Percent of Total Billed Charges,,,,,104.07,,,,,,,Percent of Total Billed Charges,,,,,21.91,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,23.01,,,,,,,Percent of Total Billed Charges,,,,,98.6,,,,,,,Percent of Total Billed Charges,,,,,98.6,,,,,,,Percent of Total Billed Charges,,,,,21.91,,,,,,,Percent of Total Billed Charges,,,,,30.67,,,,,,,Percent of Total Billed Charges,,,,,87.64,,,,,,,Percent of Total Billed Charges,,,,,21.91,,,,,,,Percent of Total Billed Charges,,,, *SEVOFLURANE (ULTANE) 15 TO 29 MINUTES ,250,RC,,Outpatient,,,89.7,71.76,67.01,,,,,,,Percent of Total Billed Charges,,67.01,67.01,,89.7,,,,,,,Percent of Total Billed Charges,,,,,86.11,,,,,,,Percent of Total Billed Charges,,,,,85.22,,,,,,,Percent of Total Billed Charges,,,,,17.94,,,,,,,Percent of Total Billed Charges,,,,,76.25,,,,,,,Percent of Total Billed Charges,,,,,18.84,,,,,,,Percent of Total Billed Charges,,,,,80.73,,,,,,,Percent of Total Billed Charges,,,,,80.73,,,,,,,Percent of Total Billed Charges,,,,,17.94,,,,,,,Percent of Total Billed Charges,,,,,25.12,,,,,,,Percent of Total Billed Charges,,,,,71.76,,,,,,,Percent of Total Billed Charges,,,,,17.94,,,,,,,Percent of Total Billed Charges,,,, *SEVOFLURANE (ULTANE) 30 TO 44 MINUTES ,250,RC,,Outpatient,,,97.4,77.92,72.76,,,,,,,Percent of Total Billed Charges,,72.76,72.76,,97.4,,,,,,,Percent of Total Billed Charges,,,,,93.5,,,,,,,Percent of Total Billed Charges,,,,,92.53,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,82.79,,,,,,,Percent of Total Billed Charges,,,,,20.45,,,,,,,Percent of Total Billed Charges,,,,,87.66,,,,,,,Percent of Total Billed Charges,,,,,87.66,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,27.27,,,,,,,Percent of Total Billed Charges,,,,,77.92,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,, *SEVOFLURANE (ULTANE) 45 TO 59 MINUTES ,250,RC,,Outpatient,,,103.4,82.72,77.24,,,,,,,Percent of Total Billed Charges,,77.24,77.24,,103.4,,,,,,,Percent of Total Billed Charges,,,,,99.26,,,,,,,Percent of Total Billed Charges,,,,,98.23,,,,,,,Percent of Total Billed Charges,,,,,20.68,,,,,,,Percent of Total Billed Charges,,,,,87.89,,,,,,,Percent of Total Billed Charges,,,,,21.71,,,,,,,Percent of Total Billed Charges,,,,,93.06,,,,,,,Percent of Total Billed Charges,,,,,93.06,,,,,,,Percent of Total Billed Charges,,,,,20.68,,,,,,,Percent of Total Billed Charges,,,,,28.95,,,,,,,Percent of Total Billed Charges,,,,,82.72,,,,,,,Percent of Total Billed Charges,,,,,20.68,,,,,,,Percent of Total Billed Charges,,,, *SEVOFLURANE (ULTANE) 60 TO 89 MINUTES ,250,RC,,Outpatient,,,118.5,94.8,88.52,,,,,,,Percent of Total Billed Charges,,88.52,88.52,,118.5,,,,,,,Percent of Total Billed Charges,,,,,113.76,,,,,,,Percent of Total Billed Charges,,,,,112.58,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,,,100.73,,,,,,,Percent of Total Billed Charges,,,,,24.89,,,,,,,Percent of Total Billed Charges,,,,,106.65,,,,,,,Percent of Total Billed Charges,,,,,106.65,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,,,33.18,,,,,,,Percent of Total Billed Charges,,,,,94.8,,,,,,,Percent of Total Billed Charges,,,,,23.7,,,,,,,Percent of Total Billed Charges,,,, *SEVOFLURANE (ULTANE) 90 TO 119 MINUTES ,250,RC,,Outpatient,,,132.5,106,98.98,,,,,,,Percent of Total Billed Charges,,98.98,98.98,,132.5,,,,,,,Percent of Total Billed Charges,,,,,127.2,,,,,,,Percent of Total Billed Charges,,,,,125.88,,,,,,,Percent of Total Billed Charges,,,,,26.5,,,,,,,Percent of Total Billed Charges,,,,,112.63,,,,,,,Percent of Total Billed Charges,,,,,27.83,,,,,,,Percent of Total Billed Charges,,,,,119.25,,,,,,,Percent of Total Billed Charges,,,,,119.25,,,,,,,Percent of Total Billed Charges,,,,,26.5,,,,,,,Percent of Total Billed Charges,,,,,37.1,,,,,,,Percent of Total Billed Charges,,,,,106,,,,,,,Percent of Total Billed Charges,,,,,26.5,,,,,,,Percent of Total Billed Charges,,,, *SEVOFLURANE (ULTANE) 120 TO 149 MINUTES,250,RC,,Outpatient,,,150.85,120.68,112.68,,,,,,,Percent of Total Billed Charges,,112.68,112.68,,150.85,,,,,,,Percent of Total Billed Charges,,,,,144.82,,,,,,,Percent of Total Billed Charges,,,,,143.31,,,,,,,Percent of Total Billed Charges,,,,,30.17,,,,,,,Percent of Total Billed Charges,,,,,128.22,,,,,,,Percent of Total Billed Charges,,,,,31.68,,,,,,,Percent of Total Billed Charges,,,,,135.77,,,,,,,Percent of Total Billed Charges,,,,,135.77,,,,,,,Percent of Total Billed Charges,,,,,30.17,,,,,,,Percent of Total Billed Charges,,,,,42.24,,,,,,,Percent of Total Billed Charges,,,,,120.68,,,,,,,Percent of Total Billed Charges,,,,,30.17,,,,,,,Percent of Total Billed Charges,,,, *SEVOFLURANE (ULTANE) 150 TO 179 MINUTES,250,RC,,Outpatient,,,165.4,132.32,123.55,,,,,,,Percent of Total Billed Charges,,123.55,123.55,,165.4,,,,,,,Percent of Total Billed Charges,,,,,158.78,,,,,,,Percent of Total Billed Charges,,,,,157.13,,,,,,,Percent of Total Billed Charges,,,,,33.08,,,,,,,Percent of Total Billed Charges,,,,,140.59,,,,,,,Percent of Total Billed Charges,,,,,34.73,,,,,,,Percent of Total Billed Charges,,,,,148.86,,,,,,,Percent of Total Billed Charges,,,,,148.86,,,,,,,Percent of Total Billed Charges,,,,,33.08,,,,,,,Percent of Total Billed Charges,,,,,46.31,,,,,,,Percent of Total Billed Charges,,,,,132.32,,,,,,,Percent of Total Billed Charges,,,,,33.08,,,,,,,Percent of Total Billed Charges,,,, *SEVOFLURANE (ULTANE) 180 TO 209 MINUTES,250,RC,,Outpatient,,,180.85,144.68,135.09,,,,,,,Percent of Total Billed Charges,,135.09,135.09,,180.85,,,,,,,Percent of Total Billed Charges,,,,,173.62,,,,,,,Percent of Total Billed Charges,,,,,171.81,,,,,,,Percent of Total Billed Charges,,,,,36.17,,,,,,,Percent of Total Billed Charges,,,,,153.72,,,,,,,Percent of Total Billed Charges,,,,,37.98,,,,,,,Percent of Total Billed Charges,,,,,162.77,,,,,,,Percent of Total Billed Charges,,,,,162.77,,,,,,,Percent of Total Billed Charges,,,,,36.17,,,,,,,Percent of Total Billed Charges,,,,,50.64,,,,,,,Percent of Total Billed Charges,,,,,144.68,,,,,,,Percent of Total Billed Charges,,,,,36.17,,,,,,,Percent of Total Billed Charges,,,, *SEVOFLURANE (ULTANE) 210 TO 239 MINUTES,250,RC,,Outpatient,,,195.8,156.64,146.26,,,,,,,Percent of Total Billed Charges,,146.26,146.26,,195.8,,,,,,,Percent of Total Billed Charges,,,,,187.97,,,,,,,Percent of Total Billed Charges,,,,,186.01,,,,,,,Percent of Total Billed Charges,,,,,39.16,,,,,,,Percent of Total Billed Charges,,,,,166.43,,,,,,,Percent of Total Billed Charges,,,,,41.12,,,,,,,Percent of Total Billed Charges,,,,,176.22,,,,,,,Percent of Total Billed Charges,,,,,176.22,,,,,,,Percent of Total Billed Charges,,,,,39.16,,,,,,,Percent of Total Billed Charges,,,,,54.82,,,,,,,Percent of Total Billed Charges,,,,,156.64,,,,,,,Percent of Total Billed Charges,,,,,39.16,,,,,,,Percent of Total Billed Charges,,,, SEVOFLURANE (ULTANE) 250 ML BOTTLE ,250,RC,,Outpatient,,,211.5,169.2,157.99,,,,,,,Percent of Total Billed Charges,,157.99,157.99,,211.5,,,,,,,Percent of Total Billed Charges,,,,,203.04,,,,,,,Percent of Total Billed Charges,,,,,200.93,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,179.78,,,,,,,Percent of Total Billed Charges,,,,,44.42,,,,,,,Percent of Total Billed Charges,,,,,190.35,,,,,,,Percent of Total Billed Charges,,,,,190.35,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,59.22,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,, "DANTROLENE (DANTRIUM, REVONTO) INJ:20 MG",250,RC,,Outpatient,20,ME,217.25,173.8,162.29,,,,,,,Percent of Total Billed Charges,,162.29,162.29,,217.25,,,,,,,Percent of Total Billed Charges,,,,,208.56,,,,,,,Percent of Total Billed Charges,,,,,206.39,,,,,,,Percent of Total Billed Charges,,,,,43.45,,,,,,,Percent of Total Billed Charges,,,,,184.66,,,,,,,Percent of Total Billed Charges,,,,,45.62,,,,,,,Percent of Total Billed Charges,,,,,195.53,,,,,,,Percent of Total Billed Charges,,,,,195.53,,,,,,,Percent of Total Billed Charges,,,,,43.45,,,,,,,Percent of Total Billed Charges,,,,,60.83,,,,,,,Percent of Total Billed Charges,,,,,173.8,,,,,,,Percent of Total Billed Charges,,,,,43.45,,,,,,,Percent of Total Billed Charges,,,, DEXMEDETOMIDINE (PRECEDEX) 200 MCG/2 ML ,250,RC,,Outpatient,,,18.8,15.04,14.04,,,,,,,Percent of Total Billed Charges,,14.04,14.04,,18.8,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,17.86,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,,,15.98,,,,,,,Percent of Total Billed Charges,,,,,3.95,,,,,,,Percent of Total Billed Charges,,,,,16.92,,,,,,,Percent of Total Billed Charges,,,,,16.92,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,,,5.26,,,,,,,Percent of Total Billed Charges,,,,,15.04,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,, *DEXMEDETOMIDINE (PRECEDEX) 80 MCG/ 20ML,250,RC,,Outpatient,20,ML,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, KETAMINE (KETALAR) INJ : 500 MG / 10 ML ,250,RC,,Outpatient,500,ME,36.2,28.96,27.04,,,,,,,Percent of Total Billed Charges,,27.04,27.04,,36.2,,,,,,,Percent of Total Billed Charges,,,,,34.75,,,,,,,Percent of Total Billed Charges,,,,,34.39,,,,,,,Percent of Total Billed Charges,,,,,7.24,,,,,,,Percent of Total Billed Charges,,,,,30.77,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,32.58,,,,,,,Percent of Total Billed Charges,,,,,32.58,,,,,,,Percent of Total Billed Charges,,,,,7.24,,,,,,,Percent of Total Billed Charges,,,,,10.14,,,,,,,Percent of Total Billed Charges,,,,,28.96,,,,,,,Percent of Total Billed Charges,,,,,7.24,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 0.5% INJ : 50 ML MDV ,250,RC,,Outpatient,50,ML,19.75,15.8,14.75,,,,,,,Percent of Total Billed Charges,,14.75,14.75,,19.75,,,,,,,Percent of Total Billed Charges,,,,,18.96,,,,,,,Percent of Total Billed Charges,,,,,18.76,,,,,,,Percent of Total Billed Charges,,,,,3.95,,,,,,,Percent of Total Billed Charges,,,,,16.79,,,,,,,Percent of Total Billed Charges,,,,,4.15,,,,,,,Percent of Total Billed Charges,,,,,17.78,,,,,,,Percent of Total Billed Charges,,,,,17.78,,,,,,,Percent of Total Billed Charges,,,,,3.95,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,3.95,,,,,,,Percent of Total Billed Charges,,,, *LIDOCAINE LTA KIT ********** ,250,RC,,Outpatient,,,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 0.5% I.V. REG 50ML MPF ,250,RC,,Outpatient,50,ML,42.25,33.8,31.56,,,,,,,Percent of Total Billed Charges,,31.56,31.56,,42.25,,,,,,,Percent of Total Billed Charges,,,,,40.56,,,,,,,Percent of Total Billed Charges,,,,,40.14,,,,,,,Percent of Total Billed Charges,,,,,8.45,,,,,,,Percent of Total Billed Charges,,,,,35.91,,,,,,,Percent of Total Billed Charges,,,,,8.87,,,,,,,Percent of Total Billed Charges,,,,,38.03,,,,,,,Percent of Total Billed Charges,,,,,38.03,,,,,,,Percent of Total Billed Charges,,,,,8.45,,,,,,,Percent of Total Billed Charges,,,,,11.83,,,,,,,Percent of Total Billed Charges,,,,,33.8,,,,,,,Percent of Total Billed Charges,,,,,8.45,,,,,,,Percent of Total Billed Charges,,,, TETRACAINE 1% 2 ML AMP (PONTOCAINE) ,250,RC,,Outpatient,2,ML,138.5,110.8,103.46,,,,,,,Percent of Total Billed Charges,,103.46,103.46,,138.5,,,,,,,Percent of Total Billed Charges,,,,,132.96,,,,,,,Percent of Total Billed Charges,,,,,131.58,,,,,,,Percent of Total Billed Charges,,,,,27.7,,,,,,,Percent of Total Billed Charges,,,,,117.73,,,,,,,Percent of Total Billed Charges,,,,,29.09,,,,,,,Percent of Total Billed Charges,,,,,124.65,,,,,,,Percent of Total Billed Charges,,,,,124.65,,,,,,,Percent of Total Billed Charges,,,,,27.7,,,,,,,Percent of Total Billed Charges,,,,,38.78,,,,,,,Percent of Total Billed Charges,,,,,110.8,,,,,,,Percent of Total Billed Charges,,,,,27.7,,,,,,,Percent of Total Billed Charges,,,, NALOXONE INJ (NARCAN) : 0.4 MG/ML ,J2312 ,CPT,,Outpatient,,,21.45,17.16,16.02,,,,,,,Percent of Total Billed Charges,,16.02,16.02,,21.45,,,,,,,Percent of Total Billed Charges,,,,,20.59,,,,,,,Percent of Total Billed Charges,,,,,20.38,,,,,,,Percent of Total Billed Charges,,,,,4.29,,,,,,,Percent of Total Billed Charges,,,,,18.23,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,19.31,,,,,,,Percent of Total Billed Charges,,,,,19.31,,,,,,,Percent of Total Billed Charges,,,,,4.29,,,,,,,Percent of Total Billed Charges,,,,,6.01,,,,,,,Percent of Total Billed Charges,,,,,17.16,,,,,,,Percent of Total Billed Charges,,,,,4.29,,,,,,,Percent of Total Billed Charges,,,, NALOXONE INJ (NARCAN) : 2 MG / 2 ML ,J2312 ,CPT,,Outpatient,,,54.8,43.84,40.94,,,,,,,Percent of Total Billed Charges,,40.94,40.94,,54.8,,,,,,,Percent of Total Billed Charges,,,,,52.61,,,,,,,Percent of Total Billed Charges,,,,,52.06,,,,,,,Percent of Total Billed Charges,,,,,10.96,,,,,,,Percent of Total Billed Charges,,,,,46.58,,,,,,,Percent of Total Billed Charges,,,,,11.51,,,,,,,Percent of Total Billed Charges,,,,,49.32,,,,,,,Percent of Total Billed Charges,,,,,49.32,,,,,,,Percent of Total Billed Charges,,,,,10.96,,,,,,,Percent of Total Billed Charges,,,,,15.34,,,,,,,Percent of Total Billed Charges,,,,,43.84,,,,,,,Percent of Total Billed Charges,,,,,10.96,,,,,,,Percent of Total Billed Charges,,,, NEOSTIGMINE INJ : 2MG/2ML ,J2710 ,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, NEOSTIGMINE INJ : 10MG/10ML ,J2710 ,CPT,,Outpatient,,,18.8,15.04,14.04,,,,,,,Percent of Total Billed Charges,,14.04,14.04,,18.8,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,17.86,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,,,15.98,,,,,,,Percent of Total Billed Charges,,,,,3.95,,,,,,,Percent of Total Billed Charges,,,,,16.92,,,,,,,Percent of Total Billed Charges,,,,,16.92,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,,,5.26,,,,,,,Percent of Total Billed Charges,,,,,15.04,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,, *NEOSTIGMINE INJ : 3MG/3ML ,J2710 ,CPT,,Outpatient,,,21,16.8,15.69,,,,,,,Percent of Total Billed Charges,,15.69,15.69,,21,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,19.95,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,, PHENYLEPHRINE 1% INJ ,J2371 ,CPT,,Outpatient,,,16.4,13.12,12.25,,,,,,,Percent of Total Billed Charges,,12.25,12.25,,16.4,,,,,,,Percent of Total Billed Charges,,,,,15.74,,,,,,,Percent of Total Billed Charges,,,,,15.58,,,,,,,Percent of Total Billed Charges,,,,,3.28,,,,,,,Percent of Total Billed Charges,,,,,13.94,,,,,,,Percent of Total Billed Charges,,,,,3.44,,,,,,,Percent of Total Billed Charges,,,,,14.76,,,,,,,Percent of Total Billed Charges,,,,,14.76,,,,,,,Percent of Total Billed Charges,,,,,3.28,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,13.12,,,,,,,Percent of Total Billed Charges,,,,,3.28,,,,,,,Percent of Total Billed Charges,,,, PANCURONIUM (PAVULON) INJ : 1 MG/ML ,250,RC,,Outpatient,1,ML,26.7,21.36,19.94,,,,,,,Percent of Total Billed Charges,,19.94,19.94,,26.7,,,,,,,Percent of Total Billed Charges,,,,,25.63,,,,,,,Percent of Total Billed Charges,,,,,25.37,,,,,,,Percent of Total Billed Charges,,,,,5.34,,,,,,,Percent of Total Billed Charges,,,,,22.7,,,,,,,Percent of Total Billed Charges,,,,,5.61,,,,,,,Percent of Total Billed Charges,,,,,24.03,,,,,,,Percent of Total Billed Charges,,,,,24.03,,,,,,,Percent of Total Billed Charges,,,,,5.34,,,,,,,Percent of Total Billed Charges,,,,,7.48,,,,,,,Percent of Total Billed Charges,,,,,21.36,,,,,,,Percent of Total Billed Charges,,,,,5.34,,,,,,,Percent of Total Billed Charges,,,, PROPOFOL INJ : 200 MG/20 ML ,J2704 ,CPT,,Outpatient,,,18.2,14.56,13.6,,,,,,,Percent of Total Billed Charges,,13.6,13.6,,18.2,,,,,,,Percent of Total Billed Charges,,,,,17.47,,,,,,,Percent of Total Billed Charges,,,,,17.29,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,15.47,,,,,,,Percent of Total Billed Charges,,,,,3.82,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,14.56,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,, PROPOFOL INJ : 500 MG/50 ML ,J2704 ,CPT,,Outpatient,,,28.4,22.72,21.21,,,,,,,Percent of Total Billed Charges,,21.21,21.21,,28.4,,,,,,,Percent of Total Billed Charges,,,,,27.26,,,,,,,Percent of Total Billed Charges,,,,,26.98,,,,,,,Percent of Total Billed Charges,,,,,5.68,,,,,,,Percent of Total Billed Charges,,,,,24.14,,,,,,,Percent of Total Billed Charges,,,,,5.96,,,,,,,Percent of Total Billed Charges,,,,,25.56,,,,,,,Percent of Total Billed Charges,,,,,25.56,,,,,,,Percent of Total Billed Charges,,,,,5.68,,,,,,,Percent of Total Billed Charges,,,,,7.95,,,,,,,Percent of Total Billed Charges,,,,,22.72,,,,,,,Percent of Total Billed Charges,,,,,5.68,,,,,,,Percent of Total Billed Charges,,,, SUGAMMADEX (BRIDION) INJ: 200MG/2ML ,250,RC,,Outpatient,200,ME,401.55,321.24,299.96,,,,,,,Percent of Total Billed Charges,,299.96,299.96,,401.55,,,,,,,Percent of Total Billed Charges,,,,,385.49,,,,,,,Percent of Total Billed Charges,,,,,381.47,,,,,,,Percent of Total Billed Charges,,,,,80.31,,,,,,,Percent of Total Billed Charges,,,,,341.32,,,,,,,Percent of Total Billed Charges,,,,,84.33,,,,,,,Percent of Total Billed Charges,,,,,361.4,,,,,,,Percent of Total Billed Charges,,,,,361.4,,,,,,,Percent of Total Billed Charges,,,,,80.31,,,,,,,Percent of Total Billed Charges,,,,,112.43,,,,,,,Percent of Total Billed Charges,,,,,321.24,,,,,,,Percent of Total Billed Charges,,,,,80.31,,,,,,,Percent of Total Billed Charges,,,, *PYRIDOSTIGIME INJ : 10MG/2ML***** ,250,RC,,Outpatient,10,ME,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, GLYCOPYRROLATE (ROBINUL) : 0.2MG/ML INJ ,250,RC,,Outpatient,0.2,ME,15.3,12.24,11.43,,,,,,,Percent of Total Billed Charges,,11.43,11.43,,15.3,,,,,,,Percent of Total Billed Charges,,,,,14.69,,,,,,,Percent of Total Billed Charges,,,,,14.54,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,13.01,,,,,,,Percent of Total Billed Charges,,,,,3.21,,,,,,,Percent of Total Billed Charges,,,,,13.77,,,,,,,Percent of Total Billed Charges,,,,,13.77,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,12.24,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,, *SUCCINYLCHOLINE: 20 MG INJ******* ,J0330 ,CPT,,Outpatient,,,24.5,19.6,18.3,,,,,,,Percent of Total Billed Charges,,18.3,18.3,,24.5,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,23.28,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,20.83,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,6.86,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,, SUCCINYLCHOLINE INJ : 200 MG ,J0330 ,CPT,,Outpatient,,,29.85,23.88,22.3,,,,,,,Percent of Total Billed Charges,,22.3,22.3,,29.85,,,,,,,Percent of Total Billed Charges,,,,,28.66,,,,,,,Percent of Total Billed Charges,,,,,28.36,,,,,,,Percent of Total Billed Charges,,,,,5.97,,,,,,,Percent of Total Billed Charges,,,,,25.37,,,,,,,Percent of Total Billed Charges,,,,,6.27,,,,,,,Percent of Total Billed Charges,,,,,26.87,,,,,,,Percent of Total Billed Charges,,,,,26.87,,,,,,,Percent of Total Billed Charges,,,,,5.97,,,,,,,Percent of Total Billed Charges,,,,,8.36,,,,,,,Percent of Total Billed Charges,,,,,23.88,,,,,,,Percent of Total Billed Charges,,,,,5.97,,,,,,,Percent of Total Billed Charges,,,, SUCCINYLCHOLINE RSI SYRINGE: 200 MG/10ML,250,RC,,Outpatient,200,ME,62.75,50.2,46.87,,,,,,,Percent of Total Billed Charges,,46.87,46.87,,62.75,,,,,,,Percent of Total Billed Charges,,,,,60.24,,,,,,,Percent of Total Billed Charges,,,,,59.61,,,,,,,Percent of Total Billed Charges,,,,,12.55,,,,,,,Percent of Total Billed Charges,,,,,53.34,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,56.48,,,,,,,Percent of Total Billed Charges,,,,,56.48,,,,,,,Percent of Total Billed Charges,,,,,12.55,,,,,,,Percent of Total Billed Charges,,,,,17.57,,,,,,,Percent of Total Billed Charges,,,,,50.2,,,,,,,Percent of Total Billed Charges,,,,,12.55,,,,,,,Percent of Total Billed Charges,,,, *EDROPHONIUM INJ (TENSILON) : 10MG/ML ,250,RC,,Outpatient,10,ME,24.5,19.6,18.3,,,,,,,Percent of Total Billed Charges,,18.3,18.3,,24.5,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,23.28,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,20.83,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,6.86,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,, ETOMIDATE INJ : 40 MG / 20 ML ,250,RC,,Outpatient,40,ME,21.6,17.28,16.14,,,,,,,Percent of Total Billed Charges,,16.14,16.14,,21.6,,,,,,,Percent of Total Billed Charges,,,,,20.74,,,,,,,Percent of Total Billed Charges,,,,,20.52,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,18.36,,,,,,,Percent of Total Billed Charges,,,,,4.54,,,,,,,Percent of Total Billed Charges,,,,,19.44,,,,,,,Percent of Total Billed Charges,,,,,19.44,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,6.05,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,, FORANE 120 - 149 MIN ,250,RC,,Outpatient,,,110.95,88.76,82.88,,,,,,,Percent of Total Billed Charges,,82.88,82.88,,110.95,,,,,,,Percent of Total Billed Charges,,,,,106.51,,,,,,,Percent of Total Billed Charges,,,,,105.4,,,,,,,Percent of Total Billed Charges,,,,,22.19,,,,,,,Percent of Total Billed Charges,,,,,94.31,,,,,,,Percent of Total Billed Charges,,,,,23.3,,,,,,,Percent of Total Billed Charges,,,,,99.86,,,,,,,Percent of Total Billed Charges,,,,,99.86,,,,,,,Percent of Total Billed Charges,,,,,22.19,,,,,,,Percent of Total Billed Charges,,,,,31.07,,,,,,,Percent of Total Billed Charges,,,,,88.76,,,,,,,Percent of Total Billed Charges,,,,,22.19,,,,,,,Percent of Total Billed Charges,,,, FORANE 180 - 209 MIN ,250,RC,,Outpatient,,,125.15,100.12,93.49,,,,,,,Percent of Total Billed Charges,,93.49,93.49,,125.15,,,,,,,Percent of Total Billed Charges,,,,,120.14,,,,,,,Percent of Total Billed Charges,,,,,118.89,,,,,,,Percent of Total Billed Charges,,,,,25.03,,,,,,,Percent of Total Billed Charges,,,,,106.38,,,,,,,Percent of Total Billed Charges,,,,,26.28,,,,,,,Percent of Total Billed Charges,,,,,112.64,,,,,,,Percent of Total Billed Charges,,,,,112.64,,,,,,,Percent of Total Billed Charges,,,,,25.03,,,,,,,Percent of Total Billed Charges,,,,,35.04,,,,,,,Percent of Total Billed Charges,,,,,100.12,,,,,,,Percent of Total Billed Charges,,,,,25.03,,,,,,,Percent of Total Billed Charges,,,, FORANE 210 - 239 MIN ,250,RC,,Outpatient,,,132.75,106.2,99.16,,,,,,,Percent of Total Billed Charges,,99.16,99.16,,132.75,,,,,,,Percent of Total Billed Charges,,,,,127.44,,,,,,,Percent of Total Billed Charges,,,,,126.11,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,112.84,,,,,,,Percent of Total Billed Charges,,,,,27.88,,,,,,,Percent of Total Billed Charges,,,,,119.48,,,,,,,Percent of Total Billed Charges,,,,,119.48,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,37.17,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,, FORANE 240 - 270 MIN ,250,RC,,Outpatient,,,139.7,111.76,104.36,,,,,,,Percent of Total Billed Charges,,104.36,104.36,,139.7,,,,,,,Percent of Total Billed Charges,,,,,134.11,,,,,,,Percent of Total Billed Charges,,,,,132.72,,,,,,,Percent of Total Billed Charges,,,,,27.94,,,,,,,Percent of Total Billed Charges,,,,,118.75,,,,,,,Percent of Total Billed Charges,,,,,29.34,,,,,,,Percent of Total Billed Charges,,,,,125.73,,,,,,,Percent of Total Billed Charges,,,,,125.73,,,,,,,Percent of Total Billed Charges,,,,,27.94,,,,,,,Percent of Total Billed Charges,,,,,39.12,,,,,,,Percent of Total Billed Charges,,,,,111.76,,,,,,,Percent of Total Billed Charges,,,,,27.94,,,,,,,Percent of Total Billed Charges,,,, ROCURONIUM (ZEMURON) INJ: 100 MG /10 ML,250,RC,,Outpatient,100,ME,24.35,19.48,18.19,,,,,,,Percent of Total Billed Charges,,18.19,18.19,,24.35,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,23.13,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,5.11,,,,,,,Percent of Total Billed Charges,,,,,21.92,,,,,,,Percent of Total Billed Charges,,,,,21.92,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,,,6.82,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,, ACETAMINOPHEN-CHEWABLES 80 MG TAB ######,250,RC,,Outpatient,,,16.9,13.52,12.62,,,,,,,Percent of Total Billed Charges,,12.62,12.62,,16.9,,,,,,,Percent of Total Billed Charges,,,,,16.22,,,,,,,Percent of Total Billed Charges,,,,,16.06,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,14.37,,,,,,,Percent of Total Billed Charges,,,,,3.55,,,,,,,Percent of Total Billed Charges,,,,,15.21,,,,,,,Percent of Total Billed Charges,,,,,15.21,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,4.73,,,,,,,Percent of Total Billed Charges,,,,,13.52,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,, ACETAMINOPHEN-LIQ 120 ML ###############,250,RC,,Outpatient,120,ML,19.05,15.24,14.23,,,,,,,Percent of Total Billed Charges,,14.23,14.23,,19.05,,,,,,,Percent of Total Billed Charges,,,,,18.29,,,,,,,Percent of Total Billed Charges,,,,,18.1,,,,,,,Percent of Total Billed Charges,,,,,3.81,,,,,,,Percent of Total Billed Charges,,,,,16.19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17.15,,,,,,,Percent of Total Billed Charges,,,,,17.15,,,,,,,Percent of Total Billed Charges,,,,,3.81,,,,,,,Percent of Total Billed Charges,,,,,5.33,,,,,,,Percent of Total Billed Charges,,,,,15.24,,,,,,,Percent of Total Billed Charges,,,,,3.81,,,,,,,Percent of Total Billed Charges,,,, ACETAMINOPHEN TAB 325 MG ###############,250,RC,,Outpatient,,,17.4,13.92,13,,,,,,,Percent of Total Billed Charges,,13,13,,17.4,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,16.53,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,,,14.79,,,,,,,Percent of Total Billed Charges,,,,,3.65,,,,,,,Percent of Total Billed Charges,,,,,15.66,,,,,,,Percent of Total Billed Charges,,,,,15.66,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,, ASPIRIN TAB ENTERIC COATED 325 MG ### ,250,RC,,Outpatient,,,18.4,14.72,13.74,,,,,,,Percent of Total Billed Charges,,13.74,13.74,,18.4,,,,,,,Percent of Total Billed Charges,,,,,17.66,,,,,,,Percent of Total Billed Charges,,,,,17.48,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.64,,,,,,,Percent of Total Billed Charges,,,,,3.86,,,,,,,Percent of Total Billed Charges,,,,,16.56,,,,,,,Percent of Total Billed Charges,,,,,16.56,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,14.72,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,, ASPIRIN TABLET 325 MG ### ,250,RC,,Outpatient,,,15.7,12.56,11.73,,,,,,,Percent of Total Billed Charges,,11.73,11.73,,15.7,,,,,,,Percent of Total Billed Charges,,,,,15.07,,,,,,,Percent of Total Billed Charges,,,,,14.92,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,,,13.35,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.13,,,,,,,Percent of Total Billed Charges,,,,,14.13,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,12.56,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,, HYDROCORTISONE 0.5% CREAM 30 GM ### ,250,RC,,Outpatient,30,GR,17.4,13.92,13,,,,,,,Percent of Total Billed Charges,,13,13,,17.4,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,16.53,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,,,14.79,,,,,,,Percent of Total Billed Charges,,,,,3.65,,,,,,,Percent of Total Billed Charges,,,,,15.66,,,,,,,Percent of Total Billed Charges,,,,,15.66,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,, BACITRACIN OINTMENT 30 GM ### ,250,RC,,Outpatient,,,26.1,20.88,19.5,,,,,,,Percent of Total Billed Charges,,19.5,19.5,,26.1,,,,,,,Percent of Total Billed Charges,,,,,25.06,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,,,22.19,,,,,,,Percent of Total Billed Charges,,,,,5.48,,,,,,,Percent of Total Billed Charges,,,,,23.49,,,,,,,Percent of Total Billed Charges,,,,,23.49,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,,,7.31,,,,,,,Percent of Total Billed Charges,,,,,20.88,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,, TRIPLE ANTIOBIOTIC OINT: 30 GM #########,250,RC,,Outpatient,30,GR,18.45,14.76,13.78,,,,,,,Percent of Total Billed Charges,,13.78,13.78,,18.45,,,,,,,Percent of Total Billed Charges,,,,,17.71,,,,,,,Percent of Total Billed Charges,,,,,17.53,,,,,,,Percent of Total Billed Charges,,,,,3.69,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,16.61,,,,,,,Percent of Total Billed Charges,,,,,16.61,,,,,,,Percent of Total Billed Charges,,,,,3.69,,,,,,,Percent of Total Billed Charges,,,,,5.17,,,,,,,Percent of Total Billed Charges,,,,,14.76,,,,,,,Percent of Total Billed Charges,,,,,3.69,,,,,,,Percent of Total Billed Charges,,,, CALAMINE LOTION 177 ML #################,250,RC,,Outpatient,,,17.15,13.72,12.81,,,,,,,Percent of Total Billed Charges,,12.81,12.81,,17.15,,,,,,,Percent of Total Billed Charges,,,,,16.46,,,,,,,Percent of Total Billed Charges,,,,,16.29,,,,,,,Percent of Total Billed Charges,,,,,3.43,,,,,,,Percent of Total Billed Charges,,,,,14.58,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,3.43,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,13.72,,,,,,,Percent of Total Billed Charges,,,,,3.43,,,,,,,Percent of Total Billed Charges,,,, BISACODYL TAB 5 MG #####################,250,RC,,Outpatient,,,17.45,13.96,13.04,,,,,,,Percent of Total Billed Charges,,13.04,13.04,,17.45,,,,,,,Percent of Total Billed Charges,,,,,16.75,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,3.49,,,,,,,Percent of Total Billed Charges,,,,,14.83,,,,,,,Percent of Total Billed Charges,,,,,3.66,,,,,,,Percent of Total Billed Charges,,,,,15.71,,,,,,,Percent of Total Billed Charges,,,,,15.71,,,,,,,Percent of Total Billed Charges,,,,,3.49,,,,,,,Percent of Total Billed Charges,,,,,4.89,,,,,,,Percent of Total Billed Charges,,,,,13.96,,,,,,,Percent of Total Billed Charges,,,,,3.49,,,,,,,Percent of Total Billed Charges,,,, HEMMORHOIDAL SUPP. (ANUSOL) ### ,250,RC,,Outpatient,,,16.2,12.96,12.1,,,,,,,Percent of Total Billed Charges,,12.1,12.1,,16.2,,,,,,,Percent of Total Billed Charges,,,,,15.55,,,,,,,Percent of Total Billed Charges,,,,,15.39,,,,,,,Percent of Total Billed Charges,,,,,3.24,,,,,,,Percent of Total Billed Charges,,,,,13.77,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.58,,,,,,,Percent of Total Billed Charges,,,,,14.58,,,,,,,Percent of Total Billed Charges,,,,,3.24,,,,,,,Percent of Total Billed Charges,,,,,4.54,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,3.24,,,,,,,Percent of Total Billed Charges,,,, PEPTO BISMOL 4 OZ BOTTLE ##### ,250,RC,,Outpatient,,,19.2,15.36,14.34,,,,,,,Percent of Total Billed Charges,,14.34,14.34,,19.2,,,,,,,Percent of Total Billed Charges,,,,,18.43,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,5.38,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,, DIMENHYDRINATE TAB 50 MG ###############,250,RC,,Outpatient,,,12.9,10.32,9.64,,,,,,,Percent of Total Billed Charges,,9.64,9.64,,12.9,,,,,,,Percent of Total Billed Charges,,,,,12.38,,,,,,,Percent of Total Billed Charges,,,,,12.26,,,,,,,Percent of Total Billed Charges,,,,,2.58,,,,,,,Percent of Total Billed Charges,,,,,10.97,,,,,,,Percent of Total Billed Charges,,,,,2.71,,,,,,,Percent of Total Billed Charges,,,,,11.61,,,,,,,Percent of Total Billed Charges,,,,,11.61,,,,,,,Percent of Total Billed Charges,,,,,2.58,,,,,,,Percent of Total Billed Charges,,,,,3.61,,,,,,,Percent of Total Billed Charges,,,,,10.32,,,,,,,Percent of Total Billed Charges,,,,,2.58,,,,,,,Percent of Total Billed Charges,,,, PSYLLIUM MUCILLOID BOTTLE 72 TSP ######,250,RC,,Outpatient,,,57.2,45.76,42.73,,,,,,,Percent of Total Billed Charges,,42.73,42.73,,57.2,,,,,,,Percent of Total Billed Charges,,,,,54.91,,,,,,,Percent of Total Billed Charges,,,,,54.34,,,,,,,Percent of Total Billed Charges,,,,,11.44,,,,,,,Percent of Total Billed Charges,,,,,48.62,,,,,,,Percent of Total Billed Charges,,,,,12.01,,,,,,,Percent of Total Billed Charges,,,,,51.48,,,,,,,Percent of Total Billed Charges,,,,,51.48,,,,,,,Percent of Total Billed Charges,,,,,11.44,,,,,,,Percent of Total Billed Charges,,,,,16.02,,,,,,,Percent of Total Billed Charges,,,,,45.76,,,,,,,Percent of Total Billed Charges,,,,,11.44,,,,,,,Percent of Total Billed Charges,,,, DOCUSATE CALCIUM (SURFAK) CAP 240 ### ,250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, MYLANTA SUSP BOTTLE 12 OZ### ,250,RC,,Outpatient,,,18.65,14.92,13.93,,,,,,,Percent of Total Billed Charges,,13.93,13.93,,18.65,,,,,,,Percent of Total Billed Charges,,,,,17.9,,,,,,,Percent of Total Billed Charges,,,,,17.72,,,,,,,Percent of Total Billed Charges,,,,,3.73,,,,,,,Percent of Total Billed Charges,,,,,15.85,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,16.79,,,,,,,Percent of Total Billed Charges,,,,,16.79,,,,,,,Percent of Total Billed Charges,,,,,3.73,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,,,14.92,,,,,,,Percent of Total Billed Charges,,,,,3.73,,,,,,,Percent of Total Billed Charges,,,, CALCIUM CARBONATE TUMS 500 MG TAB ######,250,RC,,Outpatient,,,18.15,14.52,13.56,,,,,,,Percent of Total Billed Charges,,13.56,13.56,,18.15,,,,,,,Percent of Total Billed Charges,,,,,17.42,,,,,,,Percent of Total Billed Charges,,,,,17.24,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,,,15.43,,,,,,,Percent of Total Billed Charges,,,,,3.81,,,,,,,Percent of Total Billed Charges,,,,,16.34,,,,,,,Percent of Total Billed Charges,,,,,16.34,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,,,5.08,,,,,,,Percent of Total Billed Charges,,,,,14.52,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,, GAVISCON (ALUM/MAG) TABS ### ,250,RC,,Outpatient,,,20.45,16.36,15.28,,,,,,,Percent of Total Billed Charges,,15.28,15.28,,20.45,,,,,,,Percent of Total Billed Charges,,,,,19.63,,,,,,,Percent of Total Billed Charges,,,,,19.43,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,,,17.38,,,,,,,Percent of Total Billed Charges,,,,,4.29,,,,,,,Percent of Total Billed Charges,,,,,18.41,,,,,,,Percent of Total Billed Charges,,,,,18.41,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,,,5.73,,,,,,,Percent of Total Billed Charges,,,,,16.36,,,,,,,Percent of Total Billed Charges,,,,,4.09,,,,,,,Percent of Total Billed Charges,,,, PSEUDOEPHEDRINE TAB 30 MG ### BOX OF 24 ,250,RC,,Outpatient,,,15.7,12.56,11.73,,,,,,,Percent of Total Billed Charges,,11.73,11.73,,15.7,,,,,,,Percent of Total Billed Charges,,,,,15.07,,,,,,,Percent of Total Billed Charges,,,,,14.92,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,,,13.35,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.13,,,,,,,Percent of Total Billed Charges,,,,,14.13,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,12.56,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,, DIPHENHYDRAMINE- 25 MG CAP #############,250,RC,,Outpatient,,,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, DIPHENHYDRAMINE LIQUID 120 ML BOTTLE ###,250,RC,,Outpatient,,,18.75,15,14.01,,,,,,,Percent of Total Billed Charges,,14.01,14.01,,18.75,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,17.81,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,,,15.94,,,,,,,Percent of Total Billed Charges,,,,,3.94,,,,,,,Percent of Total Billed Charges,,,,,16.88,,,,,,,Percent of Total Billed Charges,,,,,16.88,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,15,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,, CHLORASEPTIC LOZENGE ###################,250,RC,,Outpatient,,,22.85,18.28,17.07,,,,,,,Percent of Total Billed Charges,,17.07,17.07,,22.85,,,,,,,Percent of Total Billed Charges,,,,,21.94,,,,,,,Percent of Total Billed Charges,,,,,21.71,,,,,,,Percent of Total Billed Charges,,,,,4.57,,,,,,,Percent of Total Billed Charges,,,,,19.42,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,20.57,,,,,,,Percent of Total Billed Charges,,,,,20.57,,,,,,,Percent of Total Billed Charges,,,,,4.57,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,18.28,,,,,,,Percent of Total Billed Charges,,,,,4.57,,,,,,,Percent of Total Billed Charges,,,, TETRAHYDROLAZINE OPHTH DROPS ### ,250,RC,,Outpatient,,,15.9,12.72,11.88,,,,,,,Percent of Total Billed Charges,,11.88,11.88,,15.9,,,,,,,Percent of Total Billed Charges,,,,,15.26,,,,,,,Percent of Total Billed Charges,,,,,15.11,,,,,,,Percent of Total Billed Charges,,,,,3.18,,,,,,,Percent of Total Billed Charges,,,,,13.52,,,,,,,Percent of Total Billed Charges,,,,,3.34,,,,,,,Percent of Total Billed Charges,,,,,14.31,,,,,,,Percent of Total Billed Charges,,,,,14.31,,,,,,,Percent of Total Billed Charges,,,,,3.18,,,,,,,Percent of Total Billed Charges,,,,,4.45,,,,,,,Percent of Total Billed Charges,,,,,12.72,,,,,,,Percent of Total Billed Charges,,,,,3.18,,,,,,,Percent of Total Billed Charges,,,, OXYMETAZOLINE NASAL SPRAY 30 ML ### ,250,RC,,Outpatient,,,16.7,13.36,12.47,,,,,,,Percent of Total Billed Charges,,12.47,12.47,,16.7,,,,,,,Percent of Total Billed Charges,,,,,16.03,,,,,,,Percent of Total Billed Charges,,,,,15.87,,,,,,,Percent of Total Billed Charges,,,,,3.34,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,15.03,,,,,,,Percent of Total Billed Charges,,,,,15.03,,,,,,,Percent of Total Billed Charges,,,,,3.34,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,13.36,,,,,,,Percent of Total Billed Charges,,,,,3.34,,,,,,,Percent of Total Billed Charges,,,, DEBROX OTIC DROPS 15 ML ### ,250,RC,,Outpatient,,,19.2,15.36,14.34,,,,,,,Percent of Total Billed Charges,,14.34,14.34,,19.2,,,,,,,Percent of Total Billed Charges,,,,,18.43,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,5.38,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,, ARTIFICIAL TEARS 15 ML #################,250,RC,,Outpatient,,,35.1,28.08,26.22,,,,,,,Percent of Total Billed Charges,,26.22,26.22,,35.1,,,,,,,Percent of Total Billed Charges,,,,,33.7,,,,,,,Percent of Total Billed Charges,,,,,33.35,,,,,,,Percent of Total Billed Charges,,,,,7.02,,,,,,,Percent of Total Billed Charges,,,,,29.84,,,,,,,Percent of Total Billed Charges,,,,,7.37,,,,,,,Percent of Total Billed Charges,,,,,31.59,,,,,,,Percent of Total Billed Charges,,,,,31.59,,,,,,,Percent of Total Billed Charges,,,,,7.02,,,,,,,Percent of Total Billed Charges,,,,,9.83,,,,,,,Percent of Total Billed Charges,,,,,28.08,,,,,,,Percent of Total Billed Charges,,,,,7.02,,,,,,,Percent of Total Billed Charges,,,, GUAIFENESIN SYRUP 120 ML BOTTLE ### ,250,RC,,Outpatient,,,15.2,12.16,11.35,,,,,,,Percent of Total Billed Charges,,11.35,11.35,,15.2,,,,,,,Percent of Total Billed Charges,,,,,14.59,,,,,,,Percent of Total Billed Charges,,,,,14.44,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,13.68,,,,,,,Percent of Total Billed Charges,,,,,13.68,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,,,4.26,,,,,,,Percent of Total Billed Charges,,,,,12.16,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,, GUAIFENESIN DM SYRUP 120 ML ### ,250,RC,,Outpatient,,,17.55,14.04,13.11,,,,,,,Percent of Total Billed Charges,,13.11,13.11,,17.55,,,,,,,Percent of Total Billed Charges,,,,,16.85,,,,,,,Percent of Total Billed Charges,,,,,16.67,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,14.92,,,,,,,Percent of Total Billed Charges,,,,,3.69,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,4.91,,,,,,,Percent of Total Billed Charges,,,,,14.04,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,, *CLOTRIMAZOLE VAGINAL CREAM 45 GM ### ,250,RC,,Outpatient,,,23,18.4,17.18,,,,,,,Percent of Total Billed Charges,,17.18,17.18,,23,,,,,,,Percent of Total Billed Charges,,,,,22.08,,,,,,,Percent of Total Billed Charges,,,,,21.85,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,19.55,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,, MULTIVITAMIN TAB/CAP ######## ,250,RC,,Outpatient,,,21.8,17.44,16.28,,,,,,,Percent of Total Billed Charges,,16.28,16.28,,21.8,,,,,,,Percent of Total Billed Charges,,,,,20.93,,,,,,,Percent of Total Billed Charges,,,,,20.71,,,,,,,Percent of Total Billed Charges,,,,,4.36,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,4.58,,,,,,,Percent of Total Billed Charges,,,,,19.62,,,,,,,Percent of Total Billed Charges,,,,,19.62,,,,,,,Percent of Total Billed Charges,,,,,4.36,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,17.44,,,,,,,Percent of Total Billed Charges,,,,,4.36,,,,,,,Percent of Total Billed Charges,,,, CALCIUM 250 MG TABLET ### ,250,RC,,Outpatient,,,16.2,12.96,12.1,,,,,,,Percent of Total Billed Charges,,12.1,12.1,,16.2,,,,,,,Percent of Total Billed Charges,,,,,15.55,,,,,,,Percent of Total Billed Charges,,,,,15.39,,,,,,,Percent of Total Billed Charges,,,,,3.24,,,,,,,Percent of Total Billed Charges,,,,,13.77,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.58,,,,,,,Percent of Total Billed Charges,,,,,14.58,,,,,,,Percent of Total Billed Charges,,,,,3.24,,,,,,,Percent of Total Billed Charges,,,,,4.54,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,3.24,,,,,,,Percent of Total Billed Charges,,,, CALCIUM 600 MG + D TAB ############## ,250,RC,,Outpatient,,,15.2,12.16,11.35,,,,,,,Percent of Total Billed Charges,,11.35,11.35,,15.2,,,,,,,Percent of Total Billed Charges,,,,,14.59,,,,,,,Percent of Total Billed Charges,,,,,14.44,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,13.68,,,,,,,Percent of Total Billed Charges,,,,,13.68,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,,,4.26,,,,,,,Percent of Total Billed Charges,,,,,12.16,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,, CHILDREN'S CHEWABLE VITAMINS ###########,250,RC,,Outpatient,,,18.6,14.88,13.89,,,,,,,Percent of Total Billed Charges,,13.89,13.89,,18.6,,,,,,,Percent of Total Billed Charges,,,,,17.86,,,,,,,Percent of Total Billed Charges,,,,,17.67,,,,,,,Percent of Total Billed Charges,,,,,3.72,,,,,,,Percent of Total Billed Charges,,,,,15.81,,,,,,,Percent of Total Billed Charges,,,,,3.91,,,,,,,Percent of Total Billed Charges,,,,,16.74,,,,,,,Percent of Total Billed Charges,,,,,16.74,,,,,,,Percent of Total Billed Charges,,,,,3.72,,,,,,,Percent of Total Billed Charges,,,,,5.21,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.72,,,,,,,Percent of Total Billed Charges,,,, IBUPROFEN TABLET 200 MG ### ,250,RC,,Outpatient,,,20.65,16.52,15.43,,,,,,,Percent of Total Billed Charges,,15.43,15.43,,20.65,,,,,,,Percent of Total Billed Charges,,,,,19.82,,,,,,,Percent of Total Billed Charges,,,,,19.62,,,,,,,Percent of Total Billed Charges,,,,,4.13,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,18.59,,,,,,,Percent of Total Billed Charges,,,,,18.59,,,,,,,Percent of Total Billed Charges,,,,,4.13,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,16.52,,,,,,,Percent of Total Billed Charges,,,,,4.13,,,,,,,Percent of Total Billed Charges,,,, OCEAN NASAL SPRAY ### : 45 ML ,250,RC,,Outpatient,45,ML,15.35,12.28,11.47,,,,,,,Percent of Total Billed Charges,,11.47,11.47,,15.35,,,,,,,Percent of Total Billed Charges,,,,,14.74,,,,,,,Percent of Total Billed Charges,,,,,14.58,,,,,,,Percent of Total Billed Charges,,,,,3.07,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,13.82,,,,,,,Percent of Total Billed Charges,,,,,13.82,,,,,,,Percent of Total Billed Charges,,,,,3.07,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,12.28,,,,,,,Percent of Total Billed Charges,,,,,3.07,,,,,,,Percent of Total Billed Charges,,,, POVIDONE IODINE SOLUTION 4 OZ ,250,RC,,Outpatient,,,17.4,13.92,13,,,,,,,Percent of Total Billed Charges,,13,13,,17.4,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,16.53,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,,,14.79,,,,,,,Percent of Total Billed Charges,,,,,3.65,,,,,,,Percent of Total Billed Charges,,,,,15.66,,,,,,,Percent of Total Billed Charges,,,,,15.66,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,3.48,,,,,,,Percent of Total Billed Charges,,,, IBUPROFEN SUSPENSION 100MG/5ML 4 OZ ### ,250,RC,,Outpatient,,,24.2,19.36,18.08,,,,,,,Percent of Total Billed Charges,,18.08,18.08,,24.2,,,,,,,Percent of Total Billed Charges,,,,,23.23,,,,,,,Percent of Total Billed Charges,,,,,22.99,,,,,,,Percent of Total Billed Charges,,,,,4.84,,,,,,,Percent of Total Billed Charges,,,,,20.57,,,,,,,Percent of Total Billed Charges,,,,,5.08,,,,,,,Percent of Total Billed Charges,,,,,21.78,,,,,,,Percent of Total Billed Charges,,,,,21.78,,,,,,,Percent of Total Billed Charges,,,,,4.84,,,,,,,Percent of Total Billed Charges,,,,,6.78,,,,,,,Percent of Total Billed Charges,,,,,19.36,,,,,,,Percent of Total Billed Charges,,,,,4.84,,,,,,,Percent of Total Billed Charges,,,, ZESTORETIC 20/12.5 TABLET ##### ,250,RC,,Outpatient,,,3.65,2.92,2.73,,,,,,,Percent of Total Billed Charges,,2.73,2.73,,3.65,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,0.77,,,,,,,Percent of Total Billed Charges,,,,,3.29,,,,,,,Percent of Total Billed Charges,,,,,3.29,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,1.02,,,,,,,Percent of Total Billed Charges,,,,,2.92,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,, HYDROCORTISONE 1% CREAM 30 GM ##########,250,RC,,Outpatient,,,16.8,13.44,12.55,,,,,,,Percent of Total Billed Charges,,12.55,12.55,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.13,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,3.53,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,, ASPIRIN CHEW TAB 81 MG ### BTL OF 36 ,250,RC,,Outpatient,,,14.75,11.8,11.02,,,,,,,Percent of Total Billed Charges,,11.02,11.02,,14.75,,,,,,,Percent of Total Billed Charges,,,,,14.16,,,,,,,Percent of Total Billed Charges,,,,,14.01,,,,,,,Percent of Total Billed Charges,,,,,2.95,,,,,,,Percent of Total Billed Charges,,,,,12.54,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.28,,,,,,,Percent of Total Billed Charges,,,,,13.28,,,,,,,Percent of Total Billed Charges,,,,,2.95,,,,,,,Percent of Total Billed Charges,,,,,4.13,,,,,,,Percent of Total Billed Charges,,,,,11.8,,,,,,,Percent of Total Billed Charges,,,,,2.95,,,,,,,Percent of Total Billed Charges,,,, VANICREAM TUB 454 GRAM W/O PUMP ########,250,RC,,Outpatient,,,49.9,39.92,37.28,,,,,,,Percent of Total Billed Charges,,37.28,37.28,,49.9,,,,,,,Percent of Total Billed Charges,,,,,47.9,,,,,,,Percent of Total Billed Charges,,,,,47.41,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,42.42,,,,,,,Percent of Total Billed Charges,,,,,10.48,,,,,,,Percent of Total Billed Charges,,,,,44.91,,,,,,,Percent of Total Billed Charges,,,,,44.91,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,,,13.97,,,,,,,Percent of Total Billed Charges,,,,,39.92,,,,,,,Percent of Total Billed Charges,,,,,9.98,,,,,,,Percent of Total Billed Charges,,,, VANICREAM TUB 454 GRAM PUMP ######## ,250,RC,,Outpatient,,,46.7,37.36,34.88,,,,,,,Percent of Total Billed Charges,,34.88,34.88,,46.7,,,,,,,Percent of Total Billed Charges,,,,,44.83,,,,,,,Percent of Total Billed Charges,,,,,44.37,,,,,,,Percent of Total Billed Charges,,,,,9.34,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,9.81,,,,,,,Percent of Total Billed Charges,,,,,42.03,,,,,,,Percent of Total Billed Charges,,,,,42.03,,,,,,,Percent of Total Billed Charges,,,,,9.34,,,,,,,Percent of Total Billed Charges,,,,,13.08,,,,,,,Percent of Total Billed Charges,,,,,37.36,,,,,,,Percent of Total Billed Charges,,,,,9.34,,,,,,,Percent of Total Billed Charges,,,, LISINOPRIL(ZESTRIL)BULK TABLET 10 MG####,250,RC,,Outpatient,10,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, LISINOPRIL(ZESTRIL)BULK TABLET 20 MG####,250,RC,,Outpatient,20,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, HYDROCHLORTHIAZIDE BULK TAB 25 MG#######,250,RC,,Outpatient,,,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, HYDROCHLORTHIAZIDE BULK TAB 50MG####### ,250,RC,,Outpatient,50,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, NAPROXEN (ALEVE) BULK BOTTLE OF 90 #### ,250,RC,,Outpatient,,,17.25,13.8,12.89,,,,,,,Percent of Total Billed Charges,,12.89,12.89,,17.25,,,,,,,Percent of Total Billed Charges,,,,,16.56,,,,,,,Percent of Total Billed Charges,,,,,16.39,,,,,,,Percent of Total Billed Charges,,,,,3.45,,,,,,,Percent of Total Billed Charges,,,,,14.66,,,,,,,Percent of Total Billed Charges,,,,,3.62,,,,,,,Percent of Total Billed Charges,,,,,15.53,,,,,,,Percent of Total Billed Charges,,,,,15.53,,,,,,,Percent of Total Billed Charges,,,,,3.45,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,3.45,,,,,,,Percent of Total Billed Charges,,,, NO CRACK ALL PURPOSE 8 OZ ####### ,250,RC,,Outpatient,,,17.85,14.28,13.33,,,,,,,Percent of Total Billed Charges,,13.33,13.33,,17.85,,,,,,,Percent of Total Billed Charges,,,,,17.14,,,,,,,Percent of Total Billed Charges,,,,,16.96,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.17,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,, DELSYM: 5 OZ BOTTLE ,250,RC,,Outpatient,,,22.1,17.68,16.51,,,,,,,Percent of Total Billed Charges,,16.51,16.51,,22.1,,,,,,,Percent of Total Billed Charges,,,,,21.22,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,4.42,,,,,,,Percent of Total Billed Charges,,,,,18.79,,,,,,,Percent of Total Billed Charges,,,,,4.64,,,,,,,Percent of Total Billed Charges,,,,,19.89,,,,,,,Percent of Total Billed Charges,,,,,19.89,,,,,,,Percent of Total Billed Charges,,,,,4.42,,,,,,,Percent of Total Billed Charges,,,,,6.19,,,,,,,Percent of Total Billed Charges,,,,,17.68,,,,,,,Percent of Total Billed Charges,,,,,4.42,,,,,,,Percent of Total Billed Charges,,,, RISEDRONATE (ACTONEL) 35 MG TAB NF ,250,RC,,Outpatient,,,53.55,42.84,40,,,,,,,Percent of Total Billed Charges,,40,40,,53.55,,,,,,,Percent of Total Billed Charges,,,,,51.41,,,,,,,Percent of Total Billed Charges,,,,,50.87,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,,,45.52,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,,,14.99,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,, DAYQUIL CAP PACKAGE OF 20 ############# ,250,RC,,Outpatient,,,28.8,23.04,21.51,,,,,,,Percent of Total Billed Charges,,21.51,21.51,,28.8,,,,,,,Percent of Total Billed Charges,,,,,27.65,,,,,,,Percent of Total Billed Charges,,,,,27.36,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,6.05,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,8.06,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,, NYQUIL CAP PACKAGE OF 12 ############# ,250,RC,,Outpatient,,,28.8,23.04,21.51,,,,,,,Percent of Total Billed Charges,,21.51,21.51,,28.8,,,,,,,Percent of Total Billed Charges,,,,,27.65,,,,,,,Percent of Total Billed Charges,,,,,27.36,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,6.05,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,8.06,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,, FLUOXETINE BULK CAP 20 MG ##############,250,RC,,Outpatient,,,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, *PSEUDOEPHED TAB 30 MG********** ,250,RC,,Outpatient,30,ME,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, *RANITIDINE 150 MG OTC BOX OF 24 #### ,250,RC,,Outpatient,,,21.5,17.2,16.06,,,,,,,Percent of Total Billed Charges,,16.06,16.06,,21.5,,,,,,,Percent of Total Billed Charges,,,,,20.64,,,,,,,Percent of Total Billed Charges,,,,,20.43,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,18.28,,,,,,,Percent of Total Billed Charges,,,,,4.52,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,6.02,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,, CETIRIZINE 10 MG TAB OTC BTL OF 500#####,250,RC,,Outpatient,,,51.15,40.92,38.21,,,,,,,Percent of Total Billed Charges,,38.21,38.21,,51.15,,,,,,,Percent of Total Billed Charges,,,,,49.1,,,,,,,Percent of Total Billed Charges,,,,,48.59,,,,,,,Percent of Total Billed Charges,,,,,10.23,,,,,,,Percent of Total Billed Charges,,,,,43.48,,,,,,,Percent of Total Billed Charges,,,,,10.74,,,,,,,Percent of Total Billed Charges,,,,,46.04,,,,,,,Percent of Total Billed Charges,,,,,46.04,,,,,,,Percent of Total Billed Charges,,,,,10.23,,,,,,,Percent of Total Billed Charges,,,,,14.32,,,,,,,Percent of Total Billed Charges,,,,,40.92,,,,,,,Percent of Total Billed Charges,,,,,10.23,,,,,,,Percent of Total Billed Charges,,,, OMEPRAZOLE (PRILOSEC):20MG ############ ,250,RC,,Outpatient,20,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, OMEPRAZOLE(PRILOSEC) OTC PACK 28 CAPS###,250,RC,,Outpatient,,,38.6,30.88,28.83,,,,,,,Percent of Total Billed Charges,,28.83,28.83,,38.6,,,,,,,Percent of Total Billed Charges,,,,,37.06,,,,,,,Percent of Total Billed Charges,,,,,36.67,,,,,,,Percent of Total Billed Charges,,,,,7.72,,,,,,,Percent of Total Billed Charges,,,,,32.81,,,,,,,Percent of Total Billed Charges,,,,,8.11,,,,,,,Percent of Total Billed Charges,,,,,34.74,,,,,,,Percent of Total Billed Charges,,,,,34.74,,,,,,,Percent of Total Billed Charges,,,,,7.72,,,,,,,Percent of Total Billed Charges,,,,,10.81,,,,,,,Percent of Total Billed Charges,,,,,30.88,,,,,,,Percent of Total Billed Charges,,,,,7.72,,,,,,,Percent of Total Billed Charges,,,, ASPIRIN EC TAB: 81 MG BOTTLE OF 120#####,250,RC,,Outpatient,81,ME,5.45,4.36,4.07,,,,,,,Percent of Total Billed Charges,,4.07,4.07,,5.45,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,1.09,,,,,,,Percent of Total Billed Charges,,,,,4.63,,,,,,,Percent of Total Billed Charges,,,,,1.14,,,,,,,Percent of Total Billed Charges,,,,,4.91,,,,,,,Percent of Total Billed Charges,,,,,4.91,,,,,,,Percent of Total Billed Charges,,,,,1.09,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,4.36,,,,,,,Percent of Total Billed Charges,,,,,1.09,,,,,,,Percent of Total Billed Charges,,,, CITALOPRAM (CELEXA) TAB 20 MG BULK BTL##,250,RC,,Outpatient,,,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, GABAPENTIN (NEURONTIN) CAP : 300 MG ####,250,RC,,Outpatient,300,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, LOPERAMIDE 2MG CAP OTC PACK OF 12 ##### ,250,RC,,Outpatient,,,6.7,5.36,5,,,,,,,Percent of Total Billed Charges,,5,5,,6.7,,,,,,,Percent of Total Billed Charges,,,,,6.43,,,,,,,Percent of Total Billed Charges,,,,,6.37,,,,,,,Percent of Total Billed Charges,,,,,1.34,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.41,,,,,,,Percent of Total Billed Charges,,,,,6.03,,,,,,,Percent of Total Billed Charges,,,,,6.03,,,,,,,Percent of Total Billed Charges,,,,,1.34,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,1.34,,,,,,,Percent of Total Billed Charges,,,, CEROVITE BTL OF 130 ####################,250,RC,,Outpatient,,,24.45,19.56,18.26,,,,,,,Percent of Total Billed Charges,,18.26,18.26,,24.45,,,,,,,Percent of Total Billed Charges,,,,,23.47,,,,,,,Percent of Total Billed Charges,,,,,23.23,,,,,,,Percent of Total Billed Charges,,,,,4.89,,,,,,,Percent of Total Billed Charges,,,,,20.78,,,,,,,Percent of Total Billed Charges,,,,,5.13,,,,,,,Percent of Total Billed Charges,,,,,22.01,,,,,,,Percent of Total Billed Charges,,,,,22.01,,,,,,,Percent of Total Billed Charges,,,,,4.89,,,,,,,Percent of Total Billed Charges,,,,,6.85,,,,,,,Percent of Total Billed Charges,,,,,19.56,,,,,,,Percent of Total Billed Charges,,,,,4.89,,,,,,,Percent of Total Billed Charges,,,, CETIRIZINE LIQ 4 OZ BTL ######## ,250,RC,,Outpatient,,,19.8,15.84,14.79,,,,,,,Percent of Total Billed Charges,,14.79,14.79,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.01,,,,,,,Percent of Total Billed Charges,,,,,18.81,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,,,16.83,,,,,,,Percent of Total Billed Charges,,,,,4.16,,,,,,,Percent of Total Billed Charges,,,,,17.82,,,,,,,Percent of Total Billed Charges,,,,,17.82,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,,,5.54,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,3.96,,,,,,,Percent of Total Billed Charges,,,, PANTOPRAZOLE(PROTONIX)ER 40MG TAB BULK##,250,RC,,Outpatient,40,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, CARMEX LIP BALM ################### ,250,RC,,Outpatient,,,5.4,4.32,4.03,,,,,,,Percent of Total Billed Charges,,4.03,4.03,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,5.13,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,1.13,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,4.86,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,,,1.51,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,1.08,,,,,,,Percent of Total Billed Charges,,,, BIOFREEZE ROLL ON / SPRAY #############,250,RC,,Outpatient,,,38.1,30.48,28.46,,,,,,,Percent of Total Billed Charges,,28.46,28.46,,38.1,,,,,,,Percent of Total Billed Charges,,,,,36.58,,,,,,,Percent of Total Billed Charges,,,,,36.2,,,,,,,Percent of Total Billed Charges,,,,,7.62,,,,,,,Percent of Total Billed Charges,,,,,32.39,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34.29,,,,,,,Percent of Total Billed Charges,,,,,34.29,,,,,,,Percent of Total Billed Charges,,,,,7.62,,,,,,,Percent of Total Billed Charges,,,,,10.67,,,,,,,Percent of Total Billed Charges,,,,,30.48,,,,,,,Percent of Total Billed Charges,,,,,7.62,,,,,,,Percent of Total Billed Charges,,,, MELOXICAM (MOBIC) TAB: 7.5 MG BULK #####,250,RC,,Outpatient,7.5,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, MELOXICAM (MOBIC) TAB: 15 MG BULK ######,250,RC,,Outpatient,15,ME,1.55,1.24,1.16,,,,,,,Percent of Total Billed Charges,,1.16,1.16,,1.55,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.47,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.24,,,,,,,Percent of Total Billed Charges,,,,,0.31,,,,,,,Percent of Total Billed Charges,,,, *ACETAMINOPHEN DROPS : 15 ML****** ,250,RC,,Outpatient,15,ML,21,16.8,15.69,,,,,,,Percent of Total Billed Charges,,15.69,15.69,,21,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,19.95,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,, ACYCLOVIR (ZOVIRAX) CREAM: 2 GRAM ,250,RC,,Outpatient,2,GR,2314.35,1851.48,1728.82,,,,,,,Percent of Total Billed Charges,,1728.82,1728.82,,2314.35,,,,,,,Percent of Total Billed Charges,,,,,2221.78,,,,,,,Percent of Total Billed Charges,,,,,2198.63,,,,,,,Percent of Total Billed Charges,,,,,462.87,,,,,,,Percent of Total Billed Charges,,,,,1967.2,,,,,,,Percent of Total Billed Charges,,,,,486.01,,,,,,,Percent of Total Billed Charges,,,,,2082.92,,,,,,,Percent of Total Billed Charges,,,,,2082.92,,,,,,,Percent of Total Billed Charges,,,,,462.87,,,,,,,Percent of Total Billed Charges,,,,,648.02,,,,,,,Percent of Total Billed Charges,,,,,1851.48,,,,,,,Percent of Total Billed Charges,,,,,462.87,,,,,,,Percent of Total Billed Charges,,,, CLOTRIMAZOLE 1% CREAM 30 GM ,250,RC,,Outpatient,,,18.45,14.76,13.78,,,,,,,Percent of Total Billed Charges,,13.78,13.78,,18.45,,,,,,,Percent of Total Billed Charges,,,,,17.71,,,,,,,Percent of Total Billed Charges,,,,,17.53,,,,,,,Percent of Total Billed Charges,,,,,3.69,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,16.61,,,,,,,Percent of Total Billed Charges,,,,,16.61,,,,,,,Percent of Total Billed Charges,,,,,3.69,,,,,,,Percent of Total Billed Charges,,,,,5.17,,,,,,,Percent of Total Billed Charges,,,,,14.76,,,,,,,Percent of Total Billed Charges,,,,,3.69,,,,,,,Percent of Total Billed Charges,,,, ACETAMINOPHEN SUPP(TYLENOL) :120 MG PED ,250,RC,,Outpatient,120,ME,4.55,3.64,3.4,,,,,,,Percent of Total Billed Charges,,3.4,3.4,,4.55,,,,,,,Percent of Total Billed Charges,,,,,4.37,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,, ALLEVYN SACRUM DRESSING ,250,RC,,Outpatient,,,37.6,30.08,28.09,,,,,,,Percent of Total Billed Charges,,28.09,28.09,,37.6,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,,,35.72,,,,,,,Percent of Total Billed Charges,,,,,7.52,,,,,,,Percent of Total Billed Charges,,,,,31.96,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,33.84,,,,,,,Percent of Total Billed Charges,,,,,33.84,,,,,,,Percent of Total Billed Charges,,,,,7.52,,,,,,,Percent of Total Billed Charges,,,,,10.53,,,,,,,Percent of Total Billed Charges,,,,,30.08,,,,,,,Percent of Total Billed Charges,,,,,7.52,,,,,,,Percent of Total Billed Charges,,,, ACETAMINOPHEN SUPP (TYLENOL): 325 MG ,250,RC,,Outpatient,325,ME,3.9,3.12,2.91,,,,,,,Percent of Total Billed Charges,,2.91,2.91,,3.9,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,3.71,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,3.32,,,,,,,Percent of Total Billed Charges,,,,,0.82,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,3.51,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,1.09,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,, ALBUTEROL HFA MIDI COMPLETE INH:200 DOSE,250,RC,,Outpatient,,,64.7,51.76,48.33,,,,,,,Percent of Total Billed Charges,,48.33,48.33,,64.7,,,,,,,Percent of Total Billed Charges,,,,,62.11,,,,,,,Percent of Total Billed Charges,,,,,61.47,,,,,,,Percent of Total Billed Charges,,,,,12.94,,,,,,,Percent of Total Billed Charges,,,,,55,,,,,,,Percent of Total Billed Charges,,,,,13.59,,,,,,,Percent of Total Billed Charges,,,,,58.23,,,,,,,Percent of Total Billed Charges,,,,,58.23,,,,,,,Percent of Total Billed Charges,,,,,12.94,,,,,,,Percent of Total Billed Charges,,,,,18.12,,,,,,,Percent of Total Billed Charges,,,,,51.76,,,,,,,Percent of Total Billed Charges,,,,,12.94,,,,,,,Percent of Total Billed Charges,,,, ACETAMINOPHEN SUPP (TYLENOL) : 650 MG ,250,RC,,Outpatient,650,ME,2.6,2.08,1.94,,,,,,,Percent of Total Billed Charges,,1.94,1.94,,2.6,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,, SALMETROL (SEREVENT) INH:50 MCG #28 DISK,250,RC,,Outpatient,,,269.35,215.48,201.2,,,,,,,Percent of Total Billed Charges,,201.2,201.2,,269.35,,,,,,,Percent of Total Billed Charges,,,,,258.58,,,,,,,Percent of Total Billed Charges,,,,,255.88,,,,,,,Percent of Total Billed Charges,,,,,53.87,,,,,,,Percent of Total Billed Charges,,,,,228.95,,,,,,,Percent of Total Billed Charges,,,,,56.56,,,,,,,Percent of Total Billed Charges,,,,,242.42,,,,,,,Percent of Total Billed Charges,,,,,242.42,,,,,,,Percent of Total Billed Charges,,,,,53.87,,,,,,,Percent of Total Billed Charges,,,,,75.42,,,,,,,Percent of Total Billed Charges,,,,,215.48,,,,,,,Percent of Total Billed Charges,,,,,53.87,,,,,,,Percent of Total Billed Charges,,,, ACTIDOSE 50 GM SORBITAL ,250,RC,,Outpatient,50,GR,78.95,63.16,58.98,,,,,,,Percent of Total Billed Charges,,58.98,58.98,,78.95,,,,,,,Percent of Total Billed Charges,,,,,75.79,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,15.79,,,,,,,Percent of Total Billed Charges,,,,,67.11,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,71.06,,,,,,,Percent of Total Billed Charges,,,,,71.06,,,,,,,Percent of Total Billed Charges,,,,,15.79,,,,,,,Percent of Total Billed Charges,,,,,22.11,,,,,,,Percent of Total Billed Charges,,,,,63.16,,,,,,,Percent of Total Billed Charges,,,,,15.79,,,,,,,Percent of Total Billed Charges,,,, IPRATROPIUM(ATROVENT) UD NEB 0.5MG/2.5ML,J7644 ,CPT,,Outpatient,,,4.7,3.76,3.51,,,,,,,Percent of Total Billed Charges,,3.51,3.51,,4.7,,,,,,,Percent of Total Billed Charges,,,,,4.51,,,,,,,Percent of Total Billed Charges,,,,,4.47,,,,,,,Percent of Total Billed Charges,,,,,0.94,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,0.99,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,0.94,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,,,0.94,,,,,,,Percent of Total Billed Charges,,,, ACYCLOVIR (ZOVIRAX) 5 % OINTMENT 15 GM ,250,RC,,Outpatient,,,66.1,52.88,49.38,,,,,,,Percent of Total Billed Charges,,49.38,49.38,,66.1,,,,,,,Percent of Total Billed Charges,,,,,63.46,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,13.22,,,,,,,Percent of Total Billed Charges,,,,,56.19,,,,,,,Percent of Total Billed Charges,,,,,13.88,,,,,,,Percent of Total Billed Charges,,,,,59.49,,,,,,,Percent of Total Billed Charges,,,,,59.49,,,,,,,Percent of Total Billed Charges,,,,,13.22,,,,,,,Percent of Total Billed Charges,,,,,18.51,,,,,,,Percent of Total Billed Charges,,,,,52.88,,,,,,,Percent of Total Billed Charges,,,,,13.22,,,,,,,Percent of Total Billed Charges,,,, ACTIDOSE 50 GRAM AQUA ,250,RC,,Outpatient,50,GR,69.1,55.28,51.62,,,,,,,Percent of Total Billed Charges,,51.62,51.62,,69.1,,,,,,,Percent of Total Billed Charges,,,,,66.34,,,,,,,Percent of Total Billed Charges,,,,,65.65,,,,,,,Percent of Total Billed Charges,,,,,13.82,,,,,,,Percent of Total Billed Charges,,,,,58.74,,,,,,,Percent of Total Billed Charges,,,,,14.51,,,,,,,Percent of Total Billed Charges,,,,,62.19,,,,,,,Percent of Total Billed Charges,,,,,62.19,,,,,,,Percent of Total Billed Charges,,,,,13.82,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,55.28,,,,,,,Percent of Total Billed Charges,,,,,13.82,,,,,,,Percent of Total Billed Charges,,,, EPINEPHRINE NASAL : 30 ML VIAL ,250,RC,,Outpatient,30,ML,798.75,639,596.67,,,,,,,Percent of Total Billed Charges,,596.67,596.67,,798.75,,,,,,,Percent of Total Billed Charges,,,,,766.8,,,,,,,Percent of Total Billed Charges,,,,,758.81,,,,,,,Percent of Total Billed Charges,,,,,159.75,,,,,,,Percent of Total Billed Charges,,,,,678.94,,,,,,,Percent of Total Billed Charges,,,,,167.74,,,,,,,Percent of Total Billed Charges,,,,,718.88,,,,,,,Percent of Total Billed Charges,,,,,718.88,,,,,,,Percent of Total Billed Charges,,,,,159.75,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,639,,,,,,,Percent of Total Billed Charges,,,,,159.75,,,,,,,Percent of Total Billed Charges,,,, AEROCHAMBER PLUS (OPTICHAMBER) ,250,RC,,Outpatient,,,167,133.6,124.75,,,,,,,Percent of Total Billed Charges,,124.75,124.75,,167,,,,,,,Percent of Total Billed Charges,,,,,160.32,,,,,,,Percent of Total Billed Charges,,,,,158.65,,,,,,,Percent of Total Billed Charges,,,,,33.4,,,,,,,Percent of Total Billed Charges,,,,,141.95,,,,,,,Percent of Total Billed Charges,,,,,35.07,,,,,,,Percent of Total Billed Charges,,,,,150.3,,,,,,,Percent of Total Billed Charges,,,,,150.3,,,,,,,Percent of Total Billed Charges,,,,,33.4,,,,,,,Percent of Total Billed Charges,,,,,46.76,,,,,,,Percent of Total Billed Charges,,,,,133.6,,,,,,,Percent of Total Billed Charges,,,,,33.4,,,,,,,Percent of Total Billed Charges,,,, *AEROZOIN AEROSOL ,250,RC,,Outpatient,,,96,76.8,71.71,,,,,,,Percent of Total Billed Charges,,71.71,71.71,,96,,,,,,,Percent of Total Billed Charges,,,,,92.16,,,,,,,Percent of Total Billed Charges,,,,,91.2,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,, BAZA PROTECT CREAM (REGULAR BAZA): 5 OZ ,250,RC,,Outpatient,,,36.55,29.24,27.3,,,,,,,Percent of Total Billed Charges,,27.3,27.3,,36.55,,,,,,,Percent of Total Billed Charges,,,,,35.09,,,,,,,Percent of Total Billed Charges,,,,,34.72,,,,,,,Percent of Total Billed Charges,,,,,7.31,,,,,,,Percent of Total Billed Charges,,,,,31.07,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,7.31,,,,,,,Percent of Total Billed Charges,,,,,10.23,,,,,,,Percent of Total Billed Charges,,,,,29.24,,,,,,,Percent of Total Billed Charges,,,,,7.31,,,,,,,Percent of Total Billed Charges,,,, OXYMETAZOLINE (AFRIN) NASAL SPRAY: 30 ML,250,RC,,Outpatient,30,ML,19.2,15.36,14.34,,,,,,,Percent of Total Billed Charges,,14.34,14.34,,19.2,,,,,,,Percent of Total Billed Charges,,,,,18.43,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,5.38,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,, EMLA CREAM : 5 GRAM TUBE ,250,RC,,Outpatient,,,37.2,29.76,27.79,,,,,,,Percent of Total Billed Charges,,27.79,27.79,,37.2,,,,,,,Percent of Total Billed Charges,,,,,35.71,,,,,,,Percent of Total Billed Charges,,,,,35.34,,,,,,,Percent of Total Billed Charges,,,,,7.44,,,,,,,Percent of Total Billed Charges,,,,,31.62,,,,,,,Percent of Total Billed Charges,,,,,7.81,,,,,,,Percent of Total Billed Charges,,,,,33.48,,,,,,,Percent of Total Billed Charges,,,,,33.48,,,,,,,Percent of Total Billed Charges,,,,,7.44,,,,,,,Percent of Total Billed Charges,,,,,10.42,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,7.44,,,,,,,Percent of Total Billed Charges,,,, *ALBUTEROL MIDI COMPLETE INHALER*** ,250,RC,,Outpatient,,,135,108,100.85,,,,,,,Percent of Total Billed Charges,,100.85,100.85,,135,,,,,,,Percent of Total Billed Charges,,,,,129.6,,,,,,,Percent of Total Billed Charges,,,,,128.25,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,114.75,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,108,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,, ALBUTEROL INH. DOSE NEBULIZER ,J7613 ,CPT,,Outpatient,,,4.75,3.8,3.55,,,,,,,Percent of Total Billed Charges,,3.55,3.55,,4.75,,,,,,,Percent of Total Billed Charges,,,,,4.56,,,,,,,Percent of Total Billed Charges,,,,,4.51,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.04,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,1.33,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,, ALCOHOL RUBBING ISOPROPYL 480 ML ,250,RC,,Outpatient,,,23.1,18.48,17.26,,,,,,,Percent of Total Billed Charges,,17.26,17.26,,23.1,,,,,,,Percent of Total Billed Charges,,,,,22.18,,,,,,,Percent of Total Billed Charges,,,,,21.95,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.64,,,,,,,Percent of Total Billed Charges,,,,,4.85,,,,,,,Percent of Total Billed Charges,,,,,20.79,,,,,,,Percent of Total Billed Charges,,,,,20.79,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,6.47,,,,,,,Percent of Total Billed Charges,,,,,18.48,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,, *AMMONIUM LACTATE 12% (LAC-HYDRIN) ** ,250,RC,,Outpatient,,,32.5,26,24.28,,,,,,,Percent of Total Billed Charges,,24.28,24.28,,32.5,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,30.88,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,27.63,,,,,,,Percent of Total Billed Charges,,,,,6.83,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,, *AMINOPHYLLINE SUPP : 500 MG *** ,250,RC,,Outpatient,500,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, *BUTORPHANOL (STADOL) NASAL SPRAY ** ,250,RC,,Outpatient,,,71,56.8,53.04,,,,,,,Percent of Total Billed Charges,,53.04,53.04,,71,,,,,,,Percent of Total Billed Charges,,,,,68.16,,,,,,,Percent of Total Billed Charges,,,,,67.45,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,60.35,,,,,,,Percent of Total Billed Charges,,,,,14.91,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,19.88,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,, AMMONIA INHALENT ASPIROLES ,250,RC,,Outpatient,,,3.35,2.68,2.5,,,,,,,Percent of Total Billed Charges,,2.5,2.5,,3.35,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,3.18,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,0.94,,,,,,,Percent of Total Billed Charges,,,,,2.68,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,, AEROCHAMBER SMALL MASK ,250,RC,,Outpatient,,,150.2,120.16,112.2,,,,,,,Percent of Total Billed Charges,,112.2,112.2,,150.2,,,,,,,Percent of Total Billed Charges,,,,,144.19,,,,,,,Percent of Total Billed Charges,,,,,142.69,,,,,,,Percent of Total Billed Charges,,,,,30.04,,,,,,,Percent of Total Billed Charges,,,,,127.67,,,,,,,Percent of Total Billed Charges,,,,,31.54,,,,,,,Percent of Total Billed Charges,,,,,135.18,,,,,,,Percent of Total Billed Charges,,,,,135.18,,,,,,,Percent of Total Billed Charges,,,,,30.04,,,,,,,Percent of Total Billed Charges,,,,,42.06,,,,,,,Percent of Total Billed Charges,,,,,120.16,,,,,,,Percent of Total Billed Charges,,,,,30.04,,,,,,,Percent of Total Billed Charges,,,, *ALUMINUM HYDROXIDE GEL : 355 ML ***** ,250,RC,,Outpatient,355,ML,33,26.4,24.65,,,,,,,Percent of Total Billed Charges,,24.65,24.65,,33,,,,,,,Percent of Total Billed Charges,,,,,31.68,,,,,,,Percent of Total Billed Charges,,,,,31.35,,,,,,,Percent of Total Billed Charges,,,,,6.6,,,,,,,Percent of Total Billed Charges,,,,,28.05,,,,,,,Percent of Total Billed Charges,,,,,6.93,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,6.6,,,,,,,Percent of Total Billed Charges,,,,,9.24,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,6.6,,,,,,,Percent of Total Billed Charges,,,, AEROCHAMBER MEDIUM MASK ,250,RC,,Outpatient,,,152.75,122.2,114.1,,,,,,,Percent of Total Billed Charges,,114.1,114.1,,152.75,,,,,,,Percent of Total Billed Charges,,,,,146.64,,,,,,,Percent of Total Billed Charges,,,,,145.11,,,,,,,Percent of Total Billed Charges,,,,,30.55,,,,,,,Percent of Total Billed Charges,,,,,129.84,,,,,,,Percent of Total Billed Charges,,,,,32.08,,,,,,,Percent of Total Billed Charges,,,,,137.48,,,,,,,Percent of Total Billed Charges,,,,,137.48,,,,,,,Percent of Total Billed Charges,,,,,30.55,,,,,,,Percent of Total Billed Charges,,,,,42.77,,,,,,,Percent of Total Billed Charges,,,,,122.2,,,,,,,Percent of Total Billed Charges,,,,,30.55,,,,,,,Percent of Total Billed Charges,,,, AMYL NITRITE INHALER ,250,RC,,Outpatient,,,3.4,2.72,2.54,,,,,,,Percent of Total Billed Charges,,2.54,2.54,,3.4,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,2.89,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,, TETRACAINE (PONTOCAINE) 0.5% 5ML OPHTH ,250,RC,,Outpatient,5,ML,94.55,75.64,70.63,,,,,,,Percent of Total Billed Charges,,70.63,70.63,,94.55,,,,,,,Percent of Total Billed Charges,,,,,90.77,,,,,,,Percent of Total Billed Charges,,,,,89.82,,,,,,,Percent of Total Billed Charges,,,,,18.91,,,,,,,Percent of Total Billed Charges,,,,,80.37,,,,,,,Percent of Total Billed Charges,,,,,19.86,,,,,,,Percent of Total Billed Charges,,,,,85.1,,,,,,,Percent of Total Billed Charges,,,,,85.1,,,,,,,Percent of Total Billed Charges,,,,,18.91,,,,,,,Percent of Total Billed Charges,,,,,26.47,,,,,,,Percent of Total Billed Charges,,,,,75.64,,,,,,,Percent of Total Billed Charges,,,,,18.91,,,,,,,Percent of Total Billed Charges,,,, AQUAPHOR OINTMENT ,250,RC,,Outpatient,,,45.9,36.72,34.29,,,,,,,Percent of Total Billed Charges,,34.29,34.29,,45.9,,,,,,,Percent of Total Billed Charges,,,,,44.06,,,,,,,Percent of Total Billed Charges,,,,,43.61,,,,,,,Percent of Total Billed Charges,,,,,9.18,,,,,,,Percent of Total Billed Charges,,,,,39.02,,,,,,,Percent of Total Billed Charges,,,,,9.64,,,,,,,Percent of Total Billed Charges,,,,,41.31,,,,,,,Percent of Total Billed Charges,,,,,41.31,,,,,,,Percent of Total Billed Charges,,,,,9.18,,,,,,,Percent of Total Billed Charges,,,,,12.85,,,,,,,Percent of Total Billed Charges,,,,,36.72,,,,,,,Percent of Total Billed Charges,,,,,9.18,,,,,,,Percent of Total Billed Charges,,,, APRACLONIDINE (IOPIDINE) OPHTH DROP 0.5%,250,RC,,Outpatient,,,148.35,118.68,110.82,,,,,,,Percent of Total Billed Charges,,110.82,110.82,,148.35,,,,,,,Percent of Total Billed Charges,,,,,142.42,,,,,,,Percent of Total Billed Charges,,,,,140.93,,,,,,,Percent of Total Billed Charges,,,,,29.67,,,,,,,Percent of Total Billed Charges,,,,,126.1,,,,,,,Percent of Total Billed Charges,,,,,31.15,,,,,,,Percent of Total Billed Charges,,,,,133.52,,,,,,,Percent of Total Billed Charges,,,,,133.52,,,,,,,Percent of Total Billed Charges,,,,,29.67,,,,,,,Percent of Total Billed Charges,,,,,41.54,,,,,,,Percent of Total Billed Charges,,,,,118.68,,,,,,,Percent of Total Billed Charges,,,,,29.67,,,,,,,Percent of Total Billed Charges,,,, LATANOPROST (XALATAN): 0.005% OPHTH DROP,250,RC,,Outpatient,,,75.7,60.56,56.55,,,,,,,Percent of Total Billed Charges,,56.55,56.55,,75.7,,,,,,,Percent of Total Billed Charges,,,,,72.67,,,,,,,Percent of Total Billed Charges,,,,,71.92,,,,,,,Percent of Total Billed Charges,,,,,15.14,,,,,,,Percent of Total Billed Charges,,,,,64.35,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,68.13,,,,,,,Percent of Total Billed Charges,,,,,68.13,,,,,,,Percent of Total Billed Charges,,,,,15.14,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,60.56,,,,,,,Percent of Total Billed Charges,,,,,15.14,,,,,,,Percent of Total Billed Charges,,,, REFRESH PLUS : UD 0.4 ML OPHTH DROPS ,250,RC,,Outpatient,0.4,ML,4.9,3.92,3.66,,,,,,,Percent of Total Billed Charges,,3.66,3.66,,4.9,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,4.66,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,4.17,,,,,,,Percent of Total Billed Charges,,,,,1.03,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,, ARTIFICIAL TEARS (DRY EYES) : 15 ML ,250,RC,,Outpatient,15,ML,35.1,28.08,26.22,,,,,,,Percent of Total Billed Charges,,26.22,26.22,,35.1,,,,,,,Percent of Total Billed Charges,,,,,33.7,,,,,,,Percent of Total Billed Charges,,,,,33.35,,,,,,,Percent of Total Billed Charges,,,,,7.02,,,,,,,Percent of Total Billed Charges,,,,,29.84,,,,,,,Percent of Total Billed Charges,,,,,7.37,,,,,,,Percent of Total Billed Charges,,,,,31.59,,,,,,,Percent of Total Billed Charges,,,,,31.59,,,,,,,Percent of Total Billed Charges,,,,,7.02,,,,,,,Percent of Total Billed Charges,,,,,9.83,,,,,,,Percent of Total Billed Charges,,,,,28.08,,,,,,,Percent of Total Billed Charges,,,,,7.02,,,,,,,Percent of Total Billed Charges,,,, *COLLAGEN POWDER (MEDIFIL II KOLLAGEN) ,250,RC,,Outpatient,,,45.9,36.72,34.29,,,,,,,Percent of Total Billed Charges,,34.29,34.29,,45.9,,,,,,,Percent of Total Billed Charges,,,,,44.06,,,,,,,Percent of Total Billed Charges,,,,,43.61,,,,,,,Percent of Total Billed Charges,,,,,9.18,,,,,,,Percent of Total Billed Charges,,,,,39.02,,,,,,,Percent of Total Billed Charges,,,,,9.64,,,,,,,Percent of Total Billed Charges,,,,,41.31,,,,,,,Percent of Total Billed Charges,,,,,41.31,,,,,,,Percent of Total Billed Charges,,,,,9.18,,,,,,,Percent of Total Billed Charges,,,,,12.85,,,,,,,Percent of Total Billed Charges,,,,,36.72,,,,,,,Percent of Total Billed Charges,,,,,9.18,,,,,,,Percent of Total Billed Charges,,,, BENGAY : 85 GRAM TUBE ,250,RC,,Outpatient,,,19.35,15.48,14.45,,,,,,,Percent of Total Billed Charges,,14.45,14.45,,19.35,,,,,,,Percent of Total Billed Charges,,,,,18.58,,,,,,,Percent of Total Billed Charges,,,,,18.38,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,16.45,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,17.42,,,,,,,Percent of Total Billed Charges,,,,,17.42,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,5.42,,,,,,,Percent of Total Billed Charges,,,,,15.48,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,, BAZA W/MICONAZOLE 5 OZ TUBE ,250,RC,,Outpatient,,,43.45,34.76,32.46,,,,,,,Percent of Total Billed Charges,,32.46,32.46,,43.45,,,,,,,Percent of Total Billed Charges,,,,,41.71,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,8.69,,,,,,,Percent of Total Billed Charges,,,,,36.93,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,39.11,,,,,,,Percent of Total Billed Charges,,,,,39.11,,,,,,,Percent of Total Billed Charges,,,,,8.69,,,,,,,Percent of Total Billed Charges,,,,,12.17,,,,,,,Percent of Total Billed Charges,,,,,34.76,,,,,,,Percent of Total Billed Charges,,,,,8.69,,,,,,,Percent of Total Billed Charges,,,, ASPIRIN SUPPOSITORY : 300 MG ,250,RC,,Outpatient,300,ME,5.35,4.28,4,,,,,,,Percent of Total Billed Charges,,4,4,,5.35,,,,,,,Percent of Total Billed Charges,,,,,5.14,,,,,,,Percent of Total Billed Charges,,,,,5.08,,,,,,,Percent of Total Billed Charges,,,,,1.07,,,,,,,Percent of Total Billed Charges,,,,,4.55,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,4.82,,,,,,,Percent of Total Billed Charges,,,,,4.82,,,,,,,Percent of Total Billed Charges,,,,,1.07,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,1.07,,,,,,,Percent of Total Billed Charges,,,, SYSTANE OPHTH SOLN 0.4%/0.3% : 5 ML ,250,RC,,Outpatient,5,ML,25.9,20.72,19.35,,,,,,,Percent of Total Billed Charges,,19.35,19.35,,25.9,,,,,,,Percent of Total Billed Charges,,,,,24.86,,,,,,,Percent of Total Billed Charges,,,,,24.61,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,22.02,,,,,,,Percent of Total Billed Charges,,,,,5.44,,,,,,,Percent of Total Billed Charges,,,,,23.31,,,,,,,Percent of Total Billed Charges,,,,,23.31,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,7.25,,,,,,,Percent of Total Billed Charges,,,,,20.72,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,, ASPIRIN SUPPOSITORY : 600 MG ,250,RC,,Outpatient,600,ME,5.35,4.28,4,,,,,,,Percent of Total Billed Charges,,4,4,,5.35,,,,,,,Percent of Total Billed Charges,,,,,5.14,,,,,,,Percent of Total Billed Charges,,,,,5.08,,,,,,,Percent of Total Billed Charges,,,,,1.07,,,,,,,Percent of Total Billed Charges,,,,,4.55,,,,,,,Percent of Total Billed Charges,,,,,1.12,,,,,,,Percent of Total Billed Charges,,,,,4.82,,,,,,,Percent of Total Billed Charges,,,,,4.82,,,,,,,Percent of Total Billed Charges,,,,,1.07,,,,,,,Percent of Total Billed Charges,,,,,1.5,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,1.07,,,,,,,Percent of Total Billed Charges,,,, IPRATROPIUM (ATROVENT) : MIDI INHALER ,250,RC,,Outpatient,,,469.85,375.88,350.98,,,,,,,Percent of Total Billed Charges,,350.98,350.98,,469.85,,,,,,,Percent of Total Billed Charges,,,,,451.06,,,,,,,Percent of Total Billed Charges,,,,,446.36,,,,,,,Percent of Total Billed Charges,,,,,93.97,,,,,,,Percent of Total Billed Charges,,,,,399.37,,,,,,,Percent of Total Billed Charges,,,,,98.67,,,,,,,Percent of Total Billed Charges,,,,,422.87,,,,,,,Percent of Total Billed Charges,,,,,422.87,,,,,,,Percent of Total Billed Charges,,,,,93.97,,,,,,,Percent of Total Billed Charges,,,,,131.56,,,,,,,Percent of Total Billed Charges,,,,,375.88,,,,,,,Percent of Total Billed Charges,,,,,93.97,,,,,,,Percent of Total Billed Charges,,,, *ALLERGEN OTIC (AURALGAN) : 15 ML ,250,RC,,Outpatient,15,ML,45.5,36.4,33.99,,,,,,,Percent of Total Billed Charges,,33.99,33.99,,45.5,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,43.23,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,38.68,,,,,,,Percent of Total Billed Charges,,,,,9.56,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,40.95,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,12.74,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,, ATROPINE 1% OPHTH DROPS : 5 ML ,250,RC,,Outpatient,5,ML,150.45,120.36,112.39,,,,,,,Percent of Total Billed Charges,,112.39,112.39,,150.45,,,,,,,Percent of Total Billed Charges,,,,,144.43,,,,,,,Percent of Total Billed Charges,,,,,142.93,,,,,,,Percent of Total Billed Charges,,,,,30.09,,,,,,,Percent of Total Billed Charges,,,,,127.88,,,,,,,Percent of Total Billed Charges,,,,,31.59,,,,,,,Percent of Total Billed Charges,,,,,135.41,,,,,,,Percent of Total Billed Charges,,,,,135.41,,,,,,,Percent of Total Billed Charges,,,,,30.09,,,,,,,Percent of Total Billed Charges,,,,,42.13,,,,,,,Percent of Total Billed Charges,,,,,120.36,,,,,,,Percent of Total Billed Charges,,,,,30.09,,,,,,,Percent of Total Billed Charges,,,, TROPICAMIDE 1% (MYDRIACYL) OPHTH: 15 ML ,250,RC,,Outpatient,15,ML,34.25,27.4,25.58,,,,,,,Percent of Total Billed Charges,,25.58,25.58,,34.25,,,,,,,Percent of Total Billed Charges,,,,,32.88,,,,,,,Percent of Total Billed Charges,,,,,32.54,,,,,,,Percent of Total Billed Charges,,,,,6.85,,,,,,,Percent of Total Billed Charges,,,,,29.11,,,,,,,Percent of Total Billed Charges,,,,,7.19,,,,,,,Percent of Total Billed Charges,,,,,30.83,,,,,,,Percent of Total Billed Charges,,,,,30.83,,,,,,,Percent of Total Billed Charges,,,,,6.85,,,,,,,Percent of Total Billed Charges,,,,,9.59,,,,,,,Percent of Total Billed Charges,,,,,27.4,,,,,,,Percent of Total Billed Charges,,,,,6.85,,,,,,,Percent of Total Billed Charges,,,, *AVITENE 0.5 GRAM FLOUR - NOT STOCKED ,250,RC,,Outpatient,,,87.65,70.12,65.47,,,,,,,Percent of Total Billed Charges,,65.47,65.47,,87.65,,,,,,,Percent of Total Billed Charges,,,,,84.14,,,,,,,Percent of Total Billed Charges,,,,,83.27,,,,,,,Percent of Total Billed Charges,,,,,17.53,,,,,,,Percent of Total Billed Charges,,,,,74.5,,,,,,,Percent of Total Billed Charges,,,,,18.41,,,,,,,Percent of Total Billed Charges,,,,,78.89,,,,,,,Percent of Total Billed Charges,,,,,78.89,,,,,,,Percent of Total Billed Charges,,,,,17.53,,,,,,,Percent of Total Billed Charges,,,,,24.54,,,,,,,Percent of Total Billed Charges,,,,,70.12,,,,,,,Percent of Total Billed Charges,,,,,17.53,,,,,,,Percent of Total Billed Charges,,,, *TRIAMCINOLONE (AZMACORT) INH COMPLETE ,250,RC,,Outpatient,,,368.5,294.8,275.27,,,,,,,Percent of Total Billed Charges,,275.27,275.27,,368.5,,,,,,,Percent of Total Billed Charges,,,,,353.76,,,,,,,Percent of Total Billed Charges,,,,,350.08,,,,,,,Percent of Total Billed Charges,,,,,73.7,,,,,,,Percent of Total Billed Charges,,,,,313.23,,,,,,,Percent of Total Billed Charges,,,,,77.39,,,,,,,Percent of Total Billed Charges,,,,,331.65,,,,,,,Percent of Total Billed Charges,,,,,331.65,,,,,,,Percent of Total Billed Charges,,,,,73.7,,,,,,,Percent of Total Billed Charges,,,,,103.18,,,,,,,Percent of Total Billed Charges,,,,,294.8,,,,,,,Percent of Total Billed Charges,,,,,73.7,,,,,,,Percent of Total Billed Charges,,,, BACITRACIN OINTMENT : 0.9 GM PACKET ,250,RC,,Outpatient,0.9,GR,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, BETAXOLOL S 0.25%(BETOPTIC S)OPHTH 2.5ML,250,RC,,Outpatient,2.5,ML,298.5,238.8,222.98,,,,,,,Percent of Total Billed Charges,,222.98,222.98,,298.5,,,,,,,Percent of Total Billed Charges,,,,,286.56,,,,,,,Percent of Total Billed Charges,,,,,283.58,,,,,,,Percent of Total Billed Charges,,,,,59.7,,,,,,,Percent of Total Billed Charges,,,,,253.73,,,,,,,Percent of Total Billed Charges,,,,,62.69,,,,,,,Percent of Total Billed Charges,,,,,268.65,,,,,,,Percent of Total Billed Charges,,,,,268.65,,,,,,,Percent of Total Billed Charges,,,,,59.7,,,,,,,Percent of Total Billed Charges,,,,,83.58,,,,,,,Percent of Total Billed Charges,,,,,238.8,,,,,,,Percent of Total Billed Charges,,,,,59.7,,,,,,,Percent of Total Billed Charges,,,, BACITRACIN OINTMENT : 1 POUND TUB ,250,RC,,Outpatient,,,75.5,60.4,56.4,,,,,,,Percent of Total Billed Charges,,56.4,56.4,,75.5,,,,,,,Percent of Total Billed Charges,,,,,72.48,,,,,,,Percent of Total Billed Charges,,,,,71.73,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,64.18,,,,,,,Percent of Total Billed Charges,,,,,15.86,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,60.4,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,, *BAG BALM : 60 GM ************ ,250,RC,,Outpatient,60,GR,29.5,23.6,22.04,,,,,,,Percent of Total Billed Charges,,22.04,22.04,,29.5,,,,,,,Percent of Total Billed Charges,,,,,28.32,,,,,,,Percent of Total Billed Charges,,,,,28.03,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,25.08,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,8.26,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,, BACITRACIN OINTMENT : 30 GM ,250,RC,,Outpatient,30,GR,26.1,20.88,19.5,,,,,,,Percent of Total Billed Charges,,19.5,19.5,,26.1,,,,,,,Percent of Total Billed Charges,,,,,25.06,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,,,22.19,,,,,,,Percent of Total Billed Charges,,,,,5.48,,,,,,,Percent of Total Billed Charges,,,,,23.49,,,,,,,Percent of Total Billed Charges,,,,,23.49,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,,,7.31,,,,,,,Percent of Total Billed Charges,,,,,20.88,,,,,,,Percent of Total Billed Charges,,,,,5.22,,,,,,,Percent of Total Billed Charges,,,, *BECONASE NASAL INH (VANCENASE) 7 GM ** ,250,RC,,Outpatient,,,81,64.8,60.51,,,,,,,Percent of Total Billed Charges,,60.51,60.51,,81,,,,,,,Percent of Total Billed Charges,,,,,77.76,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,17.01,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,, BECLOMETHASONE 40 MCG (QVAR):ORAL INH ,250,RC,,Outpatient,,,612.5,490,457.54,,,,,,,Percent of Total Billed Charges,,457.54,457.54,,612.5,,,,,,,Percent of Total Billed Charges,,,,,588,,,,,,,Percent of Total Billed Charges,,,,,581.88,,,,,,,Percent of Total Billed Charges,,,,,122.5,,,,,,,Percent of Total Billed Charges,,,,,520.63,,,,,,,Percent of Total Billed Charges,,,,,128.63,,,,,,,Percent of Total Billed Charges,,,,,551.25,,,,,,,Percent of Total Billed Charges,,,,,551.25,,,,,,,Percent of Total Billed Charges,,,,,122.5,,,,,,,Percent of Total Billed Charges,,,,,171.5,,,,,,,Percent of Total Billed Charges,,,,,490,,,,,,,Percent of Total Billed Charges,,,,,122.5,,,,,,,Percent of Total Billed Charges,,,, BECLOMETHASONE AQ INHALER ,250,RC,,Outpatient,,,200.6,160.48,149.85,,,,,,,Percent of Total Billed Charges,,149.85,149.85,,200.6,,,,,,,Percent of Total Billed Charges,,,,,192.58,,,,,,,Percent of Total Billed Charges,,,,,190.57,,,,,,,Percent of Total Billed Charges,,,,,40.12,,,,,,,Percent of Total Billed Charges,,,,,170.51,,,,,,,Percent of Total Billed Charges,,,,,42.13,,,,,,,Percent of Total Billed Charges,,,,,180.54,,,,,,,Percent of Total Billed Charges,,,,,180.54,,,,,,,Percent of Total Billed Charges,,,,,40.12,,,,,,,Percent of Total Billed Charges,,,,,56.17,,,,,,,Percent of Total Billed Charges,,,,,160.48,,,,,,,Percent of Total Billed Charges,,,,,40.12,,,,,,,Percent of Total Billed Charges,,,, TRETINOIN 0.01% GEL (RETIN-A) 45 GM TUBE,250,RC,,Outpatient,,,161.1,128.88,120.34,,,,,,,Percent of Total Billed Charges,,120.34,120.34,,161.1,,,,,,,Percent of Total Billed Charges,,,,,154.66,,,,,,,Percent of Total Billed Charges,,,,,153.05,,,,,,,Percent of Total Billed Charges,,,,,32.22,,,,,,,Percent of Total Billed Charges,,,,,136.94,,,,,,,Percent of Total Billed Charges,,,,,33.83,,,,,,,Percent of Total Billed Charges,,,,,144.99,,,,,,,Percent of Total Billed Charges,,,,,144.99,,,,,,,Percent of Total Billed Charges,,,,,32.22,,,,,,,Percent of Total Billed Charges,,,,,45.11,,,,,,,Percent of Total Billed Charges,,,,,128.88,,,,,,,Percent of Total Billed Charges,,,,,32.22,,,,,,,Percent of Total Billed Charges,,,, CLEOCIN T 1& SOLUTION 30 ML BTL ********,250,RC,,Outpatient,,,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, COMBIVENT INH 4 GM RESPIMAT (ALB/ATROV) ,250,RC,,Outpatient,,,1362.05,1089.64,1017.45,,,,,,,Percent of Total Billed Charges,,1017.45,1017.45,,1362.05,,,,,,,Percent of Total Billed Charges,,,,,1307.57,,,,,,,Percent of Total Billed Charges,,,,,1293.95,,,,,,,Percent of Total Billed Charges,,,,,272.41,,,,,,,Percent of Total Billed Charges,,,,,1157.74,,,,,,,Percent of Total Billed Charges,,,,,286.03,,,,,,,Percent of Total Billed Charges,,,,,1225.85,,,,,,,Percent of Total Billed Charges,,,,,1225.85,,,,,,,Percent of Total Billed Charges,,,,,272.41,,,,,,,Percent of Total Billed Charges,,,,,381.37,,,,,,,Percent of Total Billed Charges,,,,,1089.64,,,,,,,Percent of Total Billed Charges,,,,,272.41,,,,,,,Percent of Total Billed Charges,,,, BENZOIN TINCT SPRAY : 4.75 OZ ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, BENZOIN COMPOUND TINCTURE : 60 ML ,250,RC,,Outpatient,,,41.3,33.04,30.85,,,,,,,Percent of Total Billed Charges,,30.85,30.85,,41.3,,,,,,,Percent of Total Billed Charges,,,,,39.65,,,,,,,Percent of Total Billed Charges,,,,,39.24,,,,,,,Percent of Total Billed Charges,,,,,8.26,,,,,,,Percent of Total Billed Charges,,,,,35.11,,,,,,,Percent of Total Billed Charges,,,,,8.67,,,,,,,Percent of Total Billed Charges,,,,,37.17,,,,,,,Percent of Total Billed Charges,,,,,37.17,,,,,,,Percent of Total Billed Charges,,,,,8.26,,,,,,,Percent of Total Billed Charges,,,,,11.56,,,,,,,Percent of Total Billed Charges,,,,,33.04,,,,,,,Percent of Total Billed Charges,,,,,8.26,,,,,,,Percent of Total Billed Charges,,,, BETAXOLOL 0.5%(BETOPTIC) OPTH DROP: 5 ML,250,RC,,Outpatient,,,141.25,113,105.51,,,,,,,Percent of Total Billed Charges,,105.51,105.51,,141.25,,,,,,,Percent of Total Billed Charges,,,,,135.6,,,,,,,Percent of Total Billed Charges,,,,,134.19,,,,,,,Percent of Total Billed Charges,,,,,28.25,,,,,,,Percent of Total Billed Charges,,,,,120.06,,,,,,,Percent of Total Billed Charges,,,,,29.66,,,,,,,Percent of Total Billed Charges,,,,,127.13,,,,,,,Percent of Total Billed Charges,,,,,127.13,,,,,,,Percent of Total Billed Charges,,,,,28.25,,,,,,,Percent of Total Billed Charges,,,,,39.55,,,,,,,Percent of Total Billed Charges,,,,,113,,,,,,,Percent of Total Billed Charges,,,,,28.25,,,,,,,Percent of Total Billed Charges,,,, BISACODYL (DULCOLAX) SUPP : 10 MG ,250,RC,,Outpatient,,,2.6,2.08,1.94,,,,,,,Percent of Total Billed Charges,,1.94,1.94,,2.6,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.47,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,2.21,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,2.34,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,,,0.73,,,,,,,Percent of Total Billed Charges,,,,,2.08,,,,,,,Percent of Total Billed Charges,,,,,0.52,,,,,,,Percent of Total Billed Charges,,,, CAPSAICIN (TRIXAICIN) CREAM : 60 GM ,250,RC,,Outpatient,60,GR,23.1,18.48,17.26,,,,,,,Percent of Total Billed Charges,,17.26,17.26,,23.1,,,,,,,Percent of Total Billed Charges,,,,,22.18,,,,,,,Percent of Total Billed Charges,,,,,21.95,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.64,,,,,,,Percent of Total Billed Charges,,,,,4.85,,,,,,,Percent of Total Billed Charges,,,,,20.79,,,,,,,Percent of Total Billed Charges,,,,,20.79,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,6.47,,,,,,,Percent of Total Billed Charges,,,,,18.48,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,, *BSS SOLUTION 15 ML********** ,250,RC,,Outpatient,15,ML,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, TOBRADEX (TOBRAMYCIN/DEX) OPHTH SOLN ,250,RC,,Outpatient,,,49.5,39.6,36.98,,,,,,,Percent of Total Billed Charges,,36.98,36.98,,49.5,,,,,,,Percent of Total Billed Charges,,,,,47.52,,,,,,,Percent of Total Billed Charges,,,,,47.03,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,42.08,,,,,,,Percent of Total Billed Charges,,,,,10.4,,,,,,,Percent of Total Billed Charges,,,,,44.55,,,,,,,Percent of Total Billed Charges,,,,,44.55,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,13.86,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,, CALAMINE LOTION ,250,RC,,Outpatient,,,17.15,13.72,12.81,,,,,,,Percent of Total Billed Charges,,12.81,12.81,,17.15,,,,,,,Percent of Total Billed Charges,,,,,16.46,,,,,,,Percent of Total Billed Charges,,,,,16.29,,,,,,,Percent of Total Billed Charges,,,,,3.43,,,,,,,Percent of Total Billed Charges,,,,,14.58,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,3.43,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,13.72,,,,,,,Percent of Total Billed Charges,,,,,3.43,,,,,,,Percent of Total Billed Charges,,,, TOBRAMYCIN 0.3% OPHTH DROPS 5ML (TOBREX),250,RC,,Outpatient,,,29.4,23.52,21.96,,,,,,,Percent of Total Billed Charges,,21.96,21.96,,29.4,,,,,,,Percent of Total Billed Charges,,,,,28.22,,,,,,,Percent of Total Billed Charges,,,,,27.93,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,24.99,,,,,,,Percent of Total Billed Charges,,,,,6.17,,,,,,,Percent of Total Billed Charges,,,,,26.46,,,,,,,Percent of Total Billed Charges,,,,,26.46,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,8.23,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,, CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5 ML,250,RC,,Outpatient,2.5,ML,28.7,22.96,21.44,,,,,,,Percent of Total Billed Charges,,21.44,21.44,,28.7,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,27.27,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,,,6.03,,,,,,,Percent of Total Billed Charges,,,,,25.83,,,,,,,Percent of Total Billed Charges,,,,,25.83,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,8.04,,,,,,,Percent of Total Billed Charges,,,,,22.96,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,, CETACAINE SPRAY TOPICAL DOSE ,250,RC,,Outpatient,,,251.3,201.04,187.72,,,,,,,Percent of Total Billed Charges,,187.72,187.72,,251.3,,,,,,,Percent of Total Billed Charges,,,,,241.25,,,,,,,Percent of Total Billed Charges,,,,,238.74,,,,,,,Percent of Total Billed Charges,,,,,50.26,,,,,,,Percent of Total Billed Charges,,,,,213.61,,,,,,,Percent of Total Billed Charges,,,,,52.77,,,,,,,Percent of Total Billed Charges,,,,,226.17,,,,,,,Percent of Total Billed Charges,,,,,226.17,,,,,,,Percent of Total Billed Charges,,,,,50.26,,,,,,,Percent of Total Billed Charges,,,,,70.36,,,,,,,Percent of Total Billed Charges,,,,,201.04,,,,,,,Percent of Total Billed Charges,,,,,50.26,,,,,,,Percent of Total Billed Charges,,,, OFLOXACIN (OCUFLOX) OPHTH SOLN 5ML 0.3% ,250,RC,,Outpatient,5,ML,59.75,47.8,44.63,,,,,,,Percent of Total Billed Charges,,44.63,44.63,,59.75,,,,,,,Percent of Total Billed Charges,,,,,57.36,,,,,,,Percent of Total Billed Charges,,,,,56.76,,,,,,,Percent of Total Billed Charges,,,,,11.95,,,,,,,Percent of Total Billed Charges,,,,,50.79,,,,,,,Percent of Total Billed Charges,,,,,12.55,,,,,,,Percent of Total Billed Charges,,,,,53.78,,,,,,,Percent of Total Billed Charges,,,,,53.78,,,,,,,Percent of Total Billed Charges,,,,,11.95,,,,,,,Percent of Total Billed Charges,,,,,16.73,,,,,,,Percent of Total Billed Charges,,,,,47.8,,,,,,,Percent of Total Billed Charges,,,,,11.95,,,,,,,Percent of Total Billed Charges,,,, CLONIDINE (CATAPRES) PATCH TTS 2 ,250,RC,,Outpatient,,,38.9,31.12,29.06,,,,,,,Percent of Total Billed Charges,,29.06,29.06,,38.9,,,,,,,Percent of Total Billed Charges,,,,,37.34,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,7.78,,,,,,,Percent of Total Billed Charges,,,,,33.07,,,,,,,Percent of Total Billed Charges,,,,,8.17,,,,,,,Percent of Total Billed Charges,,,,,35.01,,,,,,,Percent of Total Billed Charges,,,,,35.01,,,,,,,Percent of Total Billed Charges,,,,,7.78,,,,,,,Percent of Total Billed Charges,,,,,10.89,,,,,,,Percent of Total Billed Charges,,,,,31.12,,,,,,,Percent of Total Billed Charges,,,,,7.78,,,,,,,Percent of Total Billed Charges,,,, BUDESONIDE (PULMICORT) NEB: 0.5 MG/2ML ,J7626 ,CPT,,Outpatient,,,23.85,19.08,17.82,,,,,,,Percent of Total Billed Charges,,17.82,17.82,,23.85,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,,,22.66,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,5.01,,,,,,,Percent of Total Billed Charges,,,,,21.47,,,,,,,Percent of Total Billed Charges,,,,,21.47,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,,,6.68,,,,,,,Percent of Total Billed Charges,,,,,19.08,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,, PHENOL SPRAY (CHLORASEPTIC) : 6 OZ ,250,RC,,Outpatient,,,20.95,16.76,15.65,,,,,,,Percent of Total Billed Charges,,15.65,15.65,,20.95,,,,,,,Percent of Total Billed Charges,,,,,20.11,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,4.19,,,,,,,Percent of Total Billed Charges,,,,,17.81,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.86,,,,,,,Percent of Total Billed Charges,,,,,18.86,,,,,,,Percent of Total Billed Charges,,,,,4.19,,,,,,,Percent of Total Billed Charges,,,,,5.87,,,,,,,Percent of Total Billed Charges,,,,,16.76,,,,,,,Percent of Total Billed Charges,,,,,4.19,,,,,,,Percent of Total Billed Charges,,,, ALBUTEROL HFA MIDI COMPLETE INH 60 DOSE ,250,RC,,Outpatient,,,78.55,62.84,58.68,,,,,,,Percent of Total Billed Charges,,58.68,58.68,,78.55,,,,,,,Percent of Total Billed Charges,,,,,75.41,,,,,,,Percent of Total Billed Charges,,,,,74.62,,,,,,,Percent of Total Billed Charges,,,,,15.71,,,,,,,Percent of Total Billed Charges,,,,,66.77,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.7,,,,,,,Percent of Total Billed Charges,,,,,70.7,,,,,,,Percent of Total Billed Charges,,,,,15.71,,,,,,,Percent of Total Billed Charges,,,,,21.99,,,,,,,Percent of Total Billed Charges,,,,,62.84,,,,,,,Percent of Total Billed Charges,,,,,15.71,,,,,,,Percent of Total Billed Charges,,,, CLONIDINE (CATAPRES) PATCH TTS 1 ,250,RC,,Outpatient,,,50.55,40.44,37.76,,,,,,,Percent of Total Billed Charges,,37.76,37.76,,50.55,,,,,,,Percent of Total Billed Charges,,,,,48.53,,,,,,,Percent of Total Billed Charges,,,,,48.02,,,,,,,Percent of Total Billed Charges,,,,,10.11,,,,,,,Percent of Total Billed Charges,,,,,42.97,,,,,,,Percent of Total Billed Charges,,,,,10.62,,,,,,,Percent of Total Billed Charges,,,,,45.5,,,,,,,Percent of Total Billed Charges,,,,,45.5,,,,,,,Percent of Total Billed Charges,,,,,10.11,,,,,,,Percent of Total Billed Charges,,,,,14.15,,,,,,,Percent of Total Billed Charges,,,,,40.44,,,,,,,Percent of Total Billed Charges,,,,,10.11,,,,,,,Percent of Total Billed Charges,,,, *CERUMENEX OTIC DROPS : 6 ML ,250,RC,,Outpatient,60,ML,66.6,53.28,49.75,,,,,,,Percent of Total Billed Charges,,49.75,49.75,,66.6,,,,,,,Percent of Total Billed Charges,,,,,63.94,,,,,,,Percent of Total Billed Charges,,,,,63.27,,,,,,,Percent of Total Billed Charges,,,,,13.32,,,,,,,Percent of Total Billed Charges,,,,,56.61,,,,,,,Percent of Total Billed Charges,,,,,13.99,,,,,,,Percent of Total Billed Charges,,,,,59.94,,,,,,,Percent of Total Billed Charges,,,,,59.94,,,,,,,Percent of Total Billed Charges,,,,,13.32,,,,,,,Percent of Total Billed Charges,,,,,18.65,,,,,,,Percent of Total Billed Charges,,,,,53.28,,,,,,,Percent of Total Billed Charges,,,,,13.32,,,,,,,Percent of Total Billed Charges,,,, CIPROFLOXACIN (CILOXAN) OPTH OINTMENT ,250,RC,,Outpatient,,,145.7,116.56,108.84,,,,,,,Percent of Total Billed Charges,,108.84,108.84,,145.7,,,,,,,Percent of Total Billed Charges,,,,,139.87,,,,,,,Percent of Total Billed Charges,,,,,138.42,,,,,,,Percent of Total Billed Charges,,,,,29.14,,,,,,,Percent of Total Billed Charges,,,,,123.85,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,131.13,,,,,,,Percent of Total Billed Charges,,,,,131.13,,,,,,,Percent of Total Billed Charges,,,,,29.14,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,116.56,,,,,,,Percent of Total Billed Charges,,,,,29.14,,,,,,,Percent of Total Billed Charges,,,, COLLAGENASE (SANTYL) OINT: 30 GRAM ,250,RC,,Outpatient,30,GR,784.8,627.84,586.25,,,,,,,Percent of Total Billed Charges,,586.25,586.25,,784.8,,,,,,,Percent of Total Billed Charges,,,,,753.41,,,,,,,Percent of Total Billed Charges,,,,,745.56,,,,,,,Percent of Total Billed Charges,,,,,156.96,,,,,,,Percent of Total Billed Charges,,,,,667.08,,,,,,,Percent of Total Billed Charges,,,,,164.81,,,,,,,Percent of Total Billed Charges,,,,,706.32,,,,,,,Percent of Total Billed Charges,,,,,706.32,,,,,,,Percent of Total Billed Charges,,,,,156.96,,,,,,,Percent of Total Billed Charges,,,,,219.74,,,,,,,Percent of Total Billed Charges,,,,,627.84,,,,,,,Percent of Total Billed Charges,,,,,156.96,,,,,,,Percent of Total Billed Charges,,,, CLOTRIMAZOLE CREAM: 45 GM ,250,RC,,Outpatient,45,GR,26.85,21.48,20.06,,,,,,,Percent of Total Billed Charges,,20.06,20.06,,26.85,,,,,,,Percent of Total Billed Charges,,,,,25.78,,,,,,,Percent of Total Billed Charges,,,,,25.51,,,,,,,Percent of Total Billed Charges,,,,,5.37,,,,,,,Percent of Total Billed Charges,,,,,22.82,,,,,,,Percent of Total Billed Charges,,,,,5.64,,,,,,,Percent of Total Billed Charges,,,,,24.17,,,,,,,Percent of Total Billed Charges,,,,,24.17,,,,,,,Percent of Total Billed Charges,,,,,5.37,,,,,,,Percent of Total Billed Charges,,,,,7.52,,,,,,,Percent of Total Billed Charges,,,,,21.48,,,,,,,Percent of Total Billed Charges,,,,,5.37,,,,,,,Percent of Total Billed Charges,,,, DIAZEPAM RECTAL GEL : 10 MG (DIASTAT) ,250,RC,,Outpatient,10,ME,490.35,392.28,366.29,,,,,,,Percent of Total Billed Charges,,366.29,366.29,,490.35,,,,,,,Percent of Total Billed Charges,,,,,470.74,,,,,,,Percent of Total Billed Charges,,,,,465.83,,,,,,,Percent of Total Billed Charges,,,,,98.07,,,,,,,Percent of Total Billed Charges,,,,,416.8,,,,,,,Percent of Total Billed Charges,,,,,102.97,,,,,,,Percent of Total Billed Charges,,,,,441.32,,,,,,,Percent of Total Billed Charges,,,,,441.32,,,,,,,Percent of Total Billed Charges,,,,,98.07,,,,,,,Percent of Total Billed Charges,,,,,137.3,,,,,,,Percent of Total Billed Charges,,,,,392.28,,,,,,,Percent of Total Billed Charges,,,,,98.07,,,,,,,Percent of Total Billed Charges,,,, CORTISPORIN OTIC SUSPENSION ,250,RC,,Outpatient,,,204.9,163.92,153.06,,,,,,,Percent of Total Billed Charges,,153.06,153.06,,204.9,,,,,,,Percent of Total Billed Charges,,,,,196.7,,,,,,,Percent of Total Billed Charges,,,,,194.66,,,,,,,Percent of Total Billed Charges,,,,,40.98,,,,,,,Percent of Total Billed Charges,,,,,174.17,,,,,,,Percent of Total Billed Charges,,,,,43.03,,,,,,,Percent of Total Billed Charges,,,,,184.41,,,,,,,Percent of Total Billed Charges,,,,,184.41,,,,,,,Percent of Total Billed Charges,,,,,40.98,,,,,,,Percent of Total Billed Charges,,,,,57.37,,,,,,,Percent of Total Billed Charges,,,,,163.92,,,,,,,Percent of Total Billed Charges,,,,,40.98,,,,,,,Percent of Total Billed Charges,,,, BENZOCAINE 20% ORAJEL 7 GM TUBE ,250,RC,,Outpatient,,,29.7,23.76,22.19,,,,,,,Percent of Total Billed Charges,,22.19,22.19,,29.7,,,,,,,Percent of Total Billed Charges,,,,,28.51,,,,,,,Percent of Total Billed Charges,,,,,28.22,,,,,,,Percent of Total Billed Charges,,,,,5.94,,,,,,,Percent of Total Billed Charges,,,,,25.25,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,26.73,,,,,,,Percent of Total Billed Charges,,,,,26.73,,,,,,,Percent of Total Billed Charges,,,,,5.94,,,,,,,Percent of Total Billed Charges,,,,,8.32,,,,,,,Percent of Total Billed Charges,,,,,23.76,,,,,,,Percent of Total Billed Charges,,,,,5.94,,,,,,,Percent of Total Billed Charges,,,, *DIPIVEFRIN (PROPINE) EYE DROPS ,250,RC,,Outpatient,,,48.5,38.8,36.23,,,,,,,Percent of Total Billed Charges,,36.23,36.23,,48.5,,,,,,,Percent of Total Billed Charges,,,,,46.56,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,41.23,,,,,,,Percent of Total Billed Charges,,,,,10.19,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,13.58,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,, ESTRADIOL PATCH (CLIMARA) : 0.1 MG /DAY ,250,RC,,Outpatient,0.1,ME,44.85,35.88,33.5,,,,,,,Percent of Total Billed Charges,,33.5,33.5,,44.85,,,,,,,Percent of Total Billed Charges,,,,,43.06,,,,,,,Percent of Total Billed Charges,,,,,42.61,,,,,,,Percent of Total Billed Charges,,,,,8.97,,,,,,,Percent of Total Billed Charges,,,,,38.12,,,,,,,Percent of Total Billed Charges,,,,,9.42,,,,,,,Percent of Total Billed Charges,,,,,40.37,,,,,,,Percent of Total Billed Charges,,,,,40.37,,,,,,,Percent of Total Billed Charges,,,,,8.97,,,,,,,Percent of Total Billed Charges,,,,,12.56,,,,,,,Percent of Total Billed Charges,,,,,35.88,,,,,,,Percent of Total Billed Charges,,,,,8.97,,,,,,,Percent of Total Billed Charges,,,, ESTRADIOL PATCH (CLIMARA) : 0.05 MG/DAY ,250,RC,,Outpatient,0.05,ME,32.45,25.96,24.24,,,,,,,Percent of Total Billed Charges,,24.24,24.24,,32.45,,,,,,,Percent of Total Billed Charges,,,,,31.15,,,,,,,Percent of Total Billed Charges,,,,,30.83,,,,,,,Percent of Total Billed Charges,,,,,6.49,,,,,,,Percent of Total Billed Charges,,,,,27.58,,,,,,,Percent of Total Billed Charges,,,,,6.81,,,,,,,Percent of Total Billed Charges,,,,,29.21,,,,,,,Percent of Total Billed Charges,,,,,29.21,,,,,,,Percent of Total Billed Charges,,,,,6.49,,,,,,,Percent of Total Billed Charges,,,,,9.09,,,,,,,Percent of Total Billed Charges,,,,,25.96,,,,,,,Percent of Total Billed Charges,,,,,6.49,,,,,,,Percent of Total Billed Charges,,,, LEVALBUTEROL (XOPONEX) INH : 1.25 MG/3ML,J7614 ,CPT,,Outpatient,,,6.65,5.32,4.97,,,,,,,Percent of Total Billed Charges,,4.97,4.97,,6.65,,,,,,,Percent of Total Billed Charges,,,,,6.38,,,,,,,Percent of Total Billed Charges,,,,,6.32,,,,,,,Percent of Total Billed Charges,,,,,1.33,,,,,,,Percent of Total Billed Charges,,,,,5.65,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,5.99,,,,,,,Percent of Total Billed Charges,,,,,5.99,,,,,,,Percent of Total Billed Charges,,,,,1.33,,,,,,,Percent of Total Billed Charges,,,,,1.86,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,1.33,,,,,,,Percent of Total Billed Charges,,,, MESALAMINE (ROWASA) ENEMA : 4 GRAM ,250,RC,,Outpatient,4,GR,47,37.6,35.11,,,,,,,Percent of Total Billed Charges,,35.11,35.11,,47,,,,,,,Percent of Total Billed Charges,,,,,45.12,,,,,,,Percent of Total Billed Charges,,,,,44.65,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,39.95,,,,,,,Percent of Total Billed Charges,,,,,9.87,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,13.16,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,, DAKIN'S SOLUTION HALF STRENGTH 0.25% ,250,RC,,Outpatient,,,47.55,38.04,35.52,,,,,,,Percent of Total Billed Charges,,35.52,35.52,,47.55,,,,,,,Percent of Total Billed Charges,,,,,45.65,,,,,,,Percent of Total Billed Charges,,,,,45.17,,,,,,,Percent of Total Billed Charges,,,,,9.51,,,,,,,Percent of Total Billed Charges,,,,,40.42,,,,,,,Percent of Total Billed Charges,,,,,9.99,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,,,9.51,,,,,,,Percent of Total Billed Charges,,,,,13.31,,,,,,,Percent of Total Billed Charges,,,,,38.04,,,,,,,Percent of Total Billed Charges,,,,,9.51,,,,,,,Percent of Total Billed Charges,,,, *INTAL INHALER********* ,250,RC,,Outpatient,,,49,39.2,36.6,,,,,,,Percent of Total Billed Charges,,36.6,36.6,,49,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,46.55,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,41.65,,,,,,,Percent of Total Billed Charges,,,,,10.29,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,13.72,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,, CORTISPORIN OPHTH OINT ,250,RC,,Outpatient,,,66.45,53.16,49.64,,,,,,,Percent of Total Billed Charges,,49.64,49.64,,66.45,,,,,,,Percent of Total Billed Charges,,,,,63.79,,,,,,,Percent of Total Billed Charges,,,,,63.13,,,,,,,Percent of Total Billed Charges,,,,,13.29,,,,,,,Percent of Total Billed Charges,,,,,56.48,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,59.81,,,,,,,Percent of Total Billed Charges,,,,,59.81,,,,,,,Percent of Total Billed Charges,,,,,13.29,,,,,,,Percent of Total Billed Charges,,,,,18.61,,,,,,,Percent of Total Billed Charges,,,,,53.16,,,,,,,Percent of Total Billed Charges,,,,,13.29,,,,,,,Percent of Total Billed Charges,,,, CORTISPORIN OPHTH SUSP ,250,RC,,Outpatient,,,484,387.2,361.55,,,,,,,Percent of Total Billed Charges,,361.55,361.55,,484,,,,,,,Percent of Total Billed Charges,,,,,464.64,,,,,,,Percent of Total Billed Charges,,,,,459.8,,,,,,,Percent of Total Billed Charges,,,,,96.8,,,,,,,Percent of Total Billed Charges,,,,,411.4,,,,,,,Percent of Total Billed Charges,,,,,101.64,,,,,,,Percent of Total Billed Charges,,,,,435.6,,,,,,,Percent of Total Billed Charges,,,,,435.6,,,,,,,Percent of Total Billed Charges,,,,,96.8,,,,,,,Percent of Total Billed Charges,,,,,135.52,,,,,,,Percent of Total Billed Charges,,,,,387.2,,,,,,,Percent of Total Billed Charges,,,,,96.8,,,,,,,Percent of Total Billed Charges,,,, CORTISPORIN OTIC SOLUTION ,250,RC,,Outpatient,,,193.35,154.68,144.43,,,,,,,Percent of Total Billed Charges,,144.43,144.43,,193.35,,,,,,,Percent of Total Billed Charges,,,,,185.62,,,,,,,Percent of Total Billed Charges,,,,,183.68,,,,,,,Percent of Total Billed Charges,,,,,38.67,,,,,,,Percent of Total Billed Charges,,,,,164.35,,,,,,,Percent of Total Billed Charges,,,,,40.6,,,,,,,Percent of Total Billed Charges,,,,,174.02,,,,,,,Percent of Total Billed Charges,,,,,174.02,,,,,,,Percent of Total Billed Charges,,,,,38.67,,,,,,,Percent of Total Billed Charges,,,,,54.14,,,,,,,Percent of Total Billed Charges,,,,,154.68,,,,,,,Percent of Total Billed Charges,,,,,38.67,,,,,,,Percent of Total Billed Charges,,,, CYCLOPENTOLATE(CYCLOGYL) 1% OPHTH SOLN ,250,RC,,Outpatient,,,204.05,163.24,152.43,,,,,,,Percent of Total Billed Charges,,152.43,152.43,,204.05,,,,,,,Percent of Total Billed Charges,,,,,195.89,,,,,,,Percent of Total Billed Charges,,,,,193.85,,,,,,,Percent of Total Billed Charges,,,,,40.81,,,,,,,Percent of Total Billed Charges,,,,,173.44,,,,,,,Percent of Total Billed Charges,,,,,42.85,,,,,,,Percent of Total Billed Charges,,,,,183.65,,,,,,,Percent of Total Billed Charges,,,,,183.65,,,,,,,Percent of Total Billed Charges,,,,,40.81,,,,,,,Percent of Total Billed Charges,,,,,57.13,,,,,,,Percent of Total Billed Charges,,,,,163.24,,,,,,,Percent of Total Billed Charges,,,,,40.81,,,,,,,Percent of Total Billed Charges,,,, CYCLOPENTOLATE (CYCLOGEL) 0.5% : 15 ML ,250,RC,,Outpatient,15,ML,251,200.8,187.5,,,,,,,Percent of Total Billed Charges,,187.5,187.5,,251,,,,,,,Percent of Total Billed Charges,,,,,240.96,,,,,,,Percent of Total Billed Charges,,,,,238.45,,,,,,,Percent of Total Billed Charges,,,,,50.2,,,,,,,Percent of Total Billed Charges,,,,,213.35,,,,,,,Percent of Total Billed Charges,,,,,52.71,,,,,,,Percent of Total Billed Charges,,,,,225.9,,,,,,,Percent of Total Billed Charges,,,,,225.9,,,,,,,Percent of Total Billed Charges,,,,,50.2,,,,,,,Percent of Total Billed Charges,,,,,70.28,,,,,,,Percent of Total Billed Charges,,,,,200.8,,,,,,,Percent of Total Billed Charges,,,,,50.2,,,,,,,Percent of Total Billed Charges,,,, DAKIN'S SOLUTION QUARTER STRENGTH 0.125%,250,RC,,Outpatient,,,64.75,51.8,48.37,,,,,,,Percent of Total Billed Charges,,48.37,48.37,,64.75,,,,,,,Percent of Total Billed Charges,,,,,62.16,,,,,,,Percent of Total Billed Charges,,,,,61.51,,,,,,,Percent of Total Billed Charges,,,,,12.95,,,,,,,Percent of Total Billed Charges,,,,,55.04,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,58.28,,,,,,,Percent of Total Billed Charges,,,,,58.28,,,,,,,Percent of Total Billed Charges,,,,,12.95,,,,,,,Percent of Total Billed Charges,,,,,18.13,,,,,,,Percent of Total Billed Charges,,,,,51.8,,,,,,,Percent of Total Billed Charges,,,,,12.95,,,,,,,Percent of Total Billed Charges,,,, DICLOFENAC (VOLTAREN) 0.1% 2.5 ML OPHTH ,250,RC,,Outpatient,2.5,ML,50.25,40.2,37.54,,,,,,,Percent of Total Billed Charges,,37.54,37.54,,50.25,,,,,,,Percent of Total Billed Charges,,,,,48.24,,,,,,,Percent of Total Billed Charges,,,,,47.74,,,,,,,Percent of Total Billed Charges,,,,,10.05,,,,,,,Percent of Total Billed Charges,,,,,42.71,,,,,,,Percent of Total Billed Charges,,,,,10.55,,,,,,,Percent of Total Billed Charges,,,,,45.23,,,,,,,Percent of Total Billed Charges,,,,,45.23,,,,,,,Percent of Total Billed Charges,,,,,10.05,,,,,,,Percent of Total Billed Charges,,,,,14.07,,,,,,,Percent of Total Billed Charges,,,,,40.2,,,,,,,Percent of Total Billed Charges,,,,,10.05,,,,,,,Percent of Total Billed Charges,,,, *METRONIDAZOLE VAG CR 70 GM **** ,250,RC,,Outpatient,,,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, CARBAMIDE PEROXIDE 15 ML DROPS OTIC ,250,RC,,Outpatient,,,19.2,15.36,14.34,,,,,,,Percent of Total Billed Charges,,14.34,14.34,,19.2,,,,,,,Percent of Total Billed Charges,,,,,18.43,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,5.38,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,, DEXAMETHASONE (DECADRON) OPHTH 0.1% 5 ML,250,RC,,Outpatient,5,ML,229.85,183.88,171.7,,,,,,,Percent of Total Billed Charges,,171.7,171.7,,229.85,,,,,,,Percent of Total Billed Charges,,,,,220.66,,,,,,,Percent of Total Billed Charges,,,,,218.36,,,,,,,Percent of Total Billed Charges,,,,,45.97,,,,,,,Percent of Total Billed Charges,,,,,195.37,,,,,,,Percent of Total Billed Charges,,,,,48.27,,,,,,,Percent of Total Billed Charges,,,,,206.87,,,,,,,Percent of Total Billed Charges,,,,,206.87,,,,,,,Percent of Total Billed Charges,,,,,45.97,,,,,,,Percent of Total Billed Charges,,,,,64.36,,,,,,,Percent of Total Billed Charges,,,,,183.88,,,,,,,Percent of Total Billed Charges,,,,,45.97,,,,,,,Percent of Total Billed Charges,,,, DIGOXIN LIQ (LANOXIN): 0.25MG/5ML 60 ML ,250,RC,,Outpatient,60,ML,397.1,317.68,296.63,,,,,,,Percent of Total Billed Charges,,296.63,296.63,,397.1,,,,,,,Percent of Total Billed Charges,,,,,381.22,,,,,,,Percent of Total Billed Charges,,,,,377.25,,,,,,,Percent of Total Billed Charges,,,,,79.42,,,,,,,Percent of Total Billed Charges,,,,,337.54,,,,,,,Percent of Total Billed Charges,,,,,83.39,,,,,,,Percent of Total Billed Charges,,,,,357.39,,,,,,,Percent of Total Billed Charges,,,,,357.39,,,,,,,Percent of Total Billed Charges,,,,,79.42,,,,,,,Percent of Total Billed Charges,,,,,111.19,,,,,,,Percent of Total Billed Charges,,,,,317.68,,,,,,,Percent of Total Billed Charges,,,,,79.42,,,,,,,Percent of Total Billed Charges,,,, DRYSOL SOLUTION : 37.5 ML ,250,RC,,Outpatient,37.5,ML,39.35,31.48,29.39,,,,,,,Percent of Total Billed Charges,,29.39,29.39,,39.35,,,,,,,Percent of Total Billed Charges,,,,,37.78,,,,,,,Percent of Total Billed Charges,,,,,37.38,,,,,,,Percent of Total Billed Charges,,,,,7.87,,,,,,,Percent of Total Billed Charges,,,,,33.45,,,,,,,Percent of Total Billed Charges,,,,,8.26,,,,,,,Percent of Total Billed Charges,,,,,35.42,,,,,,,Percent of Total Billed Charges,,,,,35.42,,,,,,,Percent of Total Billed Charges,,,,,7.87,,,,,,,Percent of Total Billed Charges,,,,,11.02,,,,,,,Percent of Total Billed Charges,,,,,31.48,,,,,,,Percent of Total Billed Charges,,,,,7.87,,,,,,,Percent of Total Billed Charges,,,, PHENYTOIN (DILANTIN) SUSP: 125 /5 - 8 OZ,250,RC,,Outpatient,,,642.2,513.76,479.72,,,,,,,Percent of Total Billed Charges,,479.72,479.72,,642.2,,,,,,,Percent of Total Billed Charges,,,,,616.51,,,,,,,Percent of Total Billed Charges,,,,,610.09,,,,,,,Percent of Total Billed Charges,,,,,128.44,,,,,,,Percent of Total Billed Charges,,,,,545.87,,,,,,,Percent of Total Billed Charges,,,,,134.86,,,,,,,Percent of Total Billed Charges,,,,,577.98,,,,,,,Percent of Total Billed Charges,,,,,577.98,,,,,,,Percent of Total Billed Charges,,,,,128.44,,,,,,,Percent of Total Billed Charges,,,,,179.82,,,,,,,Percent of Total Billed Charges,,,,,513.76,,,,,,,Percent of Total Billed Charges,,,,,128.44,,,,,,,Percent of Total Billed Charges,,,, *DIPROLENE CR 45 GR ******** ,250,RC,,Outpatient,,,50,40,37.35,,,,,,,Percent of Total Billed Charges,,37.35,37.35,,50,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,, *DIMETAPP LIQ 120 ML ,250,RC,,Outpatient,120,ML,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, POLYTRIM OPHTH SOLN (TMP/POLYMYXIN):10ML,250,RC,,Outpatient,,,27.95,22.36,20.88,,,,,,,Percent of Total Billed Charges,,20.88,20.88,,27.95,,,,,,,Percent of Total Billed Charges,,,,,26.83,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,5.59,,,,,,,Percent of Total Billed Charges,,,,,23.76,,,,,,,Percent of Total Billed Charges,,,,,5.87,,,,,,,Percent of Total Billed Charges,,,,,25.16,,,,,,,Percent of Total Billed Charges,,,,,25.16,,,,,,,Percent of Total Billed Charges,,,,,5.59,,,,,,,Percent of Total Billed Charges,,,,,7.83,,,,,,,Percent of Total Billed Charges,,,,,22.36,,,,,,,Percent of Total Billed Charges,,,,,5.59,,,,,,,Percent of Total Billed Charges,,,, *DIPHENHYDRAMINE LIQ: 120 ML***** ,250,RC,,Outpatient,120,ML,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, *APLIGRAF: 1 UNIT ,250,RC,,Outpatient,1,UN,2856,2284.8,2133.43,,,,,,,Percent of Total Billed Charges,,2133.43,2133.43,,2856,,,,,,,Percent of Total Billed Charges,,,,,2741.76,,,,,,,Percent of Total Billed Charges,,,,,2713.2,,,,,,,Percent of Total Billed Charges,,,,,571.2,,,,,,,Percent of Total Billed Charges,,,,,2427.6,,,,,,,Percent of Total Billed Charges,,,,,599.76,,,,,,,Percent of Total Billed Charges,,,,,2570.4,,,,,,,Percent of Total Billed Charges,,,,,2570.4,,,,,,,Percent of Total Billed Charges,,,,,571.2,,,,,,,Percent of Total Billed Charges,,,,,799.68,,,,,,,Percent of Total Billed Charges,,,,,2284.8,,,,,,,Percent of Total Billed Charges,,,,,571.2,,,,,,,Percent of Total Billed Charges,,,, *COLLAGAGE SANTYL OINT: 15 GRAM ,250,RC,,Outpatient,15,GR,154.5,123.6,115.41,,,,,,,Percent of Total Billed Charges,,115.41,115.41,,154.5,,,,,,,Percent of Total Billed Charges,,,,,148.32,,,,,,,Percent of Total Billed Charges,,,,,146.78,,,,,,,Percent of Total Billed Charges,,,,,30.9,,,,,,,Percent of Total Billed Charges,,,,,131.33,,,,,,,Percent of Total Billed Charges,,,,,32.45,,,,,,,Percent of Total Billed Charges,,,,,139.05,,,,,,,Percent of Total Billed Charges,,,,,139.05,,,,,,,Percent of Total Billed Charges,,,,,30.9,,,,,,,Percent of Total Billed Charges,,,,,43.26,,,,,,,Percent of Total Billed Charges,,,,,123.6,,,,,,,Percent of Total Billed Charges,,,,,30.9,,,,,,,Percent of Total Billed Charges,,,, ADVAIR 100/50INH(FLUTICASONE/SALMETEROL),250,RC,,Outpatient,,,307.7,246.16,229.85,,,,,,,Percent of Total Billed Charges,,229.85,229.85,,307.7,,,,,,,Percent of Total Billed Charges,,,,,295.39,,,,,,,Percent of Total Billed Charges,,,,,292.32,,,,,,,Percent of Total Billed Charges,,,,,61.54,,,,,,,Percent of Total Billed Charges,,,,,261.55,,,,,,,Percent of Total Billed Charges,,,,,64.62,,,,,,,Percent of Total Billed Charges,,,,,276.93,,,,,,,Percent of Total Billed Charges,,,,,276.93,,,,,,,Percent of Total Billed Charges,,,,,61.54,,,,,,,Percent of Total Billed Charges,,,,,86.16,,,,,,,Percent of Total Billed Charges,,,,,246.16,,,,,,,Percent of Total Billed Charges,,,,,61.54,,,,,,,Percent of Total Billed Charges,,,, ADVAIR 250/50INH(FLUTICASONE/SALMETEROL),250,RC,,Outpatient,,,359.25,287.4,268.36,,,,,,,Percent of Total Billed Charges,,268.36,268.36,,359.25,,,,,,,Percent of Total Billed Charges,,,,,344.88,,,,,,,Percent of Total Billed Charges,,,,,341.29,,,,,,,Percent of Total Billed Charges,,,,,71.85,,,,,,,Percent of Total Billed Charges,,,,,305.36,,,,,,,Percent of Total Billed Charges,,,,,75.44,,,,,,,Percent of Total Billed Charges,,,,,323.33,,,,,,,Percent of Total Billed Charges,,,,,323.33,,,,,,,Percent of Total Billed Charges,,,,,71.85,,,,,,,Percent of Total Billed Charges,,,,,100.59,,,,,,,Percent of Total Billed Charges,,,,,287.4,,,,,,,Percent of Total Billed Charges,,,,,71.85,,,,,,,Percent of Total Billed Charges,,,, ADVAIR 500/50INH(FLUTICASONE/SALMETEROL),250,RC,,Outpatient,,,464.25,371.4,346.79,,,,,,,Percent of Total Billed Charges,,346.79,346.79,,464.25,,,,,,,Percent of Total Billed Charges,,,,,445.68,,,,,,,Percent of Total Billed Charges,,,,,441.04,,,,,,,Percent of Total Billed Charges,,,,,92.85,,,,,,,Percent of Total Billed Charges,,,,,394.61,,,,,,,Percent of Total Billed Charges,,,,,97.49,,,,,,,Percent of Total Billed Charges,,,,,417.83,,,,,,,Percent of Total Billed Charges,,,,,417.83,,,,,,,Percent of Total Billed Charges,,,,,92.85,,,,,,,Percent of Total Billed Charges,,,,,129.99,,,,,,,Percent of Total Billed Charges,,,,,371.4,,,,,,,Percent of Total Billed Charges,,,,,92.85,,,,,,,Percent of Total Billed Charges,,,, TIOTROPIUM (SPIRIVA) INH POWDER: 18 MCG ,250,RC,,Outpatient,,,174.8,139.84,130.58,,,,,,,Percent of Total Billed Charges,,130.58,130.58,,174.8,,,,,,,Percent of Total Billed Charges,,,,,167.81,,,,,,,Percent of Total Billed Charges,,,,,166.06,,,,,,,Percent of Total Billed Charges,,,,,34.96,,,,,,,Percent of Total Billed Charges,,,,,148.58,,,,,,,Percent of Total Billed Charges,,,,,36.71,,,,,,,Percent of Total Billed Charges,,,,,157.32,,,,,,,Percent of Total Billed Charges,,,,,157.32,,,,,,,Percent of Total Billed Charges,,,,,34.96,,,,,,,Percent of Total Billed Charges,,,,,48.94,,,,,,,Percent of Total Billed Charges,,,,,139.84,,,,,,,Percent of Total Billed Charges,,,,,34.96,,,,,,,Percent of Total Billed Charges,,,, CURAFIL (WOUND GEL DRESSING) - NOT STOCK,250,RC,,Outpatient,,,29.6,23.68,22.11,,,,,,,Percent of Total Billed Charges,,22.11,22.11,,29.6,,,,,,,Percent of Total Billed Charges,,,,,28.42,,,,,,,Percent of Total Billed Charges,,,,,28.12,,,,,,,Percent of Total Billed Charges,,,,,5.92,,,,,,,Percent of Total Billed Charges,,,,,25.16,,,,,,,Percent of Total Billed Charges,,,,,6.22,,,,,,,Percent of Total Billed Charges,,,,,26.64,,,,,,,Percent of Total Billed Charges,,,,,26.64,,,,,,,Percent of Total Billed Charges,,,,,5.92,,,,,,,Percent of Total Billed Charges,,,,,8.29,,,,,,,Percent of Total Billed Charges,,,,,23.68,,,,,,,Percent of Total Billed Charges,,,,,5.92,,,,,,,Percent of Total Billed Charges,,,, DOMEBORO POWDER PACKET ,250,RC,,Outpatient,,,3.75,3,2.8,,,,,,,Percent of Total Billed Charges,,2.8,2.8,,3.75,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,3.19,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,3.38,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,0.75,,,,,,,Percent of Total Billed Charges,,,, DUODERM DRESSING 4 X 4 ,250,RC,,Outpatient,,,27.45,21.96,20.51,,,,,,,Percent of Total Billed Charges,,20.51,20.51,,27.45,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,26.08,,,,,,,Percent of Total Billed Charges,,,,,5.49,,,,,,,Percent of Total Billed Charges,,,,,23.33,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,24.71,,,,,,,Percent of Total Billed Charges,,,,,24.71,,,,,,,Percent of Total Billed Charges,,,,,5.49,,,,,,,Percent of Total Billed Charges,,,,,7.69,,,,,,,Percent of Total Billed Charges,,,,,21.96,,,,,,,Percent of Total Billed Charges,,,,,5.49,,,,,,,Percent of Total Billed Charges,,,, ETHYL CHLORIDE 120ML SPRAY ,250,RC,,Outpatient,120,ML,115.8,92.64,86.5,,,,,,,Percent of Total Billed Charges,,86.5,86.5,,115.8,,,,,,,Percent of Total Billed Charges,,,,,111.17,,,,,,,Percent of Total Billed Charges,,,,,110.01,,,,,,,Percent of Total Billed Charges,,,,,23.16,,,,,,,Percent of Total Billed Charges,,,,,98.43,,,,,,,Percent of Total Billed Charges,,,,,24.32,,,,,,,Percent of Total Billed Charges,,,,,104.22,,,,,,,Percent of Total Billed Charges,,,,,104.22,,,,,,,Percent of Total Billed Charges,,,,,23.16,,,,,,,Percent of Total Billed Charges,,,,,32.42,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,23.16,,,,,,,Percent of Total Billed Charges,,,, ETHEZYME OINTMENT (ACCUZYME): 30 GRAM ,250,RC,,Outpatient,30,GR,53.6,42.88,40.04,,,,,,,Percent of Total Billed Charges,,40.04,40.04,,53.6,,,,,,,Percent of Total Billed Charges,,,,,51.46,,,,,,,Percent of Total Billed Charges,,,,,50.92,,,,,,,Percent of Total Billed Charges,,,,,10.72,,,,,,,Percent of Total Billed Charges,,,,,45.56,,,,,,,Percent of Total Billed Charges,,,,,11.26,,,,,,,Percent of Total Billed Charges,,,,,48.24,,,,,,,Percent of Total Billed Charges,,,,,48.24,,,,,,,Percent of Total Billed Charges,,,,,10.72,,,,,,,Percent of Total Billed Charges,,,,,15.01,,,,,,,Percent of Total Billed Charges,,,,,42.88,,,,,,,Percent of Total Billed Charges,,,,,10.72,,,,,,,Percent of Total Billed Charges,,,, EVAC Q KWIK KIT ,250,RC,,Outpatient,,,17.3,13.84,12.92,,,,,,,Percent of Total Billed Charges,,12.92,12.92,,17.3,,,,,,,Percent of Total Billed Charges,,,,,16.61,,,,,,,Percent of Total Billed Charges,,,,,16.44,,,,,,,Percent of Total Billed Charges,,,,,3.46,,,,,,,Percent of Total Billed Charges,,,,,14.71,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,,,15.57,,,,,,,Percent of Total Billed Charges,,,,,15.57,,,,,,,Percent of Total Billed Charges,,,,,3.46,,,,,,,Percent of Total Billed Charges,,,,,4.84,,,,,,,Percent of Total Billed Charges,,,,,13.84,,,,,,,Percent of Total Billed Charges,,,,,3.46,,,,,,,Percent of Total Billed Charges,,,, FLURBIPROFEN (OCUFEN) OPHTH SOLN 2.5 ML ,250,RC,,Outpatient,2.5,ML,24.35,19.48,18.19,,,,,,,Percent of Total Billed Charges,,18.19,18.19,,24.35,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,23.13,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,5.11,,,,,,,Percent of Total Billed Charges,,,,,21.92,,,,,,,Percent of Total Billed Charges,,,,,21.92,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,,,6.82,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.87,,,,,,,Percent of Total Billed Charges,,,, EYE IRRIGATING SOLN. 118 ML ,250,RC,,Outpatient,118,ML,24.65,19.72,18.41,,,,,,,Percent of Total Billed Charges,,18.41,18.41,,24.65,,,,,,,Percent of Total Billed Charges,,,,,23.66,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,4.93,,,,,,,Percent of Total Billed Charges,,,,,20.95,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,22.19,,,,,,,Percent of Total Billed Charges,,,,,22.19,,,,,,,Percent of Total Billed Charges,,,,,4.93,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,19.72,,,,,,,Percent of Total Billed Charges,,,,,4.93,,,,,,,Percent of Total Billed Charges,,,, MOXIFLOXACIN (VIGAMOX) OPTH DROP 3 ML ,250,RC,,Outpatient,,,225.8,180.64,168.67,,,,,,,Percent of Total Billed Charges,,168.67,168.67,,225.8,,,,,,,Percent of Total Billed Charges,,,,,216.77,,,,,,,Percent of Total Billed Charges,,,,,214.51,,,,,,,Percent of Total Billed Charges,,,,,45.16,,,,,,,Percent of Total Billed Charges,,,,,191.93,,,,,,,Percent of Total Billed Charges,,,,,47.42,,,,,,,Percent of Total Billed Charges,,,,,203.22,,,,,,,Percent of Total Billed Charges,,,,,203.22,,,,,,,Percent of Total Billed Charges,,,,,45.16,,,,,,,Percent of Total Billed Charges,,,,,63.22,,,,,,,Percent of Total Billed Charges,,,,,180.64,,,,,,,Percent of Total Billed Charges,,,,,45.16,,,,,,,Percent of Total Billed Charges,,,, TERBINAFINE 1% CREAM 24 GM (LAMISIL) ,250,RC,,Outpatient,,,41.6,33.28,31.08,,,,,,,Percent of Total Billed Charges,,31.08,31.08,,41.6,,,,,,,Percent of Total Billed Charges,,,,,39.94,,,,,,,Percent of Total Billed Charges,,,,,39.52,,,,,,,Percent of Total Billed Charges,,,,,8.32,,,,,,,Percent of Total Billed Charges,,,,,35.36,,,,,,,Percent of Total Billed Charges,,,,,8.74,,,,,,,Percent of Total Billed Charges,,,,,37.44,,,,,,,Percent of Total Billed Charges,,,,,37.44,,,,,,,Percent of Total Billed Charges,,,,,8.32,,,,,,,Percent of Total Billed Charges,,,,,11.65,,,,,,,Percent of Total Billed Charges,,,,,33.28,,,,,,,Percent of Total Billed Charges,,,,,8.32,,,,,,,Percent of Total Billed Charges,,,, ARFORMOTEROL (BROVANA) NEB: 15 MCG/ 2 ML,250,RC,,Outpatient,2,ML,10.8,8.64,8.07,,,,,,,Percent of Total Billed Charges,,8.07,8.07,,10.8,,,,,,,Percent of Total Billed Charges,,,,,10.37,,,,,,,Percent of Total Billed Charges,,,,,10.26,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,9.18,,,,,,,Percent of Total Billed Charges,,,,,2.27,,,,,,,Percent of Total Billed Charges,,,,,9.72,,,,,,,Percent of Total Billed Charges,,,,,9.72,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,, FLUOR I STRIPS ,250,RC,,Outpatient,,,2.05,1.64,1.53,,,,,,,Percent of Total Billed Charges,,1.53,1.53,,2.05,,,,,,,Percent of Total Billed Charges,,,,,1.97,,,,,,,Percent of Total Billed Charges,,,,,1.95,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.74,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,, *EVAC Q KWIK OP************** ,250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, FUROSEMIDE:LIQ 10MG/ML 60 ML BTL (LASIX ,250,RC,,Outpatient,,,46.65,37.32,34.85,,,,,,,Percent of Total Billed Charges,,34.85,34.85,,46.65,,,,,,,Percent of Total Billed Charges,,,,,44.78,,,,,,,Percent of Total Billed Charges,,,,,44.32,,,,,,,Percent of Total Billed Charges,,,,,9.33,,,,,,,Percent of Total Billed Charges,,,,,39.65,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,41.99,,,,,,,Percent of Total Billed Charges,,,,,41.99,,,,,,,Percent of Total Billed Charges,,,,,9.33,,,,,,,Percent of Total Billed Charges,,,,,13.06,,,,,,,Percent of Total Billed Charges,,,,,37.32,,,,,,,Percent of Total Billed Charges,,,,,9.33,,,,,,,Percent of Total Billed Charges,,,, GELFOAM SPONGE (EACH) SIZE 100 (8X12.5CM,250,RC,,Outpatient,,,64.05,51.24,47.85,,,,,,,Percent of Total Billed Charges,,47.85,47.85,,64.05,,,,,,,Percent of Total Billed Charges,,,,,61.49,,,,,,,Percent of Total Billed Charges,,,,,60.85,,,,,,,Percent of Total Billed Charges,,,,,12.81,,,,,,,Percent of Total Billed Charges,,,,,54.44,,,,,,,Percent of Total Billed Charges,,,,,13.45,,,,,,,Percent of Total Billed Charges,,,,,57.65,,,,,,,Percent of Total Billed Charges,,,,,57.65,,,,,,,Percent of Total Billed Charges,,,,,12.81,,,,,,,Percent of Total Billed Charges,,,,,17.93,,,,,,,Percent of Total Billed Charges,,,,,51.24,,,,,,,Percent of Total Billed Charges,,,,,12.81,,,,,,,Percent of Total Billed Charges,,,, GELFOAM 1 GM POWDER TOP ,250,RC,,Outpatient,,,184.1,147.28,137.52,,,,,,,Percent of Total Billed Charges,,137.52,137.52,,184.1,,,,,,,Percent of Total Billed Charges,,,,,176.74,,,,,,,Percent of Total Billed Charges,,,,,174.9,,,,,,,Percent of Total Billed Charges,,,,,36.82,,,,,,,Percent of Total Billed Charges,,,,,156.49,,,,,,,Percent of Total Billed Charges,,,,,38.66,,,,,,,Percent of Total Billed Charges,,,,,165.69,,,,,,,Percent of Total Billed Charges,,,,,165.69,,,,,,,Percent of Total Billed Charges,,,,,36.82,,,,,,,Percent of Total Billed Charges,,,,,51.55,,,,,,,Percent of Total Billed Charges,,,,,147.28,,,,,,,Percent of Total Billed Charges,,,,,36.82,,,,,,,Percent of Total Billed Charges,,,, *FLUNISOLIDE (AEROBID) INH **** ,250,RC,,Outpatient,,,349,279.2,260.7,,,,,,,Percent of Total Billed Charges,,260.7,260.7,,349,,,,,,,Percent of Total Billed Charges,,,,,335.04,,,,,,,Percent of Total Billed Charges,,,,,331.55,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,296.65,,,,,,,Percent of Total Billed Charges,,,,,73.29,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,97.72,,,,,,,Percent of Total Billed Charges,,,,,279.2,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,, GELFOAM DENTAL SPONGE SIZE 4 (EACH) ,250,RC,,Outpatient,,,46.15,36.92,34.47,,,,,,,Percent of Total Billed Charges,,34.47,34.47,,46.15,,,,,,,Percent of Total Billed Charges,,,,,44.3,,,,,,,Percent of Total Billed Charges,,,,,43.84,,,,,,,Percent of Total Billed Charges,,,,,9.23,,,,,,,Percent of Total Billed Charges,,,,,39.23,,,,,,,Percent of Total Billed Charges,,,,,9.69,,,,,,,Percent of Total Billed Charges,,,,,41.54,,,,,,,Percent of Total Billed Charges,,,,,41.54,,,,,,,Percent of Total Billed Charges,,,,,9.23,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,36.92,,,,,,,Percent of Total Billed Charges,,,,,9.23,,,,,,,Percent of Total Billed Charges,,,, GRANULEX SPRAY : 2 OZ ,250,RC,,Outpatient,,,38.85,31.08,29.02,,,,,,,Percent of Total Billed Charges,,29.02,29.02,,38.85,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,36.91,,,,,,,Percent of Total Billed Charges,,,,,7.77,,,,,,,Percent of Total Billed Charges,,,,,33.02,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,34.97,,,,,,,Percent of Total Billed Charges,,,,,34.97,,,,,,,Percent of Total Billed Charges,,,,,7.77,,,,,,,Percent of Total Billed Charges,,,,,10.88,,,,,,,Percent of Total Billed Charges,,,,,31.08,,,,,,,Percent of Total Billed Charges,,,,,7.77,,,,,,,Percent of Total Billed Charges,,,, GELFOAM DENTAL PK SPONGE BOTTLE ,250,RC,,Outpatient,,,39,31.2,29.13,,,,,,,Percent of Total Billed Charges,,29.13,29.13,,39,,,,,,,Percent of Total Billed Charges,,,,,37.44,,,,,,,Percent of Total Billed Charges,,,,,37.05,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,33.15,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,10.92,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,, THROMBI-GEL 40 FOAM ,250,RC,,Outpatient,,,201.45,161.16,150.48,,,,,,,Percent of Total Billed Charges,,150.48,150.48,,201.45,,,,,,,Percent of Total Billed Charges,,,,,193.39,,,,,,,Percent of Total Billed Charges,,,,,191.38,,,,,,,Percent of Total Billed Charges,,,,,40.29,,,,,,,Percent of Total Billed Charges,,,,,171.23,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,181.31,,,,,,,Percent of Total Billed Charges,,,,,181.31,,,,,,,Percent of Total Billed Charges,,,,,40.29,,,,,,,Percent of Total Billed Charges,,,,,56.41,,,,,,,Percent of Total Billed Charges,,,,,161.16,,,,,,,Percent of Total Billed Charges,,,,,40.29,,,,,,,Percent of Total Billed Charges,,,, GENTAMICIN OPHTH DROPS 0.3% : 5 ML ,250,RC,,Outpatient,5,ML,23.85,19.08,17.82,,,,,,,Percent of Total Billed Charges,,17.82,17.82,,23.85,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,,,22.66,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,5.01,,,,,,,Percent of Total Billed Charges,,,,,21.47,,,,,,,Percent of Total Billed Charges,,,,,21.47,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,,,6.68,,,,,,,Percent of Total Billed Charges,,,,,19.08,,,,,,,Percent of Total Billed Charges,,,,,4.77,,,,,,,Percent of Total Billed Charges,,,, GENTAMICIN OINTMENT 0.1%: 15 GM ,250,RC,,Outpatient,15,GR,58.85,47.08,43.96,,,,,,,Percent of Total Billed Charges,,43.96,43.96,,58.85,,,,,,,Percent of Total Billed Charges,,,,,56.5,,,,,,,Percent of Total Billed Charges,,,,,55.91,,,,,,,Percent of Total Billed Charges,,,,,11.77,,,,,,,Percent of Total Billed Charges,,,,,50.02,,,,,,,Percent of Total Billed Charges,,,,,12.36,,,,,,,Percent of Total Billed Charges,,,,,52.97,,,,,,,Percent of Total Billed Charges,,,,,52.97,,,,,,,Percent of Total Billed Charges,,,,,11.77,,,,,,,Percent of Total Billed Charges,,,,,16.48,,,,,,,Percent of Total Billed Charges,,,,,47.08,,,,,,,Percent of Total Billed Charges,,,,,11.77,,,,,,,Percent of Total Billed Charges,,,, *GENTAMICIN 0.1% OINTMENT ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, FLUTICASONE (FLONASE) NASAL SPRAY 16 GM ,250,RC,,Outpatient,,,39.75,31.8,29.69,,,,,,,Percent of Total Billed Charges,,29.69,29.69,,39.75,,,,,,,Percent of Total Billed Charges,,,,,38.16,,,,,,,Percent of Total Billed Charges,,,,,37.76,,,,,,,Percent of Total Billed Charges,,,,,7.95,,,,,,,Percent of Total Billed Charges,,,,,33.79,,,,,,,Percent of Total Billed Charges,,,,,8.35,,,,,,,Percent of Total Billed Charges,,,,,35.78,,,,,,,Percent of Total Billed Charges,,,,,35.78,,,,,,,Percent of Total Billed Charges,,,,,7.95,,,,,,,Percent of Total Billed Charges,,,,,11.13,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,7.95,,,,,,,Percent of Total Billed Charges,,,, GENTAMICIN OPHTH OINTMENT 0.3% : 3.5 GM ,250,RC,,Outpatient,3.5,GR,112,89.6,83.66,,,,,,,Percent of Total Billed Charges,,83.66,83.66,,112,,,,,,,Percent of Total Billed Charges,,,,,107.52,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,95.2,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,31.36,,,,,,,Percent of Total Billed Charges,,,,,89.6,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,, HEMMORHOIDAL OINT : 60 GM ,250,RC,,Outpatient,60,GR,20.25,16.2,15.13,,,,,,,Percent of Total Billed Charges,,15.13,15.13,,20.25,,,,,,,Percent of Total Billed Charges,,,,,19.44,,,,,,,Percent of Total Billed Charges,,,,,19.24,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,17.21,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,18.23,,,,,,,Percent of Total Billed Charges,,,,,18.23,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,, GLYCERIN LIQUID : 30 ML ,250,RC,,Outpatient,30,ML,6.05,4.84,4.52,,,,,,,Percent of Total Billed Charges,,4.52,4.52,,6.05,,,,,,,Percent of Total Billed Charges,,,,,5.81,,,,,,,Percent of Total Billed Charges,,,,,5.75,,,,,,,Percent of Total Billed Charges,,,,,1.21,,,,,,,Percent of Total Billed Charges,,,,,5.14,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,,,5.45,,,,,,,Percent of Total Billed Charges,,,,,5.45,,,,,,,Percent of Total Billed Charges,,,,,1.21,,,,,,,Percent of Total Billed Charges,,,,,1.69,,,,,,,Percent of Total Billed Charges,,,,,4.84,,,,,,,Percent of Total Billed Charges,,,,,1.21,,,,,,,Percent of Total Billed Charges,,,, GLYCERIN SUPPOSITORY ,250,RC,,Outpatient,,,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, MOMETASONE (NASONEX) NASAL SPRAY**NONFRM,250,RC,,Outpatient,,,243.05,194.44,181.56,,,,,,,Percent of Total Billed Charges,,181.56,181.56,,243.05,,,,,,,Percent of Total Billed Charges,,,,,233.33,,,,,,,Percent of Total Billed Charges,,,,,230.9,,,,,,,Percent of Total Billed Charges,,,,,48.61,,,,,,,Percent of Total Billed Charges,,,,,206.59,,,,,,,Percent of Total Billed Charges,,,,,51.04,,,,,,,Percent of Total Billed Charges,,,,,218.75,,,,,,,Percent of Total Billed Charges,,,,,218.75,,,,,,,Percent of Total Billed Charges,,,,,48.61,,,,,,,Percent of Total Billed Charges,,,,,68.05,,,,,,,Percent of Total Billed Charges,,,,,194.44,,,,,,,Percent of Total Billed Charges,,,,,48.61,,,,,,,Percent of Total Billed Charges,,,, GOLYTELY 4000 ML ,250,RC,,Outpatient,4000,ML,76.05,60.84,56.81,,,,,,,Percent of Total Billed Charges,,56.81,56.81,,76.05,,,,,,,Percent of Total Billed Charges,,,,,73.01,,,,,,,Percent of Total Billed Charges,,,,,72.25,,,,,,,Percent of Total Billed Charges,,,,,15.21,,,,,,,Percent of Total Billed Charges,,,,,64.64,,,,,,,Percent of Total Billed Charges,,,,,15.97,,,,,,,Percent of Total Billed Charges,,,,,68.45,,,,,,,Percent of Total Billed Charges,,,,,68.45,,,,,,,Percent of Total Billed Charges,,,,,15.21,,,,,,,Percent of Total Billed Charges,,,,,21.29,,,,,,,Percent of Total Billed Charges,,,,,60.84,,,,,,,Percent of Total Billed Charges,,,,,15.21,,,,,,,Percent of Total Billed Charges,,,, PERMETHRIN 5% CREAM ,250,RC,,Outpatient,,,79.35,63.48,59.27,,,,,,,Percent of Total Billed Charges,,59.27,59.27,,79.35,,,,,,,Percent of Total Billed Charges,,,,,76.18,,,,,,,Percent of Total Billed Charges,,,,,75.38,,,,,,,Percent of Total Billed Charges,,,,,15.87,,,,,,,Percent of Total Billed Charges,,,,,67.45,,,,,,,Percent of Total Billed Charges,,,,,16.66,,,,,,,Percent of Total Billed Charges,,,,,71.42,,,,,,,Percent of Total Billed Charges,,,,,71.42,,,,,,,Percent of Total Billed Charges,,,,,15.87,,,,,,,Percent of Total Billed Charges,,,,,22.22,,,,,,,Percent of Total Billed Charges,,,,,63.48,,,,,,,Percent of Total Billed Charges,,,,,15.87,,,,,,,Percent of Total Billed Charges,,,, HYDROCORTISONE CREAM 2.5% (ANUSOL HC) ,250,RC,,Outpatient,,,24.1,19.28,18,,,,,,,Percent of Total Billed Charges,,18,18,,24.1,,,,,,,Percent of Total Billed Charges,,,,,23.14,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,,,4.82,,,,,,,Percent of Total Billed Charges,,,,,20.49,,,,,,,Percent of Total Billed Charges,,,,,5.06,,,,,,,Percent of Total Billed Charges,,,,,21.69,,,,,,,Percent of Total Billed Charges,,,,,21.69,,,,,,,Percent of Total Billed Charges,,,,,4.82,,,,,,,Percent of Total Billed Charges,,,,,6.75,,,,,,,Percent of Total Billed Charges,,,,,19.28,,,,,,,Percent of Total Billed Charges,,,,,4.82,,,,,,,Percent of Total Billed Charges,,,, HEMMORHOIDAL SUPP (ANUSOL) ,250,RC,,Outpatient,,,2.4,1.92,1.79,,,,,,,Percent of Total Billed Charges,,1.79,1.79,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,, GLYCERIN CHILDREN SUPPOSITORY ,250,RC,,Outpatient,,,5.05,4.04,3.77,,,,,,,Percent of Total Billed Charges,,3.77,3.77,,5.05,,,,,,,Percent of Total Billed Charges,,,,,4.85,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.01,,,,,,,Percent of Total Billed Charges,,,,,4.29,,,,,,,Percent of Total Billed Charges,,,,,1.06,,,,,,,Percent of Total Billed Charges,,,,,4.55,,,,,,,Percent of Total Billed Charges,,,,,4.55,,,,,,,Percent of Total Billed Charges,,,,,1.01,,,,,,,Percent of Total Billed Charges,,,,,1.41,,,,,,,Percent of Total Billed Charges,,,,,4.04,,,,,,,Percent of Total Billed Charges,,,,,1.01,,,,,,,Percent of Total Billed Charges,,,, HYDROCORTISONE : 25MG SUPP (ANUSOL HC) ,250,RC,,Outpatient,,,6.25,5,4.67,,,,,,,Percent of Total Billed Charges,,4.67,4.67,,6.25,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,5.94,,,,,,,Percent of Total Billed Charges,,,,,1.25,,,,,,,Percent of Total Billed Charges,,,,,5.31,,,,,,,Percent of Total Billed Charges,,,,,1.31,,,,,,,Percent of Total Billed Charges,,,,,5.63,,,,,,,Percent of Total Billed Charges,,,,,5.63,,,,,,,Percent of Total Billed Charges,,,,,1.25,,,,,,,Percent of Total Billed Charges,,,,,1.75,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,1.25,,,,,,,Percent of Total Billed Charges,,,, PERMETHRIN 1% CREAM RINSE (NIX) ,250,RC,,Outpatient,,,39.2,31.36,29.28,,,,,,,Percent of Total Billed Charges,,29.28,29.28,,39.2,,,,,,,Percent of Total Billed Charges,,,,,37.63,,,,,,,Percent of Total Billed Charges,,,,,37.24,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,33.32,,,,,,,Percent of Total Billed Charges,,,,,8.23,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,10.98,,,,,,,Percent of Total Billed Charges,,,,,31.36,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,, BACITRACIN/POLYMYXIN OINT: 15 GM ,250,RC,,Outpatient,15,GR,22.55,18.04,16.84,,,,,,,Percent of Total Billed Charges,,16.84,16.84,,22.55,,,,,,,Percent of Total Billed Charges,,,,,21.65,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,4.51,,,,,,,Percent of Total Billed Charges,,,,,19.17,,,,,,,Percent of Total Billed Charges,,,,,4.74,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,4.51,,,,,,,Percent of Total Billed Charges,,,,,6.31,,,,,,,Percent of Total Billed Charges,,,,,18.04,,,,,,,Percent of Total Billed Charges,,,,,4.51,,,,,,,Percent of Total Billed Charges,,,, DUONEB INH.(ALBUTEROL/ATROVENT): UD 3ML ,J7620 ,CPT,,Outpatient,,,4.9,3.92,3.66,,,,,,,Percent of Total Billed Charges,,3.66,3.66,,4.9,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,4.66,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,4.17,,,,,,,Percent of Total Billed Charges,,,,,1.03,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,, BACITRACIN/POLYMYXIN OPHTH OINT 3.5 GM ,250,RC,,Outpatient,3.5,GR,35.75,28.6,26.71,,,,,,,Percent of Total Billed Charges,,26.71,26.71,,35.75,,,,,,,Percent of Total Billed Charges,,,,,34.32,,,,,,,Percent of Total Billed Charges,,,,,33.96,,,,,,,Percent of Total Billed Charges,,,,,7.15,,,,,,,Percent of Total Billed Charges,,,,,30.39,,,,,,,Percent of Total Billed Charges,,,,,7.51,,,,,,,Percent of Total Billed Charges,,,,,32.18,,,,,,,Percent of Total Billed Charges,,,,,32.18,,,,,,,Percent of Total Billed Charges,,,,,7.15,,,,,,,Percent of Total Billed Charges,,,,,10.01,,,,,,,Percent of Total Billed Charges,,,,,28.6,,,,,,,Percent of Total Billed Charges,,,,,7.15,,,,,,,Percent of Total Billed Charges,,,, HIBICLENS 90ML ,250,RC,,Outpatient,,,7.6,6.08,5.68,,,,,,,Percent of Total Billed Charges,,5.68,5.68,,7.6,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,7.22,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,6.46,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.84,,,,,,,Percent of Total Billed Charges,,,,,6.84,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,6.08,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,, GENTIAN VIOLET 1%: 2 OUNCES ,250,RC,,Outpatient,,,22.85,18.28,17.07,,,,,,,Percent of Total Billed Charges,,17.07,17.07,,22.85,,,,,,,Percent of Total Billed Charges,,,,,21.94,,,,,,,Percent of Total Billed Charges,,,,,21.71,,,,,,,Percent of Total Billed Charges,,,,,4.57,,,,,,,Percent of Total Billed Charges,,,,,19.42,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,20.57,,,,,,,Percent of Total Billed Charges,,,,,20.57,,,,,,,Percent of Total Billed Charges,,,,,4.57,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,18.28,,,,,,,Percent of Total Billed Charges,,,,,4.57,,,,,,,Percent of Total Billed Charges,,,, HIBICLENS 32 OZ BOTTLE ,250,RC,,Outpatient,,,14.45,11.56,10.79,,,,,,,Percent of Total Billed Charges,,10.79,10.79,,14.45,,,,,,,Percent of Total Billed Charges,,,,,13.87,,,,,,,Percent of Total Billed Charges,,,,,13.73,,,,,,,Percent of Total Billed Charges,,,,,2.89,,,,,,,Percent of Total Billed Charges,,,,,12.28,,,,,,,Percent of Total Billed Charges,,,,,3.03,,,,,,,Percent of Total Billed Charges,,,,,13.01,,,,,,,Percent of Total Billed Charges,,,,,13.01,,,,,,,Percent of Total Billed Charges,,,,,2.89,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,11.56,,,,,,,Percent of Total Billed Charges,,,,,2.89,,,,,,,Percent of Total Billed Charges,,,, HYDROCORTISONE CREAM 1 % : 30 GM ,250,RC,,Outpatient,30,GR,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, HYDROCORTISONE CREAM 0.5 % : 30 GM ,250,RC,,Outpatient,30,GR,23.45,18.76,17.52,,,,,,,Percent of Total Billed Charges,,17.52,17.52,,23.45,,,,,,,Percent of Total Billed Charges,,,,,22.51,,,,,,,Percent of Total Billed Charges,,,,,22.28,,,,,,,Percent of Total Billed Charges,,,,,4.69,,,,,,,Percent of Total Billed Charges,,,,,19.93,,,,,,,Percent of Total Billed Charges,,,,,4.92,,,,,,,Percent of Total Billed Charges,,,,,21.11,,,,,,,Percent of Total Billed Charges,,,,,21.11,,,,,,,Percent of Total Billed Charges,,,,,4.69,,,,,,,Percent of Total Billed Charges,,,,,6.57,,,,,,,Percent of Total Billed Charges,,,,,18.76,,,,,,,Percent of Total Billed Charges,,,,,4.69,,,,,,,Percent of Total Billed Charges,,,, NF-AMERICAINE HEMORRHOID OINTMENT 20% ,250,RC,,Outpatient,,,27.8,22.24,20.77,,,,,,,Percent of Total Billed Charges,,20.77,20.77,,27.8,,,,,,,Percent of Total Billed Charges,,,,,26.69,,,,,,,Percent of Total Billed Charges,,,,,26.41,,,,,,,Percent of Total Billed Charges,,,,,5.56,,,,,,,Percent of Total Billed Charges,,,,,23.63,,,,,,,Percent of Total Billed Charges,,,,,5.84,,,,,,,Percent of Total Billed Charges,,,,,25.02,,,,,,,Percent of Total Billed Charges,,,,,25.02,,,,,,,Percent of Total Billed Charges,,,,,5.56,,,,,,,Percent of Total Billed Charges,,,,,7.78,,,,,,,Percent of Total Billed Charges,,,,,22.24,,,,,,,Percent of Total Billed Charges,,,,,5.56,,,,,,,Percent of Total Billed Charges,,,, HYDROGEN PEROXIDE ,250,RC,,Outpatient,,,19.35,15.48,14.45,,,,,,,Percent of Total Billed Charges,,14.45,14.45,,19.35,,,,,,,Percent of Total Billed Charges,,,,,18.58,,,,,,,Percent of Total Billed Charges,,,,,18.38,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,16.45,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,17.42,,,,,,,Percent of Total Billed Charges,,,,,17.42,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,,,5.42,,,,,,,Percent of Total Billed Charges,,,,,15.48,,,,,,,Percent of Total Billed Charges,,,,,3.87,,,,,,,Percent of Total Billed Charges,,,, ERYTHROMYCIN OPHTH OINT : 3.5 GM ,250,RC,,Outpatient,3.5,GR,52.7,42.16,39.37,,,,,,,Percent of Total Billed Charges,,39.37,39.37,,52.7,,,,,,,Percent of Total Billed Charges,,,,,50.59,,,,,,,Percent of Total Billed Charges,,,,,50.07,,,,,,,Percent of Total Billed Charges,,,,,10.54,,,,,,,Percent of Total Billed Charges,,,,,44.8,,,,,,,Percent of Total Billed Charges,,,,,11.07,,,,,,,Percent of Total Billed Charges,,,,,47.43,,,,,,,Percent of Total Billed Charges,,,,,47.43,,,,,,,Percent of Total Billed Charges,,,,,10.54,,,,,,,Percent of Total Billed Charges,,,,,14.76,,,,,,,Percent of Total Billed Charges,,,,,42.16,,,,,,,Percent of Total Billed Charges,,,,,10.54,,,,,,,Percent of Total Billed Charges,,,, PENTAMIDINE NEB SOLUTION : 300 MG VIAL ,J2545 ,CPT,,Outpatient,,,217.9,174.32,162.77,,,,,,,Percent of Total Billed Charges,,162.77,162.77,,217.9,,,,,,,Percent of Total Billed Charges,,,,,209.18,,,,,,,Percent of Total Billed Charges,,,,,207.01,,,,,,,Percent of Total Billed Charges,,,,,43.58,,,,,,,Percent of Total Billed Charges,,,,,185.22,,,,,,,Percent of Total Billed Charges,,,,,45.76,,,,,,,Percent of Total Billed Charges,,,,,196.11,,,,,,,Percent of Total Billed Charges,,,,,196.11,,,,,,,Percent of Total Billed Charges,,,,,43.58,,,,,,,Percent of Total Billed Charges,,,,,61.01,,,,,,,Percent of Total Billed Charges,,,,,174.32,,,,,,,Percent of Total Billed Charges,,,,,43.58,,,,,,,Percent of Total Billed Charges,,,, TRIAMCINOLONE ORABASE (KENALOG W/ORABASE,250,RC,,Outpatient,,,82.2,65.76,61.4,,,,,,,Percent of Total Billed Charges,,61.4,61.4,,82.2,,,,,,,Percent of Total Billed Charges,,,,,78.91,,,,,,,Percent of Total Billed Charges,,,,,78.09,,,,,,,Percent of Total Billed Charges,,,,,16.44,,,,,,,Percent of Total Billed Charges,,,,,69.87,,,,,,,Percent of Total Billed Charges,,,,,17.26,,,,,,,Percent of Total Billed Charges,,,,,73.98,,,,,,,Percent of Total Billed Charges,,,,,73.98,,,,,,,Percent of Total Billed Charges,,,,,16.44,,,,,,,Percent of Total Billed Charges,,,,,23.02,,,,,,,Percent of Total Billed Charges,,,,,65.76,,,,,,,Percent of Total Billed Charges,,,,,16.44,,,,,,,Percent of Total Billed Charges,,,, *LINDANE (KWELL) LOTION : 60 ML***** ,250,RC,,Outpatient,60,ML,263.5,210.8,196.83,,,,,,,Percent of Total Billed Charges,,196.83,196.83,,263.5,,,,,,,Percent of Total Billed Charges,,,,,252.96,,,,,,,Percent of Total Billed Charges,,,,,250.33,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,,,223.98,,,,,,,Percent of Total Billed Charges,,,,,55.34,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,,,73.78,,,,,,,Percent of Total Billed Charges,,,,,210.8,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,, LINDANE (KWELL) SHAMPOO : 60 ML ,250,RC,,Outpatient,60,ML,377.45,301.96,281.96,,,,,,,Percent of Total Billed Charges,,281.96,281.96,,377.45,,,,,,,Percent of Total Billed Charges,,,,,362.35,,,,,,,Percent of Total Billed Charges,,,,,358.58,,,,,,,Percent of Total Billed Charges,,,,,75.49,,,,,,,Percent of Total Billed Charges,,,,,320.83,,,,,,,Percent of Total Billed Charges,,,,,79.26,,,,,,,Percent of Total Billed Charges,,,,,339.71,,,,,,,Percent of Total Billed Charges,,,,,339.71,,,,,,,Percent of Total Billed Charges,,,,,75.49,,,,,,,Percent of Total Billed Charges,,,,,105.69,,,,,,,Percent of Total Billed Charges,,,,,301.96,,,,,,,Percent of Total Billed Charges,,,,,75.49,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE PATCH 5% ,250,RC,,Outpatient,,,12.95,10.36,9.67,,,,,,,Percent of Total Billed Charges,,9.67,9.67,,12.95,,,,,,,Percent of Total Billed Charges,,,,,12.43,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,11.01,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,11.66,,,,,,,Percent of Total Billed Charges,,,,,11.66,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,,,10.36,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,, ARTIFICIAL TEARS OINTMENT (LACRILUBE) ,250,RC,,Outpatient,,,37.55,30.04,28.05,,,,,,,Percent of Total Billed Charges,,28.05,28.05,,37.55,,,,,,,Percent of Total Billed Charges,,,,,36.05,,,,,,,Percent of Total Billed Charges,,,,,35.67,,,,,,,Percent of Total Billed Charges,,,,,7.51,,,,,,,Percent of Total Billed Charges,,,,,31.92,,,,,,,Percent of Total Billed Charges,,,,,7.89,,,,,,,Percent of Total Billed Charges,,,,,33.8,,,,,,,Percent of Total Billed Charges,,,,,33.8,,,,,,,Percent of Total Billed Charges,,,,,7.51,,,,,,,Percent of Total Billed Charges,,,,,10.51,,,,,,,Percent of Total Billed Charges,,,,,30.04,,,,,,,Percent of Total Billed Charges,,,,,7.51,,,,,,,Percent of Total Billed Charges,,,, FLUOCINONIDE (LIDEX) CREM 0.05%:30 GM ,250,RC,,Outpatient,30,GR,74.1,59.28,55.35,,,,,,,Percent of Total Billed Charges,,55.35,55.35,,74.1,,,,,,,Percent of Total Billed Charges,,,,,71.14,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,14.82,,,,,,,Percent of Total Billed Charges,,,,,62.99,,,,,,,Percent of Total Billed Charges,,,,,15.56,,,,,,,Percent of Total Billed Charges,,,,,66.69,,,,,,,Percent of Total Billed Charges,,,,,66.69,,,,,,,Percent of Total Billed Charges,,,,,14.82,,,,,,,Percent of Total Billed Charges,,,,,20.75,,,,,,,Percent of Total Billed Charges,,,,,59.28,,,,,,,Percent of Total Billed Charges,,,,,14.82,,,,,,,Percent of Total Billed Charges,,,, *LACTULOSE LIQUID :32 OZ BOTTLE**** ,250,RC,,Outpatient,,,23,18.4,17.18,,,,,,,Percent of Total Billed Charges,,17.18,17.18,,23,,,,,,,Percent of Total Billed Charges,,,,,22.08,,,,,,,Percent of Total Billed Charges,,,,,21.85,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,19.55,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,, FLUOCINONIDE (LIDEX) CREAM 0.05% :60 GM ,250,RC,,Outpatient,60,GR,54.75,43.8,40.9,,,,,,,Percent of Total Billed Charges,,40.9,40.9,,54.75,,,,,,,Percent of Total Billed Charges,,,,,52.56,,,,,,,Percent of Total Billed Charges,,,,,52.01,,,,,,,Percent of Total Billed Charges,,,,,10.95,,,,,,,Percent of Total Billed Charges,,,,,46.54,,,,,,,Percent of Total Billed Charges,,,,,11.5,,,,,,,Percent of Total Billed Charges,,,,,49.28,,,,,,,Percent of Total Billed Charges,,,,,49.28,,,,,,,Percent of Total Billed Charges,,,,,10.95,,,,,,,Percent of Total Billed Charges,,,,,15.33,,,,,,,Percent of Total Billed Charges,,,,,43.8,,,,,,,Percent of Total Billed Charges,,,,,10.95,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE JELLY 2% 30ML TUBE ,250,RC,,Outpatient,,,241.15,192.92,180.14,,,,,,,Percent of Total Billed Charges,,180.14,180.14,,241.15,,,,,,,Percent of Total Billed Charges,,,,,231.5,,,,,,,Percent of Total Billed Charges,,,,,229.09,,,,,,,Percent of Total Billed Charges,,,,,48.23,,,,,,,Percent of Total Billed Charges,,,,,204.98,,,,,,,Percent of Total Billed Charges,,,,,50.64,,,,,,,Percent of Total Billed Charges,,,,,217.04,,,,,,,Percent of Total Billed Charges,,,,,217.04,,,,,,,Percent of Total Billed Charges,,,,,48.23,,,,,,,Percent of Total Billed Charges,,,,,67.52,,,,,,,Percent of Total Billed Charges,,,,,192.92,,,,,,,Percent of Total Billed Charges,,,,,48.23,,,,,,,Percent of Total Billed Charges,,,, FLUOCINONIDE (LIDEX) CREAM 0.05 % 15 GM ,250,RC,,Outpatient,15,GR,37.65,30.12,28.12,,,,,,,Percent of Total Billed Charges,,28.12,28.12,,37.65,,,,,,,Percent of Total Billed Charges,,,,,36.14,,,,,,,Percent of Total Billed Charges,,,,,35.77,,,,,,,Percent of Total Billed Charges,,,,,7.53,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,7.91,,,,,,,Percent of Total Billed Charges,,,,,33.89,,,,,,,Percent of Total Billed Charges,,,,,33.89,,,,,,,Percent of Total Billed Charges,,,,,7.53,,,,,,,Percent of Total Billed Charges,,,,,10.54,,,,,,,Percent of Total Billed Charges,,,,,30.12,,,,,,,Percent of Total Billed Charges,,,,,7.53,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE JELLY 2% SYRINGE 11 ML ,250,RC,,Outpatient,,,27.9,22.32,20.84,,,,,,,Percent of Total Billed Charges,,20.84,20.84,,27.9,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,26.51,,,,,,,Percent of Total Billed Charges,,,,,5.58,,,,,,,Percent of Total Billed Charges,,,,,23.72,,,,,,,Percent of Total Billed Charges,,,,,5.86,,,,,,,Percent of Total Billed Charges,,,,,25.11,,,,,,,Percent of Total Billed Charges,,,,,25.11,,,,,,,Percent of Total Billed Charges,,,,,5.58,,,,,,,Percent of Total Billed Charges,,,,,7.81,,,,,,,Percent of Total Billed Charges,,,,,22.32,,,,,,,Percent of Total Billed Charges,,,,,5.58,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE JELLY 2% SYRINGE 20 ML ,250,RC,,Outpatient,,,38,30.4,28.39,,,,,,,Percent of Total Billed Charges,,28.39,28.39,,38,,,,,,,Percent of Total Billed Charges,,,,,36.48,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,,,7.98,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,10.64,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,, *LIDOCAINE 5% OINT 35GM***** ,250,RC,,Outpatient,35,GR,21.5,17.2,16.06,,,,,,,Percent of Total Billed Charges,,16.06,16.06,,21.5,,,,,,,Percent of Total Billed Charges,,,,,20.64,,,,,,,Percent of Total Billed Charges,,,,,20.43,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,18.28,,,,,,,Percent of Total Billed Charges,,,,,4.52,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,6.02,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE 5% 50 GM ORAL OINT ,250,RC,,Outpatient,,,39.6,31.68,29.58,,,,,,,Percent of Total Billed Charges,,29.58,29.58,,39.6,,,,,,,Percent of Total Billed Charges,,,,,38.02,,,,,,,Percent of Total Billed Charges,,,,,37.62,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,33.66,,,,,,,Percent of Total Billed Charges,,,,,8.32,,,,,,,Percent of Total Billed Charges,,,,,35.64,,,,,,,Percent of Total Billed Charges,,,,,35.64,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,11.09,,,,,,,Percent of Total Billed Charges,,,,,31.68,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,, *LIDOCAINE 4% TOPICAL SOLUTION***** ,250,RC,,Outpatient,,,13.55,10.84,10.12,,,,,,,Percent of Total Billed Charges,,10.12,10.12,,13.55,,,,,,,Percent of Total Billed Charges,,,,,13.01,,,,,,,Percent of Total Billed Charges,,,,,12.87,,,,,,,Percent of Total Billed Charges,,,,,2.71,,,,,,,Percent of Total Billed Charges,,,,,11.52,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,,,12.2,,,,,,,Percent of Total Billed Charges,,,,,2.71,,,,,,,Percent of Total Billed Charges,,,,,3.79,,,,,,,Percent of Total Billed Charges,,,,,10.84,,,,,,,Percent of Total Billed Charges,,,,,2.71,,,,,,,Percent of Total Billed Charges,,,, DIAPER RASH (DESITIN) OINTMENT : 120 GM ,250,RC,,Outpatient,120,GR,35.3,28.24,26.37,,,,,,,Percent of Total Billed Charges,,26.37,26.37,,35.3,,,,,,,Percent of Total Billed Charges,,,,,33.89,,,,,,,Percent of Total Billed Charges,,,,,33.54,,,,,,,Percent of Total Billed Charges,,,,,7.06,,,,,,,Percent of Total Billed Charges,,,,,30.01,,,,,,,Percent of Total Billed Charges,,,,,7.41,,,,,,,Percent of Total Billed Charges,,,,,31.77,,,,,,,Percent of Total Billed Charges,,,,,31.77,,,,,,,Percent of Total Billed Charges,,,,,7.06,,,,,,,Percent of Total Billed Charges,,,,,9.88,,,,,,,Percent of Total Billed Charges,,,,,28.24,,,,,,,Percent of Total Billed Charges,,,,,7.06,,,,,,,Percent of Total Billed Charges,,,, *LIDOCAINE 2% VISCOUS : 100 ML ,250,RC,,Outpatient,100,ML,38.85,31.08,29.02,,,,,,,Percent of Total Billed Charges,,29.02,29.02,,38.85,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,36.91,,,,,,,Percent of Total Billed Charges,,,,,7.77,,,,,,,Percent of Total Billed Charges,,,,,33.02,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,34.97,,,,,,,Percent of Total Billed Charges,,,,,34.97,,,,,,,Percent of Total Billed Charges,,,,,7.77,,,,,,,Percent of Total Billed Charges,,,,,10.88,,,,,,,Percent of Total Billed Charges,,,,,31.08,,,,,,,Percent of Total Billed Charges,,,,,7.77,,,,,,,Percent of Total Billed Charges,,,, LOTRISONE CREAM : 15 GM ,250,RC,,Outpatient,15,GR,26.3,21.04,19.65,,,,,,,Percent of Total Billed Charges,,19.65,19.65,,26.3,,,,,,,Percent of Total Billed Charges,,,,,25.25,,,,,,,Percent of Total Billed Charges,,,,,24.99,,,,,,,Percent of Total Billed Charges,,,,,5.26,,,,,,,Percent of Total Billed Charges,,,,,22.36,,,,,,,Percent of Total Billed Charges,,,,,5.52,,,,,,,Percent of Total Billed Charges,,,,,23.67,,,,,,,Percent of Total Billed Charges,,,,,23.67,,,,,,,Percent of Total Billed Charges,,,,,5.26,,,,,,,Percent of Total Billed Charges,,,,,7.36,,,,,,,Percent of Total Billed Charges,,,,,21.04,,,,,,,Percent of Total Billed Charges,,,,,5.26,,,,,,,Percent of Total Billed Charges,,,, MASTISOL 4 OZ BOTTLE ,250,RC,,Outpatient,,,72.5,58,54.16,,,,,,,Percent of Total Billed Charges,,54.16,54.16,,72.5,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,68.88,,,,,,,Percent of Total Billed Charges,,,,,14.5,,,,,,,Percent of Total Billed Charges,,,,,61.63,,,,,,,Percent of Total Billed Charges,,,,,15.23,,,,,,,Percent of Total Billed Charges,,,,,65.25,,,,,,,Percent of Total Billed Charges,,,,,65.25,,,,,,,Percent of Total Billed Charges,,,,,14.5,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,58,,,,,,,Percent of Total Billed Charges,,,,,14.5,,,,,,,Percent of Total Billed Charges,,,, *LOTRISONE CREAM : 45 GM******** ,250,RC,,Outpatient,45,GR,54,43.2,40.34,,,,,,,Percent of Total Billed Charges,,40.34,40.34,,54,,,,,,,Percent of Total Billed Charges,,,,,51.84,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,, *MAALOX SUSPENSION : 360 ML BOTTLE ,250,RC,,Outpatient,360,ML,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, MEDICOPASTE BANDAGE (UNNA'S BOOT) ,250,RC,,Outpatient,,,28.35,22.68,21.18,,,,,,,Percent of Total Billed Charges,,21.18,21.18,,28.35,,,,,,,Percent of Total Billed Charges,,,,,27.22,,,,,,,Percent of Total Billed Charges,,,,,26.93,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,5.95,,,,,,,Percent of Total Billed Charges,,,,,25.52,,,,,,,Percent of Total Billed Charges,,,,,25.52,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,7.94,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,, MAGNESIUM CITRATE : 290 ML LIQ ,250,RC,,Outpatient,,,20.15,16.12,15.05,,,,,,,Percent of Total Billed Charges,,15.05,15.05,,20.15,,,,,,,Percent of Total Billed Charges,,,,,19.34,,,,,,,Percent of Total Billed Charges,,,,,19.14,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,17.13,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,18.14,,,,,,,Percent of Total Billed Charges,,,,,18.14,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,,,5.64,,,,,,,Percent of Total Billed Charges,,,,,16.12,,,,,,,Percent of Total Billed Charges,,,,,4.03,,,,,,,Percent of Total Billed Charges,,,, MOMETASONE FUROATE 0.1% CREAM:15 GM ,250,RC,,Outpatient,,,28.05,22.44,20.95,,,,,,,Percent of Total Billed Charges,,20.95,20.95,,28.05,,,,,,,Percent of Total Billed Charges,,,,,26.93,,,,,,,Percent of Total Billed Charges,,,,,26.65,,,,,,,Percent of Total Billed Charges,,,,,5.61,,,,,,,Percent of Total Billed Charges,,,,,23.84,,,,,,,Percent of Total Billed Charges,,,,,5.89,,,,,,,Percent of Total Billed Charges,,,,,25.25,,,,,,,Percent of Total Billed Charges,,,,,25.25,,,,,,,Percent of Total Billed Charges,,,,,5.61,,,,,,,Percent of Total Billed Charges,,,,,7.85,,,,,,,Percent of Total Billed Charges,,,,,22.44,,,,,,,Percent of Total Billed Charges,,,,,5.61,,,,,,,Percent of Total Billed Charges,,,, *METAPROTERENOL (ALUPENT) MIDI INHALER**,250,RC,,Outpatient,,,139,111.2,103.83,,,,,,,Percent of Total Billed Charges,,103.83,103.83,,139,,,,,,,Percent of Total Billed Charges,,,,,133.44,,,,,,,Percent of Total Billed Charges,,,,,132.05,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,,,118.15,,,,,,,Percent of Total Billed Charges,,,,,29.19,,,,,,,Percent of Total Billed Charges,,,,,125.1,,,,,,,Percent of Total Billed Charges,,,,,125.1,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,,,38.92,,,,,,,Percent of Total Billed Charges,,,,,111.2,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,, *METAPROTERENOL (ALUPENT)INH 10MG/2.5ML*,250,RC,,Outpatient,2.5,ML,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, CROMOLYN SODIUM(INTAL) NEB :20 MG / 2 ML,J7631 ,CPT,,Outpatient,,,10.6,8.48,7.92,,,,,,,Percent of Total Billed Charges,,7.92,7.92,,10.6,,,,,,,Percent of Total Billed Charges,,,,,10.18,,,,,,,Percent of Total Billed Charges,,,,,10.07,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,9.01,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,9.54,,,,,,,Percent of Total Billed Charges,,,,,9.54,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.97,,,,,,,Percent of Total Billed Charges,,,,,8.48,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,, *CROMOLYN SODIUM (INTAL) : ORAL INHALER ,250,RC,,Outpatient,,,215.5,172.4,160.98,,,,,,,Percent of Total Billed Charges,,160.98,160.98,,215.5,,,,,,,Percent of Total Billed Charges,,,,,206.88,,,,,,,Percent of Total Billed Charges,,,,,204.73,,,,,,,Percent of Total Billed Charges,,,,,43.1,,,,,,,Percent of Total Billed Charges,,,,,183.18,,,,,,,Percent of Total Billed Charges,,,,,45.26,,,,,,,Percent of Total Billed Charges,,,,,193.95,,,,,,,Percent of Total Billed Charges,,,,,193.95,,,,,,,Percent of Total Billed Charges,,,,,43.1,,,,,,,Percent of Total Billed Charges,,,,,60.34,,,,,,,Percent of Total Billed Charges,,,,,172.4,,,,,,,Percent of Total Billed Charges,,,,,43.1,,,,,,,Percent of Total Billed Charges,,,, MICONAZOLE 2 % CREAM 42.5 GM ,250,RC,,Outpatient,42.5,GR,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, *MICONAZOLE VAG CREAM 53.7 GM *** ,250,RC,,Outpatient,53.7,GR,26.5,21.2,19.8,,,,,,,Percent of Total Billed Charges,,19.8,19.8,,26.5,,,,,,,Percent of Total Billed Charges,,,,,25.44,,,,,,,Percent of Total Billed Charges,,,,,25.18,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,22.53,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,7.42,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,, DETACHOL LIQ. ADHESIVE REMOVER 118 ML ,250,RC,,Outpatient,118,ML,40.05,32.04,29.92,,,,,,,Percent of Total Billed Charges,,29.92,29.92,,40.05,,,,,,,Percent of Total Billed Charges,,,,,38.45,,,,,,,Percent of Total Billed Charges,,,,,38.05,,,,,,,Percent of Total Billed Charges,,,,,8.01,,,,,,,Percent of Total Billed Charges,,,,,34.04,,,,,,,Percent of Total Billed Charges,,,,,8.41,,,,,,,Percent of Total Billed Charges,,,,,36.05,,,,,,,Percent of Total Billed Charges,,,,,36.05,,,,,,,Percent of Total Billed Charges,,,,,8.01,,,,,,,Percent of Total Billed Charges,,,,,11.21,,,,,,,Percent of Total Billed Charges,,,,,32.04,,,,,,,Percent of Total Billed Charges,,,,,8.01,,,,,,,Percent of Total Billed Charges,,,, MASTISOL LIQ. ADHESIVE 0.6 ML ,250,RC,,Outpatient,0.6,ML,8.75,7,6.54,,,,,,,Percent of Total Billed Charges,,6.54,6.54,,8.75,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,8.31,,,,,,,Percent of Total Billed Charges,,,,,1.75,,,,,,,Percent of Total Billed Charges,,,,,7.44,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,1.75,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,1.75,,,,,,,Percent of Total Billed Charges,,,, DETACHOL (ADHESIVE REMOVER) 15 ML BOTTLE,250,RC,,Outpatient,,,21.15,16.92,15.8,,,,,,,Percent of Total Billed Charges,,15.8,15.8,,21.15,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,20.09,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,17.98,,,,,,,Percent of Total Billed Charges,,,,,4.44,,,,,,,Percent of Total Billed Charges,,,,,19.04,,,,,,,Percent of Total Billed Charges,,,,,19.04,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,5.92,,,,,,,Percent of Total Billed Charges,,,,,16.92,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,, MUPIROCIN 2% TOPICAL OINT : 22 GM ,250,RC,,Outpatient,22,GR,21.8,17.44,16.28,,,,,,,Percent of Total Billed Charges,,16.28,16.28,,21.8,,,,,,,Percent of Total Billed Charges,,,,,20.93,,,,,,,Percent of Total Billed Charges,,,,,20.71,,,,,,,Percent of Total Billed Charges,,,,,4.36,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,4.58,,,,,,,Percent of Total Billed Charges,,,,,19.62,,,,,,,Percent of Total Billed Charges,,,,,19.62,,,,,,,Percent of Total Billed Charges,,,,,4.36,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,17.44,,,,,,,Percent of Total Billed Charges,,,,,4.36,,,,,,,Percent of Total Billed Charges,,,, *ACETYLCYSTEINE (MUCOMYST) 10% : 30 ML ,250,RC,,Outpatient,30,ML,32.5,26,24.28,,,,,,,Percent of Total Billed Charges,,24.28,24.28,,32.5,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,30.88,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,27.63,,,,,,,Percent of Total Billed Charges,,,,,6.83,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,, ACETYLCYSTEINE (MUCOMYST) 20 % : 30 ML ,250,RC,,Outpatient,30,ML,103.8,83.04,77.54,,,,,,,Percent of Total Billed Charges,,77.54,77.54,,103.8,,,,,,,Percent of Total Billed Charges,,,,,99.65,,,,,,,Percent of Total Billed Charges,,,,,98.61,,,,,,,Percent of Total Billed Charges,,,,,20.76,,,,,,,Percent of Total Billed Charges,,,,,88.23,,,,,,,Percent of Total Billed Charges,,,,,21.8,,,,,,,Percent of Total Billed Charges,,,,,93.42,,,,,,,Percent of Total Billed Charges,,,,,93.42,,,,,,,Percent of Total Billed Charges,,,,,20.76,,,,,,,Percent of Total Billed Charges,,,,,29.06,,,,,,,Percent of Total Billed Charges,,,,,83.04,,,,,,,Percent of Total Billed Charges,,,,,20.76,,,,,,,Percent of Total Billed Charges,,,, MUPIROCIN 2% TOPICAL OINT : 1 GRAM ,250,RC,,Outpatient,1,GR,7.2,5.76,5.38,,,,,,,Percent of Total Billed Charges,,5.38,5.38,,7.2,,,,,,,Percent of Total Billed Charges,,,,,6.91,,,,,,,Percent of Total Billed Charges,,,,,6.84,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,6.12,,,,,,,Percent of Total Billed Charges,,,,,1.51,,,,,,,Percent of Total Billed Charges,,,,,6.48,,,,,,,Percent of Total Billed Charges,,,,,6.48,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,, *MYLANTA SUSP : 12 OZ BOTTLE ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, MYLANTA II SUSP : 12 OZ BOTTLE ,250,RC,,Outpatient,,,13.5,10.8,10.08,,,,,,,Percent of Total Billed Charges,,10.08,10.08,,13.5,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,, *MIOCHOL - E SYSTEM PAK ,250,RC,,Outpatient,,,102.5,82,76.57,,,,,,,Percent of Total Billed Charges,,76.57,76.57,,102.5,,,,,,,Percent of Total Billed Charges,,,,,98.4,,,,,,,Percent of Total Billed Charges,,,,,97.38,,,,,,,Percent of Total Billed Charges,,,,,20.5,,,,,,,Percent of Total Billed Charges,,,,,87.13,,,,,,,Percent of Total Billed Charges,,,,,21.53,,,,,,,Percent of Total Billed Charges,,,,,92.25,,,,,,,Percent of Total Billed Charges,,,,,92.25,,,,,,,Percent of Total Billed Charges,,,,,20.5,,,,,,,Percent of Total Billed Charges,,,,,28.7,,,,,,,Percent of Total Billed Charges,,,,,82,,,,,,,Percent of Total Billed Charges,,,,,20.5,,,,,,,Percent of Total Billed Charges,,,, PHENYLEPHRINE NASAL SPRAY : 1 % ,250,RC,,Outpatient,,,24.8,19.84,18.53,,,,,,,Percent of Total Billed Charges,,18.53,18.53,,24.8,,,,,,,Percent of Total Billed Charges,,,,,23.81,,,,,,,Percent of Total Billed Charges,,,,,23.56,,,,,,,Percent of Total Billed Charges,,,,,4.96,,,,,,,Percent of Total Billed Charges,,,,,21.08,,,,,,,Percent of Total Billed Charges,,,,,5.21,,,,,,,Percent of Total Billed Charges,,,,,22.32,,,,,,,Percent of Total Billed Charges,,,,,22.32,,,,,,,Percent of Total Billed Charges,,,,,4.96,,,,,,,Percent of Total Billed Charges,,,,,6.94,,,,,,,Percent of Total Billed Charges,,,,,19.84,,,,,,,Percent of Total Billed Charges,,,,,4.96,,,,,,,Percent of Total Billed Charges,,,, PHENYLEPHRINE NASAL SPRAY : 1/4 % ,250,RC,,Outpatient,,,23.45,18.76,17.52,,,,,,,Percent of Total Billed Charges,,17.52,17.52,,23.45,,,,,,,Percent of Total Billed Charges,,,,,22.51,,,,,,,Percent of Total Billed Charges,,,,,22.28,,,,,,,Percent of Total Billed Charges,,,,,4.69,,,,,,,Percent of Total Billed Charges,,,,,19.93,,,,,,,Percent of Total Billed Charges,,,,,4.92,,,,,,,Percent of Total Billed Charges,,,,,21.11,,,,,,,Percent of Total Billed Charges,,,,,21.11,,,,,,,Percent of Total Billed Charges,,,,,4.69,,,,,,,Percent of Total Billed Charges,,,,,6.57,,,,,,,Percent of Total Billed Charges,,,,,18.76,,,,,,,Percent of Total Billed Charges,,,,,4.69,,,,,,,Percent of Total Billed Charges,,,, CALCITONIN NASAL SPRAY (MIACALCIN): 2ML ,250,RC,,Outpatient,2,ML,248.35,198.68,185.52,,,,,,,Percent of Total Billed Charges,,185.52,185.52,,248.35,,,,,,,Percent of Total Billed Charges,,,,,238.42,,,,,,,Percent of Total Billed Charges,,,,,235.93,,,,,,,Percent of Total Billed Charges,,,,,49.67,,,,,,,Percent of Total Billed Charges,,,,,211.1,,,,,,,Percent of Total Billed Charges,,,,,52.15,,,,,,,Percent of Total Billed Charges,,,,,223.52,,,,,,,Percent of Total Billed Charges,,,,,223.52,,,,,,,Percent of Total Billed Charges,,,,,49.67,,,,,,,Percent of Total Billed Charges,,,,,69.54,,,,,,,Percent of Total Billed Charges,,,,,198.68,,,,,,,Percent of Total Billed Charges,,,,,49.67,,,,,,,Percent of Total Billed Charges,,,, *NITROGLYCERIN OINT 2% : 60 GRAM TUBE ,250,RC,,Outpatient,60,GR,227.15,181.72,169.68,,,,,,,Percent of Total Billed Charges,,169.68,169.68,,227.15,,,,,,,Percent of Total Billed Charges,,,,,218.06,,,,,,,Percent of Total Billed Charges,,,,,215.79,,,,,,,Percent of Total Billed Charges,,,,,45.43,,,,,,,Percent of Total Billed Charges,,,,,193.08,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,,,204.44,,,,,,,Percent of Total Billed Charges,,,,,204.44,,,,,,,Percent of Total Billed Charges,,,,,45.43,,,,,,,Percent of Total Billed Charges,,,,,63.6,,,,,,,Percent of Total Billed Charges,,,,,181.72,,,,,,,Percent of Total Billed Charges,,,,,45.43,,,,,,,Percent of Total Billed Charges,,,, NITROGLYCERIN OINTMENT : 1 GRAM PACKET ,250,RC,,Outpatient,1,GR,9.55,7.64,7.13,,,,,,,Percent of Total Billed Charges,,7.13,7.13,,9.55,,,,,,,Percent of Total Billed Charges,,,,,9.17,,,,,,,Percent of Total Billed Charges,,,,,9.07,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,2.01,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,2.67,,,,,,,Percent of Total Billed Charges,,,,,7.64,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,, NTG PATCH 2.5MG/24HR (0.1MG/HR) ,250,RC,,Outpatient,2.5,ME,5.75,4.6,4.3,,,,,,,Percent of Total Billed Charges,,4.3,4.3,,5.75,,,,,,,Percent of Total Billed Charges,,,,,5.52,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,1.15,,,,,,,Percent of Total Billed Charges,,,,,4.89,,,,,,,Percent of Total Billed Charges,,,,,1.21,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,1.15,,,,,,,Percent of Total Billed Charges,,,,,1.61,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,1.15,,,,,,,Percent of Total Billed Charges,,,, NTG PATCH 5MG/24HR (0.2MG/HR) ,250,RC,,Outpatient,5,ME,5.85,4.68,4.37,,,,,,,Percent of Total Billed Charges,,4.37,4.37,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.62,,,,,,,Percent of Total Billed Charges,,,,,5.56,,,,,,,Percent of Total Billed Charges,,,,,1.17,,,,,,,Percent of Total Billed Charges,,,,,4.97,,,,,,,Percent of Total Billed Charges,,,,,1.23,,,,,,,Percent of Total Billed Charges,,,,,5.27,,,,,,,Percent of Total Billed Charges,,,,,5.27,,,,,,,Percent of Total Billed Charges,,,,,1.17,,,,,,,Percent of Total Billed Charges,,,,,1.64,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.17,,,,,,,Percent of Total Billed Charges,,,, NTG PATCH 7.5 MG/24 HR (0.3 MG/HR) ,250,RC,,Outpatient,7.5,ME,21.5,17.2,16.06,,,,,,,Percent of Total Billed Charges,,16.06,16.06,,21.5,,,,,,,Percent of Total Billed Charges,,,,,20.64,,,,,,,Percent of Total Billed Charges,,,,,20.43,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,18.28,,,,,,,Percent of Total Billed Charges,,,,,4.52,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,19.35,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,6.02,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,, MAXITROL (NEO/POLY/DEX) OPTH OINT:3.5 GM,250,RC,,Outpatient,3.5,GR,42.7,34.16,31.9,,,,,,,Percent of Total Billed Charges,,31.9,31.9,,42.7,,,,,,,Percent of Total Billed Charges,,,,,40.99,,,,,,,Percent of Total Billed Charges,,,,,40.57,,,,,,,Percent of Total Billed Charges,,,,,8.54,,,,,,,Percent of Total Billed Charges,,,,,36.3,,,,,,,Percent of Total Billed Charges,,,,,8.97,,,,,,,Percent of Total Billed Charges,,,,,38.43,,,,,,,Percent of Total Billed Charges,,,,,38.43,,,,,,,Percent of Total Billed Charges,,,,,8.54,,,,,,,Percent of Total Billed Charges,,,,,11.96,,,,,,,Percent of Total Billed Charges,,,,,34.16,,,,,,,Percent of Total Billed Charges,,,,,8.54,,,,,,,Percent of Total Billed Charges,,,, NTG PATCH 10MG/24HR (0.4MG/HR) ,250,RC,,Outpatient,10,ME,6.35,5.08,4.74,,,,,,,Percent of Total Billed Charges,,4.74,4.74,,6.35,,,,,,,Percent of Total Billed Charges,,,,,6.1,,,,,,,Percent of Total Billed Charges,,,,,6.03,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.33,,,,,,,Percent of Total Billed Charges,,,,,5.72,,,,,,,Percent of Total Billed Charges,,,,,5.72,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,,,1.78,,,,,,,Percent of Total Billed Charges,,,,,5.08,,,,,,,Percent of Total Billed Charges,,,,,1.27,,,,,,,Percent of Total Billed Charges,,,, NITRO 0.4 MG SPRAY ,250,RC,,Outpatient,0.4,ME,253.65,202.92,189.48,,,,,,,Percent of Total Billed Charges,,189.48,189.48,,253.65,,,,,,,Percent of Total Billed Charges,,,,,243.5,,,,,,,Percent of Total Billed Charges,,,,,240.97,,,,,,,Percent of Total Billed Charges,,,,,50.73,,,,,,,Percent of Total Billed Charges,,,,,215.6,,,,,,,Percent of Total Billed Charges,,,,,53.27,,,,,,,Percent of Total Billed Charges,,,,,228.29,,,,,,,Percent of Total Billed Charges,,,,,228.29,,,,,,,Percent of Total Billed Charges,,,,,50.73,,,,,,,Percent of Total Billed Charges,,,,,71.02,,,,,,,Percent of Total Billed Charges,,,,,202.92,,,,,,,Percent of Total Billed Charges,,,,,50.73,,,,,,,Percent of Total Billed Charges,,,, NTG PATCH 15MG/24HR (0.6MG/HR) ,250,RC,,Outpatient,15,ME,6.7,5.36,5,,,,,,,Percent of Total Billed Charges,,5,5,,6.7,,,,,,,Percent of Total Billed Charges,,,,,6.43,,,,,,,Percent of Total Billed Charges,,,,,6.37,,,,,,,Percent of Total Billed Charges,,,,,1.34,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.41,,,,,,,Percent of Total Billed Charges,,,,,6.03,,,,,,,Percent of Total Billed Charges,,,,,6.03,,,,,,,Percent of Total Billed Charges,,,,,1.34,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,1.34,,,,,,,Percent of Total Billed Charges,,,, NITRO 0.3 MG TAB SL: (1 X 100 TABS) ,250,RC,,Outpatient,0.3,ME,13.9,11.12,10.38,,,,,,,Percent of Total Billed Charges,,10.38,10.38,,13.9,,,,,,,Percent of Total Billed Charges,,,,,13.34,,,,,,,Percent of Total Billed Charges,,,,,13.21,,,,,,,Percent of Total Billed Charges,,,,,2.78,,,,,,,Percent of Total Billed Charges,,,,,11.82,,,,,,,Percent of Total Billed Charges,,,,,2.92,,,,,,,Percent of Total Billed Charges,,,,,12.51,,,,,,,Percent of Total Billed Charges,,,,,12.51,,,,,,,Percent of Total Billed Charges,,,,,2.78,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,11.12,,,,,,,Percent of Total Billed Charges,,,,,2.78,,,,,,,Percent of Total Billed Charges,,,, NITRO 0.4 MG TAB SL : BOTTLE ,250,RC,,Outpatient,0.4,ME,82.25,65.8,61.44,,,,,,,Percent of Total Billed Charges,,61.44,61.44,,82.25,,,,,,,Percent of Total Billed Charges,,,,,78.96,,,,,,,Percent of Total Billed Charges,,,,,78.14,,,,,,,Percent of Total Billed Charges,,,,,16.45,,,,,,,Percent of Total Billed Charges,,,,,69.91,,,,,,,Percent of Total Billed Charges,,,,,17.27,,,,,,,Percent of Total Billed Charges,,,,,74.03,,,,,,,Percent of Total Billed Charges,,,,,74.03,,,,,,,Percent of Total Billed Charges,,,,,16.45,,,,,,,Percent of Total Billed Charges,,,,,23.03,,,,,,,Percent of Total Billed Charges,,,,,65.8,,,,,,,Percent of Total Billed Charges,,,,,16.45,,,,,,,Percent of Total Billed Charges,,,, NICOTINE PATCH 21 MG ,250,RC,,Outpatient,21,ME,8.25,6.6,6.16,,,,,,,Percent of Total Billed Charges,,6.16,6.16,,8.25,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,1.65,,,,,,,Percent of Total Billed Charges,,,,,7.01,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,7.43,,,,,,,Percent of Total Billed Charges,,,,,7.43,,,,,,,Percent of Total Billed Charges,,,,,1.65,,,,,,,Percent of Total Billed Charges,,,,,2.31,,,,,,,Percent of Total Billed Charges,,,,,6.6,,,,,,,Percent of Total Billed Charges,,,,,1.65,,,,,,,Percent of Total Billed Charges,,,, "*NU GAUZE PLAIN 1/4""********** ",250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, NICOTINE PATCH 14 MG ,250,RC,,Outpatient,,,8.4,6.72,6.27,,,,,,,Percent of Total Billed Charges,,6.27,6.27,,8.4,,,,,,,Percent of Total Billed Charges,,,,,8.06,,,,,,,Percent of Total Billed Charges,,,,,7.98,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,2.35,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,, "*NU GAUZE PLAIN 1""******* ",250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, "*NU GAUZE IODOFORM 1/4""******* ",250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, "*NU GAUZE IODOFORM 1/2""***** ",250,RC,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, "*NU GAUZE IODOFORM 1"" *** ",250,RC,,Outpatient,,,19.5,15.6,14.57,,,,,,,Percent of Total Billed Charges,,14.57,14.57,,19.5,,,,,,,Percent of Total Billed Charges,,,,,18.72,,,,,,,Percent of Total Billed Charges,,,,,18.53,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,16.58,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,17.55,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,3.9,,,,,,,Percent of Total Billed Charges,,,, PHENYLEPHRINE OPHTH DROPS 2.5% : 5 ML ,250,RC,,Outpatient,5,ML,29.5,23.6,22.04,,,,,,,Percent of Total Billed Charges,,22.04,22.04,,29.5,,,,,,,Percent of Total Billed Charges,,,,,28.32,,,,,,,Percent of Total Billed Charges,,,,,28.03,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,25.08,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,8.26,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,, PHENYLEPHRINE OPHTH DROPS : 10 % ,250,RC,,Outpatient,,,130.75,104.6,97.67,,,,,,,Percent of Total Billed Charges,,97.67,97.67,,130.75,,,,,,,Percent of Total Billed Charges,,,,,125.52,,,,,,,Percent of Total Billed Charges,,,,,124.21,,,,,,,Percent of Total Billed Charges,,,,,26.15,,,,,,,Percent of Total Billed Charges,,,,,111.14,,,,,,,Percent of Total Billed Charges,,,,,27.46,,,,,,,Percent of Total Billed Charges,,,,,117.68,,,,,,,Percent of Total Billed Charges,,,,,117.68,,,,,,,Percent of Total Billed Charges,,,,,26.15,,,,,,,Percent of Total Billed Charges,,,,,36.61,,,,,,,Percent of Total Billed Charges,,,,,104.6,,,,,,,Percent of Total Billed Charges,,,,,26.15,,,,,,,Percent of Total Billed Charges,,,, NYSTATIN OINTMENT : 30 GRAM ,250,RC,,Outpatient,30,GR,15.65,12.52,11.69,,,,,,,Percent of Total Billed Charges,,11.69,11.69,,15.65,,,,,,,Percent of Total Billed Charges,,,,,15.02,,,,,,,Percent of Total Billed Charges,,,,,14.87,,,,,,,Percent of Total Billed Charges,,,,,3.13,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,3.29,,,,,,,Percent of Total Billed Charges,,,,,14.09,,,,,,,Percent of Total Billed Charges,,,,,14.09,,,,,,,Percent of Total Billed Charges,,,,,3.13,,,,,,,Percent of Total Billed Charges,,,,,4.38,,,,,,,Percent of Total Billed Charges,,,,,12.52,,,,,,,Percent of Total Billed Charges,,,,,3.13,,,,,,,Percent of Total Billed Charges,,,, *NYSTATIN CREAM 15 GRAM TUBE****** ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, NYSTATIN POWDER 15 GM ,250,RC,,Outpatient,15,GR,30.3,24.24,22.63,,,,,,,Percent of Total Billed Charges,,22.63,22.63,,30.3,,,,,,,Percent of Total Billed Charges,,,,,29.09,,,,,,,Percent of Total Billed Charges,,,,,28.79,,,,,,,Percent of Total Billed Charges,,,,,6.06,,,,,,,Percent of Total Billed Charges,,,,,25.76,,,,,,,Percent of Total Billed Charges,,,,,6.36,,,,,,,Percent of Total Billed Charges,,,,,27.27,,,,,,,Percent of Total Billed Charges,,,,,27.27,,,,,,,Percent of Total Billed Charges,,,,,6.06,,,,,,,Percent of Total Billed Charges,,,,,8.48,,,,,,,Percent of Total Billed Charges,,,,,24.24,,,,,,,Percent of Total Billed Charges,,,,,6.06,,,,,,,Percent of Total Billed Charges,,,, NYSTATIN CREAM : 30 GRAM ,250,RC,,Outpatient,30,GR,32.1,25.68,23.98,,,,,,,Percent of Total Billed Charges,,23.98,23.98,,32.1,,,,,,,Percent of Total Billed Charges,,,,,30.82,,,,,,,Percent of Total Billed Charges,,,,,30.5,,,,,,,Percent of Total Billed Charges,,,,,6.42,,,,,,,Percent of Total Billed Charges,,,,,27.29,,,,,,,Percent of Total Billed Charges,,,,,6.74,,,,,,,Percent of Total Billed Charges,,,,,28.89,,,,,,,Percent of Total Billed Charges,,,,,28.89,,,,,,,Percent of Total Billed Charges,,,,,6.42,,,,,,,Percent of Total Billed Charges,,,,,8.99,,,,,,,Percent of Total Billed Charges,,,,,25.68,,,,,,,Percent of Total Billed Charges,,,,,6.42,,,,,,,Percent of Total Billed Charges,,,, NYSTATIN SUSP : 60 ML ,250,RC,,Outpatient,60,ML,46.5,37.2,34.74,,,,,,,Percent of Total Billed Charges,,34.74,34.74,,46.5,,,,,,,Percent of Total Billed Charges,,,,,44.64,,,,,,,Percent of Total Billed Charges,,,,,44.18,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,39.53,,,,,,,Percent of Total Billed Charges,,,,,9.77,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,41.85,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,9.3,,,,,,,Percent of Total Billed Charges,,,, UNISTIK 2 2.4MM YELLOW BOX OF # 100 ,250,RC,,Outpatient,,,12.95,10.36,9.67,,,,,,,Percent of Total Billed Charges,,9.67,9.67,,12.95,,,,,,,Percent of Total Billed Charges,,,,,12.43,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,11.01,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,11.66,,,,,,,Percent of Total Billed Charges,,,,,11.66,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,3.63,,,,,,,Percent of Total Billed Charges,,,,,10.36,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,, *NYSTATIN/TRIAMCINOLONE CREAM 15GM ** ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, NYSTATIN/TRIAMCINOLONE CREAM 30 GM ,250,RC,,Outpatient,,,33.3,26.64,24.88,,,,,,,Percent of Total Billed Charges,,24.88,24.88,,33.3,,,,,,,Percent of Total Billed Charges,,,,,31.97,,,,,,,Percent of Total Billed Charges,,,,,31.64,,,,,,,Percent of Total Billed Charges,,,,,6.66,,,,,,,Percent of Total Billed Charges,,,,,28.31,,,,,,,Percent of Total Billed Charges,,,,,6.99,,,,,,,Percent of Total Billed Charges,,,,,29.97,,,,,,,Percent of Total Billed Charges,,,,,29.97,,,,,,,Percent of Total Billed Charges,,,,,6.66,,,,,,,Percent of Total Billed Charges,,,,,9.32,,,,,,,Percent of Total Billed Charges,,,,,26.64,,,,,,,Percent of Total Billed Charges,,,,,6.66,,,,,,,Percent of Total Billed Charges,,,, OCEAN NASAL SPRAY(DEEP SEA): 45ML BOTTLE,250,RC,,Outpatient,,,15.35,12.28,11.47,,,,,,,Percent of Total Billed Charges,,11.47,11.47,,15.35,,,,,,,Percent of Total Billed Charges,,,,,14.74,,,,,,,Percent of Total Billed Charges,,,,,14.58,,,,,,,Percent of Total Billed Charges,,,,,3.07,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,13.82,,,,,,,Percent of Total Billed Charges,,,,,13.82,,,,,,,Percent of Total Billed Charges,,,,,3.07,,,,,,,Percent of Total Billed Charges,,,,,4.3,,,,,,,Percent of Total Billed Charges,,,,,12.28,,,,,,,Percent of Total Billed Charges,,,,,3.07,,,,,,,Percent of Total Billed Charges,,,, PROPARACAINE 0.5 % OPHTH : DOSE ,250,RC,,Outpatient,,,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, PROPARACAINE 0.5% SOLN : 15 ML BOTTLE ,250,RC,,Outpatient,15,ML,118.55,94.84,88.56,,,,,,,Percent of Total Billed Charges,,88.56,88.56,,118.55,,,,,,,Percent of Total Billed Charges,,,,,113.81,,,,,,,Percent of Total Billed Charges,,,,,112.62,,,,,,,Percent of Total Billed Charges,,,,,23.71,,,,,,,Percent of Total Billed Charges,,,,,100.77,,,,,,,Percent of Total Billed Charges,,,,,24.9,,,,,,,Percent of Total Billed Charges,,,,,106.7,,,,,,,Percent of Total Billed Charges,,,,,106.7,,,,,,,Percent of Total Billed Charges,,,,,23.71,,,,,,,Percent of Total Billed Charges,,,,,33.19,,,,,,,Percent of Total Billed Charges,,,,,94.84,,,,,,,Percent of Total Billed Charges,,,,,23.71,,,,,,,Percent of Total Billed Charges,,,, PILOCARPINE 4% OPHTH DROPS : 15 ML ,250,RC,,Outpatient,15,ML,187.55,150.04,140.1,,,,,,,Percent of Total Billed Charges,,140.1,140.1,,187.55,,,,,,,Percent of Total Billed Charges,,,,,180.05,,,,,,,Percent of Total Billed Charges,,,,,178.17,,,,,,,Percent of Total Billed Charges,,,,,37.51,,,,,,,Percent of Total Billed Charges,,,,,159.42,,,,,,,Percent of Total Billed Charges,,,,,39.39,,,,,,,Percent of Total Billed Charges,,,,,168.8,,,,,,,Percent of Total Billed Charges,,,,,168.8,,,,,,,Percent of Total Billed Charges,,,,,37.51,,,,,,,Percent of Total Billed Charges,,,,,52.51,,,,,,,Percent of Total Billed Charges,,,,,150.04,,,,,,,Percent of Total Billed Charges,,,,,37.51,,,,,,,Percent of Total Billed Charges,,,, ORABASE W/BENZOCAINE 15 GRAM ,250,RC,,Outpatient,15,GR,29.7,23.76,22.19,,,,,,,Percent of Total Billed Charges,,22.19,22.19,,29.7,,,,,,,Percent of Total Billed Charges,,,,,28.51,,,,,,,Percent of Total Billed Charges,,,,,28.22,,,,,,,Percent of Total Billed Charges,,,,,5.94,,,,,,,Percent of Total Billed Charges,,,,,25.25,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,26.73,,,,,,,Percent of Total Billed Charges,,,,,26.73,,,,,,,Percent of Total Billed Charges,,,,,5.94,,,,,,,Percent of Total Billed Charges,,,,,8.32,,,,,,,Percent of Total Billed Charges,,,,,23.76,,,,,,,Percent of Total Billed Charges,,,,,5.94,,,,,,,Percent of Total Billed Charges,,,, *HEXACHLOROPHENE (PHISOHEX) 150 ML*** ,250,RC,,Outpatient,150,ML,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, PILOCARPINE 1% OPHTH DROPS : 15 ML ,250,RC,,Outpatient,15,ML,22.45,17.96,16.77,,,,,,,Percent of Total Billed Charges,,16.77,16.77,,22.45,,,,,,,Percent of Total Billed Charges,,,,,21.55,,,,,,,Percent of Total Billed Charges,,,,,21.33,,,,,,,Percent of Total Billed Charges,,,,,4.49,,,,,,,Percent of Total Billed Charges,,,,,19.08,,,,,,,Percent of Total Billed Charges,,,,,4.71,,,,,,,Percent of Total Billed Charges,,,,,20.21,,,,,,,Percent of Total Billed Charges,,,,,20.21,,,,,,,Percent of Total Billed Charges,,,,,4.49,,,,,,,Percent of Total Billed Charges,,,,,6.29,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,4.49,,,,,,,Percent of Total Billed Charges,,,, *POVIDONE IODINE DOUCHE 6 OZ******* ,250,RC,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, PILOCARPINE 2% OPHTH DROPS : 15 ML ,250,RC,,Outpatient,15,ML,126.05,100.84,94.16,,,,,,,Percent of Total Billed Charges,,94.16,94.16,,126.05,,,,,,,Percent of Total Billed Charges,,,,,121.01,,,,,,,Percent of Total Billed Charges,,,,,119.75,,,,,,,Percent of Total Billed Charges,,,,,25.21,,,,,,,Percent of Total Billed Charges,,,,,107.14,,,,,,,Percent of Total Billed Charges,,,,,26.47,,,,,,,Percent of Total Billed Charges,,,,,113.45,,,,,,,Percent of Total Billed Charges,,,,,113.45,,,,,,,Percent of Total Billed Charges,,,,,25.21,,,,,,,Percent of Total Billed Charges,,,,,35.29,,,,,,,Percent of Total Billed Charges,,,,,100.84,,,,,,,Percent of Total Billed Charges,,,,,25.21,,,,,,,Percent of Total Billed Charges,,,, *POVIDONE IODINE GAUZE********** ,250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, PREDNISOLONE 1%(PRED FORTE) OPH DROP:5ML,250,RC,,Outpatient,5,ML,151.1,120.88,112.87,,,,,,,Percent of Total Billed Charges,,112.87,112.87,,151.1,,,,,,,Percent of Total Billed Charges,,,,,145.06,,,,,,,Percent of Total Billed Charges,,,,,143.55,,,,,,,Percent of Total Billed Charges,,,,,30.22,,,,,,,Percent of Total Billed Charges,,,,,128.44,,,,,,,Percent of Total Billed Charges,,,,,31.73,,,,,,,Percent of Total Billed Charges,,,,,135.99,,,,,,,Percent of Total Billed Charges,,,,,135.99,,,,,,,Percent of Total Billed Charges,,,,,30.22,,,,,,,Percent of Total Billed Charges,,,,,42.31,,,,,,,Percent of Total Billed Charges,,,,,120.88,,,,,,,Percent of Total Billed Charges,,,,,30.22,,,,,,,Percent of Total Billed Charges,,,, POVIDONE IODINE 30 GRAM OINT ,250,RC,,Outpatient,,,15.65,12.52,11.69,,,,,,,Percent of Total Billed Charges,,11.69,11.69,,15.65,,,,,,,Percent of Total Billed Charges,,,,,15.02,,,,,,,Percent of Total Billed Charges,,,,,14.87,,,,,,,Percent of Total Billed Charges,,,,,3.13,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,3.29,,,,,,,Percent of Total Billed Charges,,,,,14.09,,,,,,,Percent of Total Billed Charges,,,,,14.09,,,,,,,Percent of Total Billed Charges,,,,,3.13,,,,,,,Percent of Total Billed Charges,,,,,4.38,,,,,,,Percent of Total Billed Charges,,,,,12.52,,,,,,,Percent of Total Billed Charges,,,,,3.13,,,,,,,Percent of Total Billed Charges,,,, *POVIDONE IODINE 0.9GM PKT TOP **** ,250,RC,,Outpatient,,,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, SILVER NITRATE STICK ,250,RC,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, PREPARATION H OINTMENT : 57 GM ,250,RC,,Outpatient,57,GR,19.85,15.88,14.83,,,,,,,Percent of Total Billed Charges,,14.83,14.83,,19.85,,,,,,,Percent of Total Billed Charges,,,,,19.06,,,,,,,Percent of Total Billed Charges,,,,,18.86,,,,,,,Percent of Total Billed Charges,,,,,3.97,,,,,,,Percent of Total Billed Charges,,,,,16.87,,,,,,,Percent of Total Billed Charges,,,,,4.17,,,,,,,Percent of Total Billed Charges,,,,,17.87,,,,,,,Percent of Total Billed Charges,,,,,17.87,,,,,,,Percent of Total Billed Charges,,,,,3.97,,,,,,,Percent of Total Billed Charges,,,,,5.56,,,,,,,Percent of Total Billed Charges,,,,,15.88,,,,,,,Percent of Total Billed Charges,,,,,3.97,,,,,,,Percent of Total Billed Charges,,,, SCOPOLAMINE PATCH:1.3 MG (1MG IN 3 DAYS),250,RC,,Outpatient,,,34.85,27.88,26.03,,,,,,,Percent of Total Billed Charges,,26.03,26.03,,34.85,,,,,,,Percent of Total Billed Charges,,,,,33.46,,,,,,,Percent of Total Billed Charges,,,,,33.11,,,,,,,Percent of Total Billed Charges,,,,,6.97,,,,,,,Percent of Total Billed Charges,,,,,29.62,,,,,,,Percent of Total Billed Charges,,,,,7.32,,,,,,,Percent of Total Billed Charges,,,,,31.37,,,,,,,Percent of Total Billed Charges,,,,,31.37,,,,,,,Percent of Total Billed Charges,,,,,6.97,,,,,,,Percent of Total Billed Charges,,,,,9.76,,,,,,,Percent of Total Billed Charges,,,,,27.88,,,,,,,Percent of Total Billed Charges,,,,,6.97,,,,,,,Percent of Total Billed Charges,,,, *POVIDONE IODINE SCRUB 90ML ,250,RC,,Outpatient,90,ML,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, *POVIDONE IODINE SOL 120ML ,250,RC,,Outpatient,120,ML,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, *POVIDONE IODINE SOL 240 ML ,250,RC,,Outpatient,240,ML,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, *POVIDONE IODINE SWAB STICKS***** ,250,RC,,Outpatient,,,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, CONJUGATED ESTROGEN VAG CREAM ,250,RC,,Outpatient,,,1430.2,1144.16,1068.36,,,,,,,Percent of Total Billed Charges,,1068.36,1068.36,,1430.2,,,,,,,Percent of Total Billed Charges,,,,,1372.99,,,,,,,Percent of Total Billed Charges,,,,,1358.69,,,,,,,Percent of Total Billed Charges,,,,,286.04,,,,,,,Percent of Total Billed Charges,,,,,1215.67,,,,,,,Percent of Total Billed Charges,,,,,300.34,,,,,,,Percent of Total Billed Charges,,,,,1287.18,,,,,,,Percent of Total Billed Charges,,,,,1287.18,,,,,,,Percent of Total Billed Charges,,,,,286.04,,,,,,,Percent of Total Billed Charges,,,,,400.46,,,,,,,Percent of Total Billed Charges,,,,,1144.16,,,,,,,Percent of Total Billed Charges,,,,,286.04,,,,,,,Percent of Total Billed Charges,,,, PROCHLORPERAZINE SUPP : 25 MG ,250,RC,,Outpatient,25,ME,32.9,26.32,24.58,,,,,,,Percent of Total Billed Charges,,24.58,24.58,,32.9,,,,,,,Percent of Total Billed Charges,,,,,31.58,,,,,,,Percent of Total Billed Charges,,,,,31.26,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,,,27.97,,,,,,,Percent of Total Billed Charges,,,,,6.91,,,,,,,Percent of Total Billed Charges,,,,,29.61,,,,,,,Percent of Total Billed Charges,,,,,29.61,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,,,9.21,,,,,,,Percent of Total Billed Charges,,,,,26.32,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,, *PROMETHAZINE SUPP 25 MG ,250,RC,,Outpatient,25,ME,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, CHOLESTYRAMINE (QUESTRAN): 4 GRAM DOSE ,250,RC,,Outpatient,4,GR,3.8,3.04,2.84,,,,,,,Percent of Total Billed Charges,,2.84,2.84,,3.8,,,,,,,Percent of Total Billed Charges,,,,,3.65,,,,,,,Percent of Total Billed Charges,,,,,3.61,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,3.42,,,,,,,Percent of Total Billed Charges,,,,,3.42,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,,,1.06,,,,,,,Percent of Total Billed Charges,,,,,3.04,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,, *SURGICEL HEMOSTAT STRIP : 1/2 X 2 ,250,RC,,Outpatient,,,69,55.2,51.54,,,,,,,Percent of Total Billed Charges,,51.54,51.54,,69,,,,,,,Percent of Total Billed Charges,,,,,66.24,,,,,,,Percent of Total Billed Charges,,,,,65.55,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,58.65,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,, *SALINE ENEMA 1000 ML **** ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, SURGICEL HEMOSTAT STRIP : 2 IN X 3 INCH ,250,RC,,Outpatient,,,178.2,142.56,133.12,,,,,,,Percent of Total Billed Charges,,133.12,133.12,,178.2,,,,,,,Percent of Total Billed Charges,,,,,171.07,,,,,,,Percent of Total Billed Charges,,,,,169.29,,,,,,,Percent of Total Billed Charges,,,,,35.64,,,,,,,Percent of Total Billed Charges,,,,,151.47,,,,,,,Percent of Total Billed Charges,,,,,37.42,,,,,,,Percent of Total Billed Charges,,,,,160.38,,,,,,,Percent of Total Billed Charges,,,,,160.38,,,,,,,Percent of Total Billed Charges,,,,,35.64,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,,,142.56,,,,,,,Percent of Total Billed Charges,,,,,35.64,,,,,,,Percent of Total Billed Charges,,,, HYALURONIDASE (HYLENEX) INJ : 150 UNITS ,J3473 ,CPT,,Outpatient,,,140.8,112.64,105.18,,,,,,,Percent of Total Billed Charges,,105.18,105.18,,140.8,,,,,,,Percent of Total Billed Charges,,,,,135.17,,,,,,,Percent of Total Billed Charges,,,,,133.76,,,,,,,Percent of Total Billed Charges,,,,,28.16,,,,,,,Percent of Total Billed Charges,,,,,119.68,,,,,,,Percent of Total Billed Charges,,,,,29.57,,,,,,,Percent of Total Billed Charges,,,,,126.72,,,,,,,Percent of Total Billed Charges,,,,,126.72,,,,,,,Percent of Total Billed Charges,,,,,28.16,,,,,,,Percent of Total Billed Charges,,,,,39.42,,,,,,,Percent of Total Billed Charges,,,,,112.64,,,,,,,Percent of Total Billed Charges,,,,,28.16,,,,,,,Percent of Total Billed Charges,,,, SILVER SULFADIAZINE CREAM : 20 GM ,250,RC,,Outpatient,20,GR,37.7,30.16,28.16,,,,,,,Percent of Total Billed Charges,,28.16,28.16,,37.7,,,,,,,Percent of Total Billed Charges,,,,,36.19,,,,,,,Percent of Total Billed Charges,,,,,35.82,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,,,32.05,,,,,,,Percent of Total Billed Charges,,,,,7.92,,,,,,,Percent of Total Billed Charges,,,,,33.93,,,,,,,Percent of Total Billed Charges,,,,,33.93,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,,,10.56,,,,,,,Percent of Total Billed Charges,,,,,30.16,,,,,,,Percent of Total Billed Charges,,,,,7.54,,,,,,,Percent of Total Billed Charges,,,, SILVER SULFADIAZINE CR : 400 GRAM ,250,RC,,Outpatient,400,GR,178.65,142.92,133.45,,,,,,,Percent of Total Billed Charges,,133.45,133.45,,178.65,,,,,,,Percent of Total Billed Charges,,,,,171.5,,,,,,,Percent of Total Billed Charges,,,,,169.72,,,,,,,Percent of Total Billed Charges,,,,,35.73,,,,,,,Percent of Total Billed Charges,,,,,151.85,,,,,,,Percent of Total Billed Charges,,,,,37.52,,,,,,,Percent of Total Billed Charges,,,,,160.79,,,,,,,Percent of Total Billed Charges,,,,,160.79,,,,,,,Percent of Total Billed Charges,,,,,35.73,,,,,,,Percent of Total Billed Charges,,,,,50.02,,,,,,,Percent of Total Billed Charges,,,,,142.92,,,,,,,Percent of Total Billed Charges,,,,,35.73,,,,,,,Percent of Total Billed Charges,,,, SODIUM CHLORIDE 0.9% 3 ML INH BOX OF 100,250,RC,,Outpatient,3,ML,13.5,10.8,10.08,,,,,,,Percent of Total Billed Charges,,10.08,10.08,,13.5,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,, SODIUM CHLORIDE 0.9% INH SOLN 3ML(PINKIE,250,RC,,Outpatient,3,ML,4.7,3.76,3.51,,,,,,,Percent of Total Billed Charges,,3.51,3.51,,4.7,,,,,,,Percent of Total Billed Charges,,,,,4.51,,,,,,,Percent of Total Billed Charges,,,,,4.47,,,,,,,Percent of Total Billed Charges,,,,,0.94,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,0.99,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,4.23,,,,,,,Percent of Total Billed Charges,,,,,0.94,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,3.76,,,,,,,Percent of Total Billed Charges,,,,,0.94,,,,,,,Percent of Total Billed Charges,,,, SODIUM CHLORIDE 0.9% INH 15ML BOX OF 50 ,250,RC,,Outpatient,15,ML,14.75,11.8,11.02,,,,,,,Percent of Total Billed Charges,,11.02,11.02,,14.75,,,,,,,Percent of Total Billed Charges,,,,,14.16,,,,,,,Percent of Total Billed Charges,,,,,14.01,,,,,,,Percent of Total Billed Charges,,,,,2.95,,,,,,,Percent of Total Billed Charges,,,,,12.54,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.28,,,,,,,Percent of Total Billed Charges,,,,,13.28,,,,,,,Percent of Total Billed Charges,,,,,2.95,,,,,,,Percent of Total Billed Charges,,,,,4.13,,,,,,,Percent of Total Billed Charges,,,,,11.8,,,,,,,Percent of Total Billed Charges,,,,,2.95,,,,,,,Percent of Total Billed Charges,,,, *SODIUM SULFACETAMIDE 10% OPHTH OINT*** ,250,RC,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, SODIUM SULFACETAMIDE 10% OPHTH SOLN ,250,RC,,Outpatient,,,124.95,99.96,93.34,,,,,,,Percent of Total Billed Charges,,93.34,93.34,,124.95,,,,,,,Percent of Total Billed Charges,,,,,119.95,,,,,,,Percent of Total Billed Charges,,,,,118.7,,,,,,,Percent of Total Billed Charges,,,,,24.99,,,,,,,Percent of Total Billed Charges,,,,,106.21,,,,,,,Percent of Total Billed Charges,,,,,26.24,,,,,,,Percent of Total Billed Charges,,,,,112.46,,,,,,,Percent of Total Billed Charges,,,,,112.46,,,,,,,Percent of Total Billed Charges,,,,,24.99,,,,,,,Percent of Total Billed Charges,,,,,34.99,,,,,,,Percent of Total Billed Charges,,,,,99.96,,,,,,,Percent of Total Billed Charges,,,,,24.99,,,,,,,Percent of Total Billed Charges,,,, SORBITAL 70 % LIQUID : 30 ML ,250,RC,,Outpatient,30,ML,3.4,2.72,2.54,,,,,,,Percent of Total Billed Charges,,2.54,2.54,,3.4,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,3.23,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,2.89,,,,,,,Percent of Total Billed Charges,,,,,0.71,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,2.72,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,, SORBSAN WOUND DRESSING (4X4) PURCHASING ,250,RC,,Outpatient,,,62.5,50,46.69,,,,,,,Percent of Total Billed Charges,,46.69,46.69,,62.5,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,,,59.38,,,,,,,Percent of Total Billed Charges,,,,,12.5,,,,,,,Percent of Total Billed Charges,,,,,53.13,,,,,,,Percent of Total Billed Charges,,,,,13.13,,,,,,,Percent of Total Billed Charges,,,,,56.25,,,,,,,Percent of Total Billed Charges,,,,,56.25,,,,,,,Percent of Total Billed Charges,,,,,12.5,,,,,,,Percent of Total Billed Charges,,,,,17.5,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,,,12.5,,,,,,,Percent of Total Billed Charges,,,, SORBSAN WOUND PACKING (12 IN) PURCHASING,250,RC,,Outpatient,,,21,16.8,15.69,,,,,,,Percent of Total Billed Charges,,15.69,15.69,,21,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,19.95,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,4.41,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,, VIGILON 4 X 4 DRESSING ,250,RC,,Outpatient,,,13.7,10.96,10.23,,,,,,,Percent of Total Billed Charges,,10.23,10.23,,13.7,,,,,,,Percent of Total Billed Charges,,,,,13.15,,,,,,,Percent of Total Billed Charges,,,,,13.02,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,11.65,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,3.84,,,,,,,Percent of Total Billed Charges,,,,,10.96,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,, *TRIMETHOBENZAMIDE SUPP PED:100MG****** ,250,RC,,Outpatient,100,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, *TRIMETHOBENZAMIDE SUPP : 200 MG ****** ,250,RC,,Outpatient,200,ME,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, TIMOLOL MALEATE 0.5% OPHTH SOLN 15 ML ,250,RC,,Outpatient,15,ML,84.45,67.56,63.08,,,,,,,Percent of Total Billed Charges,,63.08,63.08,,84.45,,,,,,,Percent of Total Billed Charges,,,,,81.07,,,,,,,Percent of Total Billed Charges,,,,,80.23,,,,,,,Percent of Total Billed Charges,,,,,16.89,,,,,,,Percent of Total Billed Charges,,,,,71.78,,,,,,,Percent of Total Billed Charges,,,,,17.73,,,,,,,Percent of Total Billed Charges,,,,,76.01,,,,,,,Percent of Total Billed Charges,,,,,76.01,,,,,,,Percent of Total Billed Charges,,,,,16.89,,,,,,,Percent of Total Billed Charges,,,,,23.65,,,,,,,Percent of Total Billed Charges,,,,,67.56,,,,,,,Percent of Total Billed Charges,,,,,16.89,,,,,,,Percent of Total Billed Charges,,,, TIMOLOL MALEATE 0.25 % OPHTH SOLN 5ML ,250,RC,,Outpatient,5,ML,21.9,17.52,16.36,,,,,,,Percent of Total Billed Charges,,16.36,16.36,,21.9,,,,,,,Percent of Total Billed Charges,,,,,21.02,,,,,,,Percent of Total Billed Charges,,,,,20.81,,,,,,,Percent of Total Billed Charges,,,,,4.38,,,,,,,Percent of Total Billed Charges,,,,,18.62,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,19.71,,,,,,,Percent of Total Billed Charges,,,,,19.71,,,,,,,Percent of Total Billed Charges,,,,,4.38,,,,,,,Percent of Total Billed Charges,,,,,6.13,,,,,,,Percent of Total Billed Charges,,,,,17.52,,,,,,,Percent of Total Billed Charges,,,,,4.38,,,,,,,Percent of Total Billed Charges,,,, *TIMOLOL MALEATE 0.5% OPHTH SOLN 10ML ,250,RC,,Outpatient,10,ML,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, TRIAMCINOLONE 0.025 % CREAM : 15 GM ,250,RC,,Outpatient,15,GR,19.55,15.64,14.6,,,,,,,Percent of Total Billed Charges,,14.6,14.6,,19.55,,,,,,,Percent of Total Billed Charges,,,,,18.77,,,,,,,Percent of Total Billed Charges,,,,,18.57,,,,,,,Percent of Total Billed Charges,,,,,3.91,,,,,,,Percent of Total Billed Charges,,,,,16.62,,,,,,,Percent of Total Billed Charges,,,,,4.11,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,3.91,,,,,,,Percent of Total Billed Charges,,,,,5.47,,,,,,,Percent of Total Billed Charges,,,,,15.64,,,,,,,Percent of Total Billed Charges,,,,,3.91,,,,,,,Percent of Total Billed Charges,,,, TRIAMCINOLONE 0.1% CREAM : 80 GM ,250,RC,,Outpatient,80,GR,27.65,22.12,20.65,,,,,,,Percent of Total Billed Charges,,20.65,20.65,,27.65,,,,,,,Percent of Total Billed Charges,,,,,26.54,,,,,,,Percent of Total Billed Charges,,,,,26.27,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,5.81,,,,,,,Percent of Total Billed Charges,,,,,24.89,,,,,,,Percent of Total Billed Charges,,,,,24.89,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,7.74,,,,,,,Percent of Total Billed Charges,,,,,22.12,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,, TRIAMCINOLONE 0.1% CREAM : 15 GM ,250,RC,,Outpatient,15,GR,22.95,18.36,17.14,,,,,,,Percent of Total Billed Charges,,17.14,17.14,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.03,,,,,,,Percent of Total Billed Charges,,,,,21.8,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,19.51,,,,,,,Percent of Total Billed Charges,,,,,4.82,,,,,,,Percent of Total Billed Charges,,,,,20.66,,,,,,,Percent of Total Billed Charges,,,,,20.66,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,,,6.43,,,,,,,Percent of Total Billed Charges,,,,,18.36,,,,,,,Percent of Total Billed Charges,,,,,4.59,,,,,,,Percent of Total Billed Charges,,,, TRIAMCINOLONE 0.5% CREAM : 15 GM ,250,RC,,Outpatient,15,GR,23.95,19.16,17.89,,,,,,,Percent of Total Billed Charges,,17.89,17.89,,23.95,,,,,,,Percent of Total Billed Charges,,,,,22.99,,,,,,,Percent of Total Billed Charges,,,,,22.75,,,,,,,Percent of Total Billed Charges,,,,,4.79,,,,,,,Percent of Total Billed Charges,,,,,20.36,,,,,,,Percent of Total Billed Charges,,,,,5.03,,,,,,,Percent of Total Billed Charges,,,,,21.56,,,,,,,Percent of Total Billed Charges,,,,,21.56,,,,,,,Percent of Total Billed Charges,,,,,4.79,,,,,,,Percent of Total Billed Charges,,,,,6.71,,,,,,,Percent of Total Billed Charges,,,,,19.16,,,,,,,Percent of Total Billed Charges,,,,,4.79,,,,,,,Percent of Total Billed Charges,,,, TRIPLE ANTIBIOTIC OPHTH OINTMENT ,250,RC,,Outpatient,,,70.3,56.24,52.51,,,,,,,Percent of Total Billed Charges,,52.51,52.51,,70.3,,,,,,,Percent of Total Billed Charges,,,,,67.49,,,,,,,Percent of Total Billed Charges,,,,,66.79,,,,,,,Percent of Total Billed Charges,,,,,14.06,,,,,,,Percent of Total Billed Charges,,,,,59.76,,,,,,,Percent of Total Billed Charges,,,,,14.76,,,,,,,Percent of Total Billed Charges,,,,,63.27,,,,,,,Percent of Total Billed Charges,,,,,63.27,,,,,,,Percent of Total Billed Charges,,,,,14.06,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,56.24,,,,,,,Percent of Total Billed Charges,,,,,14.06,,,,,,,Percent of Total Billed Charges,,,, TRIAMCINOLONE CREAM 0.1 % 1 LB JAR******,250,RC,,Outpatient,,,25,20,18.68,,,,,,,Percent of Total Billed Charges,,18.68,18.68,,25,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,23.75,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,21.25,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,, TRIPLE ANTIBIOTIC OPHTH SOLN ,250,RC,,Outpatient,,,173.3,138.64,129.46,,,,,,,Percent of Total Billed Charges,,129.46,129.46,,173.3,,,,,,,Percent of Total Billed Charges,,,,,166.37,,,,,,,Percent of Total Billed Charges,,,,,164.64,,,,,,,Percent of Total Billed Charges,,,,,34.66,,,,,,,Percent of Total Billed Charges,,,,,147.31,,,,,,,Percent of Total Billed Charges,,,,,36.39,,,,,,,Percent of Total Billed Charges,,,,,155.97,,,,,,,Percent of Total Billed Charges,,,,,155.97,,,,,,,Percent of Total Billed Charges,,,,,34.66,,,,,,,Percent of Total Billed Charges,,,,,48.52,,,,,,,Percent of Total Billed Charges,,,,,138.64,,,,,,,Percent of Total Billed Charges,,,,,34.66,,,,,,,Percent of Total Billed Charges,,,, *TRIPLE SULFA VAGINAL CREAM : 78 GM*** ,250,RC,,Outpatient,78,GR,108.5,86.8,81.05,,,,,,,Percent of Total Billed Charges,,81.05,81.05,,108.5,,,,,,,Percent of Total Billed Charges,,,,,104.16,,,,,,,Percent of Total Billed Charges,,,,,103.08,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,92.23,,,,,,,Percent of Total Billed Charges,,,,,22.79,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,30.38,,,,,,,Percent of Total Billed Charges,,,,,86.8,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,, TRIPLE ANTIBIOTIC OINT : 30 GM ,250,RC,,Outpatient,30,GR,18.95,15.16,14.16,,,,,,,Percent of Total Billed Charges,,14.16,14.16,,18.95,,,,,,,Percent of Total Billed Charges,,,,,18.19,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,3.79,,,,,,,Percent of Total Billed Charges,,,,,16.11,,,,,,,Percent of Total Billed Charges,,,,,3.98,,,,,,,Percent of Total Billed Charges,,,,,17.06,,,,,,,Percent of Total Billed Charges,,,,,17.06,,,,,,,Percent of Total Billed Charges,,,,,3.79,,,,,,,Percent of Total Billed Charges,,,,,5.31,,,,,,,Percent of Total Billed Charges,,,,,15.16,,,,,,,Percent of Total Billed Charges,,,,,3.79,,,,,,,Percent of Total Billed Charges,,,, TRIPLE ANTIBIOTIC OINT : 0.9 GRAM PACKET,250,RC,,Outpatient,0.9,GR,2.15,1.72,1.61,,,,,,,Percent of Total Billed Charges,,1.61,1.61,,2.15,,,,,,,Percent of Total Billed Charges,,,,,2.06,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,1.83,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,1.94,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,1.72,,,,,,,Percent of Total Billed Charges,,,,,0.43,,,,,,,Percent of Total Billed Charges,,,, WITCH HAZEL PADS (TUCKS) : #100 ,250,RC,,Outpatient,,,12.65,10.12,9.45,,,,,,,Percent of Total Billed Charges,,9.45,9.45,,12.65,,,,,,,Percent of Total Billed Charges,,,,,12.14,,,,,,,Percent of Total Billed Charges,,,,,12.02,,,,,,,Percent of Total Billed Charges,,,,,2.53,,,,,,,Percent of Total Billed Charges,,,,,10.75,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,11.39,,,,,,,Percent of Total Billed Charges,,,,,11.39,,,,,,,Percent of Total Billed Charges,,,,,2.53,,,,,,,Percent of Total Billed Charges,,,,,3.54,,,,,,,Percent of Total Billed Charges,,,,,10.12,,,,,,,Percent of Total Billed Charges,,,,,2.53,,,,,,,Percent of Total Billed Charges,,,, RACEMIC EPINEPHRINE INH DOSE 0.5 ML UD ,250,RC,,Outpatient,0.5,ML,8.75,7,6.54,,,,,,,Percent of Total Billed Charges,,6.54,6.54,,8.75,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,8.31,,,,,,,Percent of Total Billed Charges,,,,,1.75,,,,,,,Percent of Total Billed Charges,,,,,7.44,,,,,,,Percent of Total Billed Charges,,,,,1.84,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,1.75,,,,,,,Percent of Total Billed Charges,,,,,2.45,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,1.75,,,,,,,Percent of Total Billed Charges,,,, TETRAHYDRALAZINE (VISINE) OPHTH DROPS ,250,RC,,Outpatient,,,25.75,20.6,19.24,,,,,,,Percent of Total Billed Charges,,19.24,19.24,,25.75,,,,,,,Percent of Total Billed Charges,,,,,24.72,,,,,,,Percent of Total Billed Charges,,,,,24.46,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,21.89,,,,,,,Percent of Total Billed Charges,,,,,5.41,,,,,,,Percent of Total Billed Charges,,,,,23.18,,,,,,,Percent of Total Billed Charges,,,,,23.18,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,7.21,,,,,,,Percent of Total Billed Charges,,,,,20.6,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,, VITAMIN A & D OINT : 4 OZ TUBE ,250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, WHITE PETROLATUM : 0.6 OZ TUBE ,250,RC,,Outpatient,,,3.95,3.16,2.95,,,,,,,Percent of Total Billed Charges,,2.95,2.95,,3.95,,,,,,,Percent of Total Billed Charges,,,,,3.79,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,3.56,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,,,1.11,,,,,,,Percent of Total Billed Charges,,,,,3.16,,,,,,,Percent of Total Billed Charges,,,,,0.79,,,,,,,Percent of Total Billed Charges,,,, ZANAMIVIR (RELENZA)INH:5MG (BOX OF 10) ,250,RC,,Outpatient,5,ME,157.2,125.76,117.43,,,,,,,Percent of Total Billed Charges,,117.43,117.43,,157.2,,,,,,,Percent of Total Billed Charges,,,,,150.91,,,,,,,Percent of Total Billed Charges,,,,,149.34,,,,,,,Percent of Total Billed Charges,,,,,31.44,,,,,,,Percent of Total Billed Charges,,,,,133.62,,,,,,,Percent of Total Billed Charges,,,,,33.01,,,,,,,Percent of Total Billed Charges,,,,,141.48,,,,,,,Percent of Total Billed Charges,,,,,141.48,,,,,,,Percent of Total Billed Charges,,,,,31.44,,,,,,,Percent of Total Billed Charges,,,,,44.02,,,,,,,Percent of Total Billed Charges,,,,,125.76,,,,,,,Percent of Total Billed Charges,,,,,31.44,,,,,,,Percent of Total Billed Charges,,,, ZINC OXIDE OINT : 56.7 GM TUBE ,250,RC,,Outpatient,56.7,GR,16.25,13,12.14,,,,,,,Percent of Total Billed Charges,,12.14,12.14,,16.25,,,,,,,Percent of Total Billed Charges,,,,,15.6,,,,,,,Percent of Total Billed Charges,,,,,15.44,,,,,,,Percent of Total Billed Charges,,,,,3.25,,,,,,,Percent of Total Billed Charges,,,,,13.81,,,,,,,Percent of Total Billed Charges,,,,,3.41,,,,,,,Percent of Total Billed Charges,,,,,14.63,,,,,,,Percent of Total Billed Charges,,,,,14.63,,,,,,,Percent of Total Billed Charges,,,,,3.25,,,,,,,Percent of Total Billed Charges,,,,,4.55,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,3.25,,,,,,,Percent of Total Billed Charges,,,, TYLENOL # 2 TAB (ACET 300 MG/COD 15 MG) ,250,RC,,Outpatient,,,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, TYLENOL #3 TAB (ACET 300 MG/COD 30 MG) ,250,RC,,Outpatient,,,2.4,1.92,1.79,,,,,,,Percent of Total Billed Charges,,1.79,1.79,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,2.04,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,0.67,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,, CLONAZEPAM (KLONOPIN) TAB: 0.5 MG ,250,RC,,Outpatient,0.5,ME,2.7,2.16,2.02,,,,,,,Percent of Total Billed Charges,,2.02,2.02,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.59,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,2.43,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,,,2.16,,,,,,,Percent of Total Billed Charges,,,,,0.54,,,,,,,Percent of Total Billed Charges,,,, ALPRAZOLAM (XANAX) TAB : 0.25 MG ,250,RC,,Outpatient,0.25,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, ALPRAZOLAM (XANAX) TAB : 0.5 MG ,250,RC,,Outpatient,0.5,ME,2.35,1.88,1.76,,,,,,,Percent of Total Billed Charges,,1.76,1.76,,2.35,,,,,,,Percent of Total Billed Charges,,,,,2.26,,,,,,,Percent of Total Billed Charges,,,,,2.23,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,2.12,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,0.47,,,,,,,Percent of Total Billed Charges,,,, CLORAZEPATE (TRANXENE) TAB : 7.5 MG ,250,RC,,Outpatient,7.5,ME,1.9,1.52,1.42,,,,,,,Percent of Total Billed Charges,,1.42,1.42,,1.9,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,1.81,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,, CHLORDIAZEPOXIDE (LIBRIUM) CAP : 5 MG ,250,RC,,Outpatient,5,ME,2.1,1.68,1.57,,,,,,,Percent of Total Billed Charges,,1.57,1.57,,2.1,,,,,,,Percent of Total Billed Charges,,,,,2.02,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,0.44,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,, CHLORDIAZEPOXIDE (LIBRIUM) CAP : 10 MG ,250,RC,,Outpatient,10,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, CHLORDIAZEPOXIDE (LIBRIUM) CAP : 25 MG ,250,RC,,Outpatient,25,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, *DIAZEPAM (VALIUM) TAB : 2 MG********** ,250,RC,,Outpatient,2,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, *DIAZEPAM (VALIUM) TAB : 10 MG ******** ,250,RC,,Outpatient,10,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, *DIAZEPAM (VALIUM) TAB : 2.5 MG ****** ,250,RC,,Outpatient,2.5,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, DIAZEPAM (VALIUM) TAB : 5 MG ,250,RC,,Outpatient,5,ME,1.75,1.4,1.31,,,,,,,Percent of Total Billed Charges,,1.31,1.31,,1.75,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.37,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,0.49,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,, LOMOTIL LIQUID : 60 ML BOTTLE ,250,RC,,Outpatient,60,ML,214.05,171.24,159.9,,,,,,,Percent of Total Billed Charges,,159.9,159.9,,214.05,,,,,,,Percent of Total Billed Charges,,,,,205.49,,,,,,,Percent of Total Billed Charges,,,,,203.35,,,,,,,Percent of Total Billed Charges,,,,,42.81,,,,,,,Percent of Total Billed Charges,,,,,181.94,,,,,,,Percent of Total Billed Charges,,,,,44.95,,,,,,,Percent of Total Billed Charges,,,,,192.65,,,,,,,Percent of Total Billed Charges,,,,,192.65,,,,,,,Percent of Total Billed Charges,,,,,42.81,,,,,,,Percent of Total Billed Charges,,,,,59.93,,,,,,,Percent of Total Billed Charges,,,,,171.24,,,,,,,Percent of Total Billed Charges,,,,,42.81,,,,,,,Percent of Total Billed Charges,,,, LOMOTIL TAB (DIPHENOXYLATE & ATROPINE) ,250,RC,,Outpatient,,,2.8,2.24,2.09,,,,,,,Percent of Total Billed Charges,,2.09,2.09,,2.8,,,,,,,Percent of Total Billed Charges,,,,,2.69,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,, LOPERAMIDE (IMODIUM) LIQ 1MG/5ML: 4 OZ ,250,RC,,Outpatient,,,23.55,18.84,17.59,,,,,,,Percent of Total Billed Charges,,17.59,17.59,,23.55,,,,,,,Percent of Total Billed Charges,,,,,22.61,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,4.71,,,,,,,Percent of Total Billed Charges,,,,,20.02,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,4.71,,,,,,,Percent of Total Billed Charges,,,,,6.59,,,,,,,Percent of Total Billed Charges,,,,,18.84,,,,,,,Percent of Total Billed Charges,,,,,4.71,,,,,,,Percent of Total Billed Charges,,,, LOPERAMIDE (IMODIUM) : 2 MG CAP ,250,RC,,Outpatient,,,3.6,2.88,2.69,,,,,,,Percent of Total Billed Charges,,2.69,2.69,,3.6,,,,,,,Percent of Total Billed Charges,,,,,3.46,,,,,,,Percent of Total Billed Charges,,,,,3.42,,,,,,,Percent of Total Billed Charges,,,,,0.72,,,,,,,Percent of Total Billed Charges,,,,,3.06,,,,,,,Percent of Total Billed Charges,,,,,0.76,,,,,,,Percent of Total Billed Charges,,,,,3.24,,,,,,,Percent of Total Billed Charges,,,,,3.24,,,,,,,Percent of Total Billed Charges,,,,,0.72,,,,,,,Percent of Total Billed Charges,,,,,1.01,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,0.72,,,,,,,Percent of Total Billed Charges,,,, LIBRAX CAP (CHLORDIAZEPOXIDE & CLIDINIUM,250,RC,,Outpatient,,,4.15,3.32,3.1,,,,,,,Percent of Total Billed Charges,,3.1,3.1,,4.15,,,,,,,Percent of Total Billed Charges,,,,,3.98,,,,,,,Percent of Total Billed Charges,,,,,3.94,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,3.53,,,,,,,Percent of Total Billed Charges,,,,,0.87,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,3.74,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,3.32,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,, LORAZEPAM (ATIVAN) TAB : 0.5 MG ,250,RC,,Outpatient,0.5,ME,1.7,1.36,1.27,,,,,,,Percent of Total Billed Charges,,1.27,1.27,,1.7,,,,,,,Percent of Total Billed Charges,,,,,1.63,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.45,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,0.48,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,, LORAZEPAM (ATIVAN)TAB : 1 MG ,250,RC,,Outpatient,1,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, PHENOBARBITAL TAB : 32.4 MG ,250,RC,,Outpatient,32.4,ME,3,2.4,2.24,,,,,,,Percent of Total Billed Charges,,2.24,2.24,,3,,,,,,,Percent of Total Billed Charges,,,,,2.88,,,,,,,Percent of Total Billed Charges,,,,,2.85,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,0.84,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,, *PHENOBARBITAL TAB : 100 MG **** ,250,RC,,Outpatient,100,ME,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, PHENOBARBITAL TAB : 64.8 MG ,250,RC,,Outpatient,64.8,ME,1.95,1.56,1.46,,,,,,,Percent of Total Billed Charges,,1.46,1.46,,1.95,,,,,,,Percent of Total Billed Charges,,,,,1.87,,,,,,,Percent of Total Billed Charges,,,,,1.85,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,1.66,,,,,,,Percent of Total Billed Charges,,,,,0.41,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,1.76,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,,,0.55,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,0.39,,,,,,,Percent of Total Billed Charges,,,, PREGABALIN (LYRICA) CAP: 50 MG ,250,RC,,Outpatient,50,ME,2.8,2.24,2.09,,,,,,,Percent of Total Billed Charges,,2.09,2.09,,2.8,,,,,,,Percent of Total Billed Charges,,,,,2.69,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,, NF - PREGABALIN (LYRICA) CAP: 150 MG ,250,RC,,Outpatient,150,ME,1.65,1.32,1.23,,,,,,,Percent of Total Billed Charges,,1.23,1.23,,1.65,,,,,,,Percent of Total Billed Charges,,,,,1.58,,,,,,,Percent of Total Billed Charges,,,,,1.57,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,0.35,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,,,0.46,,,,,,,Percent of Total Billed Charges,,,,,1.32,,,,,,,Percent of Total Billed Charges,,,,,0.33,,,,,,,Percent of Total Billed Charges,,,, NF - PREGABALIN (LYRICA) CAP: 100 MG ,250,RC,,Outpatient,100,ME,1.6,1.28,1.2,,,,,,,Percent of Total Billed Charges,,1.2,1.2,,1.6,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,1.52,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,1.36,,,,,,,Percent of Total Billed Charges,,,,,0.34,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,,,0.45,,,,,,,Percent of Total Billed Charges,,,,,1.28,,,,,,,Percent of Total Billed Charges,,,,,0.32,,,,,,,Percent of Total Billed Charges,,,, PREGABALIN (LYRICA) CAP: 75 MG ,250,RC,,Outpatient,75,ME,2.8,2.24,2.09,,,,,,,Percent of Total Billed Charges,,2.09,2.09,,2.8,,,,,,,Percent of Total Billed Charges,,,,,2.69,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,0.78,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,, *DARVOCET N 100 TAB (PROPOX N 100)***** ,250,RC,,Outpatient,,,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, TEMAZEPAM (RESTORIL) CAP : 7.5 MG ,250,RC,,Outpatient,7.5,ME,9.1,7.28,6.8,,,,,,,Percent of Total Billed Charges,,6.8,6.8,,9.1,,,,,,,Percent of Total Billed Charges,,,,,8.74,,,,,,,Percent of Total Billed Charges,,,,,8.65,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,7.74,,,,,,,Percent of Total Billed Charges,,,,,1.91,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,2.55,,,,,,,Percent of Total Billed Charges,,,,,7.28,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,, TEMAZEPAM (RESTORIL) CAP : 15 MG ,250,RC,,Outpatient,15,ME,3.3,2.64,2.47,,,,,,,Percent of Total Billed Charges,,2.47,2.47,,3.3,,,,,,,Percent of Total Billed Charges,,,,,3.17,,,,,,,Percent of Total Billed Charges,,,,,3.14,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,2.81,,,,,,,Percent of Total Billed Charges,,,,,0.69,,,,,,,Percent of Total Billed Charges,,,,,2.97,,,,,,,Percent of Total Billed Charges,,,,,2.97,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,0.92,,,,,,,Percent of Total Billed Charges,,,,,2.64,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,, TEMAZEPAM (RESTORIL) CAP : 30 MG ,250,RC,,Outpatient,30,ME,1.8,1.44,1.34,,,,,,,Percent of Total Billed Charges,,1.34,1.34,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.73,,,,,,,Percent of Total Billed Charges,,,,,1.71,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,1.53,,,,,,,Percent of Total Billed Charges,,,,,0.38,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,1.62,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,1.44,,,,,,,Percent of Total Billed Charges,,,,,0.36,,,,,,,Percent of Total Billed Charges,,,, TRIAZOLAM (HALCION) : 0.125 MG TAB***** ,250,RC,,Outpatient,0.125,ME,4.5,3.6,3.36,,,,,,,Percent of Total Billed Charges,,3.36,3.36,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.32,,,,,,,Percent of Total Billed Charges,,,,,4.28,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,3.83,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,, NORCO TAB 5/325 (HYDROCODONE/APAP) ,250,RC,,Outpatient,,,2.95,2.36,2.2,,,,,,,Percent of Total Billed Charges,,2.2,2.2,,2.95,,,,,,,Percent of Total Billed Charges,,,,,2.83,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,0.62,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,,,0.83,,,,,,,Percent of Total Billed Charges,,,,,2.36,,,,,,,Percent of Total Billed Charges,,,,,0.59,,,,,,,Percent of Total Billed Charges,,,, NORCO TAB 7.5/325 (HYDROCODONE/APAP) ,250,RC,,Outpatient,,,2.85,2.28,2.13,,,,,,,Percent of Total Billed Charges,,2.13,2.13,,2.85,,,,,,,Percent of Total Billed Charges,,,,,2.74,,,,,,,Percent of Total Billed Charges,,,,,2.71,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,0.6,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,2.57,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,2.28,,,,,,,Percent of Total Billed Charges,,,,,0.57,,,,,,,Percent of Total Billed Charges,,,, *VICODIN TAB 5/500 (HYDROCODONE/APAP)** ,250,RC,,Outpatient,,,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, *VICODIN EXTRA STRENGTH ************ ,250,RC,,Outpatient,,,2,1.6,1.49,,,,,,,Percent of Total Billed Charges,,1.49,1.49,,2,,,,,,,Percent of Total Billed Charges,,,,,1.92,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,0.42,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,,,0.56,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,0.4,,,,,,,Percent of Total Billed Charges,,,, NORCO TAB 10/325 (HYDROCODONE/APAP) ,250,RC,,Outpatient,,,3.15,2.52,2.35,,,,,,,Percent of Total Billed Charges,,2.35,2.35,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.02,,,,,,,Percent of Total Billed Charges,,,,,2.99,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,2.68,,,,,,,Percent of Total Billed Charges,,,,,0.66,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,,,0.88,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,0.63,,,,,,,Percent of Total Billed Charges,,,, ASCLERA IV SOLUTION 10MG/2ML (0.5%) ,250,RC,,Outpatient,10,ME,88,70.4,65.74,,,,,,,Percent of Total Billed Charges,,65.74,65.74,,88,,,,,,,Percent of Total Billed Charges,,,,,84.48,,,,,,,Percent of Total Billed Charges,,,,,83.6,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,18.48,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,24.64,,,,,,,Percent of Total Billed Charges,,,,,70.4,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,, ASCLERA IV SOLUTION 20MG/2ML (1%) ,250,RC,,Outpatient,20,ME,74.55,59.64,55.69,,,,,,,Percent of Total Billed Charges,,55.69,55.69,,74.55,,,,,,,Percent of Total Billed Charges,,,,,71.57,,,,,,,Percent of Total Billed Charges,,,,,70.82,,,,,,,Percent of Total Billed Charges,,,,,14.91,,,,,,,Percent of Total Billed Charges,,,,,63.37,,,,,,,Percent of Total Billed Charges,,,,,15.66,,,,,,,Percent of Total Billed Charges,,,,,67.1,,,,,,,Percent of Total Billed Charges,,,,,67.1,,,,,,,Percent of Total Billed Charges,,,,,14.91,,,,,,,Percent of Total Billed Charges,,,,,20.87,,,,,,,Percent of Total Billed Charges,,,,,59.64,,,,,,,Percent of Total Billed Charges,,,,,14.91,,,,,,,Percent of Total Billed Charges,,,, NICOTINE PATCH 7 MG ,250,RC,,Outpatient,7,ME,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, LORTAB ELIXIR (HYDROCODONE/APAP) : 15 ML,250,RC,,Outpatient,15,ML,3.25,2.6,2.43,,,,,,,Percent of Total Billed Charges,,2.43,2.43,,3.25,,,,,,,Percent of Total Billed Charges,,,,,3.12,,,,,,,Percent of Total Billed Charges,,,,,3.09,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,2.76,,,,,,,Percent of Total Billed Charges,,,,,0.68,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,2.93,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,,,0.91,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,0.65,,,,,,,Percent of Total Billed Charges,,,, HYDROCODONE/APAP LIQ 7.5/325MG PER 15 ML,250,RC,,Outpatient,15,ML,10.55,8.44,7.88,,,,,,,Percent of Total Billed Charges,,7.88,7.88,,10.55,,,,,,,Percent of Total Billed Charges,,,,,10.13,,,,,,,Percent of Total Billed Charges,,,,,10.02,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,8.97,,,,,,,Percent of Total Billed Charges,,,,,2.22,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.5,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,,,2.95,,,,,,,Percent of Total Billed Charges,,,,,8.44,,,,,,,Percent of Total Billed Charges,,,,,2.11,,,,,,,Percent of Total Billed Charges,,,, ACETAMINOPHEN W/COD LIQ: 12 MG/5 ML ,250,RC,,Outpatient,5,ML,8.95,7.16,6.69,,,,,,,Percent of Total Billed Charges,,6.69,6.69,,8.95,,,,,,,Percent of Total Billed Charges,,,,,8.59,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.61,,,,,,,Percent of Total Billed Charges,,,,,1.88,,,,,,,Percent of Total Billed Charges,,,,,8.06,,,,,,,Percent of Total Billed Charges,,,,,8.06,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,2.51,,,,,,,Percent of Total Billed Charges,,,,,7.16,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,, *CHLORAL HYDRATE 500MG/5ML SYRUP: 5 ML ,250,RC,,Outpatient,5,ML,3.5,2.8,2.61,,,,,,,Percent of Total Billed Charges,,2.61,2.61,,3.5,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2.98,,,,,,,Percent of Total Billed Charges,,,,,0.74,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,0.98,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,, PHENOBARBITAL ELIXIR : 20 MG / 5 ML ,250,RC,,Outpatient,5,ML,7.45,5.96,5.57,,,,,,,Percent of Total Billed Charges,,5.57,5.57,,7.45,,,,,,,Percent of Total Billed Charges,,,,,7.15,,,,,,,Percent of Total Billed Charges,,,,,7.08,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,6.33,,,,,,,Percent of Total Billed Charges,,,,,1.56,,,,,,,Percent of Total Billed Charges,,,,,6.71,,,,,,,Percent of Total Billed Charges,,,,,6.71,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,,,2.09,,,,,,,Percent of Total Billed Charges,,,,,5.96,,,,,,,Percent of Total Billed Charges,,,,,1.49,,,,,,,Percent of Total Billed Charges,,,, PHENOBARBITAL INJ : 65 MG / ML ,J2560 ,CPT,,Outpatient,,,47.15,37.72,35.22,,,,,,,Percent of Total Billed Charges,,35.22,35.22,,47.15,,,,,,,Percent of Total Billed Charges,,,,,45.26,,,,,,,Percent of Total Billed Charges,,,,,44.79,,,,,,,Percent of Total Billed Charges,,,,,9.43,,,,,,,Percent of Total Billed Charges,,,,,40.08,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,42.44,,,,,,,Percent of Total Billed Charges,,,,,42.44,,,,,,,Percent of Total Billed Charges,,,,,9.43,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,37.72,,,,,,,Percent of Total Billed Charges,,,,,9.43,,,,,,,Percent of Total Billed Charges,,,, *QUAZEPAM (DORAL) TAB : 15 MG ,250,RC,,Outpatient,15,ME,6,4.8,4.48,,,,,,,Percent of Total Billed Charges,,4.48,4.48,,6,,,,,,,Percent of Total Billed Charges,,,,,5.76,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,1.26,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,1.2,,,,,,,Percent of Total Billed Charges,,,, BUPIVACAINE (EXPAREL) LIPOSOME INJ 1.3% ,250,RC,,Outpatient,,,1123.65,898.92,839.37,,,,,,,Percent of Total Billed Charges,,839.37,839.37,,1123.65,,,,,,,Percent of Total Billed Charges,,,,,1078.7,,,,,,,Percent of Total Billed Charges,,,,,1067.47,,,,,,,Percent of Total Billed Charges,,,,,224.73,,,,,,,Percent of Total Billed Charges,,,,,955.1,,,,,,,Percent of Total Billed Charges,,,,,235.97,,,,,,,Percent of Total Billed Charges,,,,,1011.29,,,,,,,Percent of Total Billed Charges,,,,,1011.29,,,,,,,Percent of Total Billed Charges,,,,,224.73,,,,,,,Percent of Total Billed Charges,,,,,314.62,,,,,,,Percent of Total Billed Charges,,,,,898.92,,,,,,,Percent of Total Billed Charges,,,,,224.73,,,,,,,Percent of Total Billed Charges,,,, *CHLORDIAZEPOXIDE(LIBRIUM)INJ:100 MG****,250,RC,,Outpatient,100,ME,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, LORAZEPAM (ATIVAN) INJ MDV : 20MG/10ML ,J2060 ,CPT,,Outpatient,,,47.6,38.08,35.56,,,,,,,Percent of Total Billed Charges,,35.56,35.56,,47.6,,,,,,,Percent of Total Billed Charges,,,,,45.7,,,,,,,Percent of Total Billed Charges,,,,,45.22,,,,,,,Percent of Total Billed Charges,,,,,9.52,,,,,,,Percent of Total Billed Charges,,,,,40.46,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,9.52,,,,,,,Percent of Total Billed Charges,,,,,13.33,,,,,,,Percent of Total Billed Charges,,,,,38.08,,,,,,,Percent of Total Billed Charges,,,,,9.52,,,,,,,Percent of Total Billed Charges,,,, *DIAZEPAM (VALIUM) INJ : 5 MG / 1 ML****,250,RC,,Outpatient,1,ML,14.5,11.6,10.83,,,,,,,Percent of Total Billed Charges,,10.83,10.83,,14.5,,,,,,,Percent of Total Billed Charges,,,,,13.92,,,,,,,Percent of Total Billed Charges,,,,,13.78,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,12.33,,,,,,,Percent of Total Billed Charges,,,,,3.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,13.05,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,,,4.06,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,2.9,,,,,,,Percent of Total Billed Charges,,,, *LORAZEPAM (ATIVAN) INJ :0.5MG ******** ,250,RC,,Outpatient,0.5,ME,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, DIAZEPAM (VALIUM) INJ : 10 MG / 2 ML ,J3360 ,CPT,,Outpatient,,,115.75,92.6,86.47,,,,,,,Percent of Total Billed Charges,,86.47,86.47,,115.75,,,,,,,Percent of Total Billed Charges,,,,,111.12,,,,,,,Percent of Total Billed Charges,,,,,109.96,,,,,,,Percent of Total Billed Charges,,,,,23.15,,,,,,,Percent of Total Billed Charges,,,,,98.39,,,,,,,Percent of Total Billed Charges,,,,,24.31,,,,,,,Percent of Total Billed Charges,,,,,104.18,,,,,,,Percent of Total Billed Charges,,,,,104.18,,,,,,,Percent of Total Billed Charges,,,,,23.15,,,,,,,Percent of Total Billed Charges,,,,,32.41,,,,,,,Percent of Total Billed Charges,,,,,92.6,,,,,,,Percent of Total Billed Charges,,,,,23.15,,,,,,,Percent of Total Billed Charges,,,, *LORAZEPAM (ATIVAN) INJ:1MG/0.5ML****** ,250,RC,,Outpatient,0.5,ML,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, LORAZEPAM (ATIVAN) INJ : 2 MG/ML ,J2060 ,CPT,,Outpatient,,,15.85,12.68,11.84,,,,,,,Percent of Total Billed Charges,,11.84,11.84,,15.85,,,,,,,Percent of Total Billed Charges,,,,,15.22,,,,,,,Percent of Total Billed Charges,,,,,15.06,,,,,,,Percent of Total Billed Charges,,,,,3.17,,,,,,,Percent of Total Billed Charges,,,,,13.47,,,,,,,Percent of Total Billed Charges,,,,,3.33,,,,,,,Percent of Total Billed Charges,,,,,14.27,,,,,,,Percent of Total Billed Charges,,,,,14.27,,,,,,,Percent of Total Billed Charges,,,,,3.17,,,,,,,Percent of Total Billed Charges,,,,,4.44,,,,,,,Percent of Total Billed Charges,,,,,12.68,,,,,,,Percent of Total Billed Charges,,,,,3.17,,,,,,,Percent of Total Billed Charges,,,, *MIDAZOLAM (VERSED) INJ : 4 MG / 4 ML ,J2250 ,CPT,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, *MIDAZOLAM (VERSED) INJ : 6 MG / 6 ML ,J2250 ,CPT,,Outpatient,,,18.2,14.56,13.6,,,,,,,Percent of Total Billed Charges,,13.6,13.6,,18.2,,,,,,,Percent of Total Billed Charges,,,,,17.47,,,,,,,Percent of Total Billed Charges,,,,,17.29,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,15.47,,,,,,,Percent of Total Billed Charges,,,,,3.82,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,14.56,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,, *MIDAZOLAM (VERSED) INJ : 5 MG / 5 ML ,J2250 ,CPT,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, MIDAZOLAM (VERSED) INJ : 10MG/10ML ,J2250 ,CPT,,Outpatient,,,20.25,16.2,15.13,,,,,,,Percent of Total Billed Charges,,15.13,15.13,,20.25,,,,,,,Percent of Total Billed Charges,,,,,19.44,,,,,,,Percent of Total Billed Charges,,,,,19.24,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,17.21,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,18.23,,,,,,,Percent of Total Billed Charges,,,,,18.23,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,4.05,,,,,,,Percent of Total Billed Charges,,,, *MIDAZOLAM (VERSED) INJ : 1 MG / 1 ML ,J2250 ,CPT,,Outpatient,,,17.5,14,13.07,,,,,,,Percent of Total Billed Charges,,13.07,13.07,,17.5,,,,,,,Percent of Total Billed Charges,,,,,16.8,,,,,,,Percent of Total Billed Charges,,,,,16.63,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,3.68,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,15.75,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,, MIDAZOLAM (VERSED) INJ : 2 MG / 2 ML ,J2250 ,CPT,,Outpatient,,,13.45,10.76,10.05,,,,,,,Percent of Total Billed Charges,,10.05,10.05,,13.45,,,,,,,Percent of Total Billed Charges,,,,,12.91,,,,,,,Percent of Total Billed Charges,,,,,12.78,,,,,,,Percent of Total Billed Charges,,,,,2.69,,,,,,,Percent of Total Billed Charges,,,,,11.43,,,,,,,Percent of Total Billed Charges,,,,,2.82,,,,,,,Percent of Total Billed Charges,,,,,12.11,,,,,,,Percent of Total Billed Charges,,,,,12.11,,,,,,,Percent of Total Billed Charges,,,,,2.69,,,,,,,Percent of Total Billed Charges,,,,,3.77,,,,,,,Percent of Total Billed Charges,,,,,10.76,,,,,,,Percent of Total Billed Charges,,,,,2.69,,,,,,,Percent of Total Billed Charges,,,, MIDAZOLAM (VERSED) INJ : 10 MG / 2 ML ,J2250 ,CPT,,Outpatient,,,15.65,12.52,11.69,,,,,,,Percent of Total Billed Charges,,11.69,11.69,,15.65,,,,,,,Percent of Total Billed Charges,,,,,15.02,,,,,,,Percent of Total Billed Charges,,,,,14.87,,,,,,,Percent of Total Billed Charges,,,,,3.13,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,3.29,,,,,,,Percent of Total Billed Charges,,,,,14.09,,,,,,,Percent of Total Billed Charges,,,,,14.09,,,,,,,Percent of Total Billed Charges,,,,,3.13,,,,,,,Percent of Total Billed Charges,,,,,4.38,,,,,,,Percent of Total Billed Charges,,,,,12.52,,,,,,,Percent of Total Billed Charges,,,,,3.13,,,,,,,Percent of Total Billed Charges,,,, *MIDAZOLAM (VERSED) INJ : 3 MG / 3 ML ,J2250 ,CPT,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, MIDAZOLAM (VERSED) INJ : 50 MG / 10 ML ,J2250 ,CPT,,Outpatient,,,17.85,14.28,13.33,,,,,,,Percent of Total Billed Charges,,13.33,13.33,,17.85,,,,,,,Percent of Total Billed Charges,,,,,17.14,,,,,,,Percent of Total Billed Charges,,,,,16.96,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.17,,,,,,,Percent of Total Billed Charges,,,,,3.75,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,, BEDSIDE GLUCOSE MONITOR ,250,RC,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, ESMOLOL (BREVIBLOC): 100MG/10 ML INJ ,250,RC,,Outpatient,10,ML,33.45,26.76,24.99,,,,,,,Percent of Total Billed Charges,,24.99,24.99,,33.45,,,,,,,Percent of Total Billed Charges,,,,,32.11,,,,,,,Percent of Total Billed Charges,,,,,31.78,,,,,,,Percent of Total Billed Charges,,,,,6.69,,,,,,,Percent of Total Billed Charges,,,,,28.43,,,,,,,Percent of Total Billed Charges,,,,,7.02,,,,,,,Percent of Total Billed Charges,,,,,30.11,,,,,,,Percent of Total Billed Charges,,,,,30.11,,,,,,,Percent of Total Billed Charges,,,,,6.69,,,,,,,Percent of Total Billed Charges,,,,,9.37,,,,,,,Percent of Total Billed Charges,,,,,26.76,,,,,,,Percent of Total Billed Charges,,,,,6.69,,,,,,,Percent of Total Billed Charges,,,, OP RM 15-29 MIN NEW ,99202,CPT,,Outpatient,,,250,200,186.75,,,,,,,Percent of Total Billed Charges,,186.75,186.75,,250,,,,,,,Percent of Total Billed Charges,,,,,240,,,,,,,Percent of Total Billed Charges,,,,,237.5,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,,,212.5,,,,,,,Percent of Total Billed Charges,,,,,52.5,,,,,,,Percent of Total Billed Charges,,,,,225,,,,,,,Percent of Total Billed Charges,,,,,225,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,200,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,, OP RM 30-44 MINUTES ,99203,CPT,,Outpatient,,,459,367.2,342.87,,,,,,,Percent of Total Billed Charges,,342.87,342.87,,459,,,,,,,Percent of Total Billed Charges,,,,,440.64,,,,,,,Percent of Total Billed Charges,,,,,436.05,,,,,,,Percent of Total Billed Charges,,,,,91.8,,,,,,,Percent of Total Billed Charges,,,,,390.15,,,,,,,Percent of Total Billed Charges,,,,,96.39,,,,,,,Percent of Total Billed Charges,,,,,413.1,,,,,,,Percent of Total Billed Charges,,,,,413.1,,,,,,,Percent of Total Billed Charges,,,,,91.8,,,,,,,Percent of Total Billed Charges,,,,,128.52,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,91.8,,,,,,,Percent of Total Billed Charges,,,, OP RM 45-59 MINUTES ,99204,CPT,,Outpatient,,,671,536.8,501.24,,,,,,,Percent of Total Billed Charges,,501.24,501.24,,671,,,,,,,Percent of Total Billed Charges,,,,,644.16,,,,,,,Percent of Total Billed Charges,,,,,637.45,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,570.35,,,,,,,Percent of Total Billed Charges,,,,,140.91,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,187.88,,,,,,,Percent of Total Billed Charges,,,,,536.8,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,, OP RM 60-74 MINUTES ,99205,CPT,,Outpatient,,,884.5,707.6,660.72,,,,,,,Percent of Total Billed Charges,,660.72,660.72,,884.5,,,,,,,Percent of Total Billed Charges,,,,,849.12,,,,,,,Percent of Total Billed Charges,,,,,840.28,,,,,,,Percent of Total Billed Charges,,,,,176.9,,,,,,,Percent of Total Billed Charges,,,,,751.83,,,,,,,Percent of Total Billed Charges,,,,,185.75,,,,,,,Percent of Total Billed Charges,,,,,796.05,,,,,,,Percent of Total Billed Charges,,,,,796.05,,,,,,,Percent of Total Billed Charges,,,,,176.9,,,,,,,Percent of Total Billed Charges,,,,,247.66,,,,,,,Percent of Total Billed Charges,,,,,707.6,,,,,,,Percent of Total Billed Charges,,,,,176.9,,,,,,,Percent of Total Billed Charges,,,, OP RM 150 MINUTES ,99201,CPT,,Outpatient,,,1091.5,873.2,815.35,,,,,,,Percent of Total Billed Charges,,815.35,815.35,,1091.5,,,,,,,Percent of Total Billed Charges,,,,,1047.84,,,,,,,Percent of Total Billed Charges,,,,,1036.93,,,,,,,Percent of Total Billed Charges,,,,,218.3,,,,,,,Percent of Total Billed Charges,,,,,927.78,,,,,,,Percent of Total Billed Charges,,,,,229.22,,,,,,,Percent of Total Billed Charges,,,,,982.35,,,,,,,Percent of Total Billed Charges,,,,,982.35,,,,,,,Percent of Total Billed Charges,,,,,218.3,,,,,,,Percent of Total Billed Charges,,,,,305.62,,,,,,,Percent of Total Billed Charges,,,,,873.2,,,,,,,Percent of Total Billed Charges,,,,,218.3,,,,,,,Percent of Total Billed Charges,,,, OP RM 180+MINUTES ,99201,CPT,,Outpatient,,,1300,1040,971.1,,,,,,,Percent of Total Billed Charges,,971.1,971.1,,1300,,,,,,,Percent of Total Billed Charges,,,,,1248,,,,,,,Percent of Total Billed Charges,,,,,1235,,,,,,,Percent of Total Billed Charges,,,,,260,,,,,,,Percent of Total Billed Charges,,,,,1105,,,,,,,Percent of Total Billed Charges,,,,,273,,,,,,,Percent of Total Billed Charges,,,,,1170,,,,,,,Percent of Total Billed Charges,,,,,1170,,,,,,,Percent of Total Billed Charges,,,,,260,,,,,,,Percent of Total Billed Charges,,,,,364,,,,,,,Percent of Total Billed Charges,,,,,1040,,,,,,,Percent of Total Billed Charges,,,,,260,,,,,,,Percent of Total Billed Charges,,,, OP RM 10-19 MIN ESTABLISHED ,99212,CPT,,Outpatient,,,250,200,186.75,,,,,,,Percent of Total Billed Charges,,186.75,186.75,,250,,,,,,,Percent of Total Billed Charges,,,,,240,,,,,,,Percent of Total Billed Charges,,,,,237.5,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,,,212.5,,,,,,,Percent of Total Billed Charges,,,,,52.5,,,,,,,Percent of Total Billed Charges,,,,,225,,,,,,,Percent of Total Billed Charges,,,,,225,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,200,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,, OP RM 20-29 MIN ESTABLISHED ,99213,CPT,,Outpatient,,,250,200,186.75,,,,,,,Percent of Total Billed Charges,,186.75,186.75,,250,,,,,,,Percent of Total Billed Charges,,,,,240,,,,,,,Percent of Total Billed Charges,,,,,237.5,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,,,212.5,,,,,,,Percent of Total Billed Charges,,,,,52.5,,,,,,,Percent of Total Billed Charges,,,,,225,,,,,,,Percent of Total Billed Charges,,,,,225,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,200,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,, OP RM 30-39 MIN ESTABLISHED ,99214,CPT,,Outpatient,,,250,200,186.75,,,,,,,Percent of Total Billed Charges,,186.75,186.75,,250,,,,,,,Percent of Total Billed Charges,,,,,240,,,,,,,Percent of Total Billed Charges,,,,,237.5,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,,,212.5,,,,,,,Percent of Total Billed Charges,,,,,52.5,,,,,,,Percent of Total Billed Charges,,,,,225,,,,,,,Percent of Total Billed Charges,,,,,225,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,200,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,, OP RM 40-54 MIN ESTABLISHED ,99215,CPT,,Outpatient,,,250,200,186.75,,,,,,,Percent of Total Billed Charges,,186.75,186.75,,250,,,,,,,Percent of Total Billed Charges,,,,,240,,,,,,,Percent of Total Billed Charges,,,,,237.5,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,,,212.5,,,,,,,Percent of Total Billed Charges,,,,,52.5,,,,,,,Percent of Total Billed Charges,,,,,225,,,,,,,Percent of Total Billed Charges,,,,,225,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,200,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,, OP RM 55+ MIN ESTABLISHED ,99417,CPT,,Outpatient,,,250,200,186.75,,,,,,,Percent of Total Billed Charges,,186.75,186.75,,250,,,,,,,Percent of Total Billed Charges,,,,,240,,,,,,,Percent of Total Billed Charges,,,,,237.5,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,,,212.5,,,,,,,Percent of Total Billed Charges,,,,,52.5,,,,,,,Percent of Total Billed Charges,,,,,225,,,,,,,Percent of Total Billed Charges,,,,,225,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,200,,,,,,,Percent of Total Billed Charges,,,,,50,,,,,,,Percent of Total Billed Charges,,,, ER ROOM BRIEF ,9928125,CPT,,Outpatient,,,619.5,495.6,462.77,,,,,,,Percent of Total Billed Charges,,462.77,462.77,,619.5,,,,,,,Percent of Total Billed Charges,,,,,594.72,,,,,,,Percent of Total Billed Charges,,,,,588.53,,,,,,,Percent of Total Billed Charges,,,,,123.9,,,,,,,Percent of Total Billed Charges,,,,,526.58,,,,,,,Percent of Total Billed Charges,,,,,130.1,,,,,,,Percent of Total Billed Charges,,,,,557.55,,,,,,,Percent of Total Billed Charges,,,,,557.55,,,,,,,Percent of Total Billed Charges,,,,,123.9,,,,,,,Percent of Total Billed Charges,,,,,173.46,,,,,,,Percent of Total Billed Charges,,,,,495.6,,,,,,,Percent of Total Billed Charges,,,,,123.9,,,,,,,Percent of Total Billed Charges,,,, ER ROOM STRAIGHTFORWARD MED DECISION MAK,9928225,CPT,,Outpatient,,,575.5,460.4,429.9,,,,,,,Percent of Total Billed Charges,,429.9,429.9,,575.5,,,,,,,Percent of Total Billed Charges,,,,,552.48,,,,,,,Percent of Total Billed Charges,,,,,546.73,,,,,,,Percent of Total Billed Charges,,,,,115.1,,,,,,,Percent of Total Billed Charges,,,,,489.18,,,,,,,Percent of Total Billed Charges,,,,,120.86,,,,,,,Percent of Total Billed Charges,,,,,517.95,,,,,,,Percent of Total Billed Charges,,,,,517.95,,,,,,,Percent of Total Billed Charges,,,,,115.1,,,,,,,Percent of Total Billed Charges,,,,,161.14,,,,,,,Percent of Total Billed Charges,,,,,460.4,,,,,,,Percent of Total Billed Charges,,,,,115.1,,,,,,,Percent of Total Billed Charges,,,, ER RM LOW LEVEL MEDICAL DEC MAKING ,9928325,CPT,,Outpatient,,,766.5,613.2,572.58,,,,,,,Percent of Total Billed Charges,,572.58,572.58,,766.5,,,,,,,Percent of Total Billed Charges,,,,,735.84,,,,,,,Percent of Total Billed Charges,,,,,728.18,,,,,,,Percent of Total Billed Charges,,,,,153.3,,,,,,,Percent of Total Billed Charges,,,,,651.53,,,,,,,Percent of Total Billed Charges,,,,,160.97,,,,,,,Percent of Total Billed Charges,,,,,689.85,,,,,,,Percent of Total Billed Charges,,,,,689.85,,,,,,,Percent of Total Billed Charges,,,,,153.3,,,,,,,Percent of Total Billed Charges,,,,,214.62,,,,,,,Percent of Total Billed Charges,,,,,613.2,,,,,,,Percent of Total Billed Charges,,,,,153.3,,,,,,,Percent of Total Billed Charges,,,, ER ROOM MODERATE LEVEL DECISION MAKING ,9928425,CPT,,Outpatient,,,1126.5,901.2,841.5,,,,,,,Percent of Total Billed Charges,,841.5,841.5,,1126.5,,,,,,,Percent of Total Billed Charges,,,,,1081.44,,,,,,,Percent of Total Billed Charges,,,,,1070.18,,,,,,,Percent of Total Billed Charges,,,,,225.3,,,,,,,Percent of Total Billed Charges,,,,,957.53,,,,,,,Percent of Total Billed Charges,,,,,236.57,,,,,,,Percent of Total Billed Charges,,,,,1013.85,,,,,,,Percent of Total Billed Charges,,,,,1013.85,,,,,,,Percent of Total Billed Charges,,,,,225.3,,,,,,,Percent of Total Billed Charges,,,,,315.42,,,,,,,Percent of Total Billed Charges,,,,,901.2,,,,,,,Percent of Total Billed Charges,,,,,225.3,,,,,,,Percent of Total Billed Charges,,,, ER ROOM HIGH LEVEL MEDICAL DECISIONO MAK,9928525,CPT,,Outpatient,,,1530.5,1224.4,1143.28,,,,,,,Percent of Total Billed Charges,,1143.28,1143.28,,1530.5,,,,,,,Percent of Total Billed Charges,,,,,1469.28,,,,,,,Percent of Total Billed Charges,,,,,1453.98,,,,,,,Percent of Total Billed Charges,,,,,306.1,,,,,,,Percent of Total Billed Charges,,,,,1300.93,,,,,,,Percent of Total Billed Charges,,,,,321.41,,,,,,,Percent of Total Billed Charges,,,,,1377.45,,,,,,,Percent of Total Billed Charges,,,,,1377.45,,,,,,,Percent of Total Billed Charges,,,,,306.1,,,,,,,Percent of Total Billed Charges,,,,,428.54,,,,,,,Percent of Total Billed Charges,,,,,1224.4,,,,,,,Percent of Total Billed Charges,,,,,306.1,,,,,,,Percent of Total Billed Charges,,,, ER ROOM CRITICAL CARE ,9929125,CPT,,Outpatient,,,1937.5,1550,1447.31,,,,,,,Percent of Total Billed Charges,,1447.31,1447.31,,1937.5,,,,,,,Percent of Total Billed Charges,,,,,1860,,,,,,,Percent of Total Billed Charges,,,,,1840.63,,,,,,,Percent of Total Billed Charges,,,,,387.5,,,,,,,Percent of Total Billed Charges,,,,,1646.88,,,,,,,Percent of Total Billed Charges,,,,,406.88,,,,,,,Percent of Total Billed Charges,,,,,1743.75,,,,,,,Percent of Total Billed Charges,,,,,1743.75,,,,,,,Percent of Total Billed Charges,,,,,387.5,,,,,,,Percent of Total Billed Charges,,,,,542.5,,,,,,,Percent of Total Billed Charges,,,,,1550,,,,,,,Percent of Total Billed Charges,,,,,387.5,,,,,,,Percent of Total Billed Charges,,,, OP TREATMENT-INJECTION ,96372,CPT,,Outpatient,,,111.5,89.2,83.29,,,,,,,Percent of Total Billed Charges,,83.29,83.29,,111.5,,,,,,,Percent of Total Billed Charges,,,,,107.04,,,,,,,Percent of Total Billed Charges,,,,,105.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,31.22,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,, OP TREATMENT SUTURE REMOVAL ,99212,CPT,,Outpatient,,,111.5,89.2,83.29,,,,,,,Percent of Total Billed Charges,,83.29,83.29,,111.5,,,,,,,Percent of Total Billed Charges,,,,,107.04,,,,,,,Percent of Total Billed Charges,,,,,105.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,31.22,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,, ER ROOM CRITICAL CARE EACH 30 MIN ,99292,CPT,,Outpatient,,,627,501.6,468.37,,,,,,,Percent of Total Billed Charges,,468.37,468.37,,627,,,,,,,Percent of Total Billed Charges,,,,,601.92,,,,,,,Percent of Total Billed Charges,,,,,595.65,,,,,,,Percent of Total Billed Charges,,,,,125.4,,,,,,,Percent of Total Billed Charges,,,,,532.95,,,,,,,Percent of Total Billed Charges,,,,,131.67,,,,,,,Percent of Total Billed Charges,,,,,564.3,,,,,,,Percent of Total Billed Charges,,,,,564.3,,,,,,,Percent of Total Billed Charges,,,,,125.4,,,,,,,Percent of Total Billed Charges,,,,,175.56,,,,,,,Percent of Total Billed Charges,,,,,501.6,,,,,,,Percent of Total Billed Charges,,,,,125.4,,,,,,,Percent of Total Billed Charges,,,, EMERG TREATMENT 30 MIN ,99282,CPT,,Outpatient,,,566.5,453.2,423.18,,,,,,,Percent of Total Billed Charges,,423.18,423.18,,566.5,,,,,,,Percent of Total Billed Charges,,,,,543.84,,,,,,,Percent of Total Billed Charges,,,,,538.18,,,,,,,Percent of Total Billed Charges,,,,,113.3,,,,,,,Percent of Total Billed Charges,,,,,481.53,,,,,,,Percent of Total Billed Charges,,,,,118.97,,,,,,,Percent of Total Billed Charges,,,,,509.85,,,,,,,Percent of Total Billed Charges,,,,,509.85,,,,,,,Percent of Total Billed Charges,,,,,113.3,,,,,,,Percent of Total Billed Charges,,,,,158.62,,,,,,,Percent of Total Billed Charges,,,,,453.2,,,,,,,Percent of Total Billed Charges,,,,,113.3,,,,,,,Percent of Total Billed Charges,,,, EMERG TREATMENT 60 MIN ,99283,CPT,,Outpatient,,,876,700.8,654.37,,,,,,,Percent of Total Billed Charges,,654.37,654.37,,876,,,,,,,Percent of Total Billed Charges,,,,,840.96,,,,,,,Percent of Total Billed Charges,,,,,832.2,,,,,,,Percent of Total Billed Charges,,,,,175.2,,,,,,,Percent of Total Billed Charges,,,,,744.6,,,,,,,Percent of Total Billed Charges,,,,,183.96,,,,,,,Percent of Total Billed Charges,,,,,788.4,,,,,,,Percent of Total Billed Charges,,,,,788.4,,,,,,,Percent of Total Billed Charges,,,,,175.2,,,,,,,Percent of Total Billed Charges,,,,,245.28,,,,,,,Percent of Total Billed Charges,,,,,700.8,,,,,,,Percent of Total Billed Charges,,,,,175.2,,,,,,,Percent of Total Billed Charges,,,, EMERG TREATMENT 90 MIN ,99283,CPT,,Outpatient,,,1187.5,950,887.06,,,,,,,Percent of Total Billed Charges,,887.06,887.06,,1187.5,,,,,,,Percent of Total Billed Charges,,,,,1140,,,,,,,Percent of Total Billed Charges,,,,,1128.13,,,,,,,Percent of Total Billed Charges,,,,,237.5,,,,,,,Percent of Total Billed Charges,,,,,1009.38,,,,,,,Percent of Total Billed Charges,,,,,249.38,,,,,,,Percent of Total Billed Charges,,,,,1068.75,,,,,,,Percent of Total Billed Charges,,,,,1068.75,,,,,,,Percent of Total Billed Charges,,,,,237.5,,,,,,,Percent of Total Billed Charges,,,,,332.5,,,,,,,Percent of Total Billed Charges,,,,,950,,,,,,,Percent of Total Billed Charges,,,,,237.5,,,,,,,Percent of Total Billed Charges,,,, EMERG TREATMENT 120 MIN ,99284,CPT,,Outpatient,,,1495.5,1196.4,1117.14,,,,,,,Percent of Total Billed Charges,,1117.14,1117.14,,1495.5,,,,,,,Percent of Total Billed Charges,,,,,1435.68,,,,,,,Percent of Total Billed Charges,,,,,1420.73,,,,,,,Percent of Total Billed Charges,,,,,299.1,,,,,,,Percent of Total Billed Charges,,,,,1271.18,,,,,,,Percent of Total Billed Charges,,,,,314.06,,,,,,,Percent of Total Billed Charges,,,,,1345.95,,,,,,,Percent of Total Billed Charges,,,,,1345.95,,,,,,,Percent of Total Billed Charges,,,,,299.1,,,,,,,Percent of Total Billed Charges,,,,,418.74,,,,,,,Percent of Total Billed Charges,,,,,1196.4,,,,,,,Percent of Total Billed Charges,,,,,299.1,,,,,,,Percent of Total Billed Charges,,,, EMERG TREATMENT 150 MIN ,99285,CPT,,Outpatient,,,1809.5,1447.6,1351.7,,,,,,,Percent of Total Billed Charges,,1351.7,1351.7,,1809.5,,,,,,,Percent of Total Billed Charges,,,,,1737.12,,,,,,,Percent of Total Billed Charges,,,,,1719.03,,,,,,,Percent of Total Billed Charges,,,,,361.9,,,,,,,Percent of Total Billed Charges,,,,,1538.08,,,,,,,Percent of Total Billed Charges,,,,,380,,,,,,,Percent of Total Billed Charges,,,,,1628.55,,,,,,,Percent of Total Billed Charges,,,,,1628.55,,,,,,,Percent of Total Billed Charges,,,,,361.9,,,,,,,Percent of Total Billed Charges,,,,,506.66,,,,,,,Percent of Total Billed Charges,,,,,1447.6,,,,,,,Percent of Total Billed Charges,,,,,361.9,,,,,,,Percent of Total Billed Charges,,,, EMERG TREATMENT 180 MIN ,99285,CPT,,Outpatient,,,2119,1695.2,1582.89,,,,,,,Percent of Total Billed Charges,,1582.89,1582.89,,2119,,,,,,,Percent of Total Billed Charges,,,,,2034.24,,,,,,,Percent of Total Billed Charges,,,,,2013.05,,,,,,,Percent of Total Billed Charges,,,,,423.8,,,,,,,Percent of Total Billed Charges,,,,,1801.15,,,,,,,Percent of Total Billed Charges,,,,,444.99,,,,,,,Percent of Total Billed Charges,,,,,1907.1,,,,,,,Percent of Total Billed Charges,,,,,1907.1,,,,,,,Percent of Total Billed Charges,,,,,423.8,,,,,,,Percent of Total Billed Charges,,,,,593.32,,,,,,,Percent of Total Billed Charges,,,,,1695.2,,,,,,,Percent of Total Billed Charges,,,,,423.8,,,,,,,Percent of Total Billed Charges,,,, EMERG TREATMENT 210 MIN ,99291,CPT,,Outpatient,,,2428.5,1942.8,1814.09,,,,,,,Percent of Total Billed Charges,,1814.09,1814.09,,2428.5,,,,,,,Percent of Total Billed Charges,,,,,2331.36,,,,,,,Percent of Total Billed Charges,,,,,2307.08,,,,,,,Percent of Total Billed Charges,,,,,485.7,,,,,,,Percent of Total Billed Charges,,,,,2064.23,,,,,,,Percent of Total Billed Charges,,,,,509.99,,,,,,,Percent of Total Billed Charges,,,,,2185.65,,,,,,,Percent of Total Billed Charges,,,,,2185.65,,,,,,,Percent of Total Billed Charges,,,,,485.7,,,,,,,Percent of Total Billed Charges,,,,,679.98,,,,,,,Percent of Total Billed Charges,,,,,1942.8,,,,,,,Percent of Total Billed Charges,,,,,485.7,,,,,,,Percent of Total Billed Charges,,,, EMERG TREATMENT 240 MIN ,99291,CPT,,Outpatient,,,2738.5,2190.8,2045.66,,,,,,,Percent of Total Billed Charges,,2045.66,2045.66,,2738.5,,,,,,,Percent of Total Billed Charges,,,,,2628.96,,,,,,,Percent of Total Billed Charges,,,,,2601.58,,,,,,,Percent of Total Billed Charges,,,,,547.7,,,,,,,Percent of Total Billed Charges,,,,,2327.73,,,,,,,Percent of Total Billed Charges,,,,,575.09,,,,,,,Percent of Total Billed Charges,,,,,2464.65,,,,,,,Percent of Total Billed Charges,,,,,2464.65,,,,,,,Percent of Total Billed Charges,,,,,547.7,,,,,,,Percent of Total Billed Charges,,,,,766.78,,,,,,,Percent of Total Billed Charges,,,,,2190.8,,,,,,,Percent of Total Billed Charges,,,,,547.7,,,,,,,Percent of Total Billed Charges,,,, EMERG TREATMENT EACH 30 MIN ,99282,CPT,,Outpatient,,,317,253.6,236.8,,,,,,,Percent of Total Billed Charges,,236.8,236.8,,317,,,,,,,Percent of Total Billed Charges,,,,,304.32,,,,,,,Percent of Total Billed Charges,,,,,301.15,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,,,269.45,,,,,,,Percent of Total Billed Charges,,,,,66.57,,,,,,,Percent of Total Billed Charges,,,,,285.3,,,,,,,Percent of Total Billed Charges,,,,,285.3,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,,,88.76,,,,,,,Percent of Total Billed Charges,,,,,253.6,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,, EMERG TREATMENT EA ADD 30 MIN ,250,RC,,Outpatient,,,317,253.6,236.8,,,,,,,Percent of Total Billed Charges,,236.8,236.8,,317,,,,,,,Percent of Total Billed Charges,,,,,304.32,,,,,,,Percent of Total Billed Charges,,,,,301.15,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,,,269.45,,,,,,,Percent of Total Billed Charges,,,,,66.57,,,,,,,Percent of Total Billed Charges,,,,,285.3,,,,,,,Percent of Total Billed Charges,,,,,285.3,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,,,88.76,,,,,,,Percent of Total Billed Charges,,,,,253.6,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,, ER TEL-MEDICINE ,Q3014 ,CPT,,Outpatient,,,90,72,67.23,,,,,,,Percent of Total Billed Charges,,67.23,67.23,,90,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,85.5,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,81,,,,,,,Percent of Total Billed Charges,,,,,81,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,, EXAM ROOM ,250,RC,,Outpatient,,,130.5,104.4,97.48,,,,,,,Percent of Total Billed Charges,,97.48,97.48,,130.5,,,,,,,Percent of Total Billed Charges,,,,,125.28,,,,,,,Percent of Total Billed Charges,,,,,123.98,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,110.93,,,,,,,Percent of Total Billed Charges,,,,,27.41,,,,,,,Percent of Total Billed Charges,,,,,117.45,,,,,,,Percent of Total Billed Charges,,,,,117.45,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,36.54,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,, ER MENTAL HEALTH INJECTION ,250,RC,,Outpatient,,,209.5,167.6,156.5,,,,,,,Percent of Total Billed Charges,,156.5,156.5,,209.5,,,,,,,Percent of Total Billed Charges,,,,,201.12,,,,,,,Percent of Total Billed Charges,,,,,199.03,,,,,,,Percent of Total Billed Charges,,,,,41.9,,,,,,,Percent of Total Billed Charges,,,,,178.08,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,188.55,,,,,,,Percent of Total Billed Charges,,,,,188.55,,,,,,,Percent of Total Billed Charges,,,,,41.9,,,,,,,Percent of Total Billed Charges,,,,,58.66,,,,,,,Percent of Total Billed Charges,,,,,167.6,,,,,,,Percent of Total Billed Charges,,,,,41.9,,,,,,,Percent of Total Billed Charges,,,, MONITOR/1ST HOUR ,9304159,CPT,,Outpatient,,,193,154.4,144.17,,,,,,,Percent of Total Billed Charges,,144.17,144.17,,193,,,,,,,Percent of Total Billed Charges,,,,,185.28,,,,,,,Percent of Total Billed Charges,,,,,183.35,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,,,164.05,,,,,,,Percent of Total Billed Charges,,,,,40.53,,,,,,,Percent of Total Billed Charges,,,,,173.7,,,,,,,Percent of Total Billed Charges,,,,,173.7,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,,,54.04,,,,,,,Percent of Total Billed Charges,,,,,154.4,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,, MONITOR EA ADD HOUR ,93224,CPT,,Outpatient,,,130.5,104.4,97.48,,,,,,,Percent of Total Billed Charges,,97.48,97.48,,130.5,,,,,,,Percent of Total Billed Charges,,,,,125.28,,,,,,,Percent of Total Billed Charges,,,,,123.98,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,110.93,,,,,,,Percent of Total Billed Charges,,,,,27.41,,,,,,,Percent of Total Billed Charges,,,,,117.45,,,,,,,Percent of Total Billed Charges,,,,,117.45,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,36.54,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,, PULSE OXIMETER ,94760,CPT,,Outpatient,,,162.5,130,121.39,,,,,,,Percent of Total Billed Charges,,121.39,121.39,,162.5,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,154.38,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,,,138.13,,,,,,,Percent of Total Billed Charges,,,,,34.13,,,,,,,Percent of Total Billed Charges,,,,,146.25,,,,,,,Percent of Total Billed Charges,,,,,146.25,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,,,45.5,,,,,,,Percent of Total Billed Charges,,,,,130,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,, EMERG ROOM CPR ,92950,CPT,,Outpatient,,,400,320,298.8,,,,,,,Percent of Total Billed Charges,,298.8,298.8,,400,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,380,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,340,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,320,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,, U LTD PELVIC ULTRASOUND ,76857TC ,CPT,,Outpatient,,,666.5,533.2,497.88,,,,,,,Percent of Total Billed Charges,,497.88,497.88,,666.5,,,,,,,Percent of Total Billed Charges,,,,,639.84,,,,,,,Percent of Total Billed Charges,,,,,633.18,,,,,,,Percent of Total Billed Charges,,,,,133.3,,,,,,,Percent of Total Billed Charges,,,,,566.53,,,,,,,Percent of Total Billed Charges,,,,,139.97,,,,,,,Percent of Total Billed Charges,,,,,599.85,,,,,,,Percent of Total Billed Charges,,,,,599.85,,,,,,,Percent of Total Billed Charges,,,,,133.3,,,,,,,Percent of Total Billed Charges,,,,,186.62,,,,,,,Percent of Total Billed Charges,,,,,533.2,,,,,,,Percent of Total Billed Charges,,,,,133.3,,,,,,,Percent of Total Billed Charges,,,, ER LTD FETUS ULTRASOUND ,76815TC ,CPT,,Outpatient,,,308,246.4,230.08,,,,,,,Percent of Total Billed Charges,,230.08,230.08,,308,,,,,,,Percent of Total Billed Charges,,,,,295.68,,,,,,,Percent of Total Billed Charges,,,,,292.6,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,261.8,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,86.24,,,,,,,Percent of Total Billed Charges,,,,,246.4,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,, US ABDOMEN LIMITED ,76705TC ,CPT,,Outpatient,,,419,335.2,312.99,,,,,,,Percent of Total Billed Charges,,312.99,312.99,,419,,,,,,,Percent of Total Billed Charges,,,,,402.24,,,,,,,Percent of Total Billed Charges,,,,,398.05,,,,,,,Percent of Total Billed Charges,,,,,83.8,,,,,,,Percent of Total Billed Charges,,,,,356.15,,,,,,,Percent of Total Billed Charges,,,,,87.99,,,,,,,Percent of Total Billed Charges,,,,,377.1,,,,,,,Percent of Total Billed Charges,,,,,377.1,,,,,,,Percent of Total Billed Charges,,,,,83.8,,,,,,,Percent of Total Billed Charges,,,,,117.32,,,,,,,Percent of Total Billed Charges,,,,,335.2,,,,,,,Percent of Total Billed Charges,,,,,83.8,,,,,,,Percent of Total Billed Charges,,,, ER LTD EXTREMITIES ULTRASOUND ,76882TC ,CPT,,Outpatient,,,59.5,47.6,44.45,,,,,,,Percent of Total Billed Charges,,44.45,44.45,,59.5,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,56.53,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,50.58,,,,,,,Percent of Total Billed Charges,,,,,12.5,,,,,,,Percent of Total Billed Charges,,,,,53.55,,,,,,,Percent of Total Billed Charges,,,,,53.55,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,16.66,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,, ER ABD ULTRASOUND ,76700TC ,CPT,,Outpatient,,,409,327.2,305.52,,,,,,,Percent of Total Billed Charges,,305.52,305.52,,409,,,,,,,Percent of Total Billed Charges,,,,,392.64,,,,,,,Percent of Total Billed Charges,,,,,388.55,,,,,,,Percent of Total Billed Charges,,,,,81.8,,,,,,,Percent of Total Billed Charges,,,,,347.65,,,,,,,Percent of Total Billed Charges,,,,,85.89,,,,,,,Percent of Total Billed Charges,,,,,368.1,,,,,,,Percent of Total Billed Charges,,,,,368.1,,,,,,,Percent of Total Billed Charges,,,,,81.8,,,,,,,Percent of Total Billed Charges,,,,,114.52,,,,,,,Percent of Total Billed Charges,,,,,327.2,,,,,,,Percent of Total Billed Charges,,,,,81.8,,,,,,,Percent of Total Billed Charges,,,, ER CHEST ULTRASOUND ,76604TC ,CPT,,Outpatient,,,286.5,229.2,214.02,,,,,,,Percent of Total Billed Charges,,214.02,214.02,,286.5,,,,,,,Percent of Total Billed Charges,,,,,275.04,,,,,,,Percent of Total Billed Charges,,,,,272.18,,,,,,,Percent of Total Billed Charges,,,,,57.3,,,,,,,Percent of Total Billed Charges,,,,,243.53,,,,,,,Percent of Total Billed Charges,,,,,60.17,,,,,,,Percent of Total Billed Charges,,,,,257.85,,,,,,,Percent of Total Billed Charges,,,,,257.85,,,,,,,Percent of Total Billed Charges,,,,,57.3,,,,,,,Percent of Total Billed Charges,,,,,80.22,,,,,,,Percent of Total Billed Charges,,,,,229.2,,,,,,,Percent of Total Billed Charges,,,,,57.3,,,,,,,Percent of Total Billed Charges,,,, ER VENOUS DOPPLER ,93971TC ,CPT,,Outpatient,,,463.5,370.8,346.23,,,,,,,Percent of Total Billed Charges,,346.23,346.23,,463.5,,,,,,,Percent of Total Billed Charges,,,,,444.96,,,,,,,Percent of Total Billed Charges,,,,,440.33,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,393.98,,,,,,,Percent of Total Billed Charges,,,,,97.34,,,,,,,Percent of Total Billed Charges,,,,,417.15,,,,,,,Percent of Total Billed Charges,,,,,417.15,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,129.78,,,,,,,Percent of Total Billed Charges,,,,,370.8,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,, MDH EXPRESS ,99201,CPT,,Outpatient,,,333,266.4,248.75,,,,,,,Percent of Total Billed Charges,,248.75,248.75,,333,,,,,,,Percent of Total Billed Charges,,,,,319.68,,,,,,,Percent of Total Billed Charges,,,,,316.35,,,,,,,Percent of Total Billed Charges,,,,,66.6,,,,,,,Percent of Total Billed Charges,,,,,283.05,,,,,,,Percent of Total Billed Charges,,,,,69.93,,,,,,,Percent of Total Billed Charges,,,,,299.7,,,,,,,Percent of Total Billed Charges,,,,,299.7,,,,,,,Percent of Total Billed Charges,,,,,66.6,,,,,,,Percent of Total Billed Charges,,,,,93.24,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,66.6,,,,,,,Percent of Total Billed Charges,,,, AHC SPECIMEN COLLECTION ONLY ,250,RC,,Outpatient,,,92.5,74,69.1,,,,,,,Percent of Total Billed Charges,,69.1,69.1,,92.5,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,,,87.88,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,,,78.63,,,,,,,Percent of Total Billed Charges,,,,,19.43,,,,,,,Percent of Total Billed Charges,,,,,83.25,,,,,,,Percent of Total Billed Charges,,,,,83.25,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,74,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,, DO NOT USE ,99201,CPT,,Outpatient,,,333,266.4,248.75,,,,,,,Percent of Total Billed Charges,,248.75,248.75,,333,,,,,,,Percent of Total Billed Charges,,,,,319.68,,,,,,,Percent of Total Billed Charges,,,,,316.35,,,,,,,Percent of Total Billed Charges,,,,,66.6,,,,,,,Percent of Total Billed Charges,,,,,283.05,,,,,,,Percent of Total Billed Charges,,,,,69.93,,,,,,,Percent of Total Billed Charges,,,,,299.7,,,,,,,Percent of Total Billed Charges,,,,,299.7,,,,,,,Percent of Total Billed Charges,,,,,66.6,,,,,,,Percent of Total Billed Charges,,,,,93.24,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,66.6,,,,,,,Percent of Total Billed Charges,,,, ER DR BRIEF ,99281,CPT,,Outpatient,,,619.5,495.6,462.77,,,,,,,Percent of Total Billed Charges,,462.77,462.77,,619.5,,,,,,,Percent of Total Billed Charges,,,,,594.72,,,,,,,Percent of Total Billed Charges,,,,,588.53,,,,,,,Percent of Total Billed Charges,,,,,123.9,,,,,,,Percent of Total Billed Charges,,,,,526.58,,,,,,,Percent of Total Billed Charges,,,,,130.1,,,,,,,Percent of Total Billed Charges,,,,,557.55,,,,,,,Percent of Total Billed Charges,,,,,557.55,,,,,,,Percent of Total Billed Charges,,,,,123.9,,,,,,,Percent of Total Billed Charges,,,,,173.46,,,,,,,Percent of Total Billed Charges,,,,,495.6,,,,,,,Percent of Total Billed Charges,,,,,123.9,,,,,,,Percent of Total Billed Charges,,,, ER DR STRAIGHTFORWARD ,99282,CPT,,Outpatient,,,444,355.2,331.67,,,,,,,Percent of Total Billed Charges,,331.67,331.67,,444,,,,,,,Percent of Total Billed Charges,,,,,426.24,,,,,,,Percent of Total Billed Charges,,,,,421.8,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,,,377.4,,,,,,,Percent of Total Billed Charges,,,,,93.24,,,,,,,Percent of Total Billed Charges,,,,,399.6,,,,,,,Percent of Total Billed Charges,,,,,399.6,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,,,124.32,,,,,,,Percent of Total Billed Charges,,,,,355.2,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,, ER DR LOW LEVEL ,99283,CPT,,Outpatient,,,671.5,537.2,501.61,,,,,,,Percent of Total Billed Charges,,501.61,501.61,,671.5,,,,,,,Percent of Total Billed Charges,,,,,644.64,,,,,,,Percent of Total Billed Charges,,,,,637.93,,,,,,,Percent of Total Billed Charges,,,,,134.3,,,,,,,Percent of Total Billed Charges,,,,,570.78,,,,,,,Percent of Total Billed Charges,,,,,141.02,,,,,,,Percent of Total Billed Charges,,,,,604.35,,,,,,,Percent of Total Billed Charges,,,,,604.35,,,,,,,Percent of Total Billed Charges,,,,,134.3,,,,,,,Percent of Total Billed Charges,,,,,188.02,,,,,,,Percent of Total Billed Charges,,,,,537.2,,,,,,,Percent of Total Billed Charges,,,,,134.3,,,,,,,Percent of Total Billed Charges,,,, ER DR MODERATE ,99284,CPT,,Outpatient,,,1226,980.8,915.82,,,,,,,Percent of Total Billed Charges,,915.82,915.82,,1226,,,,,,,Percent of Total Billed Charges,,,,,1176.96,,,,,,,Percent of Total Billed Charges,,,,,1164.7,,,,,,,Percent of Total Billed Charges,,,,,245.2,,,,,,,Percent of Total Billed Charges,,,,,1042.1,,,,,,,Percent of Total Billed Charges,,,,,257.46,,,,,,,Percent of Total Billed Charges,,,,,1103.4,,,,,,,Percent of Total Billed Charges,,,,,1103.4,,,,,,,Percent of Total Billed Charges,,,,,245.2,,,,,,,Percent of Total Billed Charges,,,,,343.28,,,,,,,Percent of Total Billed Charges,,,,,980.8,,,,,,,Percent of Total Billed Charges,,,,,245.2,,,,,,,Percent of Total Billed Charges,,,, ER DR HIGH ,99285,CPT,,Outpatient,,,1631.5,1305.2,1218.73,,,,,,,Percent of Total Billed Charges,,1218.73,1218.73,,1631.5,,,,,,,Percent of Total Billed Charges,,,,,1566.24,,,,,,,Percent of Total Billed Charges,,,,,1549.93,,,,,,,Percent of Total Billed Charges,,,,,326.3,,,,,,,Percent of Total Billed Charges,,,,,1386.78,,,,,,,Percent of Total Billed Charges,,,,,342.62,,,,,,,Percent of Total Billed Charges,,,,,1468.35,,,,,,,Percent of Total Billed Charges,,,,,1468.35,,,,,,,Percent of Total Billed Charges,,,,,326.3,,,,,,,Percent of Total Billed Charges,,,,,456.82,,,,,,,Percent of Total Billed Charges,,,,,1305.2,,,,,,,Percent of Total Billed Charges,,,,,326.3,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL FB EYE SIMPLE ,65205,CPT,,Outpatient,,,238.5,190.8,178.16,,,,,,,Percent of Total Billed Charges,,178.16,178.16,,238.5,,,,,,,Percent of Total Billed Charges,,,,,228.96,,,,,,,Percent of Total Billed Charges,,,,,226.58,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,,,202.73,,,,,,,Percent of Total Billed Charges,,,,,50.09,,,,,,,Percent of Total Billed Charges,,,,,214.65,,,,,,,Percent of Total Billed Charges,,,,,214.65,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,,,66.78,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,, ER DR EYE EXAM ,92002,CPT,,Outpatient,,,173,138.4,129.23,,,,,,,Percent of Total Billed Charges,,129.23,129.23,,173,,,,,,,Percent of Total Billed Charges,,,,,166.08,,,,,,,Percent of Total Billed Charges,,,,,164.35,,,,,,,Percent of Total Billed Charges,,,,,34.6,,,,,,,Percent of Total Billed Charges,,,,,147.05,,,,,,,Percent of Total Billed Charges,,,,,36.33,,,,,,,Percent of Total Billed Charges,,,,,155.7,,,,,,,Percent of Total Billed Charges,,,,,155.7,,,,,,,Percent of Total Billed Charges,,,,,34.6,,,,,,,Percent of Total Billed Charges,,,,,48.44,,,,,,,Percent of Total Billed Charges,,,,,138.4,,,,,,,Percent of Total Billed Charges,,,,,34.6,,,,,,,Percent of Total Billed Charges,,,, ER DR CRITICAL CARE ,99291,CPT,,Outpatient,,,2035.5,1628.4,1520.52,,,,,,,Percent of Total Billed Charges,,1520.52,1520.52,,2035.5,,,,,,,Percent of Total Billed Charges,,,,,1954.08,,,,,,,Percent of Total Billed Charges,,,,,1933.73,,,,,,,Percent of Total Billed Charges,,,,,407.1,,,,,,,Percent of Total Billed Charges,,,,,1730.18,,,,,,,Percent of Total Billed Charges,,,,,427.46,,,,,,,Percent of Total Billed Charges,,,,,1831.95,,,,,,,Percent of Total Billed Charges,,,,,1831.95,,,,,,,Percent of Total Billed Charges,,,,,407.1,,,,,,,Percent of Total Billed Charges,,,,,569.94,,,,,,,Percent of Total Billed Charges,,,,,1628.4,,,,,,,Percent of Total Billed Charges,,,,,407.1,,,,,,,Percent of Total Billed Charges,,,, ER DR CRITICAL CARE EA ADD'L 30 MINS ,99292,CPT,,Outpatient,,,456.5,365.2,341.01,,,,,,,Percent of Total Billed Charges,,341.01,341.01,,456.5,,,,,,,Percent of Total Billed Charges,,,,,438.24,,,,,,,Percent of Total Billed Charges,,,,,433.68,,,,,,,Percent of Total Billed Charges,,,,,91.3,,,,,,,Percent of Total Billed Charges,,,,,388.03,,,,,,,Percent of Total Billed Charges,,,,,95.87,,,,,,,Percent of Total Billed Charges,,,,,410.85,,,,,,,Percent of Total Billed Charges,,,,,410.85,,,,,,,Percent of Total Billed Charges,,,,,91.3,,,,,,,Percent of Total Billed Charges,,,,,127.82,,,,,,,Percent of Total Billed Charges,,,,,365.2,,,,,,,Percent of Total Billed Charges,,,,,91.3,,,,,,,Percent of Total Billed Charges,,,, ER DR SUTURE REMOVAL ,99212,CPT,,Outpatient,,,170.5,136.4,127.36,,,,,,,Percent of Total Billed Charges,,127.36,127.36,,170.5,,,,,,,Percent of Total Billed Charges,,,,,163.68,,,,,,,Percent of Total Billed Charges,,,,,161.98,,,,,,,Percent of Total Billed Charges,,,,,34.1,,,,,,,Percent of Total Billed Charges,,,,,144.93,,,,,,,Percent of Total Billed Charges,,,,,35.81,,,,,,,Percent of Total Billed Charges,,,,,153.45,,,,,,,Percent of Total Billed Charges,,,,,153.45,,,,,,,Percent of Total Billed Charges,,,,,34.1,,,,,,,Percent of Total Billed Charges,,,,,47.74,,,,,,,Percent of Total Billed Charges,,,,,136.4,,,,,,,Percent of Total Billed Charges,,,,,34.1,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL FB EYE COMPLEX ,65210,CPT,,Outpatient,,,408,326.4,304.78,,,,,,,Percent of Total Billed Charges,,304.78,304.78,,408,,,,,,,Percent of Total Billed Charges,,,,,391.68,,,,,,,Percent of Total Billed Charges,,,,,387.6,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,346.8,,,,,,,Percent of Total Billed Charges,,,,,85.68,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,114.24,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL FB CONJUN ,65205,CPT,,Outpatient,,,238.5,190.8,178.16,,,,,,,Percent of Total Billed Charges,,178.16,178.16,,238.5,,,,,,,Percent of Total Billed Charges,,,,,228.96,,,,,,,Percent of Total Billed Charges,,,,,226.58,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,,,202.73,,,,,,,Percent of Total Billed Charges,,,,,50.09,,,,,,,Percent of Total Billed Charges,,,,,214.65,,,,,,,Percent of Total Billed Charges,,,,,214.65,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,,,66.78,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL EMBEDDED FB EYELID ,67938,CPT,,Outpatient,,,238.5,190.8,178.16,,,,,,,Percent of Total Billed Charges,,178.16,178.16,,238.5,,,,,,,Percent of Total Billed Charges,,,,,228.96,,,,,,,Percent of Total Billed Charges,,,,,226.58,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,,,202.73,,,,,,,Percent of Total Billed Charges,,,,,50.09,,,,,,,Percent of Total Billed Charges,,,,,214.65,,,,,,,Percent of Total Billed Charges,,,,,214.65,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,,,66.78,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,, ER DR CASTING SHORT ARM ,29075,CPT,,Outpatient,,,375,300,280.13,,,,,,,Percent of Total Billed Charges,,280.13,280.13,,375,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,356.25,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,318.75,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,105,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,, ER DR SH ARM C THUMB SPI ,29125,CPT,,Outpatient,,,375,300,280.13,,,,,,,Percent of Total Billed Charges,,280.13,280.13,,375,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,356.25,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,318.75,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,105,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,, ER DR LONG ARM CAST ,29065,CPT,,Outpatient,,,506,404.8,377.98,,,,,,,Percent of Total Billed Charges,,377.98,377.98,,506,,,,,,,Percent of Total Billed Charges,,,,,485.76,,,,,,,Percent of Total Billed Charges,,,,,480.7,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,,,430.1,,,,,,,Percent of Total Billed Charges,,,,,106.26,,,,,,,Percent of Total Billed Charges,,,,,455.4,,,,,,,Percent of Total Billed Charges,,,,,455.4,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,,,141.68,,,,,,,Percent of Total Billed Charges,,,,,404.8,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,, ER DR SHORT LEG CAST ,29405,CPT,,Outpatient,,,442.5,354,330.55,,,,,,,Percent of Total Billed Charges,,330.55,330.55,,442.5,,,,,,,Percent of Total Billed Charges,,,,,424.8,,,,,,,Percent of Total Billed Charges,,,,,420.38,,,,,,,Percent of Total Billed Charges,,,,,88.5,,,,,,,Percent of Total Billed Charges,,,,,376.13,,,,,,,Percent of Total Billed Charges,,,,,92.93,,,,,,,Percent of Total Billed Charges,,,,,398.25,,,,,,,Percent of Total Billed Charges,,,,,398.25,,,,,,,Percent of Total Billed Charges,,,,,88.5,,,,,,,Percent of Total Billed Charges,,,,,123.9,,,,,,,Percent of Total Billed Charges,,,,,354,,,,,,,Percent of Total Billed Charges,,,,,88.5,,,,,,,Percent of Total Billed Charges,,,, ER DR SH LEG CAST C HEEL ,29425,CPT,,Outpatient,,,472.5,378,352.96,,,,,,,Percent of Total Billed Charges,,352.96,352.96,,472.5,,,,,,,Percent of Total Billed Charges,,,,,453.6,,,,,,,Percent of Total Billed Charges,,,,,448.88,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,401.63,,,,,,,Percent of Total Billed Charges,,,,,99.23,,,,,,,Percent of Total Billed Charges,,,,,425.25,,,,,,,Percent of Total Billed Charges,,,,,425.25,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,378,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,, ER DR LONG LEG CAST ,29345,CPT,,Outpatient,,,602,481.6,449.69,,,,,,,Percent of Total Billed Charges,,449.69,449.69,,602,,,,,,,Percent of Total Billed Charges,,,,,577.92,,,,,,,Percent of Total Billed Charges,,,,,571.9,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,511.7,,,,,,,Percent of Total Billed Charges,,,,,126.42,,,,,,,Percent of Total Billed Charges,,,,,541.8,,,,,,,Percent of Total Billed Charges,,,,,541.8,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,168.56,,,,,,,Percent of Total Billed Charges,,,,,481.6,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,, ER DR CAST REPAIR ,29700,CPT,,Outpatient,,,207,165.6,154.63,,,,,,,Percent of Total Billed Charges,,154.63,154.63,,207,,,,,,,Percent of Total Billed Charges,,,,,198.72,,,,,,,Percent of Total Billed Charges,,,,,196.65,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,175.95,,,,,,,Percent of Total Billed Charges,,,,,43.47,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,57.96,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,, ER DR TX FRAC/DISLOC:W/O CASTING ,250,RC,,Outpatient,,,272,217.6,203.18,,,,,,,Percent of Total Billed Charges,,203.18,203.18,,272,,,,,,,Percent of Total Billed Charges,,,,,261.12,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,231.2,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,76.16,,,,,,,Percent of Total Billed Charges,,,,,217.6,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,, ER DR ULNA GUT PLAS SPLI ,29125,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR FOREARM PLAS SPLI ,29125,CPT,,Outpatient,,,272,217.6,203.18,,,,,,,Percent of Total Billed Charges,,203.18,203.18,,272,,,,,,,Percent of Total Billed Charges,,,,,261.12,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,231.2,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,76.16,,,,,,,Percent of Total Billed Charges,,,,,217.6,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,, ER DR HAND/FING PLAS SPL ,29130,CPT,,Outpatient,,,272,217.6,203.18,,,,,,,Percent of Total Billed Charges,,203.18,203.18,,272,,,,,,,Percent of Total Billed Charges,,,,,261.12,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,231.2,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,76.16,,,,,,,Percent of Total Billed Charges,,,,,217.6,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,, ER DR LONG ARM SPLINT ,29105,CPT,,Outpatient,,,408,326.4,304.78,,,,,,,Percent of Total Billed Charges,,304.78,304.78,,408,,,,,,,Percent of Total Billed Charges,,,,,391.68,,,,,,,Percent of Total Billed Charges,,,,,387.6,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,346.8,,,,,,,Percent of Total Billed Charges,,,,,85.68,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,114.24,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,, ER DR SHORT LEG SPLINT ,29515,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR SHORT ARM SPLINT ,29125,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR LONG ARM SPLINT ,29105,CPT,,Outpatient,,,337.5,270,252.11,,,,,,,Percent of Total Billed Charges,,252.11,252.11,,337.5,,,,,,,Percent of Total Billed Charges,,,,,324,,,,,,,Percent of Total Billed Charges,,,,,320.63,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,286.88,,,,,,,Percent of Total Billed Charges,,,,,70.88,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,270,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,, ER DR LONG LEG SPLINT ,29505,CPT,,Outpatient,,,375,300,280.13,,,,,,,Percent of Total Billed Charges,,280.13,280.13,,375,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,356.25,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,318.75,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,105,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,, ER DR INSERT PICC W/O PORT OR PUMP ,36569,CPT,,Outpatient,,,1175,940,877.73,,,,,,,Percent of Total Billed Charges,,877.73,877.73,,1175,,,,,,,Percent of Total Billed Charges,,,,,1128,,,,,,,Percent of Total Billed Charges,,,,,1116.25,,,,,,,Percent of Total Billed Charges,,,,,235,,,,,,,Percent of Total Billed Charges,,,,,998.75,,,,,,,Percent of Total Billed Charges,,,,,246.75,,,,,,,Percent of Total Billed Charges,,,,,1057.5,,,,,,,Percent of Total Billed Charges,,,,,1057.5,,,,,,,Percent of Total Billed Charges,,,,,235,,,,,,,Percent of Total Billed Charges,,,,,329,,,,,,,Percent of Total Billed Charges,,,,,940,,,,,,,Percent of Total Billed Charges,,,,,235,,,,,,,Percent of Total Billed Charges,,,, ER DR DIGITAL BLOCK ,400,CPT,,Outpatient,,,272,217.6,203.18,,,,,,,Percent of Total Billed Charges,,203.18,203.18,,272,,,,,,,Percent of Total Billed Charges,,,,,261.12,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,231.2,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,76.16,,,,,,,Percent of Total Billed Charges,,,,,217.6,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,, ER DR CENT VEN LINE INS TUNNELED ,36558,CPT,,Outpatient,,,802.5,642,599.47,,,,,,,Percent of Total Billed Charges,,599.47,599.47,,802.5,,,,,,,Percent of Total Billed Charges,,,,,770.4,,,,,,,Percent of Total Billed Charges,,,,,762.38,,,,,,,Percent of Total Billed Charges,,,,,160.5,,,,,,,Percent of Total Billed Charges,,,,,682.13,,,,,,,Percent of Total Billed Charges,,,,,168.53,,,,,,,Percent of Total Billed Charges,,,,,722.25,,,,,,,Percent of Total Billed Charges,,,,,722.25,,,,,,,Percent of Total Billed Charges,,,,,160.5,,,,,,,Percent of Total Billed Charges,,,,,224.7,,,,,,,Percent of Total Billed Charges,,,,,642,,,,,,,Percent of Total Billed Charges,,,,,160.5,,,,,,,Percent of Total Billed Charges,,,, ER DR ARTERIAL PUNCT ,36600,CPT,,Outpatient,,,246.5,197.2,184.14,,,,,,,Percent of Total Billed Charges,,184.14,184.14,,246.5,,,,,,,Percent of Total Billed Charges,,,,,236.64,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,209.53,,,,,,,Percent of Total Billed Charges,,,,,51.77,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,69.02,,,,,,,Percent of Total Billed Charges,,,,,197.2,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,, ER DR VENIPUNCTURE ADLT ,36425,CPT,,Outpatient,,,207,165.6,154.63,,,,,,,Percent of Total Billed Charges,,154.63,154.63,,207,,,,,,,Percent of Total Billed Charges,,,,,198.72,,,,,,,Percent of Total Billed Charges,,,,,196.65,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,175.95,,,,,,,Percent of Total Billed Charges,,,,,43.47,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,57.96,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,, ER DR VENAPUNCTURE CHILD ,36400,CPT,,Outpatient,,,246.5,197.2,184.14,,,,,,,Percent of Total Billed Charges,,184.14,184.14,,246.5,,,,,,,Percent of Total Billed Charges,,,,,236.64,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,209.53,,,,,,,Percent of Total Billed Charges,,,,,51.77,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,69.02,,,,,,,Percent of Total Billed Charges,,,,,197.2,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,, ER DR LUMBAR PUNCTURE ,62270,CPT,,Outpatient,,,472.5,378,352.96,,,,,,,Percent of Total Billed Charges,,352.96,352.96,,472.5,,,,,,,Percent of Total Billed Charges,,,,,453.6,,,,,,,Percent of Total Billed Charges,,,,,448.88,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,401.63,,,,,,,Percent of Total Billed Charges,,,,,99.23,,,,,,,Percent of Total Billed Charges,,,,,425.25,,,,,,,Percent of Total Billed Charges,,,,,425.25,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,378,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,, ER DR EXCISION OF LESION ,17000,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR ANGIOACCESS ARTERIOVENOUS EXT ,37618,CPT,,Outpatient,,,2309,1847.2,1724.82,,,,,,,Percent of Total Billed Charges,,1724.82,1724.82,,2309,,,,,,,Percent of Total Billed Charges,,,,,2216.64,,,,,,,Percent of Total Billed Charges,,,,,2193.55,,,,,,,Percent of Total Billed Charges,,,,,461.8,,,,,,,Percent of Total Billed Charges,,,,,1962.65,,,,,,,Percent of Total Billed Charges,,,,,484.89,,,,,,,Percent of Total Billed Charges,,,,,2078.1,,,,,,,Percent of Total Billed Charges,,,,,2078.1,,,,,,,Percent of Total Billed Charges,,,,,461.8,,,,,,,Percent of Total Billed Charges,,,,,646.52,,,,,,,Percent of Total Billed Charges,,,,,1847.2,,,,,,,Percent of Total Billed Charges,,,,,461.8,,,,,,,Percent of Total Billed Charges,,,, ER DR CENT VEN LINE INS NON-TUNNELED ,36556,CPT,,Outpatient,,,619.5,495.6,462.77,,,,,,,Percent of Total Billed Charges,,462.77,462.77,,619.5,,,,,,,Percent of Total Billed Charges,,,,,594.72,,,,,,,Percent of Total Billed Charges,,,,,588.53,,,,,,,Percent of Total Billed Charges,,,,,123.9,,,,,,,Percent of Total Billed Charges,,,,,526.58,,,,,,,Percent of Total Billed Charges,,,,,130.1,,,,,,,Percent of Total Billed Charges,,,,,557.55,,,,,,,Percent of Total Billed Charges,,,,,557.55,,,,,,,Percent of Total Billed Charges,,,,,123.9,,,,,,,Percent of Total Billed Charges,,,,,173.46,,,,,,,Percent of Total Billed Charges,,,,,495.6,,,,,,,Percent of Total Billed Charges,,,,,123.9,,,,,,,Percent of Total Billed Charges,,,, ER DR CHANGE OF BLADDER TUBE ,51705,CPT,,Outpatient,,,480.5,384.4,358.93,,,,,,,Percent of Total Billed Charges,,358.93,358.93,,480.5,,,,,,,Percent of Total Billed Charges,,,,,461.28,,,,,,,Percent of Total Billed Charges,,,,,456.48,,,,,,,Percent of Total Billed Charges,,,,,96.1,,,,,,,Percent of Total Billed Charges,,,,,408.43,,,,,,,Percent of Total Billed Charges,,,,,100.91,,,,,,,Percent of Total Billed Charges,,,,,432.45,,,,,,,Percent of Total Billed Charges,,,,,432.45,,,,,,,Percent of Total Billed Charges,,,,,96.1,,,,,,,Percent of Total Billed Charges,,,,,134.54,,,,,,,Percent of Total Billed Charges,,,,,384.4,,,,,,,Percent of Total Billed Charges,,,,,96.1,,,,,,,Percent of Total Billed Charges,,,, ER DR INSERT FOLEY CATH ,51045,CPT,,Outpatient,,,246.5,197.2,184.14,,,,,,,Percent of Total Billed Charges,,184.14,184.14,,246.5,,,,,,,Percent of Total Billed Charges,,,,,236.64,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,209.53,,,,,,,Percent of Total Billed Charges,,,,,51.77,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,69.02,,,,,,,Percent of Total Billed Charges,,,,,197.2,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,, ER DR INSERT NG TUBE ,43753,CPT,,Outpatient,,,246.5,197.2,184.14,,,,,,,Percent of Total Billed Charges,,184.14,184.14,,246.5,,,,,,,Percent of Total Billed Charges,,,,,236.64,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,209.53,,,,,,,Percent of Total Billed Charges,,,,,51.77,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,69.02,,,,,,,Percent of Total Billed Charges,,,,,197.2,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,, ER DR INSERT G TUBE ,43762,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR INSERT NON-DWELLING BLADDER CATH ,51701,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, ER DR PERI VEN CD ANKLE ,36425,CPT,,Outpatient,,,637,509.6,475.84,,,,,,,Percent of Total Billed Charges,,475.84,475.84,,637,,,,,,,Percent of Total Billed Charges,,,,,611.52,,,,,,,Percent of Total Billed Charges,,,,,605.15,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,541.45,,,,,,,Percent of Total Billed Charges,,,,,133.77,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,178.36,,,,,,,Percent of Total Billed Charges,,,,,509.6,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,, ER DR PERI VEN CD ANTECU ,36425,CPT,,Outpatient,,,932.5,746,696.58,,,,,,,Percent of Total Billed Charges,,696.58,696.58,,932.5,,,,,,,Percent of Total Billed Charges,,,,,895.2,,,,,,,Percent of Total Billed Charges,,,,,885.88,,,,,,,Percent of Total Billed Charges,,,,,186.5,,,,,,,Percent of Total Billed Charges,,,,,792.63,,,,,,,Percent of Total Billed Charges,,,,,195.83,,,,,,,Percent of Total Billed Charges,,,,,839.25,,,,,,,Percent of Total Billed Charges,,,,,839.25,,,,,,,Percent of Total Billed Charges,,,,,186.5,,,,,,,Percent of Total Billed Charges,,,,,261.1,,,,,,,Percent of Total Billed Charges,,,,,746,,,,,,,Percent of Total Billed Charges,,,,,186.5,,,,,,,Percent of Total Billed Charges,,,, ER DR STRAPPING TOE ,29550,CPT,,Outpatient,,,102.5,82,76.57,,,,,,,Percent of Total Billed Charges,,76.57,76.57,,102.5,,,,,,,Percent of Total Billed Charges,,,,,98.4,,,,,,,Percent of Total Billed Charges,,,,,97.38,,,,,,,Percent of Total Billed Charges,,,,,20.5,,,,,,,Percent of Total Billed Charges,,,,,87.13,,,,,,,Percent of Total Billed Charges,,,,,21.53,,,,,,,Percent of Total Billed Charges,,,,,92.25,,,,,,,Percent of Total Billed Charges,,,,,92.25,,,,,,,Percent of Total Billed Charges,,,,,20.5,,,,,,,Percent of Total Billed Charges,,,,,28.7,,,,,,,Percent of Total Billed Charges,,,,,82,,,,,,,Percent of Total Billed Charges,,,,,20.5,,,,,,,Percent of Total Billed Charges,,,, ER DR INSERT TEMP INDWELL BLADDER CATH ,51702,CPT,,Outpatient,,,351,280.8,262.2,,,,,,,Percent of Total Billed Charges,,262.2,262.2,,351,,,,,,,Percent of Total Billed Charges,,,,,336.96,,,,,,,Percent of Total Billed Charges,,,,,333.45,,,,,,,Percent of Total Billed Charges,,,,,70.2,,,,,,,Percent of Total Billed Charges,,,,,298.35,,,,,,,Percent of Total Billed Charges,,,,,73.71,,,,,,,Percent of Total Billed Charges,,,,,315.9,,,,,,,Percent of Total Billed Charges,,,,,315.9,,,,,,,Percent of Total Billed Charges,,,,,70.2,,,,,,,Percent of Total Billed Charges,,,,,98.28,,,,,,,Percent of Total Billed Charges,,,,,280.8,,,,,,,Percent of Total Billed Charges,,,,,70.2,,,,,,,Percent of Total Billed Charges,,,, ER DR INTRAOSSEOUS INFUSION ,36680,CPT,,Outpatient,,,298,238.4,222.61,,,,,,,Percent of Total Billed Charges,,222.61,222.61,,298,,,,,,,Percent of Total Billed Charges,,,,,286.08,,,,,,,Percent of Total Billed Charges,,,,,283.1,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,,,62.58,,,,,,,Percent of Total Billed Charges,,,,,268.2,,,,,,,Percent of Total Billed Charges,,,,,268.2,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,,,83.44,,,,,,,Percent of Total Billed Charges,,,,,238.4,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,, ER DR TRIGGER PT INJ 1/2 MUSCLES ,20552,CPT,,Outpatient,,,216,172.8,161.35,,,,,,,Percent of Total Billed Charges,,161.35,161.35,,216,,,,,,,Percent of Total Billed Charges,,,,,207.36,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,45.36,,,,,,,Percent of Total Billed Charges,,,,,194.4,,,,,,,Percent of Total Billed Charges,,,,,194.4,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,, ER DR ENDOTRACHEAL INTUB ,31500,CPT,,Outpatient,,,539.5,431.6,403.01,,,,,,,Percent of Total Billed Charges,,403.01,403.01,,539.5,,,,,,,Percent of Total Billed Charges,,,,,517.92,,,,,,,Percent of Total Billed Charges,,,,,512.53,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,,,458.58,,,,,,,Percent of Total Billed Charges,,,,,113.3,,,,,,,Percent of Total Billed Charges,,,,,485.55,,,,,,,Percent of Total Billed Charges,,,,,485.55,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,,,151.06,,,,,,,Percent of Total Billed Charges,,,,,431.6,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,, ER DR LG JOINT ASPIR/INJ ,20610,CPT,,Outpatient,,,408,326.4,304.78,,,,,,,Percent of Total Billed Charges,,304.78,304.78,,408,,,,,,,Percent of Total Billed Charges,,,,,391.68,,,,,,,Percent of Total Billed Charges,,,,,387.6,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,346.8,,,,,,,Percent of Total Billed Charges,,,,,85.68,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,114.24,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,, ER DR CHEST TUBE INSERT ,32551,CPT,,Outpatient,,,1072,857.6,800.78,,,,,,,Percent of Total Billed Charges,,800.78,800.78,,1072,,,,,,,Percent of Total Billed Charges,,,,,1029.12,,,,,,,Percent of Total Billed Charges,,,,,1018.4,,,,,,,Percent of Total Billed Charges,,,,,214.4,,,,,,,Percent of Total Billed Charges,,,,,911.2,,,,,,,Percent of Total Billed Charges,,,,,225.12,,,,,,,Percent of Total Billed Charges,,,,,964.8,,,,,,,Percent of Total Billed Charges,,,,,964.8,,,,,,,Percent of Total Billed Charges,,,,,214.4,,,,,,,Percent of Total Billed Charges,,,,,300.16,,,,,,,Percent of Total Billed Charges,,,,,857.6,,,,,,,Percent of Total Billed Charges,,,,,214.4,,,,,,,Percent of Total Billed Charges,,,, ER DR I&D ABSCESS SIMPLE ,10060,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR INDIRECT LARYNG ,31505,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR MED JNT ASPIR/INJC ,20605,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR SM JNT ASPIR/INJCT ,20600,CPT,,Outpatient,,,246.5,197.2,184.14,,,,,,,Percent of Total Billed Charges,,184.14,184.14,,246.5,,,,,,,Percent of Total Billed Charges,,,,,236.64,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,209.53,,,,,,,Percent of Total Billed Charges,,,,,51.77,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,69.02,,,,,,,Percent of Total Billed Charges,,,,,197.2,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,, ER DR TRIGGER PT INJ 3 OR MORE MUSCLES ,20553,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR PUNCTURE ASPIRATION ,10160,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR FNA ASPIRATION ,10021,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR S REDUC PHALANGEAL ,26725,CPT,,Outpatient,,,337.5,270,252.11,,,,,,,Percent of Total Billed Charges,,252.11,252.11,,337.5,,,,,,,Percent of Total Billed Charges,,,,,324,,,,,,,Percent of Total Billed Charges,,,,,320.63,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,286.88,,,,,,,Percent of Total Billed Charges,,,,,70.88,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,270,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,, ER DR S REDUC METACARPAL ,26605,CPT,,Outpatient,,,506,404.8,377.98,,,,,,,Percent of Total Billed Charges,,377.98,377.98,,506,,,,,,,Percent of Total Billed Charges,,,,,485.76,,,,,,,Percent of Total Billed Charges,,,,,480.7,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,,,430.1,,,,,,,Percent of Total Billed Charges,,,,,106.26,,,,,,,Percent of Total Billed Charges,,,,,455.4,,,,,,,Percent of Total Billed Charges,,,,,455.4,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,,,141.68,,,,,,,Percent of Total Billed Charges,,,,,404.8,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,, ER DR S REDUC SCAPHOID ,25624,CPT,,Outpatient,,,1732.5,1386,1294.18,,,,,,,Percent of Total Billed Charges,,1294.18,1294.18,,1732.5,,,,,,,Percent of Total Billed Charges,,,,,1663.2,,,,,,,Percent of Total Billed Charges,,,,,1645.88,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,1472.63,,,,,,,Percent of Total Billed Charges,,,,,363.83,,,,,,,Percent of Total Billed Charges,,,,,1559.25,,,,,,,Percent of Total Billed Charges,,,,,1559.25,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,485.1,,,,,,,Percent of Total Billed Charges,,,,,1386,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,, ER DR S REDUC COLLES ,25600,CPT,,Outpatient,,,1371,1096.8,1024.14,,,,,,,Percent of Total Billed Charges,,1024.14,1024.14,,1371,,,,,,,Percent of Total Billed Charges,,,,,1316.16,,,,,,,Percent of Total Billed Charges,,,,,1302.45,,,,,,,Percent of Total Billed Charges,,,,,274.2,,,,,,,Percent of Total Billed Charges,,,,,1165.35,,,,,,,Percent of Total Billed Charges,,,,,287.91,,,,,,,Percent of Total Billed Charges,,,,,1233.9,,,,,,,Percent of Total Billed Charges,,,,,1233.9,,,,,,,Percent of Total Billed Charges,,,,,274.2,,,,,,,Percent of Total Billed Charges,,,,,383.88,,,,,,,Percent of Total Billed Charges,,,,,1096.8,,,,,,,Percent of Total Billed Charges,,,,,274.2,,,,,,,Percent of Total Billed Charges,,,, ER DR S REDUC METATARSAL ,28475,CPT,,Outpatient,,,802.5,642,599.47,,,,,,,Percent of Total Billed Charges,,599.47,599.47,,802.5,,,,,,,Percent of Total Billed Charges,,,,,770.4,,,,,,,Percent of Total Billed Charges,,,,,762.38,,,,,,,Percent of Total Billed Charges,,,,,160.5,,,,,,,Percent of Total Billed Charges,,,,,682.13,,,,,,,Percent of Total Billed Charges,,,,,168.53,,,,,,,Percent of Total Billed Charges,,,,,722.25,,,,,,,Percent of Total Billed Charges,,,,,722.25,,,,,,,Percent of Total Billed Charges,,,,,160.5,,,,,,,Percent of Total Billed Charges,,,,,224.7,,,,,,,Percent of Total Billed Charges,,,,,642,,,,,,,Percent of Total Billed Charges,,,,,160.5,,,,,,,Percent of Total Billed Charges,,,, ER DR S REDUC DISTALULNA ,25650,CPT,,Outpatient,,,1732.5,1386,1294.18,,,,,,,Percent of Total Billed Charges,,1294.18,1294.18,,1732.5,,,,,,,Percent of Total Billed Charges,,,,,1663.2,,,,,,,Percent of Total Billed Charges,,,,,1645.88,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,1472.63,,,,,,,Percent of Total Billed Charges,,,,,363.83,,,,,,,Percent of Total Billed Charges,,,,,1559.25,,,,,,,Percent of Total Billed Charges,,,,,1559.25,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,485.1,,,,,,,Percent of Total Billed Charges,,,,,1386,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,, ER DR S REDUC DISTAL RAD ,24650,CPT,,Outpatient,,,1732.5,1386,1294.18,,,,,,,Percent of Total Billed Charges,,1294.18,1294.18,,1732.5,,,,,,,Percent of Total Billed Charges,,,,,1663.2,,,,,,,Percent of Total Billed Charges,,,,,1645.88,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,1472.63,,,,,,,Percent of Total Billed Charges,,,,,363.83,,,,,,,Percent of Total Billed Charges,,,,,1559.25,,,,,,,Percent of Total Billed Charges,,,,,1559.25,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,485.1,,,,,,,Percent of Total Billed Charges,,,,,1386,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,, ER DR S REDUC RAD HEAD ,25505,CPT,,Outpatient,,,1732.5,1386,1294.18,,,,,,,Percent of Total Billed Charges,,1294.18,1294.18,,1732.5,,,,,,,Percent of Total Billed Charges,,,,,1663.2,,,,,,,Percent of Total Billed Charges,,,,,1645.88,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,1472.63,,,,,,,Percent of Total Billed Charges,,,,,363.83,,,,,,,Percent of Total Billed Charges,,,,,1559.25,,,,,,,Percent of Total Billed Charges,,,,,1559.25,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,485.1,,,,,,,Percent of Total Billed Charges,,,,,1386,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,, ER DR S REDUC BIMALLEOLAR ANKLE ,27810,CPT,,Outpatient,,,2161,1728.8,1614.27,,,,,,,Percent of Total Billed Charges,,1614.27,1614.27,,2161,,,,,,,Percent of Total Billed Charges,,,,,2074.56,,,,,,,Percent of Total Billed Charges,,,,,2052.95,,,,,,,Percent of Total Billed Charges,,,,,432.2,,,,,,,Percent of Total Billed Charges,,,,,1836.85,,,,,,,Percent of Total Billed Charges,,,,,453.81,,,,,,,Percent of Total Billed Charges,,,,,1944.9,,,,,,,Percent of Total Billed Charges,,,,,1944.9,,,,,,,Percent of Total Billed Charges,,,,,432.2,,,,,,,Percent of Total Billed Charges,,,,,605.08,,,,,,,Percent of Total Billed Charges,,,,,1728.8,,,,,,,Percent of Total Billed Charges,,,,,432.2,,,,,,,Percent of Total Billed Charges,,,, ER DR S REDUC RAD & ULNA ,25565,CPT,,Outpatient,,,2555,2044,1908.59,,,,,,,Percent of Total Billed Charges,,1908.59,1908.59,,2555,,,,,,,Percent of Total Billed Charges,,,,,2452.8,,,,,,,Percent of Total Billed Charges,,,,,2427.25,,,,,,,Percent of Total Billed Charges,,,,,511,,,,,,,Percent of Total Billed Charges,,,,,2171.75,,,,,,,Percent of Total Billed Charges,,,,,536.55,,,,,,,Percent of Total Billed Charges,,,,,2299.5,,,,,,,Percent of Total Billed Charges,,,,,2299.5,,,,,,,Percent of Total Billed Charges,,,,,511,,,,,,,Percent of Total Billed Charges,,,,,715.4,,,,,,,Percent of Total Billed Charges,,,,,2044,,,,,,,Percent of Total Billed Charges,,,,,511,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC PHALANGEAL ,26725,CPT,,Outpatient,,,907,725.6,677.53,,,,,,,Percent of Total Billed Charges,,677.53,677.53,,907,,,,,,,Percent of Total Billed Charges,,,,,870.72,,,,,,,Percent of Total Billed Charges,,,,,861.65,,,,,,,Percent of Total Billed Charges,,,,,181.4,,,,,,,Percent of Total Billed Charges,,,,,770.95,,,,,,,Percent of Total Billed Charges,,,,,190.47,,,,,,,Percent of Total Billed Charges,,,,,816.3,,,,,,,Percent of Total Billed Charges,,,,,816.3,,,,,,,Percent of Total Billed Charges,,,,,181.4,,,,,,,Percent of Total Billed Charges,,,,,253.96,,,,,,,Percent of Total Billed Charges,,,,,725.6,,,,,,,Percent of Total Billed Charges,,,,,181.4,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC METACARPAL ,26605,CPT,,Outpatient,,,1236,988.8,923.29,,,,,,,Percent of Total Billed Charges,,923.29,923.29,,1236,,,,,,,Percent of Total Billed Charges,,,,,1186.56,,,,,,,Percent of Total Billed Charges,,,,,1174.2,,,,,,,Percent of Total Billed Charges,,,,,247.2,,,,,,,Percent of Total Billed Charges,,,,,1050.6,,,,,,,Percent of Total Billed Charges,,,,,259.56,,,,,,,Percent of Total Billed Charges,,,,,1112.4,,,,,,,Percent of Total Billed Charges,,,,,1112.4,,,,,,,Percent of Total Billed Charges,,,,,247.2,,,,,,,Percent of Total Billed Charges,,,,,346.08,,,,,,,Percent of Total Billed Charges,,,,,988.8,,,,,,,Percent of Total Billed Charges,,,,,247.2,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC RAD/ULNA ,25565,CPT,,Outpatient,,,3779.5,3023.6,2823.29,,,,,,,Percent of Total Billed Charges,,2823.29,2823.29,,3779.5,,,,,,,Percent of Total Billed Charges,,,,,3628.32,,,,,,,Percent of Total Billed Charges,,,,,3590.53,,,,,,,Percent of Total Billed Charges,,,,,755.9,,,,,,,Percent of Total Billed Charges,,,,,3212.58,,,,,,,Percent of Total Billed Charges,,,,,793.7,,,,,,,Percent of Total Billed Charges,,,,,3401.55,,,,,,,Percent of Total Billed Charges,,,,,3401.55,,,,,,,Percent of Total Billed Charges,,,,,755.9,,,,,,,Percent of Total Billed Charges,,,,,1058.26,,,,,,,Percent of Total Billed Charges,,,,,3023.6,,,,,,,Percent of Total Billed Charges,,,,,755.9,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC RADIUS ,25505,CPT,,Outpatient,,,2124.5,1699.6,1587,,,,,,,Percent of Total Billed Charges,,1587,1587,,2124.5,,,,,,,Percent of Total Billed Charges,,,,,2039.52,,,,,,,Percent of Total Billed Charges,,,,,2018.28,,,,,,,Percent of Total Billed Charges,,,,,424.9,,,,,,,Percent of Total Billed Charges,,,,,1805.83,,,,,,,Percent of Total Billed Charges,,,,,446.15,,,,,,,Percent of Total Billed Charges,,,,,1912.05,,,,,,,Percent of Total Billed Charges,,,,,1912.05,,,,,,,Percent of Total Billed Charges,,,,,424.9,,,,,,,Percent of Total Billed Charges,,,,,594.86,,,,,,,Percent of Total Billed Charges,,,,,1699.6,,,,,,,Percent of Total Billed Charges,,,,,424.9,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC ULNA ,25535,CPT,,Outpatient,,,1732.5,1386,1294.18,,,,,,,Percent of Total Billed Charges,,1294.18,1294.18,,1732.5,,,,,,,Percent of Total Billed Charges,,,,,1663.2,,,,,,,Percent of Total Billed Charges,,,,,1645.88,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,1472.63,,,,,,,Percent of Total Billed Charges,,,,,363.83,,,,,,,Percent of Total Billed Charges,,,,,1559.25,,,,,,,Percent of Total Billed Charges,,,,,1559.25,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,485.1,,,,,,,Percent of Total Billed Charges,,,,,1386,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC POST HIP ,27265,CPT,,Outpatient,,,2035.5,1628.4,1520.52,,,,,,,Percent of Total Billed Charges,,1520.52,1520.52,,2035.5,,,,,,,Percent of Total Billed Charges,,,,,1954.08,,,,,,,Percent of Total Billed Charges,,,,,1933.73,,,,,,,Percent of Total Billed Charges,,,,,407.1,,,,,,,Percent of Total Billed Charges,,,,,1730.18,,,,,,,Percent of Total Billed Charges,,,,,427.46,,,,,,,Percent of Total Billed Charges,,,,,1831.95,,,,,,,Percent of Total Billed Charges,,,,,1831.95,,,,,,,Percent of Total Billed Charges,,,,,407.1,,,,,,,Percent of Total Billed Charges,,,,,569.94,,,,,,,Percent of Total Billed Charges,,,,,1628.4,,,,,,,Percent of Total Billed Charges,,,,,407.1,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC HIP W/ANES ,27252,CPT,,Outpatient,,,2273,1818.4,1697.93,,,,,,,Percent of Total Billed Charges,,1697.93,1697.93,,2273,,,,,,,Percent of Total Billed Charges,,,,,2182.08,,,,,,,Percent of Total Billed Charges,,,,,2159.35,,,,,,,Percent of Total Billed Charges,,,,,454.6,,,,,,,Percent of Total Billed Charges,,,,,1932.05,,,,,,,Percent of Total Billed Charges,,,,,477.33,,,,,,,Percent of Total Billed Charges,,,,,2045.7,,,,,,,Percent of Total Billed Charges,,,,,2045.7,,,,,,,Percent of Total Billed Charges,,,,,454.6,,,,,,,Percent of Total Billed Charges,,,,,636.44,,,,,,,Percent of Total Billed Charges,,,,,1818.4,,,,,,,Percent of Total Billed Charges,,,,,454.6,,,,,,,Percent of Total Billed Charges,,,, ER DR S REDUC AN DISL METATARSOPHANGEAL ,26725,CPT,,Outpatient,,,337.5,270,252.11,,,,,,,Percent of Total Billed Charges,,252.11,252.11,,337.5,,,,,,,Percent of Total Billed Charges,,,,,324,,,,,,,Percent of Total Billed Charges,,,,,320.63,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,286.88,,,,,,,Percent of Total Billed Charges,,,,,70.88,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,270,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC METACARPAL ,26670,CPT,,Outpatient,,,1236,988.8,923.29,,,,,,,Percent of Total Billed Charges,,923.29,923.29,,1236,,,,,,,Percent of Total Billed Charges,,,,,1186.56,,,,,,,Percent of Total Billed Charges,,,,,1174.2,,,,,,,Percent of Total Billed Charges,,,,,247.2,,,,,,,Percent of Total Billed Charges,,,,,1050.6,,,,,,,Percent of Total Billed Charges,,,,,259.56,,,,,,,Percent of Total Billed Charges,,,,,1112.4,,,,,,,Percent of Total Billed Charges,,,,,1112.4,,,,,,,Percent of Total Billed Charges,,,,,247.2,,,,,,,Percent of Total Billed Charges,,,,,346.08,,,,,,,Percent of Total Billed Charges,,,,,988.8,,,,,,,Percent of Total Billed Charges,,,,,247.2,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC FEMORAL ,27240,CPT,,Outpatient,,,2124.5,1699.6,1587,,,,,,,Percent of Total Billed Charges,,1587,1587,,2124.5,,,,,,,Percent of Total Billed Charges,,,,,2039.52,,,,,,,Percent of Total Billed Charges,,,,,2018.28,,,,,,,Percent of Total Billed Charges,,,,,424.9,,,,,,,Percent of Total Billed Charges,,,,,1805.83,,,,,,,Percent of Total Billed Charges,,,,,446.15,,,,,,,Percent of Total Billed Charges,,,,,1912.05,,,,,,,Percent of Total Billed Charges,,,,,1912.05,,,,,,,Percent of Total Billed Charges,,,,,424.9,,,,,,,Percent of Total Billed Charges,,,,,594.86,,,,,,,Percent of Total Billed Charges,,,,,1699.6,,,,,,,Percent of Total Billed Charges,,,,,424.9,,,,,,,Percent of Total Billed Charges,,,, ER DR CRIT CARE ,99291,CPT,,Outpatient,,,1666,1332.8,1244.5,,,,,,,Percent of Total Billed Charges,,1244.5,1244.5,,1666,,,,,,,Percent of Total Billed Charges,,,,,1599.36,,,,,,,Percent of Total Billed Charges,,,,,1582.7,,,,,,,Percent of Total Billed Charges,,,,,333.2,,,,,,,Percent of Total Billed Charges,,,,,1416.1,,,,,,,Percent of Total Billed Charges,,,,,349.86,,,,,,,Percent of Total Billed Charges,,,,,1499.4,,,,,,,Percent of Total Billed Charges,,,,,1499.4,,,,,,,Percent of Total Billed Charges,,,,,333.2,,,,,,,Percent of Total Billed Charges,,,,,466.48,,,,,,,Percent of Total Billed Charges,,,,,1332.8,,,,,,,Percent of Total Billed Charges,,,,,333.2,,,,,,,Percent of Total Billed Charges,,,, ER DR S REDUC DISTAL FIBULAR ANKLE ,27786,CPT,,Outpatient,,,2161,1728.8,1614.27,,,,,,,Percent of Total Billed Charges,,1614.27,1614.27,,2161,,,,,,,Percent of Total Billed Charges,,,,,2074.56,,,,,,,Percent of Total Billed Charges,,,,,2052.95,,,,,,,Percent of Total Billed Charges,,,,,432.2,,,,,,,Percent of Total Billed Charges,,,,,1836.85,,,,,,,Percent of Total Billed Charges,,,,,453.81,,,,,,,Percent of Total Billed Charges,,,,,1944.9,,,,,,,Percent of Total Billed Charges,,,,,1944.9,,,,,,,Percent of Total Billed Charges,,,,,432.2,,,,,,,Percent of Total Billed Charges,,,,,605.08,,,,,,,Percent of Total Billed Charges,,,,,1728.8,,,,,,,Percent of Total Billed Charges,,,,,432.2,,,,,,,Percent of Total Billed Charges,,,, ER DR S REDUC COLLES W/MANIPULATION ,25605,CPT,,Outpatient,,,1732.5,1386,1294.18,,,,,,,Percent of Total Billed Charges,,1294.18,1294.18,,1732.5,,,,,,,Percent of Total Billed Charges,,,,,1663.2,,,,,,,Percent of Total Billed Charges,,,,,1645.88,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,1472.63,,,,,,,Percent of Total Billed Charges,,,,,363.83,,,,,,,Percent of Total Billed Charges,,,,,1559.25,,,,,,,Percent of Total Billed Charges,,,,,1559.25,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,485.1,,,,,,,Percent of Total Billed Charges,,,,,1386,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,, ER DR REDUC SHOULDER W/O ANES ,23650,CPT,,Outpatient,,,1236,988.8,923.29,,,,,,,Percent of Total Billed Charges,,923.29,923.29,,1236,,,,,,,Percent of Total Billed Charges,,,,,1186.56,,,,,,,Percent of Total Billed Charges,,,,,1174.2,,,,,,,Percent of Total Billed Charges,,,,,247.2,,,,,,,Percent of Total Billed Charges,,,,,1050.6,,,,,,,Percent of Total Billed Charges,,,,,259.56,,,,,,,Percent of Total Billed Charges,,,,,1112.4,,,,,,,Percent of Total Billed Charges,,,,,1112.4,,,,,,,Percent of Total Billed Charges,,,,,247.2,,,,,,,Percent of Total Billed Charges,,,,,346.08,,,,,,,Percent of Total Billed Charges,,,,,988.8,,,,,,,Percent of Total Billed Charges,,,,,247.2,,,,,,,Percent of Total Billed Charges,,,, ER DR REDUC SHOULDER W/ANES ,23655,CPT,,Outpatient,,,1266.5,1013.2,946.08,,,,,,,Percent of Total Billed Charges,,946.08,946.08,,1266.5,,,,,,,Percent of Total Billed Charges,,,,,1215.84,,,,,,,Percent of Total Billed Charges,,,,,1203.18,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,,,1076.53,,,,,,,Percent of Total Billed Charges,,,,,265.97,,,,,,,Percent of Total Billed Charges,,,,,1139.85,,,,,,,Percent of Total Billed Charges,,,,,1139.85,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,,,354.62,,,,,,,Percent of Total Billed Charges,,,,,1013.2,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,, ER DR CRIT CARE EA 30 MIN ,99292,CPT,,Outpatient,,,272,217.6,203.18,,,,,,,Percent of Total Billed Charges,,203.18,203.18,,272,,,,,,,Percent of Total Billed Charges,,,,,261.12,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,231.2,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,76.16,,,,,,,Percent of Total Billed Charges,,,,,217.6,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC RAD SHAFT ,25500,CPT,,Outpatient,,,1371,1096.8,1024.14,,,,,,,Percent of Total Billed Charges,,1024.14,1024.14,,1371,,,,,,,Percent of Total Billed Charges,,,,,1316.16,,,,,,,Percent of Total Billed Charges,,,,,1302.45,,,,,,,Percent of Total Billed Charges,,,,,274.2,,,,,,,Percent of Total Billed Charges,,,,,1165.35,,,,,,,Percent of Total Billed Charges,,,,,287.91,,,,,,,Percent of Total Billed Charges,,,,,1233.9,,,,,,,Percent of Total Billed Charges,,,,,1233.9,,,,,,,Percent of Total Billed Charges,,,,,274.2,,,,,,,Percent of Total Billed Charges,,,,,383.88,,,,,,,Percent of Total Billed Charges,,,,,1096.8,,,,,,,Percent of Total Billed Charges,,,,,274.2,,,,,,,Percent of Total Billed Charges,,,, ER DR CPR ,92950,CPT,,Outpatient,,,400,320,298.8,,,,,,,Percent of Total Billed Charges,,298.8,298.8,,400,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,380,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,340,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,320,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC CARPOMETACARPAL DISLOCATIO,26641,CPT,,Outpatient,,,337.5,270,252.11,,,,,,,Percent of Total Billed Charges,,252.11,252.11,,337.5,,,,,,,Percent of Total Billed Charges,,,,,324,,,,,,,Percent of Total Billed Charges,,,,,320.63,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,286.88,,,,,,,Percent of Total Billed Charges,,,,,70.88,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,270,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,, ER DR S REDUC TRIMALLEOLAR ANKLE ,27818,CPT,,Outpatient,,,2302.5,1842,1719.97,,,,,,,Percent of Total Billed Charges,,1719.97,1719.97,,2302.5,,,,,,,Percent of Total Billed Charges,,,,,2210.4,,,,,,,Percent of Total Billed Charges,,,,,2187.38,,,,,,,Percent of Total Billed Charges,,,,,460.5,,,,,,,Percent of Total Billed Charges,,,,,1957.13,,,,,,,Percent of Total Billed Charges,,,,,483.53,,,,,,,Percent of Total Billed Charges,,,,,2072.25,,,,,,,Percent of Total Billed Charges,,,,,2072.25,,,,,,,Percent of Total Billed Charges,,,,,460.5,,,,,,,Percent of Total Billed Charges,,,,,644.7,,,,,,,Percent of Total Billed Charges,,,,,1842,,,,,,,Percent of Total Billed Charges,,,,,460.5,,,,,,,Percent of Total Billed Charges,,,, ER DR STRAPPING SHOULDER ,29240,CPT,,Outpatient,,,141,112.8,105.33,,,,,,,Percent of Total Billed Charges,,105.33,105.33,,141,,,,,,,Percent of Total Billed Charges,,,,,135.36,,,,,,,Percent of Total Billed Charges,,,,,133.95,,,,,,,Percent of Total Billed Charges,,,,,28.2,,,,,,,Percent of Total Billed Charges,,,,,119.85,,,,,,,Percent of Total Billed Charges,,,,,29.61,,,,,,,Percent of Total Billed Charges,,,,,126.9,,,,,,,Percent of Total Billed Charges,,,,,126.9,,,,,,,Percent of Total Billed Charges,,,,,28.2,,,,,,,Percent of Total Billed Charges,,,,,39.48,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,28.2,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUCT RADIUS & UNLNA ,25560,CPT,,Outpatient,,,1181,944.8,882.21,,,,,,,Percent of Total Billed Charges,,882.21,882.21,,1181,,,,,,,Percent of Total Billed Charges,,,,,1133.76,,,,,,,Percent of Total Billed Charges,,,,,1121.95,,,,,,,Percent of Total Billed Charges,,,,,236.2,,,,,,,Percent of Total Billed Charges,,,,,1003.85,,,,,,,Percent of Total Billed Charges,,,,,248.01,,,,,,,Percent of Total Billed Charges,,,,,1062.9,,,,,,,Percent of Total Billed Charges,,,,,1062.9,,,,,,,Percent of Total Billed Charges,,,,,236.2,,,,,,,Percent of Total Billed Charges,,,,,330.68,,,,,,,Percent of Total Billed Charges,,,,,944.8,,,,,,,Percent of Total Billed Charges,,,,,236.2,,,,,,,Percent of Total Billed Charges,,,, ER DR HAND/WRIST CAST ,29085,CPT,,Outpatient,,,435,348,324.95,,,,,,,Percent of Total Billed Charges,,324.95,324.95,,435,,,,,,,Percent of Total Billed Charges,,,,,417.6,,,,,,,Percent of Total Billed Charges,,,,,413.25,,,,,,,Percent of Total Billed Charges,,,,,87,,,,,,,Percent of Total Billed Charges,,,,,369.75,,,,,,,Percent of Total Billed Charges,,,,,91.35,,,,,,,Percent of Total Billed Charges,,,,,391.5,,,,,,,Percent of Total Billed Charges,,,,,391.5,,,,,,,Percent of Total Billed Charges,,,,,87,,,,,,,Percent of Total Billed Charges,,,,,121.8,,,,,,,Percent of Total Billed Charges,,,,,348,,,,,,,Percent of Total Billed Charges,,,,,87,,,,,,,Percent of Total Billed Charges,,,, ER DR WOUND DEBRIDEMT LG ,11042,CPT,,Outpatient,,,337.5,270,252.11,,,,,,,Percent of Total Billed Charges,,252.11,252.11,,337.5,,,,,,,Percent of Total Billed Charges,,,,,324,,,,,,,Percent of Total Billed Charges,,,,,320.63,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,286.88,,,,,,,Percent of Total Billed Charges,,,,,70.88,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,270,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,, ER DR DEBRID W/REMOVAL OF FOREIGN BODY ,11010,CPT,,Outpatient,,,246.5,197.2,184.14,,,,,,,Percent of Total Billed Charges,,184.14,184.14,,246.5,,,,,,,Percent of Total Billed Charges,,,,,236.64,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,209.53,,,,,,,Percent of Total Billed Charges,,,,,51.77,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,69.02,,,,,,,Percent of Total Billed Charges,,,,,197.2,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,, ER DR DEBRIDE SKIN/SUBCU TISSUE/MUSCLE ,11012,CPT,,Outpatient,,,207,165.6,154.63,,,,,,,Percent of Total Billed Charges,,154.63,154.63,,207,,,,,,,Percent of Total Billed Charges,,,,,198.72,,,,,,,Percent of Total Billed Charges,,,,,196.65,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,175.95,,,,,,,Percent of Total Billed Charges,,,,,43.47,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,57.96,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,, ER DR BURN CARE ,16000,CPT,,Outpatient,,,207,165.6,154.63,,,,,,,Percent of Total Billed Charges,,154.63,154.63,,207,,,,,,,Percent of Total Billed Charges,,,,,198.72,,,,,,,Percent of Total Billed Charges,,,,,196.65,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,175.95,,,,,,,Percent of Total Billed Charges,,,,,43.47,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,57.96,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,, ER DR BURN DRESS/DEBRID P-THICK SMALL ,16020,CPT,,Outpatient,,,320,256,239.04,,,,,,,Percent of Total Billed Charges,,239.04,239.04,,320,,,,,,,Percent of Total Billed Charges,,,,,307.2,,,,,,,Percent of Total Billed Charges,,,,,304,,,,,,,Percent of Total Billed Charges,,,,,64,,,,,,,Percent of Total Billed Charges,,,,,272,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,288,,,,,,,Percent of Total Billed Charges,,,,,288,,,,,,,Percent of Total Billed Charges,,,,,64,,,,,,,Percent of Total Billed Charges,,,,,89.6,,,,,,,Percent of Total Billed Charges,,,,,256,,,,,,,Percent of Total Billed Charges,,,,,64,,,,,,,Percent of Total Billed Charges,,,, ER DR BURN DRESS/DEBRID P-THICK MED ,16025,CPT,,Outpatient,,,663,530.4,495.26,,,,,,,Percent of Total Billed Charges,,495.26,495.26,,663,,,,,,,Percent of Total Billed Charges,,,,,636.48,,,,,,,Percent of Total Billed Charges,,,,,629.85,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,563.55,,,,,,,Percent of Total Billed Charges,,,,,139.23,,,,,,,Percent of Total Billed Charges,,,,,596.7,,,,,,,Percent of Total Billed Charges,,,,,596.7,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,185.64,,,,,,,Percent of Total Billed Charges,,,,,530.4,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,, ER DR BURN DRESS/DEBRID P-THICK LRG ,16030,CPT,,Outpatient,,,663,530.4,495.26,,,,,,,Percent of Total Billed Charges,,495.26,495.26,,663,,,,,,,Percent of Total Billed Charges,,,,,636.48,,,,,,,Percent of Total Billed Charges,,,,,629.85,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,563.55,,,,,,,Percent of Total Billed Charges,,,,,139.23,,,,,,,Percent of Total Billed Charges,,,,,596.7,,,,,,,Percent of Total Billed Charges,,,,,596.7,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,185.64,,,,,,,Percent of Total Billed Charges,,,,,530.4,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC CLAVICLE ,23500,CPT,,Outpatient,,,1266.5,1013.2,946.08,,,,,,,Percent of Total Billed Charges,,946.08,946.08,,1266.5,,,,,,,Percent of Total Billed Charges,,,,,1215.84,,,,,,,Percent of Total Billed Charges,,,,,1203.18,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,,,1076.53,,,,,,,Percent of Total Billed Charges,,,,,265.97,,,,,,,Percent of Total Billed Charges,,,,,1139.85,,,,,,,Percent of Total Billed Charges,,,,,1139.85,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,,,354.62,,,,,,,Percent of Total Billed Charges,,,,,1013.2,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC AN DISL CLAVICLE ,23505,CPT,,Outpatient,,,1266.5,1013.2,946.08,,,,,,,Percent of Total Billed Charges,,946.08,946.08,,1266.5,,,,,,,Percent of Total Billed Charges,,,,,1215.84,,,,,,,Percent of Total Billed Charges,,,,,1203.18,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,,,1076.53,,,,,,,Percent of Total Billed Charges,,,,,265.97,,,,,,,Percent of Total Billed Charges,,,,,1139.85,,,,,,,Percent of Total Billed Charges,,,,,1139.85,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,,,354.62,,,,,,,Percent of Total Billed Charges,,,,,1013.2,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC DISL MCP JT ,26700,CPT,,Outpatient,,,506,404.8,377.98,,,,,,,Percent of Total Billed Charges,,377.98,377.98,,506,,,,,,,Percent of Total Billed Charges,,,,,485.76,,,,,,,Percent of Total Billed Charges,,,,,480.7,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,,,430.1,,,,,,,Percent of Total Billed Charges,,,,,106.26,,,,,,,Percent of Total Billed Charges,,,,,455.4,,,,,,,Percent of Total Billed Charges,,,,,455.4,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,,,141.68,,,,,,,Percent of Total Billed Charges,,,,,404.8,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,, ER DR REDUC DISLO PATELL ,27560,CPT,,Outpatient,,,572,457.6,427.28,,,,,,,Percent of Total Billed Charges,,427.28,427.28,,572,,,,,,,Percent of Total Billed Charges,,,,,549.12,,,,,,,Percent of Total Billed Charges,,,,,543.4,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,486.2,,,,,,,Percent of Total Billed Charges,,,,,120.12,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,160.16,,,,,,,Percent of Total Billed Charges,,,,,457.6,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,, ER DR REDUC METACARPO PHALA ,26700,CPT,,Outpatient,,,337.5,270,252.11,,,,,,,Percent of Total Billed Charges,,252.11,252.11,,337.5,,,,,,,Percent of Total Billed Charges,,,,,324,,,,,,,Percent of Total Billed Charges,,,,,320.63,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,286.88,,,,,,,Percent of Total Billed Charges,,,,,70.88,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,270,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,, ER DR REDUC DISLO ANKLE ,27840,CPT,,Outpatient,,,572,457.6,427.28,,,,,,,Percent of Total Billed Charges,,427.28,427.28,,572,,,,,,,Percent of Total Billed Charges,,,,,549.12,,,,,,,Percent of Total Billed Charges,,,,,543.4,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,486.2,,,,,,,Percent of Total Billed Charges,,,,,120.12,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,160.16,,,,,,,Percent of Total Billed Charges,,,,,457.6,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,, ER DR TX ELBOW DISCLO W/ANES ,24605,CPT,,Outpatient,,,2566.5,2053.2,1917.18,,,,,,,Percent of Total Billed Charges,,1917.18,1917.18,,2566.5,,,,,,,Percent of Total Billed Charges,,,,,2463.84,,,,,,,Percent of Total Billed Charges,,,,,2438.18,,,,,,,Percent of Total Billed Charges,,,,,513.3,,,,,,,Percent of Total Billed Charges,,,,,2181.53,,,,,,,Percent of Total Billed Charges,,,,,538.97,,,,,,,Percent of Total Billed Charges,,,,,2309.85,,,,,,,Percent of Total Billed Charges,,,,,2309.85,,,,,,,Percent of Total Billed Charges,,,,,513.3,,,,,,,Percent of Total Billed Charges,,,,,718.62,,,,,,,Percent of Total Billed Charges,,,,,2053.2,,,,,,,Percent of Total Billed Charges,,,,,513.3,,,,,,,Percent of Total Billed Charges,,,, ER DR REDUC DISLO JAW ,21480,CPT,,Outpatient,,,413,330.4,308.51,,,,,,,Percent of Total Billed Charges,,308.51,308.51,,413,,,,,,,Percent of Total Billed Charges,,,,,396.48,,,,,,,Percent of Total Billed Charges,,,,,392.35,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,,,351.05,,,,,,,Percent of Total Billed Charges,,,,,86.73,,,,,,,Percent of Total Billed Charges,,,,,371.7,,,,,,,Percent of Total Billed Charges,,,,,371.7,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,,,115.64,,,,,,,Percent of Total Billed Charges,,,,,330.4,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC ELBOW ,24600,CPT,,Outpatient,,,920.5,736.4,687.61,,,,,,,Percent of Total Billed Charges,,687.61,687.61,,920.5,,,,,,,Percent of Total Billed Charges,,,,,883.68,,,,,,,Percent of Total Billed Charges,,,,,874.48,,,,,,,Percent of Total Billed Charges,,,,,184.1,,,,,,,Percent of Total Billed Charges,,,,,782.43,,,,,,,Percent of Total Billed Charges,,,,,193.31,,,,,,,Percent of Total Billed Charges,,,,,828.45,,,,,,,Percent of Total Billed Charges,,,,,828.45,,,,,,,Percent of Total Billed Charges,,,,,184.1,,,,,,,Percent of Total Billed Charges,,,,,257.74,,,,,,,Percent of Total Billed Charges,,,,,736.4,,,,,,,Percent of Total Billed Charges,,,,,184.1,,,,,,,Percent of Total Billed Charges,,,, ER DR REDUC INTER PHALA ,26770,CPT,,Outpatient,,,337.5,270,252.11,,,,,,,Percent of Total Billed Charges,,252.11,252.11,,337.5,,,,,,,Percent of Total Billed Charges,,,,,324,,,,,,,Percent of Total Billed Charges,,,,,320.63,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,286.88,,,,,,,Percent of Total Billed Charges,,,,,70.88,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,270,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,, ER DR CLOSED TX RADIAL HEAD/NRSEMAID ELB,24640,CPT,,Outpatient,,,771.5,617.2,576.31,,,,,,,Percent of Total Billed Charges,,576.31,576.31,,771.5,,,,,,,Percent of Total Billed Charges,,,,,740.64,,,,,,,Percent of Total Billed Charges,,,,,732.93,,,,,,,Percent of Total Billed Charges,,,,,154.3,,,,,,,Percent of Total Billed Charges,,,,,655.78,,,,,,,Percent of Total Billed Charges,,,,,162.02,,,,,,,Percent of Total Billed Charges,,,,,694.35,,,,,,,Percent of Total Billed Charges,,,,,694.35,,,,,,,Percent of Total Billed Charges,,,,,154.3,,,,,,,Percent of Total Billed Charges,,,,,216.02,,,,,,,Percent of Total Billed Charges,,,,,617.2,,,,,,,Percent of Total Billed Charges,,,,,154.3,,,,,,,Percent of Total Billed Charges,,,, ER DR REDUC INTER PHALA W/BLOCK ,26775,CPT,,Outpatient,,,1998,1598.4,1492.51,,,,,,,Percent of Total Billed Charges,,1492.51,1492.51,,1998,,,,,,,Percent of Total Billed Charges,,,,,1918.08,,,,,,,Percent of Total Billed Charges,,,,,1898.1,,,,,,,Percent of Total Billed Charges,,,,,399.6,,,,,,,Percent of Total Billed Charges,,,,,1698.3,,,,,,,Percent of Total Billed Charges,,,,,419.58,,,,,,,Percent of Total Billed Charges,,,,,1798.2,,,,,,,Percent of Total Billed Charges,,,,,1798.2,,,,,,,Percent of Total Billed Charges,,,,,399.6,,,,,,,Percent of Total Billed Charges,,,,,559.44,,,,,,,Percent of Total Billed Charges,,,,,1598.4,,,,,,,Percent of Total Billed Charges,,,,,399.6,,,,,,,Percent of Total Billed Charges,,,, ER DR CL TX PATELLAR FX W/O MANIPULATION,27520,CPT,,Outpatient,,,1634.5,1307.6,1220.97,,,,,,,Percent of Total Billed Charges,,1220.97,1220.97,,1634.5,,,,,,,Percent of Total Billed Charges,,,,,1569.12,,,,,,,Percent of Total Billed Charges,,,,,1552.78,,,,,,,Percent of Total Billed Charges,,,,,326.9,,,,,,,Percent of Total Billed Charges,,,,,1389.33,,,,,,,Percent of Total Billed Charges,,,,,343.25,,,,,,,Percent of Total Billed Charges,,,,,1471.05,,,,,,,Percent of Total Billed Charges,,,,,1471.05,,,,,,,Percent of Total Billed Charges,,,,,326.9,,,,,,,Percent of Total Billed Charges,,,,,457.66,,,,,,,Percent of Total Billed Charges,,,,,1307.6,,,,,,,Percent of Total Billed Charges,,,,,326.9,,,,,,,Percent of Total Billed Charges,,,, ER DR CLSD TX METATARSAL FR W/O MANIPUL ,28470,CPT,,Outpatient,,,1098.5,878.8,820.58,,,,,,,Percent of Total Billed Charges,,820.58,820.58,,1098.5,,,,,,,Percent of Total Billed Charges,,,,,1054.56,,,,,,,Percent of Total Billed Charges,,,,,1043.58,,,,,,,Percent of Total Billed Charges,,,,,219.7,,,,,,,Percent of Total Billed Charges,,,,,933.73,,,,,,,Percent of Total Billed Charges,,,,,230.69,,,,,,,Percent of Total Billed Charges,,,,,988.65,,,,,,,Percent of Total Billed Charges,,,,,988.65,,,,,,,Percent of Total Billed Charges,,,,,219.7,,,,,,,Percent of Total Billed Charges,,,,,307.58,,,,,,,Percent of Total Billed Charges,,,,,878.8,,,,,,,Percent of Total Billed Charges,,,,,219.7,,,,,,,Percent of Total Billed Charges,,,, ER DR CLSD TX KNEE DISLOCATION W/ANES ,27552,CPT,,Outpatient,,,3102,2481.6,2317.19,,,,,,,Percent of Total Billed Charges,,2317.19,2317.19,,3102,,,,,,,Percent of Total Billed Charges,,,,,2977.92,,,,,,,Percent of Total Billed Charges,,,,,2946.9,,,,,,,Percent of Total Billed Charges,,,,,620.4,,,,,,,Percent of Total Billed Charges,,,,,2636.7,,,,,,,Percent of Total Billed Charges,,,,,651.42,,,,,,,Percent of Total Billed Charges,,,,,2791.8,,,,,,,Percent of Total Billed Charges,,,,,2791.8,,,,,,,Percent of Total Billed Charges,,,,,620.4,,,,,,,Percent of Total Billed Charges,,,,,868.56,,,,,,,Percent of Total Billed Charges,,,,,2481.6,,,,,,,Percent of Total Billed Charges,,,,,620.4,,,,,,,Percent of Total Billed Charges,,,, ER DR TX KNEE DISLOCATION ,27550,CPT,,Outpatient,,,2333,1866.4,1742.75,,,,,,,Percent of Total Billed Charges,,1742.75,1742.75,,2333,,,,,,,Percent of Total Billed Charges,,,,,2239.68,,,,,,,Percent of Total Billed Charges,,,,,2216.35,,,,,,,Percent of Total Billed Charges,,,,,466.6,,,,,,,Percent of Total Billed Charges,,,,,1983.05,,,,,,,Percent of Total Billed Charges,,,,,489.93,,,,,,,Percent of Total Billed Charges,,,,,2099.7,,,,,,,Percent of Total Billed Charges,,,,,2099.7,,,,,,,Percent of Total Billed Charges,,,,,466.6,,,,,,,Percent of Total Billed Charges,,,,,653.24,,,,,,,Percent of Total Billed Charges,,,,,1866.4,,,,,,,Percent of Total Billed Charges,,,,,466.6,,,,,,,Percent of Total Billed Charges,,,, ER DR DEBRIDEMENT MUSCLE/FASCIA 20 SQ CM,11043,CPT,,Outpatient,,,1041,832.8,777.63,,,,,,,Percent of Total Billed Charges,,777.63,777.63,,1041,,,,,,,Percent of Total Billed Charges,,,,,999.36,,,,,,,Percent of Total Billed Charges,,,,,988.95,,,,,,,Percent of Total Billed Charges,,,,,208.2,,,,,,,Percent of Total Billed Charges,,,,,884.85,,,,,,,Percent of Total Billed Charges,,,,,218.61,,,,,,,Percent of Total Billed Charges,,,,,936.9,,,,,,,Percent of Total Billed Charges,,,,,936.9,,,,,,,Percent of Total Billed Charges,,,,,208.2,,,,,,,Percent of Total Billed Charges,,,,,291.48,,,,,,,Percent of Total Billed Charges,,,,,832.8,,,,,,,Percent of Total Billed Charges,,,,,208.2,,,,,,,Percent of Total Billed Charges,,,, ER DR CLSD REDUC NASAL FRACTURE ,21315,CPT,,Outpatient,,,1154.5,923.6,862.41,,,,,,,Percent of Total Billed Charges,,862.41,862.41,,1154.5,,,,,,,Percent of Total Billed Charges,,,,,1108.32,,,,,,,Percent of Total Billed Charges,,,,,1096.78,,,,,,,Percent of Total Billed Charges,,,,,230.9,,,,,,,Percent of Total Billed Charges,,,,,981.33,,,,,,,Percent of Total Billed Charges,,,,,242.45,,,,,,,Percent of Total Billed Charges,,,,,1039.05,,,,,,,Percent of Total Billed Charges,,,,,1039.05,,,,,,,Percent of Total Billed Charges,,,,,230.9,,,,,,,Percent of Total Billed Charges,,,,,323.26,,,,,,,Percent of Total Billed Charges,,,,,923.6,,,,,,,Percent of Total Billed Charges,,,,,230.9,,,,,,,Percent of Total Billed Charges,,,, ER DR CLSD FRACTURE GREAT TOE W/MANIPULA,28495,CPT,,Outpatient,,,768,614.4,573.7,,,,,,,Percent of Total Billed Charges,,573.7,573.7,,768,,,,,,,Percent of Total Billed Charges,,,,,737.28,,,,,,,Percent of Total Billed Charges,,,,,729.6,,,,,,,Percent of Total Billed Charges,,,,,153.6,,,,,,,Percent of Total Billed Charges,,,,,652.8,,,,,,,Percent of Total Billed Charges,,,,,161.28,,,,,,,Percent of Total Billed Charges,,,,,691.2,,,,,,,Percent of Total Billed Charges,,,,,691.2,,,,,,,Percent of Total Billed Charges,,,,,153.6,,,,,,,Percent of Total Billed Charges,,,,,215.04,,,,,,,Percent of Total Billed Charges,,,,,614.4,,,,,,,Percent of Total Billed Charges,,,,,153.6,,,,,,,Percent of Total Billed Charges,,,, ER DR TX DISLOCATION KNEECAP ,27562,CPT,,Outpatient,,,1909,1527.2,1426.02,,,,,,,Percent of Total Billed Charges,,1426.02,1426.02,,1909,,,,,,,Percent of Total Billed Charges,,,,,1832.64,,,,,,,Percent of Total Billed Charges,,,,,1813.55,,,,,,,Percent of Total Billed Charges,,,,,381.8,,,,,,,Percent of Total Billed Charges,,,,,1622.65,,,,,,,Percent of Total Billed Charges,,,,,400.89,,,,,,,Percent of Total Billed Charges,,,,,1718.1,,,,,,,Percent of Total Billed Charges,,,,,1718.1,,,,,,,Percent of Total Billed Charges,,,,,381.8,,,,,,,Percent of Total Billed Charges,,,,,534.52,,,,,,,Percent of Total Billed Charges,,,,,1527.2,,,,,,,Percent of Total Billed Charges,,,,,381.8,,,,,,,Percent of Total Billed Charges,,,, ER DR FB REMOVAL EAR ,69200,CPT,,Outpatient,,,246.5,197.2,184.14,,,,,,,Percent of Total Billed Charges,,184.14,184.14,,246.5,,,,,,,Percent of Total Billed Charges,,,,,236.64,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,209.53,,,,,,,Percent of Total Billed Charges,,,,,51.77,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,69.02,,,,,,,Percent of Total Billed Charges,,,,,197.2,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,, ER DR IMPACT CERUMEN REM ,69210,CPT,,Outpatient,,,207,165.6,154.63,,,,,,,Percent of Total Billed Charges,,154.63,154.63,,207,,,,,,,Percent of Total Billed Charges,,,,,198.72,,,,,,,Percent of Total Billed Charges,,,,,196.65,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,175.95,,,,,,,Percent of Total Billed Charges,,,,,43.47,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,57.96,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,, ER DR EAR IRRIGATION ,69220,CPT,,Outpatient,,,178,142.4,132.97,,,,,,,Percent of Total Billed Charges,,132.97,132.97,,178,,,,,,,Percent of Total Billed Charges,,,,,170.88,,,,,,,Percent of Total Billed Charges,,,,,169.1,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,151.3,,,,,,,Percent of Total Billed Charges,,,,,37.38,,,,,,,Percent of Total Billed Charges,,,,,160.2,,,,,,,Percent of Total Billed Charges,,,,,160.2,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,49.84,,,,,,,Percent of Total Billed Charges,,,,,142.4,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,, ER DR I&D EAR COMPLICATED ,69005,CPT,,Outpatient,,,845,676,631.22,,,,,,,Percent of Total Billed Charges,,631.22,631.22,,845,,,,,,,Percent of Total Billed Charges,,,,,811.2,,,,,,,Percent of Total Billed Charges,,,,,802.75,,,,,,,Percent of Total Billed Charges,,,,,169,,,,,,,Percent of Total Billed Charges,,,,,718.25,,,,,,,Percent of Total Billed Charges,,,,,177.45,,,,,,,Percent of Total Billed Charges,,,,,760.5,,,,,,,Percent of Total Billed Charges,,,,,760.5,,,,,,,Percent of Total Billed Charges,,,,,169,,,,,,,Percent of Total Billed Charges,,,,,236.6,,,,,,,Percent of Total Billed Charges,,,,,676,,,,,,,Percent of Total Billed Charges,,,,,169,,,,,,,Percent of Total Billed Charges,,,, ER DR IMPACT CERUMEN USING IRRIGATION ,69209,CPT,,Outpatient,,,57,45.6,42.58,,,,,,,Percent of Total Billed Charges,,42.58,42.58,,57,,,,,,,Percent of Total Billed Charges,,,,,54.72,,,,,,,Percent of Total Billed Charges,,,,,54.15,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,11.97,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,, ER DR I&D ABCESS COMPLEX ,10061,CPT,,Outpatient,,,337.5,270,252.11,,,,,,,Percent of Total Billed Charges,,252.11,252.11,,337.5,,,,,,,Percent of Total Billed Charges,,,,,324,,,,,,,Percent of Total Billed Charges,,,,,320.63,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,286.88,,,,,,,Percent of Total Billed Charges,,,,,70.88,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,270,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,, ER DR I&D SEBACEOUS CYST ,10060,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR I&D PARONYCHIA ,10060,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR I&D FURUNCLE ,10060,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR I&D PILONIDAL CYST ,10080,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR I&D ONYCHIA ,10060,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR I&D ABSCESS FINGER COMPL ,26010,CPT,,Outpatient,,,337.5,270,252.11,,,,,,,Percent of Total Billed Charges,,252.11,252.11,,337.5,,,,,,,Percent of Total Billed Charges,,,,,324,,,,,,,Percent of Total Billed Charges,,,,,320.63,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,286.88,,,,,,,Percent of Total Billed Charges,,,,,70.88,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,270,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,, ER DR TRIGEMINAL NERVE BLOCK ,64400,CPT,,Outpatient,,,272,217.6,203.18,,,,,,,Percent of Total Billed Charges,,203.18,203.18,,272,,,,,,,Percent of Total Billed Charges,,,,,261.12,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,231.2,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,76.16,,,,,,,Percent of Total Billed Charges,,,,,217.6,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,, ER DR I&D PERIANAL ABSCESS SUPERFICIAL ,46050,CPT,,Outpatient,,,849,679.2,634.2,,,,,,,Percent of Total Billed Charges,,634.2,634.2,,849,,,,,,,Percent of Total Billed Charges,,,,,815.04,,,,,,,Percent of Total Billed Charges,,,,,806.55,,,,,,,Percent of Total Billed Charges,,,,,169.8,,,,,,,Percent of Total Billed Charges,,,,,721.65,,,,,,,Percent of Total Billed Charges,,,,,178.29,,,,,,,Percent of Total Billed Charges,,,,,764.1,,,,,,,Percent of Total Billed Charges,,,,,764.1,,,,,,,Percent of Total Billed Charges,,,,,169.8,,,,,,,Percent of Total Billed Charges,,,,,237.72,,,,,,,Percent of Total Billed Charges,,,,,679.2,,,,,,,Percent of Total Billed Charges,,,,,169.8,,,,,,,Percent of Total Billed Charges,,,, ER DR EXC OF THROMBOSED HEMORROID EXT ,46320,CPT,,Outpatient,,,832,665.6,621.5,,,,,,,Percent of Total Billed Charges,,621.5,621.5,,832,,,,,,,Percent of Total Billed Charges,,,,,798.72,,,,,,,Percent of Total Billed Charges,,,,,790.4,,,,,,,Percent of Total Billed Charges,,,,,166.4,,,,,,,Percent of Total Billed Charges,,,,,707.2,,,,,,,Percent of Total Billed Charges,,,,,174.72,,,,,,,Percent of Total Billed Charges,,,,,748.8,,,,,,,Percent of Total Billed Charges,,,,,748.8,,,,,,,Percent of Total Billed Charges,,,,,166.4,,,,,,,Percent of Total Billed Charges,,,,,232.96,,,,,,,Percent of Total Billed Charges,,,,,665.6,,,,,,,Percent of Total Billed Charges,,,,,166.4,,,,,,,Percent of Total Billed Charges,,,, ER DR I&D PERIRECTAL ABSCESS ,46040,CPT,,Outpatient,,,1695.5,1356.4,1266.54,,,,,,,Percent of Total Billed Charges,,1266.54,1266.54,,1695.5,,,,,,,Percent of Total Billed Charges,,,,,1627.68,,,,,,,Percent of Total Billed Charges,,,,,1610.73,,,,,,,Percent of Total Billed Charges,,,,,339.1,,,,,,,Percent of Total Billed Charges,,,,,1441.18,,,,,,,Percent of Total Billed Charges,,,,,356.06,,,,,,,Percent of Total Billed Charges,,,,,1525.95,,,,,,,Percent of Total Billed Charges,,,,,1525.95,,,,,,,Percent of Total Billed Charges,,,,,339.1,,,,,,,Percent of Total Billed Charges,,,,,474.74,,,,,,,Percent of Total Billed Charges,,,,,1356.4,,,,,,,Percent of Total Billed Charges,,,,,339.1,,,,,,,Percent of Total Billed Charges,,,, ER DR ACNE SURGERY ,10040,CPT,,Outpatient,,,443.5,354.8,331.29,,,,,,,Percent of Total Billed Charges,,331.29,331.29,,443.5,,,,,,,Percent of Total Billed Charges,,,,,425.76,,,,,,,Percent of Total Billed Charges,,,,,421.33,,,,,,,Percent of Total Billed Charges,,,,,88.7,,,,,,,Percent of Total Billed Charges,,,,,376.98,,,,,,,Percent of Total Billed Charges,,,,,93.14,,,,,,,Percent of Total Billed Charges,,,,,399.15,,,,,,,Percent of Total Billed Charges,,,,,399.15,,,,,,,Percent of Total Billed Charges,,,,,88.7,,,,,,,Percent of Total Billed Charges,,,,,124.18,,,,,,,Percent of Total Billed Charges,,,,,354.8,,,,,,,Percent of Total Billed Charges,,,,,88.7,,,,,,,Percent of Total Billed Charges,,,, ER DR I&D VULVA/PERINEUM ,56405,CPT,,Outpatient,,,469,375.2,350.34,,,,,,,Percent of Total Billed Charges,,350.34,350.34,,469,,,,,,,Percent of Total Billed Charges,,,,,450.24,,,,,,,Percent of Total Billed Charges,,,,,445.55,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,,,398.65,,,,,,,Percent of Total Billed Charges,,,,,98.49,,,,,,,Percent of Total Billed Charges,,,,,422.1,,,,,,,Percent of Total Billed Charges,,,,,422.1,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,,,131.32,,,,,,,Percent of Total Billed Charges,,,,,375.2,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,, ER DR INJ AA/STRD GREAT OCCIPITAL NERVE,64405,CPT,,Outpatient,,,281.5,225.2,210.28,,,,,,,Percent of Total Billed Charges,,210.28,210.28,,281.5,,,,,,,Percent of Total Billed Charges,,,,,270.24,,,,,,,Percent of Total Billed Charges,,,,,267.43,,,,,,,Percent of Total Billed Charges,,,,,56.3,,,,,,,Percent of Total Billed Charges,,,,,239.28,,,,,,,Percent of Total Billed Charges,,,,,59.12,,,,,,,Percent of Total Billed Charges,,,,,253.35,,,,,,,Percent of Total Billed Charges,,,,,253.35,,,,,,,Percent of Total Billed Charges,,,,,56.3,,,,,,,Percent of Total Billed Charges,,,,,78.82,,,,,,,Percent of Total Billed Charges,,,,,225.2,,,,,,,Percent of Total Billed Charges,,,,,56.3,,,,,,,Percent of Total Billed Charges,,,, ER DR HEMATOMA DRAIN SIM ,10140,CPT,,Outpatient,,,246.5,197.2,184.14,,,,,,,Percent of Total Billed Charges,,184.14,184.14,,246.5,,,,,,,Percent of Total Billed Charges,,,,,236.64,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,209.53,,,,,,,Percent of Total Billed Charges,,,,,51.77,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,69.02,,,,,,,Percent of Total Billed Charges,,,,,197.2,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,, ER DR HEMATOMA DRAIN COM ,10140,CPT,,Outpatient,,,442.5,354,330.55,,,,,,,Percent of Total Billed Charges,,330.55,330.55,,442.5,,,,,,,Percent of Total Billed Charges,,,,,424.8,,,,,,,Percent of Total Billed Charges,,,,,420.38,,,,,,,Percent of Total Billed Charges,,,,,88.5,,,,,,,Percent of Total Billed Charges,,,,,376.13,,,,,,,Percent of Total Billed Charges,,,,,92.93,,,,,,,Percent of Total Billed Charges,,,,,398.25,,,,,,,Percent of Total Billed Charges,,,,,398.25,,,,,,,Percent of Total Billed Charges,,,,,88.5,,,,,,,Percent of Total Billed Charges,,,,,123.9,,,,,,,Percent of Total Billed Charges,,,,,354,,,,,,,Percent of Total Billed Charges,,,,,88.5,,,,,,,Percent of Total Billed Charges,,,, ER DR DRAINAGE OF SCROTUM ABSCESS ,55100,CPT,,Outpatient,,,866.5,693.2,647.28,,,,,,,Percent of Total Billed Charges,,647.28,647.28,,866.5,,,,,,,Percent of Total Billed Charges,,,,,831.84,,,,,,,Percent of Total Billed Charges,,,,,823.18,,,,,,,Percent of Total Billed Charges,,,,,173.3,,,,,,,Percent of Total Billed Charges,,,,,736.53,,,,,,,Percent of Total Billed Charges,,,,,181.97,,,,,,,Percent of Total Billed Charges,,,,,779.85,,,,,,,Percent of Total Billed Charges,,,,,779.85,,,,,,,Percent of Total Billed Charges,,,,,173.3,,,,,,,Percent of Total Billed Charges,,,,,242.62,,,,,,,Percent of Total Billed Charges,,,,,693.2,,,,,,,Percent of Total Billed Charges,,,,,173.3,,,,,,,Percent of Total Billed Charges,,,, ER DR I&REM FB SUBACOMPLEX ,10121,CPT,,Outpatient,,,983.5,786.8,734.67,,,,,,,Percent of Total Billed Charges,,734.67,734.67,,983.5,,,,,,,Percent of Total Billed Charges,,,,,944.16,,,,,,,Percent of Total Billed Charges,,,,,934.33,,,,,,,Percent of Total Billed Charges,,,,,196.7,,,,,,,Percent of Total Billed Charges,,,,,835.98,,,,,,,Percent of Total Billed Charges,,,,,206.54,,,,,,,Percent of Total Billed Charges,,,,,885.15,,,,,,,Percent of Total Billed Charges,,,,,885.15,,,,,,,Percent of Total Billed Charges,,,,,196.7,,,,,,,Percent of Total Billed Charges,,,,,275.38,,,,,,,Percent of Total Billed Charges,,,,,786.8,,,,,,,Percent of Total Billed Charges,,,,,196.7,,,,,,,Percent of Total Billed Charges,,,, ER DR I&D ABSCESS MOUTH ,40800,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR I&REM FB SUBASIMPL ,10120,CPT,,Outpatient,,,207,165.6,154.63,,,,,,,Percent of Total Billed Charges,,154.63,154.63,,207,,,,,,,Percent of Total Billed Charges,,,,,198.72,,,,,,,Percent of Total Billed Charges,,,,,196.65,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,175.95,,,,,,,Percent of Total Billed Charges,,,,,43.47,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,57.96,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL FOREIGN BODY HAND ,26070,CPT,,Outpatient,,,207,165.6,154.63,,,,,,,Percent of Total Billed Charges,,154.63,154.63,,207,,,,,,,Percent of Total Billed Charges,,,,,198.72,,,,,,,Percent of Total Billed Charges,,,,,196.65,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,175.95,,,,,,,Percent of Total Billed Charges,,,,,43.47,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,57.96,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,, ER DR EVAC SUBUNGUAL HEM ,11740,CPT,,Outpatient,,,246.5,197.2,184.14,,,,,,,Percent of Total Billed Charges,,184.14,184.14,,246.5,,,,,,,Percent of Total Billed Charges,,,,,236.64,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,209.53,,,,,,,Percent of Total Billed Charges,,,,,51.77,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,69.02,,,,,,,Percent of Total Billed Charges,,,,,197.2,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,, ER DR I&D ABSCESS DENTAL ,41800,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL FOREIGN BODY FOOT ,28190,CPT,,Outpatient,,,1031,824.8,770.16,,,,,,,Percent of Total Billed Charges,,770.16,770.16,,1031,,,,,,,Percent of Total Billed Charges,,,,,989.76,,,,,,,Percent of Total Billed Charges,,,,,979.45,,,,,,,Percent of Total Billed Charges,,,,,206.2,,,,,,,Percent of Total Billed Charges,,,,,876.35,,,,,,,Percent of Total Billed Charges,,,,,216.51,,,,,,,Percent of Total Billed Charges,,,,,927.9,,,,,,,Percent of Total Billed Charges,,,,,927.9,,,,,,,Percent of Total Billed Charges,,,,,206.2,,,,,,,Percent of Total Billed Charges,,,,,288.68,,,,,,,Percent of Total Billed Charges,,,,,824.8,,,,,,,Percent of Total Billed Charges,,,,,206.2,,,,,,,Percent of Total Billed Charges,,,, ER DR TRACH-TRANSTRACHEAL ,31603,CPT,,Outpatient,,,1395,1116,1042.07,,,,,,,Percent of Total Billed Charges,,1042.07,1042.07,,1395,,,,,,,Percent of Total Billed Charges,,,,,1339.2,,,,,,,Percent of Total Billed Charges,,,,,1325.25,,,,,,,Percent of Total Billed Charges,,,,,279,,,,,,,Percent of Total Billed Charges,,,,,1185.75,,,,,,,Percent of Total Billed Charges,,,,,292.95,,,,,,,Percent of Total Billed Charges,,,,,1255.5,,,,,,,Percent of Total Billed Charges,,,,,1255.5,,,,,,,Percent of Total Billed Charges,,,,,279,,,,,,,Percent of Total Billed Charges,,,,,390.6,,,,,,,Percent of Total Billed Charges,,,,,1116,,,,,,,Percent of Total Billed Charges,,,,,279,,,,,,,Percent of Total Billed Charges,,,, ER DR THORACENTHESIS ,32554,CPT,,Outpatient,,,572,457.6,427.28,,,,,,,Percent of Total Billed Charges,,427.28,427.28,,572,,,,,,,Percent of Total Billed Charges,,,,,549.12,,,,,,,Percent of Total Billed Charges,,,,,543.4,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,486.2,,,,,,,Percent of Total Billed Charges,,,,,120.12,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,160.16,,,,,,,Percent of Total Billed Charges,,,,,457.6,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,, ER DR PARACENTESIS ABDOMINAL W/O IMAGING,49082,CPT,,Outpatient,,,872.5,698,651.76,,,,,,,Percent of Total Billed Charges,,651.76,651.76,,872.5,,,,,,,Percent of Total Billed Charges,,,,,837.6,,,,,,,Percent of Total Billed Charges,,,,,828.88,,,,,,,Percent of Total Billed Charges,,,,,174.5,,,,,,,Percent of Total Billed Charges,,,,,741.63,,,,,,,Percent of Total Billed Charges,,,,,183.23,,,,,,,Percent of Total Billed Charges,,,,,785.25,,,,,,,Percent of Total Billed Charges,,,,,785.25,,,,,,,Percent of Total Billed Charges,,,,,174.5,,,,,,,Percent of Total Billed Charges,,,,,244.3,,,,,,,Percent of Total Billed Charges,,,,,698,,,,,,,Percent of Total Billed Charges,,,,,174.5,,,,,,,Percent of Total Billed Charges,,,, ER DR IV CUTDOWN ADULT ,36425,CPT,,Outpatient,,,539.5,431.6,403.01,,,,,,,Percent of Total Billed Charges,,403.01,403.01,,539.5,,,,,,,Percent of Total Billed Charges,,,,,517.92,,,,,,,Percent of Total Billed Charges,,,,,512.53,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,,,458.58,,,,,,,Percent of Total Billed Charges,,,,,113.3,,,,,,,Percent of Total Billed Charges,,,,,485.55,,,,,,,Percent of Total Billed Charges,,,,,485.55,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,,,151.06,,,,,,,Percent of Total Billed Charges,,,,,431.6,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,, ER DR IV CUTDOWN CHILD ,36420,CPT,,Outpatient,,,738,590.4,551.29,,,,,,,Percent of Total Billed Charges,,551.29,551.29,,738,,,,,,,Percent of Total Billed Charges,,,,,708.48,,,,,,,Percent of Total Billed Charges,,,,,701.1,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,627.3,,,,,,,Percent of Total Billed Charges,,,,,154.98,,,,,,,Percent of Total Billed Charges,,,,,664.2,,,,,,,Percent of Total Billed Charges,,,,,664.2,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,206.64,,,,,,,Percent of Total Billed Charges,,,,,590.4,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,, ER DR REPAIR OF NAIL ,11760,CPT,,Outpatient,,,808.5,646.8,603.95,,,,,,,Percent of Total Billed Charges,,603.95,603.95,,808.5,,,,,,,Percent of Total Billed Charges,,,,,776.16,,,,,,,Percent of Total Billed Charges,,,,,768.08,,,,,,,Percent of Total Billed Charges,,,,,161.7,,,,,,,Percent of Total Billed Charges,,,,,687.23,,,,,,,Percent of Total Billed Charges,,,,,169.79,,,,,,,Percent of Total Billed Charges,,,,,727.65,,,,,,,Percent of Total Billed Charges,,,,,727.65,,,,,,,Percent of Total Billed Charges,,,,,161.7,,,,,,,Percent of Total Billed Charges,,,,,226.38,,,,,,,Percent of Total Billed Charges,,,,,646.8,,,,,,,Percent of Total Billed Charges,,,,,161.7,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL FOREIGN BODY FOOT DEEP ,28192,CPT,,Outpatient,,,1915,1532,1430.51,,,,,,,Percent of Total Billed Charges,,1430.51,1430.51,,1915,,,,,,,Percent of Total Billed Charges,,,,,1838.4,,,,,,,Percent of Total Billed Charges,,,,,1819.25,,,,,,,Percent of Total Billed Charges,,,,,383,,,,,,,Percent of Total Billed Charges,,,,,1627.75,,,,,,,Percent of Total Billed Charges,,,,,402.15,,,,,,,Percent of Total Billed Charges,,,,,1723.5,,,,,,,Percent of Total Billed Charges,,,,,1723.5,,,,,,,Percent of Total Billed Charges,,,,,383,,,,,,,Percent of Total Billed Charges,,,,,536.2,,,,,,,Percent of Total Billed Charges,,,,,1532,,,,,,,Percent of Total Billed Charges,,,,,383,,,,,,,Percent of Total Billed Charges,,,, ER DR TRACH-CRICOTHYROID ,31605,CPT,,Outpatient,,,1501.5,1201.2,1121.62,,,,,,,Percent of Total Billed Charges,,1121.62,1121.62,,1501.5,,,,,,,Percent of Total Billed Charges,,,,,1441.44,,,,,,,Percent of Total Billed Charges,,,,,1426.43,,,,,,,Percent of Total Billed Charges,,,,,300.3,,,,,,,Percent of Total Billed Charges,,,,,1276.28,,,,,,,Percent of Total Billed Charges,,,,,315.32,,,,,,,Percent of Total Billed Charges,,,,,1351.35,,,,,,,Percent of Total Billed Charges,,,,,1351.35,,,,,,,Percent of Total Billed Charges,,,,,300.3,,,,,,,Percent of Total Billed Charges,,,,,420.42,,,,,,,Percent of Total Billed Charges,,,,,1201.2,,,,,,,Percent of Total Billed Charges,,,,,300.3,,,,,,,Percent of Total Billed Charges,,,, ER DR PERIPH NERVE BLOCK ,64450,CPT,,Outpatient,,,272,217.6,203.18,,,,,,,Percent of Total Billed Charges,,203.18,203.18,,272,,,,,,,Percent of Total Billed Charges,,,,,261.12,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,231.2,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,76.16,,,,,,,Percent of Total Billed Charges,,,,,217.6,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,, ER DR MOD SED 15 MIN/5&OLDER ,99152,CPT,,Outpatient,,,272,217.6,203.18,,,,,,,Percent of Total Billed Charges,,203.18,203.18,,272,,,,,,,Percent of Total Billed Charges,,,,,261.12,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,231.2,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,76.16,,,,,,,Percent of Total Billed Charges,,,,,217.6,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,, ER DR ANOSCOPY ,46600,CPT,,Outpatient,,,337.5,270,252.11,,,,,,,Percent of Total Billed Charges,,252.11,252.11,,337.5,,,,,,,Percent of Total Billed Charges,,,,,324,,,,,,,Percent of Total Billed Charges,,,,,320.63,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,286.88,,,,,,,Percent of Total Billed Charges,,,,,70.88,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,270,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,, ER DR TX OF PENIS LESION ,54220,CPT,,Outpatient,,,848.5,678.8,633.83,,,,,,,Percent of Total Billed Charges,,633.83,633.83,,848.5,,,,,,,Percent of Total Billed Charges,,,,,814.56,,,,,,,Percent of Total Billed Charges,,,,,806.08,,,,,,,Percent of Total Billed Charges,,,,,169.7,,,,,,,Percent of Total Billed Charges,,,,,721.23,,,,,,,Percent of Total Billed Charges,,,,,178.19,,,,,,,Percent of Total Billed Charges,,,,,763.65,,,,,,,Percent of Total Billed Charges,,,,,763.65,,,,,,,Percent of Total Billed Charges,,,,,169.7,,,,,,,Percent of Total Billed Charges,,,,,237.58,,,,,,,Percent of Total Billed Charges,,,,,678.8,,,,,,,Percent of Total Billed Charges,,,,,169.7,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVE FECAL IMPAC ,45915,CPT,,Outpatient,,,337.5,270,252.11,,,,,,,Percent of Total Billed Charges,,252.11,252.11,,337.5,,,,,,,Percent of Total Billed Charges,,,,,324,,,,,,,Percent of Total Billed Charges,,,,,320.63,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,286.88,,,,,,,Percent of Total Billed Charges,,,,,70.88,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,303.75,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,270,,,,,,,Percent of Total Billed Charges,,,,,67.5,,,,,,,Percent of Total Billed Charges,,,, ER DR CARDIOVERSION ,92960,CPT,,Outpatient,,,178,142.4,132.97,,,,,,,Percent of Total Billed Charges,,132.97,132.97,,178,,,,,,,Percent of Total Billed Charges,,,,,170.88,,,,,,,Percent of Total Billed Charges,,,,,169.1,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,151.3,,,,,,,Percent of Total Billed Charges,,,,,37.38,,,,,,,Percent of Total Billed Charges,,,,,160.2,,,,,,,Percent of Total Billed Charges,,,,,160.2,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,49.84,,,,,,,Percent of Total Billed Charges,,,,,142.4,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL OF FB-MUSCLE/TENDON ,20520,CPT,,Outpatient,,,1015.5,812.4,758.58,,,,,,,Percent of Total Billed Charges,,758.58,758.58,,1015.5,,,,,,,Percent of Total Billed Charges,,,,,974.88,,,,,,,Percent of Total Billed Charges,,,,,964.73,,,,,,,Percent of Total Billed Charges,,,,,203.1,,,,,,,Percent of Total Billed Charges,,,,,863.18,,,,,,,Percent of Total Billed Charges,,,,,213.26,,,,,,,Percent of Total Billed Charges,,,,,913.95,,,,,,,Percent of Total Billed Charges,,,,,913.95,,,,,,,Percent of Total Billed Charges,,,,,203.1,,,,,,,Percent of Total Billed Charges,,,,,284.34,,,,,,,Percent of Total Billed Charges,,,,,812.4,,,,,,,Percent of Total Billed Charges,,,,,203.1,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL OF FB-MOUTH ,40804,CPT,,Outpatient,,,1151,920.8,859.8,,,,,,,Percent of Total Billed Charges,,859.8,859.8,,1151,,,,,,,Percent of Total Billed Charges,,,,,1104.96,,,,,,,Percent of Total Billed Charges,,,,,1093.45,,,,,,,Percent of Total Billed Charges,,,,,230.2,,,,,,,Percent of Total Billed Charges,,,,,978.35,,,,,,,Percent of Total Billed Charges,,,,,241.71,,,,,,,Percent of Total Billed Charges,,,,,1035.9,,,,,,,Percent of Total Billed Charges,,,,,1035.9,,,,,,,Percent of Total Billed Charges,,,,,230.2,,,,,,,Percent of Total Billed Charges,,,,,322.28,,,,,,,Percent of Total Billed Charges,,,,,920.8,,,,,,,Percent of Total Billed Charges,,,,,230.2,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL OF FB-NOSE ,30300,CPT,,Outpatient,,,207,165.6,154.63,,,,,,,Percent of Total Billed Charges,,154.63,154.63,,207,,,,,,,Percent of Total Billed Charges,,,,,198.72,,,,,,,Percent of Total Billed Charges,,,,,196.65,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,175.95,,,,,,,Percent of Total Billed Charges,,,,,43.47,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,57.96,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,, ER DR NASAL CAUTHERIZATION ,30901,CPT,,Outpatient,,,272,217.6,203.18,,,,,,,Percent of Total Billed Charges,,203.18,203.18,,272,,,,,,,Percent of Total Billed Charges,,,,,261.12,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,231.2,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,76.16,,,,,,,Percent of Total Billed Charges,,,,,217.6,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,, ER DR ANTERIOR NASAL PAK SIMPLE ,30901,CPT,,Outpatient,,,207,165.6,154.63,,,,,,,Percent of Total Billed Charges,,154.63,154.63,,207,,,,,,,Percent of Total Billed Charges,,,,,198.72,,,,,,,Percent of Total Billed Charges,,,,,196.65,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,175.95,,,,,,,Percent of Total Billed Charges,,,,,43.47,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,57.96,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,, ER DR POSTERIOR NASAL PL ,30905,CPT,,Outpatient,,,272,217.6,203.18,,,,,,,Percent of Total Billed Charges,,203.18,203.18,,272,,,,,,,Percent of Total Billed Charges,,,,,261.12,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,231.2,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,76.16,,,,,,,Percent of Total Billed Charges,,,,,217.6,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,, ER DR NASAL PACKING COMPLEX ,30903,CPT,,Outpatient,,,207,165.6,154.63,,,,,,,Percent of Total Billed Charges,,154.63,154.63,,207,,,,,,,Percent of Total Billed Charges,,,,,198.72,,,,,,,Percent of Total Billed Charges,,,,,196.65,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,175.95,,,,,,,Percent of Total Billed Charges,,,,,43.47,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,57.96,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,, ER DR DECLOT VASCULAR DEVICE ,36593,CPT,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, ER DR NAIL DEBRIDEMENT 1-5 ,11720,CPT,,Outpatient,,,134.5,107.6,100.47,,,,,,,Percent of Total Billed Charges,,100.47,100.47,,134.5,,,,,,,Percent of Total Billed Charges,,,,,129.12,,,,,,,Percent of Total Billed Charges,,,,,127.78,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,114.33,,,,,,,Percent of Total Billed Charges,,,,,28.25,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,37.66,,,,,,,Percent of Total Billed Charges,,,,,107.6,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,, ER DR I & D BARTHOLIN ABCE ,56420,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR CULDOCENTHESIS ,57020,CPT,,Outpatient,,,246.5,197.2,184.14,,,,,,,Percent of Total Billed Charges,,184.14,184.14,,246.5,,,,,,,Percent of Total Billed Charges,,,,,236.64,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,209.53,,,,,,,Percent of Total Billed Charges,,,,,51.77,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,69.02,,,,,,,Percent of Total Billed Charges,,,,,197.2,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL IUD ,58301,CPT,,Outpatient,,,246.5,197.2,184.14,,,,,,,Percent of Total Billed Charges,,184.14,184.14,,246.5,,,,,,,Percent of Total Billed Charges,,,,,236.64,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,209.53,,,,,,,Percent of Total Billed Charges,,,,,51.77,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,69.02,,,,,,,Percent of Total Billed Charges,,,,,197.2,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL FB VAGINA ,57150,CPT,,Outpatient,,,246.5,197.2,184.14,,,,,,,Percent of Total Billed Charges,,184.14,184.14,,246.5,,,,,,,Percent of Total Billed Charges,,,,,236.64,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,209.53,,,,,,,Percent of Total Billed Charges,,,,,51.77,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,69.02,,,,,,,Percent of Total Billed Charges,,,,,197.2,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,, ER DR EVAL SEXUAL ASSAULT ,99285,CPT,,Outpatient,,,572,457.6,427.28,,,,,,,Percent of Total Billed Charges,,427.28,427.28,,572,,,,,,,Percent of Total Billed Charges,,,,,549.12,,,,,,,Percent of Total Billed Charges,,,,,543.4,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,486.2,,,,,,,Percent of Total Billed Charges,,,,,120.12,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,160.16,,,,,,,Percent of Total Billed Charges,,,,,457.6,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,, ER DR VAG DELIVERY ,59409,CPT,,Outpatient,,,1732.5,1386,1294.18,,,,,,,Percent of Total Billed Charges,,1294.18,1294.18,,1732.5,,,,,,,Percent of Total Billed Charges,,,,,1663.2,,,,,,,Percent of Total Billed Charges,,,,,1645.88,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,1472.63,,,,,,,Percent of Total Billed Charges,,,,,363.83,,,,,,,Percent of Total Billed Charges,,,,,1559.25,,,,,,,Percent of Total Billed Charges,,,,,1559.25,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,,,485.1,,,,,,,Percent of Total Billed Charges,,,,,1386,,,,,,,Percent of Total Billed Charges,,,,,346.5,,,,,,,Percent of Total Billed Charges,,,, ER DR NAIL REMOVAL ,11730,CPT,,Outpatient,,,207,165.6,154.63,,,,,,,Percent of Total Billed Charges,,154.63,154.63,,207,,,,,,,Percent of Total Billed Charges,,,,,198.72,,,,,,,Percent of Total Billed Charges,,,,,196.65,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,175.95,,,,,,,Percent of Total Billed Charges,,,,,43.47,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,186.3,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,57.96,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,, ER DR EXC WART ,17000,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR INCISION HEMORRHOID EXT ,46083,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR VAGINAL PACKING ,57180,CPT,,Outpatient,,,632,505.6,472.1,,,,,,,Percent of Total Billed Charges,,472.1,472.1,,632,,,,,,,Percent of Total Billed Charges,,,,,606.72,,,,,,,Percent of Total Billed Charges,,,,,600.4,,,,,,,Percent of Total Billed Charges,,,,,126.4,,,,,,,Percent of Total Billed Charges,,,,,537.2,,,,,,,Percent of Total Billed Charges,,,,,132.72,,,,,,,Percent of Total Billed Charges,,,,,568.8,,,,,,,Percent of Total Billed Charges,,,,,568.8,,,,,,,Percent of Total Billed Charges,,,,,126.4,,,,,,,Percent of Total Billed Charges,,,,,176.96,,,,,,,Percent of Total Billed Charges,,,,,505.6,,,,,,,Percent of Total Billed Charges,,,,,126.4,,,,,,,Percent of Total Billed Charges,,,, ER DR EXCISION OF NAIL ,11750,CPT,,Outpatient,,,1242.5,994,928.15,,,,,,,Percent of Total Billed Charges,,928.15,928.15,,1242.5,,,,,,,Percent of Total Billed Charges,,,,,1192.8,,,,,,,Percent of Total Billed Charges,,,,,1180.38,,,,,,,Percent of Total Billed Charges,,,,,248.5,,,,,,,Percent of Total Billed Charges,,,,,1056.13,,,,,,,Percent of Total Billed Charges,,,,,260.93,,,,,,,Percent of Total Billed Charges,,,,,1118.25,,,,,,,Percent of Total Billed Charges,,,,,1118.25,,,,,,,Percent of Total Billed Charges,,,,,248.5,,,,,,,Percent of Total Billed Charges,,,,,347.9,,,,,,,Percent of Total Billed Charges,,,,,994,,,,,,,Percent of Total Billed Charges,,,,,248.5,,,,,,,Percent of Total Billed Charges,,,, ER DR EXC BENIGN LESION OVER 4.0 CM ,11406,CPT,,Outpatient,,,1354.5,1083.6,1011.81,,,,,,,Percent of Total Billed Charges,,1011.81,1011.81,,1354.5,,,,,,,Percent of Total Billed Charges,,,,,1300.32,,,,,,,Percent of Total Billed Charges,,,,,1286.78,,,,,,,Percent of Total Billed Charges,,,,,270.9,,,,,,,Percent of Total Billed Charges,,,,,1151.33,,,,,,,Percent of Total Billed Charges,,,,,284.45,,,,,,,Percent of Total Billed Charges,,,,,1219.05,,,,,,,Percent of Total Billed Charges,,,,,1219.05,,,,,,,Percent of Total Billed Charges,,,,,270.9,,,,,,,Percent of Total Billed Charges,,,,,379.26,,,,,,,Percent of Total Billed Charges,,,,,1083.6,,,,,,,Percent of Total Billed Charges,,,,,270.9,,,,,,,Percent of Total Billed Charges,,,, ER DR DESTRUCTION LESION ,17110,CPT,,Outpatient,,,366.5,293.2,273.78,,,,,,,Percent of Total Billed Charges,,273.78,273.78,,366.5,,,,,,,Percent of Total Billed Charges,,,,,351.84,,,,,,,Percent of Total Billed Charges,,,,,348.18,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,311.53,,,,,,,Percent of Total Billed Charges,,,,,76.97,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,102.62,,,,,,,Percent of Total Billed Charges,,,,,293.2,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,, ER DR MUSCLE COMPARTMENT SYNDROME NEEDLE,20950,CPT,,Outpatient,,,459,367.2,342.87,,,,,,,Percent of Total Billed Charges,,342.87,342.87,,459,,,,,,,Percent of Total Billed Charges,,,,,440.64,,,,,,,Percent of Total Billed Charges,,,,,436.05,,,,,,,Percent of Total Billed Charges,,,,,91.8,,,,,,,Percent of Total Billed Charges,,,,,390.15,,,,,,,Percent of Total Billed Charges,,,,,96.39,,,,,,,Percent of Total Billed Charges,,,,,413.1,,,,,,,Percent of Total Billed Charges,,,,,413.1,,,,,,,Percent of Total Billed Charges,,,,,91.8,,,,,,,Percent of Total Billed Charges,,,,,128.52,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,91.8,,,,,,,Percent of Total Billed Charges,,,, ER DR EXC TUMOR SFT TISSUE UPPER ARM/ELB,24071,CPT,,Outpatient,,,2030,1624,1516.41,,,,,,,Percent of Total Billed Charges,,1516.41,1516.41,,2030,,,,,,,Percent of Total Billed Charges,,,,,1948.8,,,,,,,Percent of Total Billed Charges,,,,,1928.5,,,,,,,Percent of Total Billed Charges,,,,,406,,,,,,,Percent of Total Billed Charges,,,,,1725.5,,,,,,,Percent of Total Billed Charges,,,,,426.3,,,,,,,Percent of Total Billed Charges,,,,,1827,,,,,,,Percent of Total Billed Charges,,,,,1827,,,,,,,Percent of Total Billed Charges,,,,,406,,,,,,,Percent of Total Billed Charges,,,,,568.4,,,,,,,Percent of Total Billed Charges,,,,,1624,,,,,,,Percent of Total Billed Charges,,,,,406,,,,,,,Percent of Total Billed Charges,,,, ER DR CHEMICAL CAUTERY TISSUE ,17250,CPT,,Outpatient,,,351.5,281.2,262.57,,,,,,,Percent of Total Billed Charges,,262.57,262.57,,351.5,,,,,,,Percent of Total Billed Charges,,,,,337.44,,,,,,,Percent of Total Billed Charges,,,,,333.93,,,,,,,Percent of Total Billed Charges,,,,,70.3,,,,,,,Percent of Total Billed Charges,,,,,298.78,,,,,,,Percent of Total Billed Charges,,,,,73.82,,,,,,,Percent of Total Billed Charges,,,,,316.35,,,,,,,Percent of Total Billed Charges,,,,,316.35,,,,,,,Percent of Total Billed Charges,,,,,70.3,,,,,,,Percent of Total Billed Charges,,,,,98.42,,,,,,,Percent of Total Billed Charges,,,,,281.2,,,,,,,Percent of Total Billed Charges,,,,,70.3,,,,,,,Percent of Total Billed Charges,,,, ER DR TRACHEOTOMY TUBE CHANGE ,31502,CPT,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, ER DR EXT HEMORRHOID CAUTHERIZATION ,46999,CPT,,Outpatient,,,424,339.2,316.73,,,,,,,Percent of Total Billed Charges,,316.73,316.73,,424,,,,,,,Percent of Total Billed Charges,,,,,407.04,,,,,,,Percent of Total Billed Charges,,,,,402.8,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,360.4,,,,,,,Percent of Total Billed Charges,,,,,89.04,,,,,,,Percent of Total Billed Charges,,,,,381.6,,,,,,,Percent of Total Billed Charges,,,,,381.6,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,118.72,,,,,,,Percent of Total Billed Charges,,,,,339.2,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,, ER DR REPAIR OF VAGINA ,57200,CPT,,Outpatient,,,1252.5,1002,935.62,,,,,,,Percent of Total Billed Charges,,935.62,935.62,,1252.5,,,,,,,Percent of Total Billed Charges,,,,,1202.4,,,,,,,Percent of Total Billed Charges,,,,,1189.88,,,,,,,Percent of Total Billed Charges,,,,,250.5,,,,,,,Percent of Total Billed Charges,,,,,1064.63,,,,,,,Percent of Total Billed Charges,,,,,263.03,,,,,,,Percent of Total Billed Charges,,,,,1127.25,,,,,,,Percent of Total Billed Charges,,,,,1127.25,,,,,,,Percent of Total Billed Charges,,,,,250.5,,,,,,,Percent of Total Billed Charges,,,,,350.7,,,,,,,Percent of Total Billed Charges,,,,,1002,,,,,,,Percent of Total Billed Charges,,,,,250.5,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC/S 2.6CM-7.5CM ,12002,CPT,,Outpatient,,,442.5,354,330.55,,,,,,,Percent of Total Billed Charges,,330.55,330.55,,442.5,,,,,,,Percent of Total Billed Charges,,,,,424.8,,,,,,,Percent of Total Billed Charges,,,,,420.38,,,,,,,Percent of Total Billed Charges,,,,,88.5,,,,,,,Percent of Total Billed Charges,,,,,376.13,,,,,,,Percent of Total Billed Charges,,,,,92.93,,,,,,,Percent of Total Billed Charges,,,,,398.25,,,,,,,Percent of Total Billed Charges,,,,,398.25,,,,,,,Percent of Total Billed Charges,,,,,88.5,,,,,,,Percent of Total Billed Charges,,,,,123.9,,,,,,,Percent of Total Billed Charges,,,,,354,,,,,,,Percent of Total Billed Charges,,,,,88.5,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC/S 7.6CM-12.5CM ,12004,CPT,,Outpatient,,,472.5,378,352.96,,,,,,,Percent of Total Billed Charges,,352.96,352.96,,472.5,,,,,,,Percent of Total Billed Charges,,,,,453.6,,,,,,,Percent of Total Billed Charges,,,,,448.88,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,401.63,,,,,,,Percent of Total Billed Charges,,,,,99.23,,,,,,,Percent of Total Billed Charges,,,,,425.25,,,,,,,Percent of Total Billed Charges,,,,,425.25,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,378,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,, ER DR REPAIR LIP VERMILION ONLY ,40650,CPT,,Outpatient,,,2333,1866.4,1742.75,,,,,,,Percent of Total Billed Charges,,1742.75,1742.75,,2333,,,,,,,Percent of Total Billed Charges,,,,,2239.68,,,,,,,Percent of Total Billed Charges,,,,,2216.35,,,,,,,Percent of Total Billed Charges,,,,,466.6,,,,,,,Percent of Total Billed Charges,,,,,1983.05,,,,,,,Percent of Total Billed Charges,,,,,489.93,,,,,,,Percent of Total Billed Charges,,,,,2099.7,,,,,,,Percent of Total Billed Charges,,,,,2099.7,,,,,,,Percent of Total Billed Charges,,,,,466.6,,,,,,,Percent of Total Billed Charges,,,,,653.24,,,,,,,Percent of Total Billed Charges,,,,,1866.4,,,,,,,Percent of Total Billed Charges,,,,,466.6,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC/S 20.1-30CM ,12006,CPT,,Outpatient,,,738,590.4,551.29,,,,,,,Percent of Total Billed Charges,,551.29,551.29,,738,,,,,,,Percent of Total Billed Charges,,,,,708.48,,,,,,,Percent of Total Billed Charges,,,,,701.1,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,627.3,,,,,,,Percent of Total Billed Charges,,,,,154.98,,,,,,,Percent of Total Billed Charges,,,,,664.2,,,,,,,Percent of Total Billed Charges,,,,,664.2,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,206.64,,,,,,,Percent of Total Billed Charges,,,,,590.4,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC SIMPLE OVER 30CM ,12007,CPT,,Outpatient,,,802.5,642,599.47,,,,,,,Percent of Total Billed Charges,,599.47,599.47,,802.5,,,,,,,Percent of Total Billed Charges,,,,,770.4,,,,,,,Percent of Total Billed Charges,,,,,762.38,,,,,,,Percent of Total Billed Charges,,,,,160.5,,,,,,,Percent of Total Billed Charges,,,,,682.13,,,,,,,Percent of Total Billed Charges,,,,,168.53,,,,,,,Percent of Total Billed Charges,,,,,722.25,,,,,,,Percent of Total Billed Charges,,,,,722.25,,,,,,,Percent of Total Billed Charges,,,,,160.5,,,,,,,Percent of Total Billed Charges,,,,,224.7,,,,,,,Percent of Total Billed Charges,,,,,642,,,,,,,Percent of Total Billed Charges,,,,,160.5,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC SIMPLE 2.5CM OR LESS ,12001,CPT,,Outpatient,,,375,300,280.13,,,,,,,Percent of Total Billed Charges,,280.13,280.13,,375,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,356.25,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,318.75,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,105,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC TONGUE 2.5CM OR LESS ,41250,CPT,,Outpatient,,,408,326.4,304.78,,,,,,,Percent of Total Billed Charges,,304.78,304.78,,408,,,,,,,Percent of Total Billed Charges,,,,,391.68,,,,,,,Percent of Total Billed Charges,,,,,387.6,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,346.8,,,,,,,Percent of Total Billed Charges,,,,,85.68,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,114.24,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC S 12.6-20CM ,12005,CPT,,Outpatient,,,602,481.6,449.69,,,,,,,Percent of Total Billed Charges,,449.69,449.69,,602,,,,,,,Percent of Total Billed Charges,,,,,577.92,,,,,,,Percent of Total Billed Charges,,,,,571.9,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,511.7,,,,,,,Percent of Total Billed Charges,,,,,126.42,,,,,,,Percent of Total Billed Charges,,,,,541.8,,,,,,,Percent of Total Billed Charges,,,,,541.8,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,168.56,,,,,,,Percent of Total Billed Charges,,,,,481.6,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC SIMPLE 2.5CM OR LESS ,12011,CPT,,Outpatient,,,408,326.4,304.78,,,,,,,Percent of Total Billed Charges,,304.78,304.78,,408,,,,,,,Percent of Total Billed Charges,,,,,391.68,,,,,,,Percent of Total Billed Charges,,,,,387.6,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,346.8,,,,,,,Percent of Total Billed Charges,,,,,85.68,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,114.24,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC/S 2.6-5CM ,12013,CPT,,Outpatient,,,442.5,354,330.55,,,,,,,Percent of Total Billed Charges,,330.55,330.55,,442.5,,,,,,,Percent of Total Billed Charges,,,,,424.8,,,,,,,Percent of Total Billed Charges,,,,,420.38,,,,,,,Percent of Total Billed Charges,,,,,88.5,,,,,,,Percent of Total Billed Charges,,,,,376.13,,,,,,,Percent of Total Billed Charges,,,,,92.93,,,,,,,Percent of Total Billed Charges,,,,,398.25,,,,,,,Percent of Total Billed Charges,,,,,398.25,,,,,,,Percent of Total Billed Charges,,,,,88.5,,,,,,,Percent of Total Billed Charges,,,,,123.9,,,,,,,Percent of Total Billed Charges,,,,,354,,,,,,,Percent of Total Billed Charges,,,,,88.5,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC/S 5.1CM-7.5CM ,12014,CPT,,Outpatient,,,506,404.8,377.98,,,,,,,Percent of Total Billed Charges,,377.98,377.98,,506,,,,,,,Percent of Total Billed Charges,,,,,485.76,,,,,,,Percent of Total Billed Charges,,,,,480.7,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,,,430.1,,,,,,,Percent of Total Billed Charges,,,,,106.26,,,,,,,Percent of Total Billed Charges,,,,,455.4,,,,,,,Percent of Total Billed Charges,,,,,455.4,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,,,141.68,,,,,,,Percent of Total Billed Charges,,,,,404.8,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC SIMPLE 7.6-12.5CM ,12015,CPT,,Outpatient,,,539.5,431.6,403.01,,,,,,,Percent of Total Billed Charges,,403.01,403.01,,539.5,,,,,,,Percent of Total Billed Charges,,,,,517.92,,,,,,,Percent of Total Billed Charges,,,,,512.53,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,,,458.58,,,,,,,Percent of Total Billed Charges,,,,,113.3,,,,,,,Percent of Total Billed Charges,,,,,485.55,,,,,,,Percent of Total Billed Charges,,,,,485.55,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,,,151.06,,,,,,,Percent of Total Billed Charges,,,,,431.6,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC/S 12.6-20CM ,12016,CPT,,Outpatient,,,645,516,481.82,,,,,,,Percent of Total Billed Charges,,481.82,481.82,,645,,,,,,,Percent of Total Billed Charges,,,,,619.2,,,,,,,Percent of Total Billed Charges,,,,,612.75,,,,,,,Percent of Total Billed Charges,,,,,129,,,,,,,Percent of Total Billed Charges,,,,,548.25,,,,,,,Percent of Total Billed Charges,,,,,135.45,,,,,,,Percent of Total Billed Charges,,,,,580.5,,,,,,,Percent of Total Billed Charges,,,,,580.5,,,,,,,Percent of Total Billed Charges,,,,,129,,,,,,,Percent of Total Billed Charges,,,,,180.6,,,,,,,Percent of Total Billed Charges,,,,,516,,,,,,,Percent of Total Billed Charges,,,,,129,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC/S 20.1-30CM ,12017,CPT,,Outpatient,,,738,590.4,551.29,,,,,,,Percent of Total Billed Charges,,551.29,551.29,,738,,,,,,,Percent of Total Billed Charges,,,,,708.48,,,,,,,Percent of Total Billed Charges,,,,,701.1,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,627.3,,,,,,,Percent of Total Billed Charges,,,,,154.98,,,,,,,Percent of Total Billed Charges,,,,,664.2,,,,,,,Percent of Total Billed Charges,,,,,664.2,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,206.64,,,,,,,Percent of Total Billed Charges,,,,,590.4,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC SIMPLE OVER 30CM ,12018,CPT,,Outpatient,,,867.5,694,648.02,,,,,,,Percent of Total Billed Charges,,648.02,648.02,,867.5,,,,,,,Percent of Total Billed Charges,,,,,832.8,,,,,,,Percent of Total Billed Charges,,,,,824.13,,,,,,,Percent of Total Billed Charges,,,,,173.5,,,,,,,Percent of Total Billed Charges,,,,,737.38,,,,,,,Percent of Total Billed Charges,,,,,182.18,,,,,,,Percent of Total Billed Charges,,,,,780.75,,,,,,,Percent of Total Billed Charges,,,,,780.75,,,,,,,Percent of Total Billed Charges,,,,,173.5,,,,,,,Percent of Total Billed Charges,,,,,242.9,,,,,,,Percent of Total Billed Charges,,,,,694,,,,,,,Percent of Total Billed Charges,,,,,173.5,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 2.5CM OR LESS ,12031,CPT,,Outpatient,,,408,326.4,304.78,,,,,,,Percent of Total Billed Charges,,304.78,304.78,,408,,,,,,,Percent of Total Billed Charges,,,,,391.68,,,,,,,Percent of Total Billed Charges,,,,,387.6,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,346.8,,,,,,,Percent of Total Billed Charges,,,,,85.68,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,114.24,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,, ER DR TX SUPERFICIAL WND/SIMPLE CLOSURE ,12020,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 2.6-7.5CM ,12032,CPT,,Outpatient,,,506,404.8,377.98,,,,,,,Percent of Total Billed Charges,,377.98,377.98,,506,,,,,,,Percent of Total Billed Charges,,,,,485.76,,,,,,,Percent of Total Billed Charges,,,,,480.7,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,,,430.1,,,,,,,Percent of Total Billed Charges,,,,,106.26,,,,,,,Percent of Total Billed Charges,,,,,455.4,,,,,,,Percent of Total Billed Charges,,,,,455.4,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,,,141.68,,,,,,,Percent of Total Billed Charges,,,,,404.8,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 7.6-12.5CM ,12034,CPT,,Outpatient,,,539.5,431.6,403.01,,,,,,,Percent of Total Billed Charges,,403.01,403.01,,539.5,,,,,,,Percent of Total Billed Charges,,,,,517.92,,,,,,,Percent of Total Billed Charges,,,,,512.53,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,,,458.58,,,,,,,Percent of Total Billed Charges,,,,,113.3,,,,,,,Percent of Total Billed Charges,,,,,485.55,,,,,,,Percent of Total Billed Charges,,,,,485.55,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,,,151.06,,,,,,,Percent of Total Billed Charges,,,,,431.6,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 12.6-20 CM ,12035,CPT,,Outpatient,,,637,509.6,475.84,,,,,,,Percent of Total Billed Charges,,475.84,475.84,,637,,,,,,,Percent of Total Billed Charges,,,,,611.52,,,,,,,Percent of Total Billed Charges,,,,,605.15,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,541.45,,,,,,,Percent of Total Billed Charges,,,,,133.77,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,178.36,,,,,,,Percent of Total Billed Charges,,,,,509.6,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 20.1-30CM ,12036,CPT,,Outpatient,,,738,590.4,551.29,,,,,,,Percent of Total Billed Charges,,551.29,551.29,,738,,,,,,,Percent of Total Billed Charges,,,,,708.48,,,,,,,Percent of Total Billed Charges,,,,,701.1,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,627.3,,,,,,,Percent of Total Billed Charges,,,,,154.98,,,,,,,Percent of Total Billed Charges,,,,,664.2,,,,,,,Percent of Total Billed Charges,,,,,664.2,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,206.64,,,,,,,Percent of Total Billed Charges,,,,,590.4,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED OVER 30CM ,12037,CPT,,Outpatient,,,867.5,694,648.02,,,,,,,Percent of Total Billed Charges,,648.02,648.02,,867.5,,,,,,,Percent of Total Billed Charges,,,,,832.8,,,,,,,Percent of Total Billed Charges,,,,,824.13,,,,,,,Percent of Total Billed Charges,,,,,173.5,,,,,,,Percent of Total Billed Charges,,,,,737.38,,,,,,,Percent of Total Billed Charges,,,,,182.18,,,,,,,Percent of Total Billed Charges,,,,,780.75,,,,,,,Percent of Total Billed Charges,,,,,780.75,,,,,,,Percent of Total Billed Charges,,,,,173.5,,,,,,,Percent of Total Billed Charges,,,,,242.9,,,,,,,Percent of Total Billed Charges,,,,,694,,,,,,,Percent of Total Billed Charges,,,,,173.5,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 2.5CM OR LESS ,12041,CPT,,Outpatient,,,472.5,378,352.96,,,,,,,Percent of Total Billed Charges,,352.96,352.96,,472.5,,,,,,,Percent of Total Billed Charges,,,,,453.6,,,,,,,Percent of Total Billed Charges,,,,,448.88,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,401.63,,,,,,,Percent of Total Billed Charges,,,,,99.23,,,,,,,Percent of Total Billed Charges,,,,,425.25,,,,,,,Percent of Total Billed Charges,,,,,425.25,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,378,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 2.6-7.5CM ,12042,CPT,,Outpatient,,,539.5,431.6,403.01,,,,,,,Percent of Total Billed Charges,,403.01,403.01,,539.5,,,,,,,Percent of Total Billed Charges,,,,,517.92,,,,,,,Percent of Total Billed Charges,,,,,512.53,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,,,458.58,,,,,,,Percent of Total Billed Charges,,,,,113.3,,,,,,,Percent of Total Billed Charges,,,,,485.55,,,,,,,Percent of Total Billed Charges,,,,,485.55,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,,,151.06,,,,,,,Percent of Total Billed Charges,,,,,431.6,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 7.6-12.5CM ,12044,CPT,,Outpatient,,,572,457.6,427.28,,,,,,,Percent of Total Billed Charges,,427.28,427.28,,572,,,,,,,Percent of Total Billed Charges,,,,,549.12,,,,,,,Percent of Total Billed Charges,,,,,543.4,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,486.2,,,,,,,Percent of Total Billed Charges,,,,,120.12,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,160.16,,,,,,,Percent of Total Billed Charges,,,,,457.6,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 12.6-20CM ,12045,CPT,,Outpatient,,,671,536.8,501.24,,,,,,,Percent of Total Billed Charges,,501.24,501.24,,671,,,,,,,Percent of Total Billed Charges,,,,,644.16,,,,,,,Percent of Total Billed Charges,,,,,637.45,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,570.35,,,,,,,Percent of Total Billed Charges,,,,,140.91,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,603.9,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,,,187.88,,,,,,,Percent of Total Billed Charges,,,,,536.8,,,,,,,Percent of Total Billed Charges,,,,,134.2,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 20.1-30CM ,12046,CPT,,Outpatient,,,775,620,578.93,,,,,,,Percent of Total Billed Charges,,578.93,578.93,,775,,,,,,,Percent of Total Billed Charges,,,,,744,,,,,,,Percent of Total Billed Charges,,,,,736.25,,,,,,,Percent of Total Billed Charges,,,,,155,,,,,,,Percent of Total Billed Charges,,,,,658.75,,,,,,,Percent of Total Billed Charges,,,,,162.75,,,,,,,Percent of Total Billed Charges,,,,,697.5,,,,,,,Percent of Total Billed Charges,,,,,697.5,,,,,,,Percent of Total Billed Charges,,,,,155,,,,,,,Percent of Total Billed Charges,,,,,217,,,,,,,Percent of Total Billed Charges,,,,,620,,,,,,,Percent of Total Billed Charges,,,,,155,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED OVER 30CM ,12047,CPT,,Outpatient,,,907,725.6,677.53,,,,,,,Percent of Total Billed Charges,,677.53,677.53,,907,,,,,,,Percent of Total Billed Charges,,,,,870.72,,,,,,,Percent of Total Billed Charges,,,,,861.65,,,,,,,Percent of Total Billed Charges,,,,,181.4,,,,,,,Percent of Total Billed Charges,,,,,770.95,,,,,,,Percent of Total Billed Charges,,,,,190.47,,,,,,,Percent of Total Billed Charges,,,,,816.3,,,,,,,Percent of Total Billed Charges,,,,,816.3,,,,,,,Percent of Total Billed Charges,,,,,181.4,,,,,,,Percent of Total Billed Charges,,,,,253.96,,,,,,,Percent of Total Billed Charges,,,,,725.6,,,,,,,Percent of Total Billed Charges,,,,,181.4,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 2.5CM OR LESS ,12051,CPT,,Outpatient,,,472.5,378,352.96,,,,,,,Percent of Total Billed Charges,,352.96,352.96,,472.5,,,,,,,Percent of Total Billed Charges,,,,,453.6,,,,,,,Percent of Total Billed Charges,,,,,448.88,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,401.63,,,,,,,Percent of Total Billed Charges,,,,,99.23,,,,,,,Percent of Total Billed Charges,,,,,425.25,,,,,,,Percent of Total Billed Charges,,,,,425.25,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,378,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 2.6-5 CM ,12052,CPT,,Outpatient,,,506,404.8,377.98,,,,,,,Percent of Total Billed Charges,,377.98,377.98,,506,,,,,,,Percent of Total Billed Charges,,,,,485.76,,,,,,,Percent of Total Billed Charges,,,,,480.7,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,,,430.1,,,,,,,Percent of Total Billed Charges,,,,,106.26,,,,,,,Percent of Total Billed Charges,,,,,455.4,,,,,,,Percent of Total Billed Charges,,,,,455.4,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,,,141.68,,,,,,,Percent of Total Billed Charges,,,,,404.8,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 5.1-7.5CM ,12053,CPT,,Outpatient,,,572,457.6,427.28,,,,,,,Percent of Total Billed Charges,,427.28,427.28,,572,,,,,,,Percent of Total Billed Charges,,,,,549.12,,,,,,,Percent of Total Billed Charges,,,,,543.4,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,486.2,,,,,,,Percent of Total Billed Charges,,,,,120.12,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,160.16,,,,,,,Percent of Total Billed Charges,,,,,457.6,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 7.6-12.5CM ,12054,CPT,,Outpatient,,,602,481.6,449.69,,,,,,,Percent of Total Billed Charges,,449.69,449.69,,602,,,,,,,Percent of Total Billed Charges,,,,,577.92,,,,,,,Percent of Total Billed Charges,,,,,571.9,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,511.7,,,,,,,Percent of Total Billed Charges,,,,,126.42,,,,,,,Percent of Total Billed Charges,,,,,541.8,,,,,,,Percent of Total Billed Charges,,,,,541.8,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,168.56,,,,,,,Percent of Total Billed Charges,,,,,481.6,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 12.6-20 CM ,12055,CPT,,Outpatient,,,712.5,570,532.24,,,,,,,Percent of Total Billed Charges,,532.24,532.24,,712.5,,,,,,,Percent of Total Billed Charges,,,,,684,,,,,,,Percent of Total Billed Charges,,,,,676.88,,,,,,,Percent of Total Billed Charges,,,,,142.5,,,,,,,Percent of Total Billed Charges,,,,,605.63,,,,,,,Percent of Total Billed Charges,,,,,149.63,,,,,,,Percent of Total Billed Charges,,,,,641.25,,,,,,,Percent of Total Billed Charges,,,,,641.25,,,,,,,Percent of Total Billed Charges,,,,,142.5,,,,,,,Percent of Total Billed Charges,,,,,199.5,,,,,,,Percent of Total Billed Charges,,,,,570,,,,,,,Percent of Total Billed Charges,,,,,142.5,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED 20.1-30CM ,12056,CPT,,Outpatient,,,802.5,642,599.47,,,,,,,Percent of Total Billed Charges,,599.47,599.47,,802.5,,,,,,,Percent of Total Billed Charges,,,,,770.4,,,,,,,Percent of Total Billed Charges,,,,,762.38,,,,,,,Percent of Total Billed Charges,,,,,160.5,,,,,,,Percent of Total Billed Charges,,,,,682.13,,,,,,,Percent of Total Billed Charges,,,,,168.53,,,,,,,Percent of Total Billed Charges,,,,,722.25,,,,,,,Percent of Total Billed Charges,,,,,722.25,,,,,,,Percent of Total Billed Charges,,,,,160.5,,,,,,,Percent of Total Billed Charges,,,,,224.7,,,,,,,Percent of Total Billed Charges,,,,,642,,,,,,,Percent of Total Billed Charges,,,,,160.5,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC INTERMED OVER 30CM ,12057,CPT,,Outpatient,,,932.5,746,696.58,,,,,,,Percent of Total Billed Charges,,696.58,696.58,,932.5,,,,,,,Percent of Total Billed Charges,,,,,895.2,,,,,,,Percent of Total Billed Charges,,,,,885.88,,,,,,,Percent of Total Billed Charges,,,,,186.5,,,,,,,Percent of Total Billed Charges,,,,,792.63,,,,,,,Percent of Total Billed Charges,,,,,195.83,,,,,,,Percent of Total Billed Charges,,,,,839.25,,,,,,,Percent of Total Billed Charges,,,,,839.25,,,,,,,Percent of Total Billed Charges,,,,,186.5,,,,,,,Percent of Total Billed Charges,,,,,261.1,,,,,,,Percent of Total Billed Charges,,,,,746,,,,,,,Percent of Total Billed Charges,,,,,186.5,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC/COMPLEX 1.1CM-2.5CM TRUNK ,13100,CPT,,Outpatient,,,506,404.8,377.98,,,,,,,Percent of Total Billed Charges,,377.98,377.98,,506,,,,,,,Percent of Total Billed Charges,,,,,485.76,,,,,,,Percent of Total Billed Charges,,,,,480.7,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,,,430.1,,,,,,,Percent of Total Billed Charges,,,,,106.26,,,,,,,Percent of Total Billed Charges,,,,,455.4,,,,,,,Percent of Total Billed Charges,,,,,455.4,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,,,141.68,,,,,,,Percent of Total Billed Charges,,,,,404.8,,,,,,,Percent of Total Billed Charges,,,,,101.2,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC COMPLEX 2.6-7.5CM ,13101,CPT,,Outpatient,,,523.5,418.8,391.05,,,,,,,Percent of Total Billed Charges,,391.05,391.05,,523.5,,,,,,,Percent of Total Billed Charges,,,,,502.56,,,,,,,Percent of Total Billed Charges,,,,,497.33,,,,,,,Percent of Total Billed Charges,,,,,104.7,,,,,,,Percent of Total Billed Charges,,,,,444.98,,,,,,,Percent of Total Billed Charges,,,,,109.94,,,,,,,Percent of Total Billed Charges,,,,,471.15,,,,,,,Percent of Total Billed Charges,,,,,471.15,,,,,,,Percent of Total Billed Charges,,,,,104.7,,,,,,,Percent of Total Billed Charges,,,,,146.58,,,,,,,Percent of Total Billed Charges,,,,,418.8,,,,,,,Percent of Total Billed Charges,,,,,104.7,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC COMPLEX 1.1-2.5CM ,13120,CPT,,Outpatient,,,539.5,431.6,403.01,,,,,,,Percent of Total Billed Charges,,403.01,403.01,,539.5,,,,,,,Percent of Total Billed Charges,,,,,517.92,,,,,,,Percent of Total Billed Charges,,,,,512.53,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,,,458.58,,,,,,,Percent of Total Billed Charges,,,,,113.3,,,,,,,Percent of Total Billed Charges,,,,,485.55,,,,,,,Percent of Total Billed Charges,,,,,485.55,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,,,151.06,,,,,,,Percent of Total Billed Charges,,,,,431.6,,,,,,,Percent of Total Billed Charges,,,,,107.9,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC COMPLEX 2.6-7.5CM ,13121,CPT,,Outpatient,,,602,481.6,449.69,,,,,,,Percent of Total Billed Charges,,449.69,449.69,,602,,,,,,,Percent of Total Billed Charges,,,,,577.92,,,,,,,Percent of Total Billed Charges,,,,,571.9,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,511.7,,,,,,,Percent of Total Billed Charges,,,,,126.42,,,,,,,Percent of Total Billed Charges,,,,,541.8,,,,,,,Percent of Total Billed Charges,,,,,541.8,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,168.56,,,,,,,Percent of Total Billed Charges,,,,,481.6,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC COMPLEX EA ADDTL 5CM/GREATER ,13122,CPT,,Outpatient,,,602,481.6,449.69,,,,,,,Percent of Total Billed Charges,,449.69,449.69,,602,,,,,,,Percent of Total Billed Charges,,,,,577.92,,,,,,,Percent of Total Billed Charges,,,,,571.9,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,511.7,,,,,,,Percent of Total Billed Charges,,,,,126.42,,,,,,,Percent of Total Billed Charges,,,,,541.8,,,,,,,Percent of Total Billed Charges,,,,,541.8,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,168.56,,,,,,,Percent of Total Billed Charges,,,,,481.6,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC/COMPLEX 1.1-2.5CM ,13131,CPT,,Outpatient,,,572,457.6,427.28,,,,,,,Percent of Total Billed Charges,,427.28,427.28,,572,,,,,,,Percent of Total Billed Charges,,,,,549.12,,,,,,,Percent of Total Billed Charges,,,,,543.4,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,486.2,,,,,,,Percent of Total Billed Charges,,,,,120.12,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,160.16,,,,,,,Percent of Total Billed Charges,,,,,457.6,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC COMPLEX 2.6-7.5CM ,13132,CPT,,Outpatient,,,637,509.6,475.84,,,,,,,Percent of Total Billed Charges,,475.84,475.84,,637,,,,,,,Percent of Total Billed Charges,,,,,611.52,,,,,,,Percent of Total Billed Charges,,,,,605.15,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,541.45,,,,,,,Percent of Total Billed Charges,,,,,133.77,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,178.36,,,,,,,Percent of Total Billed Charges,,,,,509.6,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC COMPLEX 1.0CM OR LESS ,13150,CPT,,Outpatient,,,572,457.6,427.28,,,,,,,Percent of Total Billed Charges,,427.28,427.28,,572,,,,,,,Percent of Total Billed Charges,,,,,549.12,,,,,,,Percent of Total Billed Charges,,,,,543.4,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,486.2,,,,,,,Percent of Total Billed Charges,,,,,120.12,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,160.16,,,,,,,Percent of Total Billed Charges,,,,,457.6,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC COMPLEX 1.1-2.5 CM ,13151,CPT,,Outpatient,,,602,481.6,449.69,,,,,,,Percent of Total Billed Charges,,449.69,449.69,,602,,,,,,,Percent of Total Billed Charges,,,,,577.92,,,,,,,Percent of Total Billed Charges,,,,,571.9,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,511.7,,,,,,,Percent of Total Billed Charges,,,,,126.42,,,,,,,Percent of Total Billed Charges,,,,,541.8,,,,,,,Percent of Total Billed Charges,,,,,541.8,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,168.56,,,,,,,Percent of Total Billed Charges,,,,,481.6,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC COMPLEX 2.6-7.5CM ,13152,CPT,,Outpatient,,,738,590.4,551.29,,,,,,,Percent of Total Billed Charges,,551.29,551.29,,738,,,,,,,Percent of Total Billed Charges,,,,,708.48,,,,,,,Percent of Total Billed Charges,,,,,701.1,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,627.3,,,,,,,Percent of Total Billed Charges,,,,,154.98,,,,,,,Percent of Total Billed Charges,,,,,664.2,,,,,,,Percent of Total Billed Charges,,,,,664.2,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,206.64,,,,,,,Percent of Total Billed Charges,,,,,590.4,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC COMPLEX OVER 7.5CM ,13121,CPT,,Outpatient,,,841.5,673.2,628.6,,,,,,,Percent of Total Billed Charges,,628.6,628.6,,841.5,,,,,,,Percent of Total Billed Charges,,,,,807.84,,,,,,,Percent of Total Billed Charges,,,,,799.43,,,,,,,Percent of Total Billed Charges,,,,,168.3,,,,,,,Percent of Total Billed Charges,,,,,715.28,,,,,,,Percent of Total Billed Charges,,,,,176.72,,,,,,,Percent of Total Billed Charges,,,,,757.35,,,,,,,Percent of Total Billed Charges,,,,,757.35,,,,,,,Percent of Total Billed Charges,,,,,168.3,,,,,,,Percent of Total Billed Charges,,,,,235.62,,,,,,,Percent of Total Billed Charges,,,,,673.2,,,,,,,Percent of Total Billed Charges,,,,,168.3,,,,,,,Percent of Total Billed Charges,,,, ER DR SEC SURGICAL CLOSURE ,12020,CPT,,Outpatient,,,932.5,746,696.58,,,,,,,Percent of Total Billed Charges,,696.58,696.58,,932.5,,,,,,,Percent of Total Billed Charges,,,,,895.2,,,,,,,Percent of Total Billed Charges,,,,,885.88,,,,,,,Percent of Total Billed Charges,,,,,186.5,,,,,,,Percent of Total Billed Charges,,,,,792.63,,,,,,,Percent of Total Billed Charges,,,,,195.83,,,,,,,Percent of Total Billed Charges,,,,,839.25,,,,,,,Percent of Total Billed Charges,,,,,839.25,,,,,,,Percent of Total Billed Charges,,,,,186.5,,,,,,,Percent of Total Billed Charges,,,,,261.1,,,,,,,Percent of Total Billed Charges,,,,,746,,,,,,,Percent of Total Billed Charges,,,,,186.5,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL FB CORNEAL ,65220,CPT,,Outpatient,,,238.5,190.8,178.16,,,,,,,Percent of Total Billed Charges,,178.16,178.16,,238.5,,,,,,,Percent of Total Billed Charges,,,,,228.96,,,,,,,Percent of Total Billed Charges,,,,,226.58,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,,,202.73,,,,,,,Percent of Total Billed Charges,,,,,50.09,,,,,,,Percent of Total Billed Charges,,,,,214.65,,,,,,,Percent of Total Billed Charges,,,,,214.65,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,,,66.78,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,, ER DR C REDUC SHOULDER ,23665,CPT,,Outpatient,,,1266.5,1013.2,946.08,,,,,,,Percent of Total Billed Charges,,946.08,946.08,,1266.5,,,,,,,Percent of Total Billed Charges,,,,,1215.84,,,,,,,Percent of Total Billed Charges,,,,,1203.18,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,,,1076.53,,,,,,,Percent of Total Billed Charges,,,,,265.97,,,,,,,Percent of Total Billed Charges,,,,,1139.85,,,,,,,Percent of Total Billed Charges,,,,,1139.85,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,,,354.62,,,,,,,Percent of Total Billed Charges,,,,,1013.2,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL FB ARM ,24200,CPT,,Outpatient,,,238.5,190.8,178.16,,,,,,,Percent of Total Billed Charges,,178.16,178.16,,238.5,,,,,,,Percent of Total Billed Charges,,,,,228.96,,,,,,,Percent of Total Billed Charges,,,,,226.58,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,,,202.73,,,,,,,Percent of Total Billed Charges,,,,,50.09,,,,,,,Percent of Total Billed Charges,,,,,214.65,,,,,,,Percent of Total Billed Charges,,,,,214.65,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,,,66.78,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,47.7,,,,,,,Percent of Total Billed Charges,,,, ER DR LTD PELVIC ULTRASOUND ,7685726,CPT,,Outpatient,,,108.5,86.8,81.05,,,,,,,Percent of Total Billed Charges,,81.05,81.05,,108.5,,,,,,,Percent of Total Billed Charges,,,,,104.16,,,,,,,Percent of Total Billed Charges,,,,,103.08,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,92.23,,,,,,,Percent of Total Billed Charges,,,,,22.79,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,97.65,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,30.38,,,,,,,Percent of Total Billed Charges,,,,,86.8,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL CORNEAL EPITHELIUM W/W/O C,65435,CPT,,Outpatient,,,359.5,287.6,268.55,,,,,,,Percent of Total Billed Charges,,268.55,268.55,,359.5,,,,,,,Percent of Total Billed Charges,,,,,345.12,,,,,,,Percent of Total Billed Charges,,,,,341.53,,,,,,,Percent of Total Billed Charges,,,,,71.9,,,,,,,Percent of Total Billed Charges,,,,,305.58,,,,,,,Percent of Total Billed Charges,,,,,75.5,,,,,,,Percent of Total Billed Charges,,,,,323.55,,,,,,,Percent of Total Billed Charges,,,,,323.55,,,,,,,Percent of Total Billed Charges,,,,,71.9,,,,,,,Percent of Total Billed Charges,,,,,100.66,,,,,,,Percent of Total Billed Charges,,,,,287.6,,,,,,,Percent of Total Billed Charges,,,,,71.9,,,,,,,Percent of Total Billed Charges,,,, ER DR LAC COMPLEX EA ADDTL 5 CM OR LESS ,13133,CPT,,Outpatient,,,595,476,444.47,,,,,,,Percent of Total Billed Charges,,444.47,444.47,,595,,,,,,,Percent of Total Billed Charges,,,,,571.2,,,,,,,Percent of Total Billed Charges,,,,,565.25,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,505.75,,,,,,,Percent of Total Billed Charges,,,,,124.95,,,,,,,Percent of Total Billed Charges,,,,,535.5,,,,,,,Percent of Total Billed Charges,,,,,535.5,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,166.6,,,,,,,Percent of Total Billed Charges,,,,,476,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,, ER DR DEBRIDEMENT ,97597,CPT,,Outpatient,,,359.5,287.6,268.55,,,,,,,Percent of Total Billed Charges,,268.55,268.55,,359.5,,,,,,,Percent of Total Billed Charges,,,,,345.12,,,,,,,Percent of Total Billed Charges,,,,,341.53,,,,,,,Percent of Total Billed Charges,,,,,71.9,,,,,,,Percent of Total Billed Charges,,,,,305.58,,,,,,,Percent of Total Billed Charges,,,,,75.5,,,,,,,Percent of Total Billed Charges,,,,,323.55,,,,,,,Percent of Total Billed Charges,,,,,323.55,,,,,,,Percent of Total Billed Charges,,,,,71.9,,,,,,,Percent of Total Billed Charges,,,,,100.66,,,,,,,Percent of Total Billed Charges,,,,,287.6,,,,,,,Percent of Total Billed Charges,,,,,71.9,,,,,,,Percent of Total Billed Charges,,,, ER DR REMOVAL FB CORNEAL W/LAMP ,65222,CPT,,Outpatient,,,292.5,234,218.5,,,,,,,Percent of Total Billed Charges,,218.5,218.5,,292.5,,,,,,,Percent of Total Billed Charges,,,,,280.8,,,,,,,Percent of Total Billed Charges,,,,,277.88,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,248.63,,,,,,,Percent of Total Billed Charges,,,,,61.43,,,,,,,Percent of Total Billed Charges,,,,,263.25,,,,,,,Percent of Total Billed Charges,,,,,263.25,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,234,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,, BLS NON-EMERGENCY ,A0428QN ,CPT,,Outpatient,,,1475.5,1180.4,1102.2,,,,,,,Percent of Total Billed Charges,,1102.2,1102.2,,1475.5,,,,,,,Percent of Total Billed Charges,,,,,1416.48,,,,,,,Percent of Total Billed Charges,,,,,1401.73,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,1254.18,,,,,,,Percent of Total Billed Charges,,,,,309.86,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,413.14,,,,,,,Percent of Total Billed Charges,,,,,1180.4,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,, BLS NON-EMERGENCY ,A0428QN ,CPT,,Outpatient,,,1475.5,1180.4,1102.2,,,,,,,Percent of Total Billed Charges,,1102.2,1102.2,,1475.5,,,,,,,Percent of Total Billed Charges,,,,,1416.48,,,,,,,Percent of Total Billed Charges,,,,,1401.73,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,1254.18,,,,,,,Percent of Total Billed Charges,,,,,309.86,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,413.14,,,,,,,Percent of Total Billed Charges,,,,,1180.4,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,, BLS NON-EMERGENCY ,A0428QN ,CPT,,Outpatient,,,1475.5,1180.4,1102.2,,,,,,,Percent of Total Billed Charges,,1102.2,1102.2,,1475.5,,,,,,,Percent of Total Billed Charges,,,,,1416.48,,,,,,,Percent of Total Billed Charges,,,,,1401.73,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,1254.18,,,,,,,Percent of Total Billed Charges,,,,,309.86,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,413.14,,,,,,,Percent of Total Billed Charges,,,,,1180.4,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,, SPECIAL CARE TRANSPORT ,A0434QN ,CPT,,Outpatient,,,2263,1810.4,1690.46,,,,,,,Percent of Total Billed Charges,,1690.46,1690.46,,2263,,,,,,,Percent of Total Billed Charges,,,,,2172.48,,,,,,,Percent of Total Billed Charges,,,,,2149.85,,,,,,,Percent of Total Billed Charges,,,,,452.6,,,,,,,Percent of Total Billed Charges,,,,,1923.55,,,,,,,Percent of Total Billed Charges,,,,,475.23,,,,,,,Percent of Total Billed Charges,,,,,2036.7,,,,,,,Percent of Total Billed Charges,,,,,2036.7,,,,,,,Percent of Total Billed Charges,,,,,452.6,,,,,,,Percent of Total Billed Charges,,,,,633.64,,,,,,,Percent of Total Billed Charges,,,,,1810.4,,,,,,,Percent of Total Billed Charges,,,,,452.6,,,,,,,Percent of Total Billed Charges,,,, SPECIAL CARE TRANSPORT ,A0434QN ,CPT,,Outpatient,,,2263,1810.4,1690.46,,,,,,,Percent of Total Billed Charges,,1690.46,1690.46,,2263,,,,,,,Percent of Total Billed Charges,,,,,2172.48,,,,,,,Percent of Total Billed Charges,,,,,2149.85,,,,,,,Percent of Total Billed Charges,,,,,452.6,,,,,,,Percent of Total Billed Charges,,,,,1923.55,,,,,,,Percent of Total Billed Charges,,,,,475.23,,,,,,,Percent of Total Billed Charges,,,,,2036.7,,,,,,,Percent of Total Billed Charges,,,,,2036.7,,,,,,,Percent of Total Billed Charges,,,,,452.6,,,,,,,Percent of Total Billed Charges,,,,,633.64,,,,,,,Percent of Total Billed Charges,,,,,1810.4,,,,,,,Percent of Total Billed Charges,,,,,452.6,,,,,,,Percent of Total Billed Charges,,,, TRANSPORT TO LIFEFLITE @ AIRPORT ,A0427QN ,CPT,,Outpatient,,,329,263.2,245.76,,,,,,,Percent of Total Billed Charges,,245.76,245.76,,329,,,,,,,Percent of Total Billed Charges,,,,,315.84,,,,,,,Percent of Total Billed Charges,,,,,312.55,,,,,,,Percent of Total Billed Charges,,,,,65.8,,,,,,,Percent of Total Billed Charges,,,,,279.65,,,,,,,Percent of Total Billed Charges,,,,,69.09,,,,,,,Percent of Total Billed Charges,,,,,296.1,,,,,,,Percent of Total Billed Charges,,,,,296.1,,,,,,,Percent of Total Billed Charges,,,,,65.8,,,,,,,Percent of Total Billed Charges,,,,,92.12,,,,,,,Percent of Total Billed Charges,,,,,263.2,,,,,,,Percent of Total Billed Charges,,,,,65.8,,,,,,,Percent of Total Billed Charges,,,, BLS NON-EMERGENCY ,A0428QN ,CPT,,Outpatient,,,1475.5,1180.4,1102.2,,,,,,,Percent of Total Billed Charges,,1102.2,1102.2,,1475.5,,,,,,,Percent of Total Billed Charges,,,,,1416.48,,,,,,,Percent of Total Billed Charges,,,,,1401.73,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,1254.18,,,,,,,Percent of Total Billed Charges,,,,,309.86,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,413.14,,,,,,,Percent of Total Billed Charges,,,,,1180.4,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,, BLS NON-EMERGENCY ,A0428QN ,CPT,,Outpatient,,,1475.5,1180.4,1102.2,,,,,,,Percent of Total Billed Charges,,1102.2,1102.2,,1475.5,,,,,,,Percent of Total Billed Charges,,,,,1416.48,,,,,,,Percent of Total Billed Charges,,,,,1401.73,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,1254.18,,,,,,,Percent of Total Billed Charges,,,,,309.86,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,413.14,,,,,,,Percent of Total Billed Charges,,,,,1180.4,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,, BLS EMERGENCY ,A0429QN ,CPT,,Outpatient,,,1927,1541.6,1439.47,,,,,,,Percent of Total Billed Charges,,1439.47,1439.47,,1927,,,,,,,Percent of Total Billed Charges,,,,,1849.92,,,,,,,Percent of Total Billed Charges,,,,,1830.65,,,,,,,Percent of Total Billed Charges,,,,,385.4,,,,,,,Percent of Total Billed Charges,,,,,1637.95,,,,,,,Percent of Total Billed Charges,,,,,404.67,,,,,,,Percent of Total Billed Charges,,,,,1734.3,,,,,,,Percent of Total Billed Charges,,,,,1734.3,,,,,,,Percent of Total Billed Charges,,,,,385.4,,,,,,,Percent of Total Billed Charges,,,,,539.56,,,,,,,Percent of Total Billed Charges,,,,,1541.6,,,,,,,Percent of Total Billed Charges,,,,,385.4,,,,,,,Percent of Total Billed Charges,,,, BLS EMERGENCY NON COUNTY ,A0429QN ,CPT,,Outpatient,,,2042.5,1634,1525.75,,,,,,,Percent of Total Billed Charges,,1525.75,1525.75,,2042.5,,,,,,,Percent of Total Billed Charges,,,,,1960.8,,,,,,,Percent of Total Billed Charges,,,,,1940.38,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,,,1736.13,,,,,,,Percent of Total Billed Charges,,,,,428.93,,,,,,,Percent of Total Billed Charges,,,,,1838.25,,,,,,,Percent of Total Billed Charges,,,,,1838.25,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,,,571.9,,,,,,,Percent of Total Billed Charges,,,,,1634,,,,,,,Percent of Total Billed Charges,,,,,408.5,,,,,,,Percent of Total Billed Charges,,,, ALS1 NON-EMERGENCY ,A0426QN ,CPT,,Outpatient,,,1475.5,1180.4,1102.2,,,,,,,Percent of Total Billed Charges,,1102.2,1102.2,,1475.5,,,,,,,Percent of Total Billed Charges,,,,,1416.48,,,,,,,Percent of Total Billed Charges,,,,,1401.73,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,1254.18,,,,,,,Percent of Total Billed Charges,,,,,309.86,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,413.14,,,,,,,Percent of Total Billed Charges,,,,,1180.4,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,, ALS1 EMERGENCY ,A0427 ,CPT,,Outpatient,,,2083,1666.4,1556,,,,,,,Percent of Total Billed Charges,,1556,1556,,2083,,,,,,,Percent of Total Billed Charges,,,,,1999.68,,,,,,,Percent of Total Billed Charges,,,,,1978.85,,,,,,,Percent of Total Billed Charges,,,,,416.6,,,,,,,Percent of Total Billed Charges,,,,,1770.55,,,,,,,Percent of Total Billed Charges,,,,,437.43,,,,,,,Percent of Total Billed Charges,,,,,1874.7,,,,,,,Percent of Total Billed Charges,,,,,1874.7,,,,,,,Percent of Total Billed Charges,,,,,416.6,,,,,,,Percent of Total Billed Charges,,,,,583.24,,,,,,,Percent of Total Billed Charges,,,,,1666.4,,,,,,,Percent of Total Billed Charges,,,,,416.6,,,,,,,Percent of Total Billed Charges,,,, ALS1 EMERGENCY NON COUNTY ,A0427QN ,CPT,,Outpatient,,,2208,1766.4,1649.38,,,,,,,Percent of Total Billed Charges,,1649.38,1649.38,,2208,,,,,,,Percent of Total Billed Charges,,,,,2119.68,,,,,,,Percent of Total Billed Charges,,,,,2097.6,,,,,,,Percent of Total Billed Charges,,,,,441.6,,,,,,,Percent of Total Billed Charges,,,,,1876.8,,,,,,,Percent of Total Billed Charges,,,,,463.68,,,,,,,Percent of Total Billed Charges,,,,,1987.2,,,,,,,Percent of Total Billed Charges,,,,,1987.2,,,,,,,Percent of Total Billed Charges,,,,,441.6,,,,,,,Percent of Total Billed Charges,,,,,618.24,,,,,,,Percent of Total Billed Charges,,,,,1766.4,,,,,,,Percent of Total Billed Charges,,,,,441.6,,,,,,,Percent of Total Billed Charges,,,, PARAMEDIC/ALS INTERCEPT ,A0432QN ,CPT,,Outpatient,,,1701,1360.8,1270.65,,,,,,,Percent of Total Billed Charges,,1270.65,1270.65,,1701,,,,,,,Percent of Total Billed Charges,,,,,1632.96,,,,,,,Percent of Total Billed Charges,,,,,1615.95,,,,,,,Percent of Total Billed Charges,,,,,340.2,,,,,,,Percent of Total Billed Charges,,,,,1445.85,,,,,,,Percent of Total Billed Charges,,,,,357.21,,,,,,,Percent of Total Billed Charges,,,,,1530.9,,,,,,,Percent of Total Billed Charges,,,,,1530.9,,,,,,,Percent of Total Billed Charges,,,,,340.2,,,,,,,Percent of Total Billed Charges,,,,,476.28,,,,,,,Percent of Total Billed Charges,,,,,1360.8,,,,,,,Percent of Total Billed Charges,,,,,340.2,,,,,,,Percent of Total Billed Charges,,,, ALS ON SITE CARE-MEDICAL-COUNTY RESIDENT,A0426QN ,CPT,,Outpatient,,,1386,1108.8,1035.34,,,,,,,Percent of Total Billed Charges,,1035.34,1035.34,,1386,,,,,,,Percent of Total Billed Charges,,,,,1330.56,,,,,,,Percent of Total Billed Charges,,,,,1316.7,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,1178.1,,,,,,,Percent of Total Billed Charges,,,,,291.06,,,,,,,Percent of Total Billed Charges,,,,,1247.4,,,,,,,Percent of Total Billed Charges,,,,,1247.4,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,388.08,,,,,,,Percent of Total Billed Charges,,,,,1108.8,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,, ALS ON SITE CATE-MEDICAL NON COUNTY RES ,A0426QN ,CPT,,Outpatient,,,1386,1108.8,1035.34,,,,,,,Percent of Total Billed Charges,,1035.34,1035.34,,1386,,,,,,,Percent of Total Billed Charges,,,,,1330.56,,,,,,,Percent of Total Billed Charges,,,,,1316.7,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,1178.1,,,,,,,Percent of Total Billed Charges,,,,,291.06,,,,,,,Percent of Total Billed Charges,,,,,1247.4,,,,,,,Percent of Total Billed Charges,,,,,1247.4,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,388.08,,,,,,,Percent of Total Billed Charges,,,,,1108.8,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,, ALS2 EMERGENCY ,A0433QN ,CPT,,Outpatient,,,2263,1810.4,1690.46,,,,,,,Percent of Total Billed Charges,,1690.46,1690.46,,2263,,,,,,,Percent of Total Billed Charges,,,,,2172.48,,,,,,,Percent of Total Billed Charges,,,,,2149.85,,,,,,,Percent of Total Billed Charges,,,,,452.6,,,,,,,Percent of Total Billed Charges,,,,,1923.55,,,,,,,Percent of Total Billed Charges,,,,,475.23,,,,,,,Percent of Total Billed Charges,,,,,2036.7,,,,,,,Percent of Total Billed Charges,,,,,2036.7,,,,,,,Percent of Total Billed Charges,,,,,452.6,,,,,,,Percent of Total Billed Charges,,,,,633.64,,,,,,,Percent of Total Billed Charges,,,,,1810.4,,,,,,,Percent of Total Billed Charges,,,,,452.6,,,,,,,Percent of Total Billed Charges,,,, ALS2 EMERGENCY NON COUNTY ,A0433QN ,CPT,,Outpatient,,,2398,1918.4,1791.31,,,,,,,Percent of Total Billed Charges,,1791.31,1791.31,,2398,,,,,,,Percent of Total Billed Charges,,,,,2302.08,,,,,,,Percent of Total Billed Charges,,,,,2278.1,,,,,,,Percent of Total Billed Charges,,,,,479.6,,,,,,,Percent of Total Billed Charges,,,,,2038.3,,,,,,,Percent of Total Billed Charges,,,,,503.58,,,,,,,Percent of Total Billed Charges,,,,,2158.2,,,,,,,Percent of Total Billed Charges,,,,,2158.2,,,,,,,Percent of Total Billed Charges,,,,,479.6,,,,,,,Percent of Total Billed Charges,,,,,671.44,,,,,,,Percent of Total Billed Charges,,,,,1918.4,,,,,,,Percent of Total Billed Charges,,,,,479.6,,,,,,,Percent of Total Billed Charges,,,, ALS ON SITE CARE-TRAUMA-COUNTY RESIDENT ,A0426QN ,CPT,,Outpatient,,,1950,1560,1456.65,,,,,,,Percent of Total Billed Charges,,1456.65,1456.65,,1950,,,,,,,Percent of Total Billed Charges,,,,,1872,,,,,,,Percent of Total Billed Charges,,,,,1852.5,,,,,,,Percent of Total Billed Charges,,,,,390,,,,,,,Percent of Total Billed Charges,,,,,1657.5,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,1755,,,,,,,Percent of Total Billed Charges,,,,,1755,,,,,,,Percent of Total Billed Charges,,,,,390,,,,,,,Percent of Total Billed Charges,,,,,546,,,,,,,Percent of Total Billed Charges,,,,,1560,,,,,,,Percent of Total Billed Charges,,,,,390,,,,,,,Percent of Total Billed Charges,,,, ALS ON SITE CARE-TRAUMA-NON COUNTY RESID,A0426QN ,CPT,,Outpatient,,,2308,1846.4,1724.08,,,,,,,Percent of Total Billed Charges,,1724.08,1724.08,,2308,,,,,,,Percent of Total Billed Charges,,,,,2215.68,,,,,,,Percent of Total Billed Charges,,,,,2192.6,,,,,,,Percent of Total Billed Charges,,,,,461.6,,,,,,,Percent of Total Billed Charges,,,,,1961.8,,,,,,,Percent of Total Billed Charges,,,,,484.68,,,,,,,Percent of Total Billed Charges,,,,,2077.2,,,,,,,Percent of Total Billed Charges,,,,,2077.2,,,,,,,Percent of Total Billed Charges,,,,,461.6,,,,,,,Percent of Total Billed Charges,,,,,646.24,,,,,,,Percent of Total Billed Charges,,,,,1846.4,,,,,,,Percent of Total Billed Charges,,,,,461.6,,,,,,,Percent of Total Billed Charges,,,, ONSITE CARE ONLY NO TRANSPORT ,A0426QN ,CPT,,Outpatient,,,447.5,358,334.28,,,,,,,Percent of Total Billed Charges,,334.28,334.28,,447.5,,,,,,,Percent of Total Billed Charges,,,,,429.6,,,,,,,Percent of Total Billed Charges,,,,,425.13,,,,,,,Percent of Total Billed Charges,,,,,89.5,,,,,,,Percent of Total Billed Charges,,,,,380.38,,,,,,,Percent of Total Billed Charges,,,,,93.98,,,,,,,Percent of Total Billed Charges,,,,,402.75,,,,,,,Percent of Total Billed Charges,,,,,402.75,,,,,,,Percent of Total Billed Charges,,,,,89.5,,,,,,,Percent of Total Billed Charges,,,,,125.3,,,,,,,Percent of Total Billed Charges,,,,,358,,,,,,,Percent of Total Billed Charges,,,,,89.5,,,,,,,Percent of Total Billed Charges,,,, MILEAGE NONCOVERED ,A0888QNQL ,CPT,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, MILEAGE ,A0425QN ,CPT,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, MILEAGE ,A0425 ,CPT,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, MILEAGE ,A0425QN ,CPT,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, MILEAGE ,A0425QN ,CPT,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, STANDBY 1ST HR OR LESS ,250,RC,,Outpatient,,,247,197.6,184.51,,,,,,,Percent of Total Billed Charges,,184.51,184.51,,247,,,,,,,Percent of Total Billed Charges,,,,,237.12,,,,,,,Percent of Total Billed Charges,,,,,234.65,,,,,,,Percent of Total Billed Charges,,,,,49.4,,,,,,,Percent of Total Billed Charges,,,,,209.95,,,,,,,Percent of Total Billed Charges,,,,,51.87,,,,,,,Percent of Total Billed Charges,,,,,222.3,,,,,,,Percent of Total Billed Charges,,,,,222.3,,,,,,,Percent of Total Billed Charges,,,,,49.4,,,,,,,Percent of Total Billed Charges,,,,,69.16,,,,,,,Percent of Total Billed Charges,,,,,197.6,,,,,,,Percent of Total Billed Charges,,,,,49.4,,,,,,,Percent of Total Billed Charges,,,, STANDBY EA ADDITIONAL 1/2HR ,250,RC,,Outpatient,,,113,90.4,84.41,,,,,,,Percent of Total Billed Charges,,84.41,84.41,,113,,,,,,,Percent of Total Billed Charges,,,,,108.48,,,,,,,Percent of Total Billed Charges,,,,,107.35,,,,,,,Percent of Total Billed Charges,,,,,22.6,,,,,,,Percent of Total Billed Charges,,,,,96.05,,,,,,,Percent of Total Billed Charges,,,,,23.73,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,22.6,,,,,,,Percent of Total Billed Charges,,,,,31.64,,,,,,,Percent of Total Billed Charges,,,,,90.4,,,,,,,Percent of Total Billed Charges,,,,,22.6,,,,,,,Percent of Total Billed Charges,,,, STANDBY NON-COUNTY RESIDENT-1ST HR OR PO,250,RC,,Outpatient,,,247,197.6,184.51,,,,,,,Percent of Total Billed Charges,,184.51,184.51,,247,,,,,,,Percent of Total Billed Charges,,,,,237.12,,,,,,,Percent of Total Billed Charges,,,,,234.65,,,,,,,Percent of Total Billed Charges,,,,,49.4,,,,,,,Percent of Total Billed Charges,,,,,209.95,,,,,,,Percent of Total Billed Charges,,,,,51.87,,,,,,,Percent of Total Billed Charges,,,,,222.3,,,,,,,Percent of Total Billed Charges,,,,,222.3,,,,,,,Percent of Total Billed Charges,,,,,49.4,,,,,,,Percent of Total Billed Charges,,,,,69.16,,,,,,,Percent of Total Billed Charges,,,,,197.6,,,,,,,Percent of Total Billed Charges,,,,,49.4,,,,,,,Percent of Total Billed Charges,,,, #TANDBY NON-COUNTY RESIDENT-ADDIT 1/2 HR,250,RC,,Outpatient,,,113,90.4,84.41,,,,,,,Percent of Total Billed Charges,,84.41,84.41,,113,,,,,,,Percent of Total Billed Charges,,,,,108.48,,,,,,,Percent of Total Billed Charges,,,,,107.35,,,,,,,Percent of Total Billed Charges,,,,,22.6,,,,,,,Percent of Total Billed Charges,,,,,96.05,,,,,,,Percent of Total Billed Charges,,,,,23.73,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,22.6,,,,,,,Percent of Total Billed Charges,,,,,31.64,,,,,,,Percent of Total Billed Charges,,,,,90.4,,,,,,,Percent of Total Billed Charges,,,,,22.6,,,,,,,Percent of Total Billed Charges,,,, OXYGEN FIRST HOUR ,250,RC,,Outpatient,,,139,111.2,103.83,,,,,,,Percent of Total Billed Charges,,103.83,103.83,,139,,,,,,,Percent of Total Billed Charges,,,,,133.44,,,,,,,Percent of Total Billed Charges,,,,,132.05,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,,,118.15,,,,,,,Percent of Total Billed Charges,,,,,29.19,,,,,,,Percent of Total Billed Charges,,,,,125.1,,,,,,,Percent of Total Billed Charges,,,,,125.1,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,,,38.92,,,,,,,Percent of Total Billed Charges,,,,,111.2,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,, "OXYGEN, EACH QUARTER HOUR FOLLOWING 1ST ",250,RC,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, BODY TRANSFER ,250,RC,,Outpatient,,,349,279.2,260.7,,,,,,,Percent of Total Billed Charges,,260.7,260.7,,349,,,,,,,Percent of Total Billed Charges,,,,,335.04,,,,,,,Percent of Total Billed Charges,,,,,331.55,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,296.65,,,,,,,Percent of Total Billed Charges,,,,,73.29,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,97.72,,,,,,,Percent of Total Billed Charges,,,,,279.2,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,, EASY SEAL MASK HAVANA ,250,RC,,Outpatient,,,161,128.8,120.27,,,,,,,Percent of Total Billed Charges,,120.27,120.27,,161,,,,,,,Percent of Total Billed Charges,,,,,154.56,,,,,,,Percent of Total Billed Charges,,,,,152.95,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,136.85,,,,,,,Percent of Total Billed Charges,,,,,33.81,,,,,,,Percent of Total Billed Charges,,,,,144.9,,,,,,,Percent of Total Billed Charges,,,,,144.9,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,45.08,,,,,,,Percent of Total Billed Charges,,,,,128.8,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,, 02 AQUA PACK ,250,RC,,Outpatient,,,37,29.6,27.64,,,,,,,Percent of Total Billed Charges,,27.64,27.64,,37,,,,,,,Percent of Total Billed Charges,,,,,35.52,,,,,,,Percent of Total Billed Charges,,,,,35.15,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,,,31.45,,,,,,,Percent of Total Billed Charges,,,,,7.77,,,,,,,Percent of Total Billed Charges,,,,,33.3,,,,,,,Percent of Total Billed Charges,,,,,33.3,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,,,10.36,,,,,,,Percent of Total Billed Charges,,,,,29.6,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,, OROPHARYNGEAL AIRWAY HAVANA ,250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, NASAL CANNULA HAVANA ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, OXY MASK HAVANA ,250,RC,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, SUCTION CATHETER HAVANA ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, YANKAUER SUCTION HAVANA ,250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, NASAL AIRWAY HAVANA ,250,RC,,Outpatient,,,64,51.2,47.81,,,,,,,Percent of Total Billed Charges,,47.81,47.81,,64,,,,,,,Percent of Total Billed Charges,,,,,61.44,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,54.4,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,17.92,,,,,,,Percent of Total Billed Charges,,,,,51.2,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,, SYRINGE 3CC HAVANA ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, COLD PACK HAVANA ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, HOT PACK HAVANA ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, STERILE ALUM FOIL HAVANA ,250,RC,,Outpatient,,,141.5,113.2,105.7,,,,,,,Percent of Total Billed Charges,,105.7,105.7,,141.5,,,,,,,Percent of Total Billed Charges,,,,,135.84,,,,,,,Percent of Total Billed Charges,,,,,134.43,,,,,,,Percent of Total Billed Charges,,,,,28.3,,,,,,,Percent of Total Billed Charges,,,,,120.28,,,,,,,Percent of Total Billed Charges,,,,,29.72,,,,,,,Percent of Total Billed Charges,,,,,127.35,,,,,,,Percent of Total Billed Charges,,,,,127.35,,,,,,,Percent of Total Billed Charges,,,,,28.3,,,,,,,Percent of Total Billed Charges,,,,,39.62,,,,,,,Percent of Total Billed Charges,,,,,113.2,,,,,,,Percent of Total Billed Charges,,,,,28.3,,,,,,,Percent of Total Billed Charges,,,, SARAN WRAP HAVANA ,250,RC,,Outpatient,,,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, VASELINE GAUZE HAVANA ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, ASEPTO HAVANA ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, TRIANGULAR BANDAGE HAVANA ,250,RC,,Outpatient,,,34.5,27.6,25.77,,,,,,,Percent of Total Billed Charges,,25.77,25.77,,34.5,,,,,,,Percent of Total Billed Charges,,,,,33.12,,,,,,,Percent of Total Billed Charges,,,,,32.78,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,29.33,,,,,,,Percent of Total Billed Charges,,,,,7.25,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,9.66,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,, STERILE GLOVES HAVANA ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, BURN SHEET HAVANA ,250,RC,,Outpatient,,,160.5,128.4,119.89,,,,,,,Percent of Total Billed Charges,,119.89,119.89,,160.5,,,,,,,Percent of Total Billed Charges,,,,,154.08,,,,,,,Percent of Total Billed Charges,,,,,152.48,,,,,,,Percent of Total Billed Charges,,,,,32.1,,,,,,,Percent of Total Billed Charges,,,,,136.43,,,,,,,Percent of Total Billed Charges,,,,,33.71,,,,,,,Percent of Total Billed Charges,,,,,144.45,,,,,,,Percent of Total Billed Charges,,,,,144.45,,,,,,,Percent of Total Billed Charges,,,,,32.1,,,,,,,Percent of Total Billed Charges,,,,,44.94,,,,,,,Percent of Total Billed Charges,,,,,128.4,,,,,,,Percent of Total Billed Charges,,,,,32.1,,,,,,,Percent of Total Billed Charges,,,, STERILE 4X4 HAVANA ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, SURGIPADS HAVANA ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, EYEPADS HAVANA ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, KERLIX HAVANA ,250,RC,,Outpatient,,,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, KLING HAVANA ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, TRAUMA DRESSING HAVANA ,250,RC,,Outpatient,,,51,40.8,38.1,,,,,,,Percent of Total Billed Charges,,38.1,38.1,,51,,,,,,,Percent of Total Billed Charges,,,,,48.96,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,43.35,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,, ENDOTRACHEAL TUBE-HAVANA ,250,RC,,Outpatient,,,51,40.8,38.1,,,,,,,Percent of Total Billed Charges,,38.1,38.1,,51,,,,,,,Percent of Total Billed Charges,,,,,48.96,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,43.35,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,, 0RINAL HAVANA ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, AMBU BAG INFANT DISPOSABLE HAVANA ,250,RC,,Outpatient,,,521.5,417.2,389.56,,,,,,,Percent of Total Billed Charges,,389.56,389.56,,521.5,,,,,,,Percent of Total Billed Charges,,,,,500.64,,,,,,,Percent of Total Billed Charges,,,,,495.43,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,,,443.28,,,,,,,Percent of Total Billed Charges,,,,,109.52,,,,,,,Percent of Total Billed Charges,,,,,469.35,,,,,,,Percent of Total Billed Charges,,,,,469.35,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,,,146.02,,,,,,,Percent of Total Billed Charges,,,,,417.2,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,, BLUE PADS HAVANA ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, L-SCOPE BLADE STRAIGHT-HAVANA ,250,RC,,Outpatient,,,94,75.2,70.22,,,,,,,Percent of Total Billed Charges,,70.22,70.22,,94,,,,,,,Percent of Total Billed Charges,,,,,90.24,,,,,,,Percent of Total Billed Charges,,,,,89.3,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,79.9,,,,,,,Percent of Total Billed Charges,,,,,19.74,,,,,,,Percent of Total Billed Charges,,,,,84.6,,,,,,,Percent of Total Billed Charges,,,,,84.6,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,26.32,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,, L-SCOPE BLADE CURVED-HAVANA ,250,RC,,Outpatient,,,94,75.2,70.22,,,,,,,Percent of Total Billed Charges,,70.22,70.22,,94,,,,,,,Percent of Total Billed Charges,,,,,90.24,,,,,,,Percent of Total Billed Charges,,,,,89.3,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,79.9,,,,,,,Percent of Total Billed Charges,,,,,19.74,,,,,,,Percent of Total Billed Charges,,,,,84.6,,,,,,,Percent of Total Billed Charges,,,,,84.6,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,26.32,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,, SHORT ARMBOARD HAVANA ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, STIFF-NECK COLLAR HAVANA ,250,RC,,Outpatient,,,199.5,159.6,149.03,,,,,,,Percent of Total Billed Charges,,149.03,149.03,,199.5,,,,,,,Percent of Total Billed Charges,,,,,191.52,,,,,,,Percent of Total Billed Charges,,,,,189.53,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,169.58,,,,,,,Percent of Total Billed Charges,,,,,41.9,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,55.86,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,, LONG ARMBOARD HAVANA ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, OB KIT HAVANA ,250,RC,,Outpatient,,,153.5,122.8,114.66,,,,,,,Percent of Total Billed Charges,,114.66,114.66,,153.5,,,,,,,Percent of Total Billed Charges,,,,,147.36,,,,,,,Percent of Total Billed Charges,,,,,145.83,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,130.48,,,,,,,Percent of Total Billed Charges,,,,,32.24,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,42.98,,,,,,,Percent of Total Billed Charges,,,,,122.8,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,, OB PAD HAVANA ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, DELEE MUCOUS TRAP HAVANA ,250,RC,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, BULB SYRINGE HAVANA ,250,RC,,Outpatient,,,94,75.2,70.22,,,,,,,Percent of Total Billed Charges,,70.22,70.22,,94,,,,,,,Percent of Total Billed Charges,,,,,90.24,,,,,,,Percent of Total Billed Charges,,,,,89.3,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,79.9,,,,,,,Percent of Total Billed Charges,,,,,19.74,,,,,,,Percent of Total Billed Charges,,,,,84.6,,,,,,,Percent of Total Billed Charges,,,,,84.6,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,26.32,,,,,,,Percent of Total Billed Charges,,,,,75.2,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,, EGTA HAVANA ,250,RC,,Outpatient,,,1032,825.6,770.9,,,,,,,Percent of Total Billed Charges,,770.9,770.9,,1032,,,,,,,Percent of Total Billed Charges,,,,,990.72,,,,,,,Percent of Total Billed Charges,,,,,980.4,,,,,,,Percent of Total Billed Charges,,,,,206.4,,,,,,,Percent of Total Billed Charges,,,,,877.2,,,,,,,Percent of Total Billed Charges,,,,,216.72,,,,,,,Percent of Total Billed Charges,,,,,928.8,,,,,,,Percent of Total Billed Charges,,,,,928.8,,,,,,,Percent of Total Billed Charges,,,,,206.4,,,,,,,Percent of Total Billed Charges,,,,,288.96,,,,,,,Percent of Total Billed Charges,,,,,825.6,,,,,,,Percent of Total Billed Charges,,,,,206.4,,,,,,,Percent of Total Billed Charges,,,, FRACTURE PAN HAVANA ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, EGTA TUBE ONLY ,250,RC,,Outpatient,,,445,356,332.42,,,,,,,Percent of Total Billed Charges,,332.42,332.42,,445,,,,,,,Percent of Total Billed Charges,,,,,427.2,,,,,,,Percent of Total Billed Charges,,,,,422.75,,,,,,,Percent of Total Billed Charges,,,,,89,,,,,,,Percent of Total Billed Charges,,,,,378.25,,,,,,,Percent of Total Billed Charges,,,,,93.45,,,,,,,Percent of Total Billed Charges,,,,,400.5,,,,,,,Percent of Total Billed Charges,,,,,400.5,,,,,,,Percent of Total Billed Charges,,,,,89,,,,,,,Percent of Total Billed Charges,,,,,124.6,,,,,,,Percent of Total Billed Charges,,,,,356,,,,,,,Percent of Total Billed Charges,,,,,89,,,,,,,Percent of Total Billed Charges,,,, DISP. SPLINT-SMALL HAVANA ,250,RC,,Outpatient,,,35,28,26.15,,,,,,,Percent of Total Billed Charges,,26.15,26.15,,35,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,33.25,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,29.75,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,, DISP. SPLINT-LARGE HAVANA ,250,RC,,Outpatient,,,49.5,39.6,36.98,,,,,,,Percent of Total Billed Charges,,36.98,36.98,,49.5,,,,,,,Percent of Total Billed Charges,,,,,47.52,,,,,,,Percent of Total Billed Charges,,,,,47.03,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,42.08,,,,,,,Percent of Total Billed Charges,,,,,10.4,,,,,,,Percent of Total Billed Charges,,,,,44.55,,,,,,,Percent of Total Billed Charges,,,,,44.55,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,13.86,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,, BITE STICK HAVANA ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, EMESIS BASIN HAVANA ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, FAST PATCH ,250,RC,,Outpatient,,,314.5,251.6,234.93,,,,,,,Percent of Total Billed Charges,,234.93,234.93,,314.5,,,,,,,Percent of Total Billed Charges,,,,,301.92,,,,,,,Percent of Total Billed Charges,,,,,298.78,,,,,,,Percent of Total Billed Charges,,,,,62.9,,,,,,,Percent of Total Billed Charges,,,,,267.33,,,,,,,Percent of Total Billed Charges,,,,,66.05,,,,,,,Percent of Total Billed Charges,,,,,283.05,,,,,,,Percent of Total Billed Charges,,,,,283.05,,,,,,,Percent of Total Billed Charges,,,,,62.9,,,,,,,Percent of Total Billed Charges,,,,,88.06,,,,,,,Percent of Total Billed Charges,,,,,251.6,,,,,,,Percent of Total Billed Charges,,,,,62.9,,,,,,,Percent of Total Billed Charges,,,, "AMBU BAG, ADULT ",250,RC,,Outpatient,,,389.5,311.6,290.96,,,,,,,Percent of Total Billed Charges,,290.96,290.96,,389.5,,,,,,,Percent of Total Billed Charges,,,,,373.92,,,,,,,Percent of Total Billed Charges,,,,,370.03,,,,,,,Percent of Total Billed Charges,,,,,77.9,,,,,,,Percent of Total Billed Charges,,,,,331.08,,,,,,,Percent of Total Billed Charges,,,,,81.8,,,,,,,Percent of Total Billed Charges,,,,,350.55,,,,,,,Percent of Total Billed Charges,,,,,350.55,,,,,,,Percent of Total Billed Charges,,,,,77.9,,,,,,,Percent of Total Billed Charges,,,,,109.06,,,,,,,Percent of Total Billed Charges,,,,,311.6,,,,,,,Percent of Total Billed Charges,,,,,77.9,,,,,,,Percent of Total Billed Charges,,,, DIAPHORETIC ELECTRODES ,250,RC,,Outpatient,,,27,21.6,20.17,,,,,,,Percent of Total Billed Charges,,20.17,20.17,,27,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,, ADAPTIC ,250,RC,,Outpatient,,,27,21.6,20.17,,,,,,,Percent of Total Billed Charges,,20.17,20.17,,27,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,, CRICOTHYROTOMY KIT ,250,RC,,Outpatient,,,176,140.8,131.47,,,,,,,Percent of Total Billed Charges,,131.47,131.47,,176,,,,,,,Percent of Total Billed Charges,,,,,168.96,,,,,,,Percent of Total Billed Charges,,,,,167.2,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,149.6,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,158.4,,,,,,,Percent of Total Billed Charges,,,,,158.4,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,49.28,,,,,,,Percent of Total Billed Charges,,,,,140.8,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,, CHEST DECOMPRESSION KIT ,250,RC,,Outpatient,,,90.5,72.4,67.6,,,,,,,Percent of Total Billed Charges,,67.6,67.6,,90.5,,,,,,,Percent of Total Billed Charges,,,,,86.88,,,,,,,Percent of Total Billed Charges,,,,,85.98,,,,,,,Percent of Total Billed Charges,,,,,18.1,,,,,,,Percent of Total Billed Charges,,,,,76.93,,,,,,,Percent of Total Billed Charges,,,,,19.01,,,,,,,Percent of Total Billed Charges,,,,,81.45,,,,,,,Percent of Total Billed Charges,,,,,81.45,,,,,,,Percent of Total Billed Charges,,,,,18.1,,,,,,,Percent of Total Billed Charges,,,,,25.34,,,,,,,Percent of Total Billed Charges,,,,,72.4,,,,,,,Percent of Total Billed Charges,,,,,18.1,,,,,,,Percent of Total Billed Charges,,,, CO2 DETECTOR ,250,RC,,Outpatient,,,293.5,234.8,219.24,,,,,,,Percent of Total Billed Charges,,219.24,219.24,,293.5,,,,,,,Percent of Total Billed Charges,,,,,281.76,,,,,,,Percent of Total Billed Charges,,,,,278.83,,,,,,,Percent of Total Billed Charges,,,,,58.7,,,,,,,Percent of Total Billed Charges,,,,,249.48,,,,,,,Percent of Total Billed Charges,,,,,61.64,,,,,,,Percent of Total Billed Charges,,,,,264.15,,,,,,,Percent of Total Billed Charges,,,,,264.15,,,,,,,Percent of Total Billed Charges,,,,,58.7,,,,,,,Percent of Total Billed Charges,,,,,82.18,,,,,,,Percent of Total Billed Charges,,,,,234.8,,,,,,,Percent of Total Billed Charges,,,,,58.7,,,,,,,Percent of Total Billed Charges,,,, TUBE RESTRAINT ,250,RC,,Outpatient,,,57,45.6,42.58,,,,,,,Percent of Total Billed Charges,,42.58,42.58,,57,,,,,,,Percent of Total Billed Charges,,,,,54.72,,,,,,,Percent of Total Billed Charges,,,,,54.15,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,11.97,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,, CARDBOARD LEG SPLING-HAVANA ,250,RC,,Outpatient,,,60.5,48.4,45.19,,,,,,,Percent of Total Billed Charges,,45.19,45.19,,60.5,,,,,,,Percent of Total Billed Charges,,,,,58.08,,,,,,,Percent of Total Billed Charges,,,,,57.48,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,51.43,,,,,,,Percent of Total Billed Charges,,,,,12.71,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,16.94,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,, DISPOSABLE HEAD IMMOBILIZER ,250,RC,,Outpatient,,,199.5,159.6,149.03,,,,,,,Percent of Total Billed Charges,,149.03,149.03,,199.5,,,,,,,Percent of Total Billed Charges,,,,,191.52,,,,,,,Percent of Total Billed Charges,,,,,189.53,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,169.58,,,,,,,Percent of Total Billed Charges,,,,,41.9,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,55.86,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,, SUCTION CANNISTER ,250,RC,,Outpatient,,,55,44,41.09,,,,,,,Percent of Total Billed Charges,,41.09,41.09,,55,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,52.25,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,46.75,,,,,,,Percent of Total Billed Charges,,,,,11.55,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,, ONE WAY VALVE ,250,RC,,Outpatient,,,79,63.2,59.01,,,,,,,Percent of Total Billed Charges,,59.01,59.01,,79,,,,,,,Percent of Total Billed Charges,,,,,75.84,,,,,,,Percent of Total Billed Charges,,,,,75.05,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,67.15,,,,,,,Percent of Total Billed Charges,,,,,16.59,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,22.12,,,,,,,Percent of Total Billed Charges,,,,,63.2,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,, VIAL ADAPTER ,250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, "TEGADERM DRESSING 2"" ",250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, INTUBATING STYLET 14FR ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, BUTTERFLY 23GA ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, BUTTERFLY 25GA ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, HUDSON ADULT AEROSOL MASK ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, HUDSON PED AEROSOL MASK ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, NEBULIZER-HUDSON ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, "ANGIO CATH 14GA X 1 1/4"" ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "ANGIO CATH 16"" ",250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, "ANGIO CATH 18GA X 1 1/4"" ",250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, ANGIO CATH 20GA ,250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, ANGIO CATH 22GA ,250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, ANGIO CATH 24GA ,250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, INTERLINK CANNULA SYRINGE ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, CANNULA NEEDLE LOCK THREADED- ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, ADAPTER PLUG PRN ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, CATHETER EXT. ST J-LOOP ,250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, BASIC SOLN SET ,250,RC,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, MICRO DRIP SET ,250,RC,,Outpatient,,,31,24.8,23.16,,,,,,,Percent of Total Billed Charges,,23.16,23.16,,31,,,,,,,Percent of Total Billed Charges,,,,,29.76,,,,,,,Percent of Total Billed Charges,,,,,29.45,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.35,,,,,,,Percent of Total Billed Charges,,,,,6.51,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,8.68,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,, STERILE SPECIMEN CUP ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, OXYGEN TUBING ,250,RC,,Outpatient,,,6.5,5.2,4.86,,,,,,,Percent of Total Billed Charges,,4.86,4.86,,6.5,,,,,,,Percent of Total Billed Charges,,,,,6.24,,,,,,,Percent of Total Billed Charges,,,,,6.18,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,5.53,,,,,,,Percent of Total Billed Charges,,,,,1.37,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,5.85,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,,,1.82,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,1.3,,,,,,,Percent of Total Billed Charges,,,, PEDIATRIC PULSE OX PROBE ,250,RC,,Outpatient,,,165.5,132.4,123.63,,,,,,,Percent of Total Billed Charges,,123.63,123.63,,165.5,,,,,,,Percent of Total Billed Charges,,,,,158.88,,,,,,,Percent of Total Billed Charges,,,,,157.23,,,,,,,Percent of Total Billed Charges,,,,,33.1,,,,,,,Percent of Total Billed Charges,,,,,140.68,,,,,,,Percent of Total Billed Charges,,,,,34.76,,,,,,,Percent of Total Billed Charges,,,,,148.95,,,,,,,Percent of Total Billed Charges,,,,,148.95,,,,,,,Percent of Total Billed Charges,,,,,33.1,,,,,,,Percent of Total Billed Charges,,,,,46.34,,,,,,,Percent of Total Billed Charges,,,,,132.4,,,,,,,Percent of Total Billed Charges,,,,,33.1,,,,,,,Percent of Total Billed Charges,,,, "STYLET,INTUB PEDI ",250,RC,,Outpatient,,,23,18.4,17.18,,,,,,,Percent of Total Billed Charges,,17.18,17.18,,23,,,,,,,Percent of Total Billed Charges,,,,,22.08,,,,,,,Percent of Total Billed Charges,,,,,21.85,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,19.55,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,, SUCTION TUBING HAVANA ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, LEVER LOCK CONNECTOR ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, PREP RAZOR ,250,RC,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, V-VAC SUC ,250,RC,,Outpatient,,,251.5,201.2,187.87,,,,,,,Percent of Total Billed Charges,,187.87,187.87,,251.5,,,,,,,Percent of Total Billed Charges,,,,,241.44,,,,,,,Percent of Total Billed Charges,,,,,238.93,,,,,,,Percent of Total Billed Charges,,,,,50.3,,,,,,,Percent of Total Billed Charges,,,,,213.78,,,,,,,Percent of Total Billed Charges,,,,,52.82,,,,,,,Percent of Total Billed Charges,,,,,226.35,,,,,,,Percent of Total Billed Charges,,,,,226.35,,,,,,,Percent of Total Billed Charges,,,,,50.3,,,,,,,Percent of Total Billed Charges,,,,,70.42,,,,,,,Percent of Total Billed Charges,,,,,201.2,,,,,,,Percent of Total Billed Charges,,,,,50.3,,,,,,,Percent of Total Billed Charges,,,, SILVER SWADDLER ,250,RC,,Outpatient,,,39,31.2,29.13,,,,,,,Percent of Total Billed Charges,,29.13,29.13,,39,,,,,,,Percent of Total Billed Charges,,,,,37.44,,,,,,,Percent of Total Billed Charges,,,,,37.05,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,33.15,,,,,,,Percent of Total Billed Charges,,,,,8.19,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,,,10.92,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,7.8,,,,,,,Percent of Total Billed Charges,,,, BLS NON-EMERGENCY ,A0428QN ,CPT,,Outpatient,,,1475.5,1180.4,1102.2,,,,,,,Percent of Total Billed Charges,,1102.2,1102.2,,1475.5,,,,,,,Percent of Total Billed Charges,,,,,1416.48,,,,,,,Percent of Total Billed Charges,,,,,1401.73,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,1254.18,,,,,,,Percent of Total Billed Charges,,,,,309.86,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,413.14,,,,,,,Percent of Total Billed Charges,,,,,1180.4,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,, BLS NON-EMERGENCY ,A0428QN ,CPT,,Outpatient,,,1475.5,1180.4,1102.2,,,,,,,Percent of Total Billed Charges,,1102.2,1102.2,,1475.5,,,,,,,Percent of Total Billed Charges,,,,,1416.48,,,,,,,Percent of Total Billed Charges,,,,,1401.73,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,1254.18,,,,,,,Percent of Total Billed Charges,,,,,309.86,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,413.14,,,,,,,Percent of Total Billed Charges,,,,,1180.4,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,, BLS NON-EMERGENCY ,A0428QN ,CPT,,Outpatient,,,1475.5,1180.4,1102.2,,,,,,,Percent of Total Billed Charges,,1102.2,1102.2,,1475.5,,,,,,,Percent of Total Billed Charges,,,,,1416.48,,,,,,,Percent of Total Billed Charges,,,,,1401.73,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,1254.18,,,,,,,Percent of Total Billed Charges,,,,,309.86,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,413.14,,,,,,,Percent of Total Billed Charges,,,,,1180.4,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,, SPECIAL CARE TRANSPORT ,A0434QN ,CPT,,Outpatient,,,2307.5,1846,1723.7,,,,,,,Percent of Total Billed Charges,,1723.7,1723.7,,2307.5,,,,,,,Percent of Total Billed Charges,,,,,2215.2,,,,,,,Percent of Total Billed Charges,,,,,2192.13,,,,,,,Percent of Total Billed Charges,,,,,461.5,,,,,,,Percent of Total Billed Charges,,,,,1961.38,,,,,,,Percent of Total Billed Charges,,,,,484.58,,,,,,,Percent of Total Billed Charges,,,,,2076.75,,,,,,,Percent of Total Billed Charges,,,,,2076.75,,,,,,,Percent of Total Billed Charges,,,,,461.5,,,,,,,Percent of Total Billed Charges,,,,,646.1,,,,,,,Percent of Total Billed Charges,,,,,1846,,,,,,,Percent of Total Billed Charges,,,,,461.5,,,,,,,Percent of Total Billed Charges,,,, SPECIAL CARE TRANSPORT ,A0434QN ,CPT,,Outpatient,,,2307.5,1846,1723.7,,,,,,,Percent of Total Billed Charges,,1723.7,1723.7,,2307.5,,,,,,,Percent of Total Billed Charges,,,,,2215.2,,,,,,,Percent of Total Billed Charges,,,,,2192.13,,,,,,,Percent of Total Billed Charges,,,,,461.5,,,,,,,Percent of Total Billed Charges,,,,,1961.38,,,,,,,Percent of Total Billed Charges,,,,,484.58,,,,,,,Percent of Total Billed Charges,,,,,2076.75,,,,,,,Percent of Total Billed Charges,,,,,2076.75,,,,,,,Percent of Total Billed Charges,,,,,461.5,,,,,,,Percent of Total Billed Charges,,,,,646.1,,,,,,,Percent of Total Billed Charges,,,,,1846,,,,,,,Percent of Total Billed Charges,,,,,461.5,,,,,,,Percent of Total Billed Charges,,,, BLS NON-EMERGENCY ,A0428QN ,CPT,,Outpatient,,,1475.5,1180.4,1102.2,,,,,,,Percent of Total Billed Charges,,1102.2,1102.2,,1475.5,,,,,,,Percent of Total Billed Charges,,,,,1416.48,,,,,,,Percent of Total Billed Charges,,,,,1401.73,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,1254.18,,,,,,,Percent of Total Billed Charges,,,,,309.86,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,413.14,,,,,,,Percent of Total Billed Charges,,,,,1180.4,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,, BLS NON-EMERGENCY ,A0428QN ,CPT,,Outpatient,,,1475.5,1180.4,1102.2,,,,,,,Percent of Total Billed Charges,,1102.2,1102.2,,1475.5,,,,,,,Percent of Total Billed Charges,,,,,1416.48,,,,,,,Percent of Total Billed Charges,,,,,1401.73,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,1254.18,,,,,,,Percent of Total Billed Charges,,,,,309.86,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,413.14,,,,,,,Percent of Total Billed Charges,,,,,1180.4,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,, BLS EMERGENCY ,A0429QN ,CPT,,Outpatient,,,1927,1541.6,1439.47,,,,,,,Percent of Total Billed Charges,,1439.47,1439.47,,1927,,,,,,,Percent of Total Billed Charges,,,,,1849.92,,,,,,,Percent of Total Billed Charges,,,,,1830.65,,,,,,,Percent of Total Billed Charges,,,,,385.4,,,,,,,Percent of Total Billed Charges,,,,,1637.95,,,,,,,Percent of Total Billed Charges,,,,,404.67,,,,,,,Percent of Total Billed Charges,,,,,1734.3,,,,,,,Percent of Total Billed Charges,,,,,1734.3,,,,,,,Percent of Total Billed Charges,,,,,385.4,,,,,,,Percent of Total Billed Charges,,,,,539.56,,,,,,,Percent of Total Billed Charges,,,,,1541.6,,,,,,,Percent of Total Billed Charges,,,,,385.4,,,,,,,Percent of Total Billed Charges,,,, BLS EMERGENCY ,A0429QN ,CPT,,Outpatient,,,1927,1541.6,1439.47,,,,,,,Percent of Total Billed Charges,,1439.47,1439.47,,1927,,,,,,,Percent of Total Billed Charges,,,,,1849.92,,,,,,,Percent of Total Billed Charges,,,,,1830.65,,,,,,,Percent of Total Billed Charges,,,,,385.4,,,,,,,Percent of Total Billed Charges,,,,,1637.95,,,,,,,Percent of Total Billed Charges,,,,,404.67,,,,,,,Percent of Total Billed Charges,,,,,1734.3,,,,,,,Percent of Total Billed Charges,,,,,1734.3,,,,,,,Percent of Total Billed Charges,,,,,385.4,,,,,,,Percent of Total Billed Charges,,,,,539.56,,,,,,,Percent of Total Billed Charges,,,,,1541.6,,,,,,,Percent of Total Billed Charges,,,,,385.4,,,,,,,Percent of Total Billed Charges,,,, ALS1 NON-EMERGENCY ,A0426QN ,CPT,,Outpatient,,,1475.5,1180.4,1102.2,,,,,,,Percent of Total Billed Charges,,1102.2,1102.2,,1475.5,,,,,,,Percent of Total Billed Charges,,,,,1416.48,,,,,,,Percent of Total Billed Charges,,,,,1401.73,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,1254.18,,,,,,,Percent of Total Billed Charges,,,,,309.86,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,1327.95,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,,,413.14,,,,,,,Percent of Total Billed Charges,,,,,1180.4,,,,,,,Percent of Total Billed Charges,,,,,295.1,,,,,,,Percent of Total Billed Charges,,,, ALS1 EMERGENCY ,A0427 ,CPT,,Outpatient,,,2083,1666.4,1556,,,,,,,Percent of Total Billed Charges,,1556,1556,,2083,,,,,,,Percent of Total Billed Charges,,,,,1999.68,,,,,,,Percent of Total Billed Charges,,,,,1978.85,,,,,,,Percent of Total Billed Charges,,,,,416.6,,,,,,,Percent of Total Billed Charges,,,,,1770.55,,,,,,,Percent of Total Billed Charges,,,,,437.43,,,,,,,Percent of Total Billed Charges,,,,,1874.7,,,,,,,Percent of Total Billed Charges,,,,,1874.7,,,,,,,Percent of Total Billed Charges,,,,,416.6,,,,,,,Percent of Total Billed Charges,,,,,583.24,,,,,,,Percent of Total Billed Charges,,,,,1666.4,,,,,,,Percent of Total Billed Charges,,,,,416.6,,,,,,,Percent of Total Billed Charges,,,, ALS1 EMERGENCY ,A0427QN ,CPT,,Outpatient,,,2083,1666.4,1556,,,,,,,Percent of Total Billed Charges,,1556,1556,,2083,,,,,,,Percent of Total Billed Charges,,,,,1999.68,,,,,,,Percent of Total Billed Charges,,,,,1978.85,,,,,,,Percent of Total Billed Charges,,,,,416.6,,,,,,,Percent of Total Billed Charges,,,,,1770.55,,,,,,,Percent of Total Billed Charges,,,,,437.43,,,,,,,Percent of Total Billed Charges,,,,,1874.7,,,,,,,Percent of Total Billed Charges,,,,,1874.7,,,,,,,Percent of Total Billed Charges,,,,,416.6,,,,,,,Percent of Total Billed Charges,,,,,583.24,,,,,,,Percent of Total Billed Charges,,,,,1666.4,,,,,,,Percent of Total Billed Charges,,,,,416.6,,,,,,,Percent of Total Billed Charges,,,, PARAMEDIC/ALS INTERCEPT ,A0432QN ,CPT,,Outpatient,,,1701,1360.8,1270.65,,,,,,,Percent of Total Billed Charges,,1270.65,1270.65,,1701,,,,,,,Percent of Total Billed Charges,,,,,1632.96,,,,,,,Percent of Total Billed Charges,,,,,1615.95,,,,,,,Percent of Total Billed Charges,,,,,340.2,,,,,,,Percent of Total Billed Charges,,,,,1445.85,,,,,,,Percent of Total Billed Charges,,,,,357.21,,,,,,,Percent of Total Billed Charges,,,,,1530.9,,,,,,,Percent of Total Billed Charges,,,,,1530.9,,,,,,,Percent of Total Billed Charges,,,,,340.2,,,,,,,Percent of Total Billed Charges,,,,,476.28,,,,,,,Percent of Total Billed Charges,,,,,1360.8,,,,,,,Percent of Total Billed Charges,,,,,340.2,,,,,,,Percent of Total Billed Charges,,,, ALS ON SITE CARE ,A0426QN ,CPT,,Outpatient,,,1386,1108.8,1035.34,,,,,,,Percent of Total Billed Charges,,1035.34,1035.34,,1386,,,,,,,Percent of Total Billed Charges,,,,,1330.56,,,,,,,Percent of Total Billed Charges,,,,,1316.7,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,1178.1,,,,,,,Percent of Total Billed Charges,,,,,291.06,,,,,,,Percent of Total Billed Charges,,,,,1247.4,,,,,,,Percent of Total Billed Charges,,,,,1247.4,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,388.08,,,,,,,Percent of Total Billed Charges,,,,,1108.8,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,, ALS ON SITE CARE ,A0426QN ,CPT,,Outpatient,,,1386,1108.8,1035.34,,,,,,,Percent of Total Billed Charges,,1035.34,1035.34,,1386,,,,,,,Percent of Total Billed Charges,,,,,1330.56,,,,,,,Percent of Total Billed Charges,,,,,1316.7,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,1178.1,,,,,,,Percent of Total Billed Charges,,,,,291.06,,,,,,,Percent of Total Billed Charges,,,,,1247.4,,,,,,,Percent of Total Billed Charges,,,,,1247.4,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,388.08,,,,,,,Percent of Total Billed Charges,,,,,1108.8,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,, ALS2 EMERGENCY ,A0433QN ,CPT,,Outpatient,,,2263,1810.4,1690.46,,,,,,,Percent of Total Billed Charges,,1690.46,1690.46,,2263,,,,,,,Percent of Total Billed Charges,,,,,2172.48,,,,,,,Percent of Total Billed Charges,,,,,2149.85,,,,,,,Percent of Total Billed Charges,,,,,452.6,,,,,,,Percent of Total Billed Charges,,,,,1923.55,,,,,,,Percent of Total Billed Charges,,,,,475.23,,,,,,,Percent of Total Billed Charges,,,,,2036.7,,,,,,,Percent of Total Billed Charges,,,,,2036.7,,,,,,,Percent of Total Billed Charges,,,,,452.6,,,,,,,Percent of Total Billed Charges,,,,,633.64,,,,,,,Percent of Total Billed Charges,,,,,1810.4,,,,,,,Percent of Total Billed Charges,,,,,452.6,,,,,,,Percent of Total Billed Charges,,,, ALS2 EMERGENCY ,A0433QN ,CPT,,Outpatient,,,2263,1810.4,1690.46,,,,,,,Percent of Total Billed Charges,,1690.46,1690.46,,2263,,,,,,,Percent of Total Billed Charges,,,,,2172.48,,,,,,,Percent of Total Billed Charges,,,,,2149.85,,,,,,,Percent of Total Billed Charges,,,,,452.6,,,,,,,Percent of Total Billed Charges,,,,,1923.55,,,,,,,Percent of Total Billed Charges,,,,,475.23,,,,,,,Percent of Total Billed Charges,,,,,2036.7,,,,,,,Percent of Total Billed Charges,,,,,2036.7,,,,,,,Percent of Total Billed Charges,,,,,452.6,,,,,,,Percent of Total Billed Charges,,,,,633.64,,,,,,,Percent of Total Billed Charges,,,,,1810.4,,,,,,,Percent of Total Billed Charges,,,,,452.6,,,,,,,Percent of Total Billed Charges,,,, ALS ON SITE CARE-TRAUMA-COUNTY RESIDENT ,A0426QN ,CPT,,Outpatient,,,1950,1560,1456.65,,,,,,,Percent of Total Billed Charges,,1456.65,1456.65,,1950,,,,,,,Percent of Total Billed Charges,,,,,1872,,,,,,,Percent of Total Billed Charges,,,,,1852.5,,,,,,,Percent of Total Billed Charges,,,,,390,,,,,,,Percent of Total Billed Charges,,,,,1657.5,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,1755,,,,,,,Percent of Total Billed Charges,,,,,1755,,,,,,,Percent of Total Billed Charges,,,,,390,,,,,,,Percent of Total Billed Charges,,,,,546,,,,,,,Percent of Total Billed Charges,,,,,1560,,,,,,,Percent of Total Billed Charges,,,,,390,,,,,,,Percent of Total Billed Charges,,,, ALS ON SITE CARE-TRAUMA-NON COUNTY ,A0426QN ,CPT,,Outpatient,,,2308,1846.4,1724.08,,,,,,,Percent of Total Billed Charges,,1724.08,1724.08,,2308,,,,,,,Percent of Total Billed Charges,,,,,2215.68,,,,,,,Percent of Total Billed Charges,,,,,2192.6,,,,,,,Percent of Total Billed Charges,,,,,461.6,,,,,,,Percent of Total Billed Charges,,,,,1961.8,,,,,,,Percent of Total Billed Charges,,,,,484.68,,,,,,,Percent of Total Billed Charges,,,,,2077.2,,,,,,,Percent of Total Billed Charges,,,,,2077.2,,,,,,,Percent of Total Billed Charges,,,,,461.6,,,,,,,Percent of Total Billed Charges,,,,,646.24,,,,,,,Percent of Total Billed Charges,,,,,1846.4,,,,,,,Percent of Total Billed Charges,,,,,461.6,,,,,,,Percent of Total Billed Charges,,,, ONSITE CARE ONLY NO TRANSPORT ,A0426QN ,CPT,,Outpatient,,,447.5,358,334.28,,,,,,,Percent of Total Billed Charges,,334.28,334.28,,447.5,,,,,,,Percent of Total Billed Charges,,,,,429.6,,,,,,,Percent of Total Billed Charges,,,,,425.13,,,,,,,Percent of Total Billed Charges,,,,,89.5,,,,,,,Percent of Total Billed Charges,,,,,380.38,,,,,,,Percent of Total Billed Charges,,,,,93.98,,,,,,,Percent of Total Billed Charges,,,,,402.75,,,,,,,Percent of Total Billed Charges,,,,,402.75,,,,,,,Percent of Total Billed Charges,,,,,89.5,,,,,,,Percent of Total Billed Charges,,,,,125.3,,,,,,,Percent of Total Billed Charges,,,,,358,,,,,,,Percent of Total Billed Charges,,,,,89.5,,,,,,,Percent of Total Billed Charges,,,, MILEAGE NONCOVERED ,A0888QN ,CPT,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, MILEAGE ,A0425QN ,CPT,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, MILEAGE ,A0425 ,CPT,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, MILEAGE ,A0425QN ,CPT,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, MILEAGE ,A0425QN ,CPT,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, STANDBY 1ST HR OR LESS ,250,RC,,Outpatient,,,247,197.6,184.51,,,,,,,Percent of Total Billed Charges,,184.51,184.51,,247,,,,,,,Percent of Total Billed Charges,,,,,237.12,,,,,,,Percent of Total Billed Charges,,,,,234.65,,,,,,,Percent of Total Billed Charges,,,,,49.4,,,,,,,Percent of Total Billed Charges,,,,,209.95,,,,,,,Percent of Total Billed Charges,,,,,51.87,,,,,,,Percent of Total Billed Charges,,,,,222.3,,,,,,,Percent of Total Billed Charges,,,,,222.3,,,,,,,Percent of Total Billed Charges,,,,,49.4,,,,,,,Percent of Total Billed Charges,,,,,69.16,,,,,,,Percent of Total Billed Charges,,,,,197.6,,,,,,,Percent of Total Billed Charges,,,,,49.4,,,,,,,Percent of Total Billed Charges,,,, STANDBY EA ADDITIONAL 1/2HR ,250,RC,,Outpatient,,,113,90.4,84.41,,,,,,,Percent of Total Billed Charges,,84.41,84.41,,113,,,,,,,Percent of Total Billed Charges,,,,,108.48,,,,,,,Percent of Total Billed Charges,,,,,107.35,,,,,,,Percent of Total Billed Charges,,,,,22.6,,,,,,,Percent of Total Billed Charges,,,,,96.05,,,,,,,Percent of Total Billed Charges,,,,,23.73,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,22.6,,,,,,,Percent of Total Billed Charges,,,,,31.64,,,,,,,Percent of Total Billed Charges,,,,,90.4,,,,,,,Percent of Total Billed Charges,,,,,22.6,,,,,,,Percent of Total Billed Charges,,,, "STANDBY, COUNTY RESIDENT, HOUR OR PORTIO",250,RC,,Outpatient,,,247,197.6,184.51,,,,,,,Percent of Total Billed Charges,,184.51,184.51,,247,,,,,,,Percent of Total Billed Charges,,,,,237.12,,,,,,,Percent of Total Billed Charges,,,,,234.65,,,,,,,Percent of Total Billed Charges,,,,,49.4,,,,,,,Percent of Total Billed Charges,,,,,209.95,,,,,,,Percent of Total Billed Charges,,,,,51.87,,,,,,,Percent of Total Billed Charges,,,,,222.3,,,,,,,Percent of Total Billed Charges,,,,,222.3,,,,,,,Percent of Total Billed Charges,,,,,49.4,,,,,,,Percent of Total Billed Charges,,,,,69.16,,,,,,,Percent of Total Billed Charges,,,,,197.6,,,,,,,Percent of Total Billed Charges,,,,,49.4,,,,,,,Percent of Total Billed Charges,,,, OXY FIRST HOUR MASON CITY ,250,RC,,Outpatient,,,139,111.2,103.83,,,,,,,Percent of Total Billed Charges,,103.83,103.83,,139,,,,,,,Percent of Total Billed Charges,,,,,133.44,,,,,,,Percent of Total Billed Charges,,,,,132.05,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,,,118.15,,,,,,,Percent of Total Billed Charges,,,,,29.19,,,,,,,Percent of Total Billed Charges,,,,,125.1,,,,,,,Percent of Total Billed Charges,,,,,125.1,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,,,38.92,,,,,,,Percent of Total Billed Charges,,,,,111.2,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,, "OXYGEN, EACH QUARTER HOUR FOLLOWING 1ST ",250,RC,,Outpatient,,,49.5,39.6,36.98,,,,,,,Percent of Total Billed Charges,,36.98,36.98,,49.5,,,,,,,Percent of Total Billed Charges,,,,,47.52,,,,,,,Percent of Total Billed Charges,,,,,47.03,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,42.08,,,,,,,Percent of Total Billed Charges,,,,,10.4,,,,,,,Percent of Total Billed Charges,,,,,44.55,,,,,,,Percent of Total Billed Charges,,,,,44.55,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,13.86,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,, BODY TRANSFER MASON CITY ,250,RC,,Outpatient,,,349,279.2,260.7,,,,,,,Percent of Total Billed Charges,,260.7,260.7,,349,,,,,,,Percent of Total Billed Charges,,,,,335.04,,,,,,,Percent of Total Billed Charges,,,,,331.55,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,296.65,,,,,,,Percent of Total Billed Charges,,,,,73.29,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,97.72,,,,,,,Percent of Total Billed Charges,,,,,279.2,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,, EASY SEAL MASK-MASON CITY ,250,RC,,Outpatient,,,171,136.8,127.74,,,,,,,Percent of Total Billed Charges,,127.74,127.74,,171,,,,,,,Percent of Total Billed Charges,,,,,164.16,,,,,,,Percent of Total Billed Charges,,,,,162.45,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,35.91,,,,,,,Percent of Total Billed Charges,,,,,153.9,,,,,,,Percent of Total Billed Charges,,,,,153.9,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,47.88,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,, O2 AQUA PACK MASON CITY ,250,RC,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OROPHARYNGEAL AIRWAY MC ,250,RC,,Outpatient,,,27,21.6,20.17,,,,,,,Percent of Total Billed Charges,,20.17,20.17,,27,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,, NASAL CANNULA MASON CITY ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, OXY MASK MASON CITY ,250,RC,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, SUCTION CATHETER MASON CITY ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, YANKAUER SUCTION MASON CITY ,250,RC,,Outpatient,,,27,21.6,20.17,,,,,,,Percent of Total Billed Charges,,20.17,20.17,,27,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,, NASAL AIRWAY MASON CITY ,250,RC,,Outpatient,,,71.5,57.2,53.41,,,,,,,Percent of Total Billed Charges,,53.41,53.41,,71.5,,,,,,,Percent of Total Billed Charges,,,,,68.64,,,,,,,Percent of Total Billed Charges,,,,,67.93,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,,,60.78,,,,,,,Percent of Total Billed Charges,,,,,15.02,,,,,,,Percent of Total Billed Charges,,,,,64.35,,,,,,,Percent of Total Billed Charges,,,,,64.35,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,,,20.02,,,,,,,Percent of Total Billed Charges,,,,,57.2,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,, SYRINGE MASON CITY ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, COLD PACK MASON CITY ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, HOT PACK MASON CITY ,250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, STERILE ALUM FOIL MASON CITY ,250,RC,,Outpatient,,,153.5,122.8,114.66,,,,,,,Percent of Total Billed Charges,,114.66,114.66,,153.5,,,,,,,Percent of Total Billed Charges,,,,,147.36,,,,,,,Percent of Total Billed Charges,,,,,145.83,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,130.48,,,,,,,Percent of Total Billed Charges,,,,,32.24,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,42.98,,,,,,,Percent of Total Billed Charges,,,,,122.8,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,, SARAN WRAP MASON CITY ,250,RC,,Outpatient,,,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, VASELINE GAUZE MASON CITY ,250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, ASEPTO MASON CITY ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, TRIANGULAR BANDAGE MASON CITY ,250,RC,,Outpatient,,,34.5,27.6,25.77,,,,,,,Percent of Total Billed Charges,,25.77,25.77,,34.5,,,,,,,Percent of Total Billed Charges,,,,,33.12,,,,,,,Percent of Total Billed Charges,,,,,32.78,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,29.33,,,,,,,Percent of Total Billed Charges,,,,,7.25,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,9.66,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,, STERILE GLOVES MASON CITY ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, BURN SHEET MASON CITY ,250,RC,,Outpatient,,,171,136.8,127.74,,,,,,,Percent of Total Billed Charges,,127.74,127.74,,171,,,,,,,Percent of Total Billed Charges,,,,,164.16,,,,,,,Percent of Total Billed Charges,,,,,162.45,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,35.91,,,,,,,Percent of Total Billed Charges,,,,,153.9,,,,,,,Percent of Total Billed Charges,,,,,153.9,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,47.88,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,, STERILE 4X4 MASON CITY ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, SURGIPADS MASON CITY ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, EYE PADS MASON CITY ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, KERLIX MASON CITY ,250,RC,,Outpatient,,,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, KLING MASON CITY ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, TRAUMA DRESSING MASON CITY ,250,RC,,Outpatient,,,55,44,41.09,,,,,,,Percent of Total Billed Charges,,41.09,41.09,,55,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,52.25,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,46.75,,,,,,,Percent of Total Billed Charges,,,,,11.55,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,, ENDOTRACHEAL TUBE MASON CITY ,250,RC,,Outpatient,,,55,44,41.09,,,,,,,Percent of Total Billed Charges,,41.09,41.09,,55,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,52.25,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,46.75,,,,,,,Percent of Total Billed Charges,,,,,11.55,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,, URINAL MASON CITY ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, AMBU BAG INFANT DISPOSABLE MASON CITY ,250,RC,,Outpatient,,,558,446.4,416.83,,,,,,,Percent of Total Billed Charges,,416.83,416.83,,558,,,,,,,Percent of Total Billed Charges,,,,,535.68,,,,,,,Percent of Total Billed Charges,,,,,530.1,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,474.3,,,,,,,Percent of Total Billed Charges,,,,,117.18,,,,,,,Percent of Total Billed Charges,,,,,502.2,,,,,,,Percent of Total Billed Charges,,,,,502.2,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,156.24,,,,,,,Percent of Total Billed Charges,,,,,446.4,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,, BLUE PADS MASON CITY ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, L-SCOPE BLADE STRAIGHT-MASON C ,250,RC,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, L-SCOPE BLADE CURVED-MASON CIT ,250,RC,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, SHORT ARMBOARD HAVANA ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, STIFF NECK COLLAR MASON CITY ,250,RC,,Outpatient,,,212,169.6,158.36,,,,,,,Percent of Total Billed Charges,,158.36,158.36,,212,,,,,,,Percent of Total Billed Charges,,,,,203.52,,,,,,,Percent of Total Billed Charges,,,,,201.4,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,180.2,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,59.36,,,,,,,Percent of Total Billed Charges,,,,,169.6,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,, LONG ARMBOARD HAVANA ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, OB KIT MASON CITY ,250,RC,,Outpatient,,,161,128.8,120.27,,,,,,,Percent of Total Billed Charges,,120.27,120.27,,161,,,,,,,Percent of Total Billed Charges,,,,,154.56,,,,,,,Percent of Total Billed Charges,,,,,152.95,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,136.85,,,,,,,Percent of Total Billed Charges,,,,,33.81,,,,,,,Percent of Total Billed Charges,,,,,144.9,,,,,,,Percent of Total Billed Charges,,,,,144.9,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,45.08,,,,,,,Percent of Total Billed Charges,,,,,128.8,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,, OB PADS MASON CITY ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, DELEE MUCOUS TRAP MASON CITY ,250,RC,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, BULB SYRINGE MASON CITY ,250,RC,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, EGTA MASON CITY ,250,RC,,Outpatient,,,1104,883.2,824.69,,,,,,,Percent of Total Billed Charges,,824.69,824.69,,1104,,,,,,,Percent of Total Billed Charges,,,,,1059.84,,,,,,,Percent of Total Billed Charges,,,,,1048.8,,,,,,,Percent of Total Billed Charges,,,,,220.8,,,,,,,Percent of Total Billed Charges,,,,,938.4,,,,,,,Percent of Total Billed Charges,,,,,231.84,,,,,,,Percent of Total Billed Charges,,,,,993.6,,,,,,,Percent of Total Billed Charges,,,,,993.6,,,,,,,Percent of Total Billed Charges,,,,,220.8,,,,,,,Percent of Total Billed Charges,,,,,309.12,,,,,,,Percent of Total Billed Charges,,,,,883.2,,,,,,,Percent of Total Billed Charges,,,,,220.8,,,,,,,Percent of Total Billed Charges,,,, FRACTURE PAN MASON CITY ,250,RC,,Outpatient,,,20.5,16.4,15.31,,,,,,,Percent of Total Billed Charges,,15.31,15.31,,20.5,,,,,,,Percent of Total Billed Charges,,,,,19.68,,,,,,,Percent of Total Billed Charges,,,,,19.48,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,4.31,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,18.45,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,,,5.74,,,,,,,Percent of Total Billed Charges,,,,,16.4,,,,,,,Percent of Total Billed Charges,,,,,4.1,,,,,,,Percent of Total Billed Charges,,,, EGTA TUBE ONLY ,250,RC,,Outpatient,,,477,381.6,356.32,,,,,,,Percent of Total Billed Charges,,356.32,356.32,,477,,,,,,,Percent of Total Billed Charges,,,,,457.92,,,,,,,Percent of Total Billed Charges,,,,,453.15,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,405.45,,,,,,,Percent of Total Billed Charges,,,,,100.17,,,,,,,Percent of Total Billed Charges,,,,,429.3,,,,,,,Percent of Total Billed Charges,,,,,429.3,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,133.56,,,,,,,Percent of Total Billed Charges,,,,,381.6,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,, DISP. SPLINT-SMALL-MASON CITY ,250,RC,,Outpatient,,,35,28,26.15,,,,,,,Percent of Total Billed Charges,,26.15,26.15,,35,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,33.25,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,29.75,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,, DISP. SPLINT-LARGE-MASON CITY ,250,RC,,Outpatient,,,50.5,40.4,37.72,,,,,,,Percent of Total Billed Charges,,37.72,37.72,,50.5,,,,,,,Percent of Total Billed Charges,,,,,48.48,,,,,,,Percent of Total Billed Charges,,,,,47.98,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,42.93,,,,,,,Percent of Total Billed Charges,,,,,10.61,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,14.14,,,,,,,Percent of Total Billed Charges,,,,,40.4,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,, BITE STICK MASON CITY ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, EMESIS BASIN MASON CITY ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, FAST PATCH/MASON CITY ,250,RC,,Outpatient,,,338,270.4,252.49,,,,,,,Percent of Total Billed Charges,,252.49,252.49,,338,,,,,,,Percent of Total Billed Charges,,,,,324.48,,,,,,,Percent of Total Billed Charges,,,,,321.1,,,,,,,Percent of Total Billed Charges,,,,,67.6,,,,,,,Percent of Total Billed Charges,,,,,287.3,,,,,,,Percent of Total Billed Charges,,,,,70.98,,,,,,,Percent of Total Billed Charges,,,,,304.2,,,,,,,Percent of Total Billed Charges,,,,,304.2,,,,,,,Percent of Total Billed Charges,,,,,67.6,,,,,,,Percent of Total Billed Charges,,,,,94.64,,,,,,,Percent of Total Billed Charges,,,,,270.4,,,,,,,Percent of Total Billed Charges,,,,,67.6,,,,,,,Percent of Total Billed Charges,,,, "AMBU BAG, ADULT ",250,RC,,Outpatient,,,412,329.6,307.76,,,,,,,Percent of Total Billed Charges,,307.76,307.76,,412,,,,,,,Percent of Total Billed Charges,,,,,395.52,,,,,,,Percent of Total Billed Charges,,,,,391.4,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,,,350.2,,,,,,,Percent of Total Billed Charges,,,,,86.52,,,,,,,Percent of Total Billed Charges,,,,,370.8,,,,,,,Percent of Total Billed Charges,,,,,370.8,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,,,115.36,,,,,,,Percent of Total Billed Charges,,,,,329.6,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,, DIAPHORETIC ELECTRODES/MC ,250,RC,,Outpatient,,,27,21.6,20.17,,,,,,,Percent of Total Billed Charges,,20.17,20.17,,27,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,, ADAPTIC ,250,RC,,Outpatient,,,27,21.6,20.17,,,,,,,Percent of Total Billed Charges,,20.17,20.17,,27,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,, CRICOTHYROTOMY KIT ,250,RC,,Outpatient,,,187,149.6,139.69,,,,,,,Percent of Total Billed Charges,,139.69,139.69,,187,,,,,,,Percent of Total Billed Charges,,,,,179.52,,,,,,,Percent of Total Billed Charges,,,,,177.65,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,158.95,,,,,,,Percent of Total Billed Charges,,,,,39.27,,,,,,,Percent of Total Billed Charges,,,,,168.3,,,,,,,Percent of Total Billed Charges,,,,,168.3,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,52.36,,,,,,,Percent of Total Billed Charges,,,,,149.6,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,, CHEST DECOMPRESSION KIT ,250,RC,,Outpatient,,,94.5,75.6,70.59,,,,,,,Percent of Total Billed Charges,,70.59,70.59,,94.5,,,,,,,Percent of Total Billed Charges,,,,,90.72,,,,,,,Percent of Total Billed Charges,,,,,89.78,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,80.33,,,,,,,Percent of Total Billed Charges,,,,,19.85,,,,,,,Percent of Total Billed Charges,,,,,85.05,,,,,,,Percent of Total Billed Charges,,,,,85.05,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,26.46,,,,,,,Percent of Total Billed Charges,,,,,75.6,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,, CO2 DETECTOR ,250,RC,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, TUBE RESTRAINT ,250,RC,,Outpatient,,,60.5,48.4,45.19,,,,,,,Percent of Total Billed Charges,,45.19,45.19,,60.5,,,,,,,Percent of Total Billed Charges,,,,,58.08,,,,,,,Percent of Total Billed Charges,,,,,57.48,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,51.43,,,,,,,Percent of Total Billed Charges,,,,,12.71,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,16.94,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,, CARDBOARD LEG SPLINT-MASON CITY ,250,RC,,Outpatient,,,63,50.4,47.06,,,,,,,Percent of Total Billed Charges,,47.06,47.06,,63,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,53.55,,,,,,,Percent of Total Billed Charges,,,,,13.23,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,17.64,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,, DISPOSABLE HEAD IMMOBILIZER ,250,RC,,Outpatient,,,212,169.6,158.36,,,,,,,Percent of Total Billed Charges,,158.36,158.36,,212,,,,,,,Percent of Total Billed Charges,,,,,203.52,,,,,,,Percent of Total Billed Charges,,,,,201.4,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,180.2,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,59.36,,,,,,,Percent of Total Billed Charges,,,,,169.6,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,, SUCTION CANNISTER ,250,RC,,Outpatient,,,60.5,48.4,45.19,,,,,,,Percent of Total Billed Charges,,45.19,45.19,,60.5,,,,,,,Percent of Total Billed Charges,,,,,58.08,,,,,,,Percent of Total Billed Charges,,,,,57.48,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,51.43,,,,,,,Percent of Total Billed Charges,,,,,12.71,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,16.94,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,, ONE WAY VALVE ,250,RC,,Outpatient,,,81,64.8,60.51,,,,,,,Percent of Total Billed Charges,,60.51,60.51,,81,,,,,,,Percent of Total Billed Charges,,,,,77.76,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,17.01,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,, VIAL ADAPTER ,250,RC,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, "TEGADERM DRESSING 2"" ",250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, INTUBATING STYLET 14FR ,250,RC,,Outpatient,,,41,32.8,30.63,,,,,,,Percent of Total Billed Charges,,30.63,30.63,,41,,,,,,,Percent of Total Billed Charges,,,,,39.36,,,,,,,Percent of Total Billed Charges,,,,,38.95,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,34.85,,,,,,,Percent of Total Billed Charges,,,,,8.61,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,, BUTTERFLY 23GA ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, BUTTERFLY 25GA ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, HUDSON ADULT AEROSOL MASK ,250,RC,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, HUDSON PED AEROSOL MASK ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, NEBULIZER-HUDSON ,250,RC,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, "ANGIO CATH 14GA X 1 1/4"" ",250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, "ANGIO CATH 16"" ",250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, "ANGIO CATH 18GA X 1 1/4"" ",250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, ANGIO CATH 20GA ,250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, ANGIO CATH 22GA ,250,RC,,Outpatient,,,9,7.2,6.72,,,,,,,Percent of Total Billed Charges,,6.72,6.72,,9,,,,,,,Percent of Total Billed Charges,,,,,8.64,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.89,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,8.1,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.8,,,,,,,Percent of Total Billed Charges,,,, ANGIO CATH 24GA ,250,RC,,Outpatient,,,9.5,7.6,7.1,,,,,,,Percent of Total Billed Charges,,7.1,7.1,,9.5,,,,,,,Percent of Total Billed Charges,,,,,9.12,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,8.55,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,,,2.66,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.9,,,,,,,Percent of Total Billed Charges,,,, INTERLINK CANNULA SYRINGE ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, CANNULA NEEDLE LOCK THREADED ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, ADAPTER PLUG PRN ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, CATHETER EXT. ST J-LOOP ,250,RC,,Outpatient,,,28,22.4,20.92,,,,,,,Percent of Total Billed Charges,,20.92,20.92,,28,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,, BASIC SOLN SET ,250,RC,,Outpatient,,,27,21.6,20.17,,,,,,,Percent of Total Billed Charges,,20.17,20.17,,27,,,,,,,Percent of Total Billed Charges,,,,,25.92,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.67,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,5.4,,,,,,,Percent of Total Billed Charges,,,, MICRO DRIP SET ,250,RC,,Outpatient,,,32.5,26,24.28,,,,,,,Percent of Total Billed Charges,,24.28,24.28,,32.5,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,30.88,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,27.63,,,,,,,Percent of Total Billed Charges,,,,,6.83,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,, STERILE SPECIMEN CUP ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, OXYGEN TUBING ,250,RC,,Outpatient,,,8,6.4,5.98,,,,,,,Percent of Total Billed Charges,,5.98,5.98,,8,,,,,,,Percent of Total Billed Charges,,,,,7.68,,,,,,,Percent of Total Billed Charges,,,,,7.6,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.68,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,,,2.24,,,,,,,Percent of Total Billed Charges,,,,,6.4,,,,,,,Percent of Total Billed Charges,,,,,1.6,,,,,,,Percent of Total Billed Charges,,,, PEDIATRIC PULSE OX PROBE ,250,RC,,Outpatient,,,178,142.4,132.97,,,,,,,Percent of Total Billed Charges,,132.97,132.97,,178,,,,,,,Percent of Total Billed Charges,,,,,170.88,,,,,,,Percent of Total Billed Charges,,,,,169.1,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,151.3,,,,,,,Percent of Total Billed Charges,,,,,37.38,,,,,,,Percent of Total Billed Charges,,,,,160.2,,,,,,,Percent of Total Billed Charges,,,,,160.2,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,49.84,,,,,,,Percent of Total Billed Charges,,,,,142.4,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,, "STYLET,INTUB PEDI ",250,RC,,Outpatient,,,25,20,18.68,,,,,,,Percent of Total Billed Charges,,18.68,18.68,,25,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,23.75,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,21.25,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,, SUCTION TUBING MASON CITY ,250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, LEVER LOCK CONNECTOR ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, PREP RAZOR ,250,RC,,Outpatient,,,16.5,13.2,12.33,,,,,,,Percent of Total Billed Charges,,12.33,12.33,,16.5,,,,,,,Percent of Total Billed Charges,,,,,15.84,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,14.03,,,,,,,Percent of Total Billed Charges,,,,,3.47,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,14.85,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,3.3,,,,,,,Percent of Total Billed Charges,,,, V-VAC SUC ,250,RC,,Outpatient,,,272.5,218,203.56,,,,,,,Percent of Total Billed Charges,,203.56,203.56,,272.5,,,,,,,Percent of Total Billed Charges,,,,,261.6,,,,,,,Percent of Total Billed Charges,,,,,258.88,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,231.63,,,,,,,Percent of Total Billed Charges,,,,,57.23,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,218,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,, SILVER SWADDLER ,250,RC,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, CARDIAC REHAB EVAL/EXTENDED ,93798,CPT,,Outpatient,,,447,357.6,333.91,,,,,,,Percent of Total Billed Charges,,333.91,333.91,,447,,,,,,,Percent of Total Billed Charges,,,,,429.12,,,,,,,Percent of Total Billed Charges,,,,,424.65,,,,,,,Percent of Total Billed Charges,,,,,89.4,,,,,,,Percent of Total Billed Charges,,,,,379.95,,,,,,,Percent of Total Billed Charges,,,,,93.87,,,,,,,Percent of Total Billed Charges,,,,,402.3,,,,,,,Percent of Total Billed Charges,,,,,402.3,,,,,,,Percent of Total Billed Charges,,,,,89.4,,,,,,,Percent of Total Billed Charges,,,,,125.16,,,,,,,Percent of Total Billed Charges,,,,,357.6,,,,,,,Percent of Total Billed Charges,,,,,89.4,,,,,,,Percent of Total Billed Charges,,,, CARDIAC REHAB W/MONITOR ,93798,CPT,,Outpatient,,,272.5,218,203.56,,,,,,,Percent of Total Billed Charges,,203.56,203.56,,272.5,,,,,,,Percent of Total Billed Charges,,,,,261.6,,,,,,,Percent of Total Billed Charges,,,,,258.88,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,231.63,,,,,,,Percent of Total Billed Charges,,,,,57.23,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,218,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,, CARDIAC REHAB PHASE III-A/MONTH ,93799,CPT,,Outpatient,,,225,180,168.08,,,,,,,Percent of Total Billed Charges,,168.08,168.08,,225,,,,,,,Percent of Total Billed Charges,,,,,216,,,,,,,Percent of Total Billed Charges,,,,,213.75,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,191.25,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,202.5,,,,,,,Percent of Total Billed Charges,,,,,202.5,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,180,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,, CARDIAC REHAB PHASE II ,93798,CPT,,Outpatient,,,361,288.8,269.67,,,,,,,Percent of Total Billed Charges,,269.67,269.67,,361,,,,,,,Percent of Total Billed Charges,,,,,346.56,,,,,,,Percent of Total Billed Charges,,,,,342.95,,,,,,,Percent of Total Billed Charges,,,,,72.2,,,,,,,Percent of Total Billed Charges,,,,,306.85,,,,,,,Percent of Total Billed Charges,,,,,75.81,,,,,,,Percent of Total Billed Charges,,,,,324.9,,,,,,,Percent of Total Billed Charges,,,,,324.9,,,,,,,Percent of Total Billed Charges,,,,,72.2,,,,,,,Percent of Total Billed Charges,,,,,101.08,,,,,,,Percent of Total Billed Charges,,,,,288.8,,,,,,,Percent of Total Billed Charges,,,,,72.2,,,,,,,Percent of Total Billed Charges,,,, CARDIAC REHAB PHASE I ,93798,CPT,,Outpatient,,,283.5,226.8,211.77,,,,,,,Percent of Total Billed Charges,,211.77,211.77,,283.5,,,,,,,Percent of Total Billed Charges,,,,,272.16,,,,,,,Percent of Total Billed Charges,,,,,269.33,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,240.98,,,,,,,Percent of Total Billed Charges,,,,,59.54,,,,,,,Percent of Total Billed Charges,,,,,255.15,,,,,,,Percent of Total Billed Charges,,,,,255.15,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,79.38,,,,,,,Percent of Total Billed Charges,,,,,226.8,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,, CARDIAC REHAB SET FOR PAD ,93668,CPT,,Outpatient,,,290,232,216.63,,,,,,,Percent of Total Billed Charges,,216.63,216.63,,290,,,,,,,Percent of Total Billed Charges,,,,,278.4,,,,,,,Percent of Total Billed Charges,,,,,275.5,,,,,,,Percent of Total Billed Charges,,,,,58,,,,,,,Percent of Total Billed Charges,,,,,246.5,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,261,,,,,,,Percent of Total Billed Charges,,,,,261,,,,,,,Percent of Total Billed Charges,,,,,58,,,,,,,Percent of Total Billed Charges,,,,,81.2,,,,,,,Percent of Total Billed Charges,,,,,232,,,,,,,Percent of Total Billed Charges,,,,,58,,,,,,,Percent of Total Billed Charges,,,, BGM (BEDSIDE GLUCOSE MONITOR) ,82947,CPT,,Outpatient,,,15,12,11.21,,,,,,,Percent of Total Billed Charges,,11.21,11.21,,15,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.25,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,12.75,,,,,,,Percent of Total Billed Charges,,,,,3.15,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,3,,,,,,,Percent of Total Billed Charges,,,, ALBUMIN PLASMA ,82040TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, ALKALINE PHOSPHATASE ,84075TC ,CPT,,Outpatient,,,134.5,107.6,100.47,,,,,,,Percent of Total Billed Charges,,100.47,100.47,,134.5,,,,,,,Percent of Total Billed Charges,,,,,129.12,,,,,,,Percent of Total Billed Charges,,,,,127.78,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,114.33,,,,,,,Percent of Total Billed Charges,,,,,28.25,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,37.66,,,,,,,Percent of Total Billed Charges,,,,,107.6,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,, AMYLASE PLASMA ,82150TC ,CPT,,Outpatient,,,166,132.8,124,,,,,,,Percent of Total Billed Charges,,124,124,,166,,,,,,,Percent of Total Billed Charges,,,,,159.36,,,,,,,Percent of Total Billed Charges,,,,,157.7,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,141.1,,,,,,,Percent of Total Billed Charges,,,,,34.86,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,46.48,,,,,,,Percent of Total Billed Charges,,,,,132.8,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,, AMYLASE URINE ,82150TC ,CPT,,Outpatient,,,189.5,151.6,141.56,,,,,,,Percent of Total Billed Charges,,141.56,141.56,,189.5,,,,,,,Percent of Total Billed Charges,,,,,181.92,,,,,,,Percent of Total Billed Charges,,,,,180.03,,,,,,,Percent of Total Billed Charges,,,,,37.9,,,,,,,Percent of Total Billed Charges,,,,,161.08,,,,,,,Percent of Total Billed Charges,,,,,39.8,,,,,,,Percent of Total Billed Charges,,,,,170.55,,,,,,,Percent of Total Billed Charges,,,,,170.55,,,,,,,Percent of Total Billed Charges,,,,,37.9,,,,,,,Percent of Total Billed Charges,,,,,53.06,,,,,,,Percent of Total Billed Charges,,,,,151.6,,,,,,,Percent of Total Billed Charges,,,,,37.9,,,,,,,Percent of Total Billed Charges,,,, ARTERIAL BLOOD GASES ,82805TC ,CPT,,Outpatient,,,483,386.4,360.8,,,,,,,Percent of Total Billed Charges,,360.8,360.8,,483,,,,,,,Percent of Total Billed Charges,,,,,463.68,,,,,,,Percent of Total Billed Charges,,,,,458.85,,,,,,,Percent of Total Billed Charges,,,,,96.6,,,,,,,Percent of Total Billed Charges,,,,,410.55,,,,,,,Percent of Total Billed Charges,,,,,101.43,,,,,,,Percent of Total Billed Charges,,,,,434.7,,,,,,,Percent of Total Billed Charges,,,,,434.7,,,,,,,Percent of Total Billed Charges,,,,,96.6,,,,,,,Percent of Total Billed Charges,,,,,135.24,,,,,,,Percent of Total Billed Charges,,,,,386.4,,,,,,,Percent of Total Billed Charges,,,,,96.6,,,,,,,Percent of Total Billed Charges,,,, BILIRUBIN TOTAL ,82247TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, BILIRUBIN DIRECT ,82248TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, BUN ,84520TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, CO2 ,82374TC ,CPT,,Outpatient,,,111.5,89.2,83.29,,,,,,,Percent of Total Billed Charges,,83.29,83.29,,111.5,,,,,,,Percent of Total Billed Charges,,,,,107.04,,,,,,,Percent of Total Billed Charges,,,,,105.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,31.22,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,, CALCIUM ,82310TC ,CPT,,Outpatient,,,87,69.6,64.99,,,,,,,Percent of Total Billed Charges,,64.99,64.99,,87,,,,,,,Percent of Total Billed Charges,,,,,83.52,,,,,,,Percent of Total Billed Charges,,,,,82.65,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,73.95,,,,,,,Percent of Total Billed Charges,,,,,18.27,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,24.36,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,, CALCIUM 24 HR URINE ,82340TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, CHLORIDE ,82435TC ,CPT,,Outpatient,,,93.5,74.8,69.84,,,,,,,Percent of Total Billed Charges,,69.84,69.84,,93.5,,,,,,,Percent of Total Billed Charges,,,,,89.76,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,79.48,,,,,,,Percent of Total Billed Charges,,,,,19.64,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,26.18,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,, CHOLESTEROL ,82465TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, CPK ,82550TC ,CPT,,Outpatient,,,147,117.6,109.81,,,,,,,Percent of Total Billed Charges,,109.81,109.81,,147,,,,,,,Percent of Total Billed Charges,,,,,141.12,,,,,,,Percent of Total Billed Charges,,,,,139.65,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,124.95,,,,,,,Percent of Total Billed Charges,,,,,30.87,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,, CKMB ,82553TC ,CPT,,Outpatient,,,368,294.4,274.9,,,,,,,Percent of Total Billed Charges,,274.9,274.9,,368,,,,,,,Percent of Total Billed Charges,,,,,353.28,,,,,,,Percent of Total Billed Charges,,,,,349.6,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,,,312.8,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,,,103.04,,,,,,,Percent of Total Billed Charges,,,,,294.4,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,, CREATININE W/ GFR ,82565TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, CREATININE 24 HR URINE ,82570TC ,CPT,,Outpatient,,,140,112,104.58,,,,,,,Percent of Total Billed Charges,,104.58,104.58,,140,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,, CREATININE CLEARANCE ,82575TC ,CPT,,Outpatient,,,140,112,104.58,,,,,,,Percent of Total Billed Charges,,104.58,104.58,,140,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,, ELECTROLYTES ,80051TC ,CPT,,Outpatient,,,279,223.2,208.41,,,,,,,Percent of Total Billed Charges,,208.41,208.41,,279,,,,,,,Percent of Total Billed Charges,,,,,267.84,,,,,,,Percent of Total Billed Charges,,,,,265.05,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,58.59,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,78.12,,,,,,,Percent of Total Billed Charges,,,,,223.2,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,, GLUCOSE ,82947TC ,CPT,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, GLUCOSE 2 HR PP ,82950TC ,CPT,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, GLUCOSE TOLERANCE 2 HR ,82951TC ,CPT,,Outpatient,,,274.5,219.6,205.05,,,,,,,Percent of Total Billed Charges,,205.05,205.05,,274.5,,,,,,,Percent of Total Billed Charges,,,,,263.52,,,,,,,Percent of Total Billed Charges,,,,,260.78,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,233.33,,,,,,,Percent of Total Billed Charges,,,,,57.65,,,,,,,Percent of Total Billed Charges,,,,,247.05,,,,,,,Percent of Total Billed Charges,,,,,247.05,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,76.86,,,,,,,Percent of Total Billed Charges,,,,,219.6,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,, GLUCOSE TOLERANCE 3 HR ,82951,CPT,,Outpatient,,,158.5,126.8,118.4,,,,,,,Percent of Total Billed Charges,,118.4,118.4,,158.5,,,,,,,Percent of Total Billed Charges,,,,,152.16,,,,,,,Percent of Total Billed Charges,,,,,150.58,,,,,,,Percent of Total Billed Charges,,,,,31.7,,,,,,,Percent of Total Billed Charges,,,,,134.73,,,,,,,Percent of Total Billed Charges,,,,,33.29,,,,,,,Percent of Total Billed Charges,,,,,142.65,,,,,,,Percent of Total Billed Charges,,,,,142.65,,,,,,,Percent of Total Billed Charges,,,,,31.7,,,,,,,Percent of Total Billed Charges,,,,,44.38,,,,,,,Percent of Total Billed Charges,,,,,126.8,,,,,,,Percent of Total Billed Charges,,,,,31.7,,,,,,,Percent of Total Billed Charges,,,, GLUCOSE TOLERANCE 4 HR ,82951,CPT,,Outpatient,,,167.5,134,125.12,,,,,,,Percent of Total Billed Charges,,125.12,125.12,,167.5,,,,,,,Percent of Total Billed Charges,,,,,160.8,,,,,,,Percent of Total Billed Charges,,,,,159.13,,,,,,,Percent of Total Billed Charges,,,,,33.5,,,,,,,Percent of Total Billed Charges,,,,,142.38,,,,,,,Percent of Total Billed Charges,,,,,35.18,,,,,,,Percent of Total Billed Charges,,,,,150.75,,,,,,,Percent of Total Billed Charges,,,,,150.75,,,,,,,Percent of Total Billed Charges,,,,,33.5,,,,,,,Percent of Total Billed Charges,,,,,46.9,,,,,,,Percent of Total Billed Charges,,,,,134,,,,,,,Percent of Total Billed Charges,,,,,33.5,,,,,,,Percent of Total Billed Charges,,,, GLUCOSE TOLERANCE 3 HR ,82951TC ,CPT,,Outpatient,,,346,276.8,258.46,,,,,,,Percent of Total Billed Charges,,258.46,258.46,,346,,,,,,,Percent of Total Billed Charges,,,,,332.16,,,,,,,Percent of Total Billed Charges,,,,,328.7,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,294.1,,,,,,,Percent of Total Billed Charges,,,,,72.66,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,96.88,,,,,,,Percent of Total Billed Charges,,,,,276.8,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,, GENTAMICIN PEAK ,80170TC ,CPT,,Outpatient,,,277.5,222,207.29,,,,,,,Percent of Total Billed Charges,,207.29,207.29,,277.5,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,263.63,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,235.88,,,,,,,Percent of Total Billed Charges,,,,,58.28,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,222,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,, GENTAMICIN TROUGH ,80170TC ,CPT,,Outpatient,,,277.5,222,207.29,,,,,,,Percent of Total Billed Charges,,207.29,207.29,,277.5,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,263.63,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,235.88,,,,,,,Percent of Total Billed Charges,,,,,58.28,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,222,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,, DIGOXIN ,80162TC ,CPT,,Outpatient,,,291.5,233.2,217.75,,,,,,,Percent of Total Billed Charges,,217.75,217.75,,291.5,,,,,,,Percent of Total Billed Charges,,,,,279.84,,,,,,,Percent of Total Billed Charges,,,,,276.93,,,,,,,Percent of Total Billed Charges,,,,,58.3,,,,,,,Percent of Total Billed Charges,,,,,247.78,,,,,,,Percent of Total Billed Charges,,,,,61.22,,,,,,,Percent of Total Billed Charges,,,,,262.35,,,,,,,Percent of Total Billed Charges,,,,,262.35,,,,,,,Percent of Total Billed Charges,,,,,58.3,,,,,,,Percent of Total Billed Charges,,,,,81.62,,,,,,,Percent of Total Billed Charges,,,,,233.2,,,,,,,Percent of Total Billed Charges,,,,,58.3,,,,,,,Percent of Total Billed Charges,,,, THEOPHYLLINE ,80198TC ,CPT,,Outpatient,,,220,176,164.34,,,,,,,Percent of Total Billed Charges,,164.34,164.34,,220,,,,,,,Percent of Total Billed Charges,,,,,211.2,,,,,,,Percent of Total Billed Charges,,,,,209,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,187,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,176,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,, LDH ,83615TC ,CPT,,Outpatient,,,147,117.6,109.81,,,,,,,Percent of Total Billed Charges,,109.81,109.81,,147,,,,,,,Percent of Total Billed Charges,,,,,141.12,,,,,,,Percent of Total Billed Charges,,,,,139.65,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,124.95,,,,,,,Percent of Total Billed Charges,,,,,30.87,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,, LIPASE ,83690TC ,CPT,,Outpatient,,,165.5,132.4,123.63,,,,,,,Percent of Total Billed Charges,,123.63,123.63,,165.5,,,,,,,Percent of Total Billed Charges,,,,,158.88,,,,,,,Percent of Total Billed Charges,,,,,157.23,,,,,,,Percent of Total Billed Charges,,,,,33.1,,,,,,,Percent of Total Billed Charges,,,,,140.68,,,,,,,Percent of Total Billed Charges,,,,,34.76,,,,,,,Percent of Total Billed Charges,,,,,148.95,,,,,,,Percent of Total Billed Charges,,,,,148.95,,,,,,,Percent of Total Billed Charges,,,,,33.1,,,,,,,Percent of Total Billed Charges,,,,,46.34,,,,,,,Percent of Total Billed Charges,,,,,132.4,,,,,,,Percent of Total Billed Charges,,,,,33.1,,,,,,,Percent of Total Billed Charges,,,, VET PROTEIN (URINE) ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, VET UROBILINOGEN URINE RANDOM ,81002,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, MAGNESIUM ,83735TC ,CPT,,Outpatient,,,159,127.2,118.77,,,,,,,Percent of Total Billed Charges,,118.77,118.77,,159,,,,,,,Percent of Total Billed Charges,,,,,152.64,,,,,,,Percent of Total Billed Charges,,,,,151.05,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,135.15,,,,,,,Percent of Total Billed Charges,,,,,33.39,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,127.2,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,, PHOSPHORUS ,84100TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, PHOSPHORUS 24 HR URINE ,84105TC ,CPT,,Outpatient,,,140,112,104.58,,,,,,,Percent of Total Billed Charges,,104.58,104.58,,140,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,, POTASSIUM ,84132TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, POTASSIUM URINE 24HR ,84133TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, "PROTEIN, TOTAL PLASMA ",84155TC ,CPT,,Outpatient,,,87,69.6,64.99,,,,,,,Percent of Total Billed Charges,,64.99,64.99,,87,,,,,,,Percent of Total Billed Charges,,,,,83.52,,,,,,,Percent of Total Billed Charges,,,,,82.65,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,73.95,,,,,,,Percent of Total Billed Charges,,,,,18.27,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,24.36,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,, "PROTEIN, TOTAL 24 HR URINE ",84155TC ,CPT,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, "PROTEIN, TOTAL - CSF ",84156TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, "PROTEIN, TOTAL OTHER FLUID ",84157TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, .ACETONE ,82009TC ,CPT,,Outpatient,,,51,40.8,38.1,,,,,,,Percent of Total Billed Charges,,38.1,38.1,,51,,,,,,,Percent of Total Billed Charges,,,,,48.96,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,43.35,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,, SGOT (AST) ,84450TC ,CPT,,Outpatient,,,153,122.4,114.29,,,,,,,Percent of Total Billed Charges,,114.29,114.29,,153,,,,,,,Percent of Total Billed Charges,,,,,146.88,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,32.13,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,122.4,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,, SGPT (ALT) ,84460TC ,CPT,,Outpatient,,,147,117.6,109.81,,,,,,,Percent of Total Billed Charges,,109.81,109.81,,147,,,,,,,Percent of Total Billed Charges,,,,,141.12,,,,,,,Percent of Total Billed Charges,,,,,139.65,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,124.95,,,,,,,Percent of Total Billed Charges,,,,,30.87,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,, SODIUM ,84295TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, SODIUM URINE 24HR ,84300TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, URIC ACID ,84550TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, URIC ACID 24HR URINE ,84560TC ,CPT,,Outpatient,,,140,112,104.58,,,,,,,Percent of Total Billed Charges,,104.58,104.58,,140,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,, CYCLOSPORINE (UIC) ,80158TC ,CPT,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, LACTATE ,83605TC ,CPT,,Outpatient,,,240.5,192.4,179.65,,,,,,,Percent of Total Billed Charges,,179.65,179.65,,240.5,,,,,,,Percent of Total Billed Charges,,,,,230.88,,,,,,,Percent of Total Billed Charges,,,,,228.48,,,,,,,Percent of Total Billed Charges,,,,,48.1,,,,,,,Percent of Total Billed Charges,,,,,204.43,,,,,,,Percent of Total Billed Charges,,,,,50.51,,,,,,,Percent of Total Billed Charges,,,,,216.45,,,,,,,Percent of Total Billed Charges,,,,,216.45,,,,,,,Percent of Total Billed Charges,,,,,48.1,,,,,,,Percent of Total Billed Charges,,,,,67.34,,,,,,,Percent of Total Billed Charges,,,,,192.4,,,,,,,Percent of Total Billed Charges,,,,,48.1,,,,,,,Percent of Total Billed Charges,,,, TRIGLYCERIDES ,84478TC ,CPT,,Outpatient,,,220,176,164.34,,,,,,,Percent of Total Billed Charges,,164.34,164.34,,220,,,,,,,Percent of Total Billed Charges,,,,,211.2,,,,,,,Percent of Total Billed Charges,,,,,209,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,187,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,176,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,, HDL ,83718TC ,CPT,,Outpatient,,,159,127.2,118.77,,,,,,,Percent of Total Billed Charges,,118.77,118.77,,159,,,,,,,Percent of Total Billed Charges,,,,,152.64,,,,,,,Percent of Total Billed Charges,,,,,151.05,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,135.15,,,,,,,Percent of Total Billed Charges,,,,,33.39,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,127.2,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,, GAMMA GT ,82977TC ,CPT,,Outpatient,,,159,127.2,118.77,,,,,,,Percent of Total Billed Charges,,118.77,118.77,,159,,,,,,,Percent of Total Billed Charges,,,,,152.64,,,,,,,Percent of Total Billed Charges,,,,,151.05,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,135.15,,,,,,,Percent of Total Billed Charges,,,,,33.39,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,127.2,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,, LIPID PROFILE ,80061TC ,CPT,,Outpatient,,,288,230.4,215.14,,,,,,,Percent of Total Billed Charges,,215.14,215.14,,288,,,,,,,Percent of Total Billed Charges,,,,,276.48,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,259.2,,,,,,,Percent of Total Billed Charges,,,,,259.2,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,80.64,,,,,,,Percent of Total Billed Charges,,,,,230.4,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,, PROCAINAMIDE AND NAPA ,80192TC ,CPT,,Outpatient,,,249,199.2,186,,,,,,,Percent of Total Billed Charges,,186,186,,249,,,,,,,Percent of Total Billed Charges,,,,,239.04,,,,,,,Percent of Total Billed Charges,,,,,236.55,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,211.65,,,,,,,Percent of Total Billed Charges,,,,,52.29,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,199.2,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,, PHENOBARBITAL ,80184TC ,CPT,,Outpatient,,,249,199.2,186,,,,,,,Percent of Total Billed Charges,,186,186,,249,,,,,,,Percent of Total Billed Charges,,,,,239.04,,,,,,,Percent of Total Billed Charges,,,,,236.55,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,211.65,,,,,,,Percent of Total Billed Charges,,,,,52.29,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,199.2,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,, PHENYTOIN (DILANTIN) ,80185TC ,CPT,,Outpatient,,,220,176,164.34,,,,,,,Percent of Total Billed Charges,,164.34,164.34,,220,,,,,,,Percent of Total Billed Charges,,,,,211.2,,,,,,,Percent of Total Billed Charges,,,,,209,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,187,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,176,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,, CARBOXYHEMOGLOBIN ,82375TC ,CPT,,Outpatient,,,179.5,143.6,134.09,,,,,,,Percent of Total Billed Charges,,134.09,134.09,,179.5,,,,,,,Percent of Total Billed Charges,,,,,172.32,,,,,,,Percent of Total Billed Charges,,,,,170.53,,,,,,,Percent of Total Billed Charges,,,,,35.9,,,,,,,Percent of Total Billed Charges,,,,,152.58,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,161.55,,,,,,,Percent of Total Billed Charges,,,,,161.55,,,,,,,Percent of Total Billed Charges,,,,,35.9,,,,,,,Percent of Total Billed Charges,,,,,50.26,,,,,,,Percent of Total Billed Charges,,,,,143.6,,,,,,,Percent of Total Billed Charges,,,,,35.9,,,,,,,Percent of Total Billed Charges,,,, ACETAMINOPHEN (TYLENOL) ,80143TC ,CPT,,Outpatient,,,218,174.4,162.85,,,,,,,Percent of Total Billed Charges,,162.85,162.85,,218,,,,,,,Percent of Total Billed Charges,,,,,209.28,,,,,,,Percent of Total Billed Charges,,,,,207.1,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,185.3,,,,,,,Percent of Total Billed Charges,,,,,45.78,,,,,,,Percent of Total Billed Charges,,,,,196.2,,,,,,,Percent of Total Billed Charges,,,,,196.2,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,61.04,,,,,,,Percent of Total Billed Charges,,,,,174.4,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,, CORTISOL ,82533TC ,CPT,,Outpatient,,,213.5,170.8,159.48,,,,,,,Percent of Total Billed Charges,,159.48,159.48,,213.5,,,,,,,Percent of Total Billed Charges,,,,,204.96,,,,,,,Percent of Total Billed Charges,,,,,202.83,,,,,,,Percent of Total Billed Charges,,,,,42.7,,,,,,,Percent of Total Billed Charges,,,,,181.48,,,,,,,Percent of Total Billed Charges,,,,,44.84,,,,,,,Percent of Total Billed Charges,,,,,192.15,,,,,,,Percent of Total Billed Charges,,,,,192.15,,,,,,,Percent of Total Billed Charges,,,,,42.7,,,,,,,Percent of Total Billed Charges,,,,,59.78,,,,,,,Percent of Total Billed Charges,,,,,170.8,,,,,,,Percent of Total Billed Charges,,,,,42.7,,,,,,,Percent of Total Billed Charges,,,, .CORTISOL 8 PM ,82533TC ,CPT,,Outpatient,,,176,140.8,131.47,,,,,,,Percent of Total Billed Charges,,131.47,131.47,,176,,,,,,,Percent of Total Billed Charges,,,,,168.96,,,,,,,Percent of Total Billed Charges,,,,,167.2,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,149.6,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,158.4,,,,,,,Percent of Total Billed Charges,,,,,158.4,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,49.28,,,,,,,Percent of Total Billed Charges,,,,,140.8,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,, CORTISOL URINE 24HR ,82530TC ,CPT,,Outpatient,,,235.5,188.4,175.92,,,,,,,Percent of Total Billed Charges,,175.92,175.92,,235.5,,,,,,,Percent of Total Billed Charges,,,,,226.08,,,,,,,Percent of Total Billed Charges,,,,,223.73,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,,,200.18,,,,,,,Percent of Total Billed Charges,,,,,49.46,,,,,,,Percent of Total Billed Charges,,,,,211.95,,,,,,,Percent of Total Billed Charges,,,,,211.95,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,,,65.94,,,,,,,Percent of Total Billed Charges,,,,,188.4,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,, ...CORTISOL TOTAL 24 HR URINE ,250,RC,,Outpatient,,,194.5,155.6,145.29,,,,,,,Percent of Total Billed Charges,,145.29,145.29,,194.5,,,,,,,Percent of Total Billed Charges,,,,,186.72,,,,,,,Percent of Total Billed Charges,,,,,184.78,,,,,,,Percent of Total Billed Charges,,,,,38.9,,,,,,,Percent of Total Billed Charges,,,,,165.33,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,175.05,,,,,,,Percent of Total Billed Charges,,,,,175.05,,,,,,,Percent of Total Billed Charges,,,,,38.9,,,,,,,Percent of Total Billed Charges,,,,,54.46,,,,,,,Percent of Total Billed Charges,,,,,155.6,,,,,,,Percent of Total Billed Charges,,,,,38.9,,,,,,,Percent of Total Billed Charges,,,, SALICYLATE ,80179TC ,CPT,,Outpatient,,,218,174.4,162.85,,,,,,,Percent of Total Billed Charges,,162.85,162.85,,218,,,,,,,Percent of Total Billed Charges,,,,,209.28,,,,,,,Percent of Total Billed Charges,,,,,207.1,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,185.3,,,,,,,Percent of Total Billed Charges,,,,,45.78,,,,,,,Percent of Total Billed Charges,,,,,196.2,,,,,,,Percent of Total Billed Charges,,,,,196.2,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,61.04,,,,,,,Percent of Total Billed Charges,,,,,174.4,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,, ALCOHOL BLOOD ,82077TC ,CPT,,Outpatient,,,279,223.2,208.41,,,,,,,Percent of Total Billed Charges,,208.41,208.41,,279,,,,,,,Percent of Total Billed Charges,,,,,267.84,,,,,,,Percent of Total Billed Charges,,,,,265.05,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,58.59,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,78.12,,,,,,,Percent of Total Billed Charges,,,,,223.2,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,, GLUCOSE 1 HR LOAD (50 GRAM) ,82950TC ,CPT,,Outpatient,,,129.5,103.6,96.74,,,,,,,Percent of Total Billed Charges,,96.74,96.74,,129.5,,,,,,,Percent of Total Billed Charges,,,,,124.32,,,,,,,Percent of Total Billed Charges,,,,,123.03,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,110.08,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,36.26,,,,,,,Percent of Total Billed Charges,,,,,103.6,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,, .DEXAMETHASONE SUPPRESION ,80420TC ,CPT,,Outpatient,,,346,276.8,258.46,,,,,,,Percent of Total Billed Charges,,258.46,258.46,,346,,,,,,,Percent of Total Billed Charges,,,,,332.16,,,,,,,Percent of Total Billed Charges,,,,,328.7,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,294.1,,,,,,,Percent of Total Billed Charges,,,,,72.66,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,96.88,,,,,,,Percent of Total Billed Charges,,,,,276.8,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,, COSYNTROPIN STIMULATION TEST ,82533TC ,CPT,,Outpatient,,,442,353.6,330.17,,,,,,,Percent of Total Billed Charges,,330.17,330.17,,442,,,,,,,Percent of Total Billed Charges,,,,,424.32,,,,,,,Percent of Total Billed Charges,,,,,419.9,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,375.7,,,,,,,Percent of Total Billed Charges,,,,,92.82,,,,,,,Percent of Total Billed Charges,,,,,397.8,,,,,,,Percent of Total Billed Charges,,,,,397.8,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,123.76,,,,,,,Percent of Total Billed Charges,,,,,353.6,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,, T3 UPTAKE ,84479TC ,CPT,,Outpatient,,,147,117.6,109.81,,,,,,,Percent of Total Billed Charges,,109.81,109.81,,147,,,,,,,Percent of Total Billed Charges,,,,,141.12,,,,,,,Percent of Total Billed Charges,,,,,139.65,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,124.95,,,,,,,Percent of Total Billed Charges,,,,,30.87,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,, T4 ,84436TC ,CPT,,Outpatient,,,147,117.6,109.81,,,,,,,Percent of Total Billed Charges,,109.81,109.81,,147,,,,,,,Percent of Total Billed Charges,,,,,141.12,,,,,,,Percent of Total Billed Charges,,,,,139.65,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,124.95,,,,,,,Percent of Total Billed Charges,,,,,30.87,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,, "ACID PHOSPHATASE, TOTAL ",84060TC ,CPT,,Outpatient,,,181,144.8,135.21,,,,,,,Percent of Total Billed Charges,,135.21,135.21,,181,,,,,,,Percent of Total Billed Charges,,,,,173.76,,,,,,,Percent of Total Billed Charges,,,,,171.95,,,,,,,Percent of Total Billed Charges,,,,,36.2,,,,,,,Percent of Total Billed Charges,,,,,153.85,,,,,,,Percent of Total Billed Charges,,,,,38.01,,,,,,,Percent of Total Billed Charges,,,,,162.9,,,,,,,Percent of Total Billed Charges,,,,,162.9,,,,,,,Percent of Total Billed Charges,,,,,36.2,,,,,,,Percent of Total Billed Charges,,,,,50.68,,,,,,,Percent of Total Billed Charges,,,,,144.8,,,,,,,Percent of Total Billed Charges,,,,,36.2,,,,,,,Percent of Total Billed Charges,,,, ALDOSTERONE ,82088TC ,CPT,,Outpatient,,,140,112,104.58,,,,,,,Percent of Total Billed Charges,,104.58,104.58,,140,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,, ALPHA FETOPROTEIN MATERNAL ,82105TC ,CPT,,Outpatient,,,145.5,116.4,108.69,,,,,,,Percent of Total Billed Charges,,108.69,108.69,,145.5,,,,,,,Percent of Total Billed Charges,,,,,139.68,,,,,,,Percent of Total Billed Charges,,,,,138.23,,,,,,,Percent of Total Billed Charges,,,,,29.1,,,,,,,Percent of Total Billed Charges,,,,,123.68,,,,,,,Percent of Total Billed Charges,,,,,30.56,,,,,,,Percent of Total Billed Charges,,,,,130.95,,,,,,,Percent of Total Billed Charges,,,,,130.95,,,,,,,Percent of Total Billed Charges,,,,,29.1,,,,,,,Percent of Total Billed Charges,,,,,40.74,,,,,,,Percent of Total Billed Charges,,,,,116.4,,,,,,,Percent of Total Billed Charges,,,,,29.1,,,,,,,Percent of Total Billed Charges,,,, ALPHA 1 ANTITRYPSIN ,82103TC ,CPT,,Outpatient,,,381.5,305.2,284.98,,,,,,,Percent of Total Billed Charges,,284.98,284.98,,381.5,,,,,,,Percent of Total Billed Charges,,,,,366.24,,,,,,,Percent of Total Billed Charges,,,,,362.43,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,324.28,,,,,,,Percent of Total Billed Charges,,,,,80.12,,,,,,,Percent of Total Billed Charges,,,,,343.35,,,,,,,Percent of Total Billed Charges,,,,,343.35,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,106.82,,,,,,,Percent of Total Billed Charges,,,,,305.2,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,, AMITRIPTYLINE (ELAVIL) includes NORTRIP ,80335TC ,CPT,,Outpatient,,,309.5,247.6,231.2,,,,,,,Percent of Total Billed Charges,,231.2,231.2,,309.5,,,,,,,Percent of Total Billed Charges,,,,,297.12,,,,,,,Percent of Total Billed Charges,,,,,294.03,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,,,263.08,,,,,,,Percent of Total Billed Charges,,,,,65,,,,,,,Percent of Total Billed Charges,,,,,278.55,,,,,,,Percent of Total Billed Charges,,,,,278.55,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,,,86.66,,,,,,,Percent of Total Billed Charges,,,,,247.6,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,, AMMONIA BLOOD ,82140TC ,CPT,,Outpatient,,,224.5,179.6,167.7,,,,,,,Percent of Total Billed Charges,,167.7,167.7,,224.5,,,,,,,Percent of Total Billed Charges,,,,,215.52,,,,,,,Percent of Total Billed Charges,,,,,213.28,,,,,,,Percent of Total Billed Charges,,,,,44.9,,,,,,,Percent of Total Billed Charges,,,,,190.83,,,,,,,Percent of Total Billed Charges,,,,,47.15,,,,,,,Percent of Total Billed Charges,,,,,202.05,,,,,,,Percent of Total Billed Charges,,,,,202.05,,,,,,,Percent of Total Billed Charges,,,,,44.9,,,,,,,Percent of Total Billed Charges,,,,,62.86,,,,,,,Percent of Total Billed Charges,,,,,179.6,,,,,,,Percent of Total Billed Charges,,,,,44.9,,,,,,,Percent of Total Billed Charges,,,, ANA ,86038TC ,CPT,,Outpatient,,,204.5,163.6,152.76,,,,,,,Percent of Total Billed Charges,,152.76,152.76,,204.5,,,,,,,Percent of Total Billed Charges,,,,,196.32,,,,,,,Percent of Total Billed Charges,,,,,194.28,,,,,,,Percent of Total Billed Charges,,,,,40.9,,,,,,,Percent of Total Billed Charges,,,,,173.83,,,,,,,Percent of Total Billed Charges,,,,,42.95,,,,,,,Percent of Total Billed Charges,,,,,184.05,,,,,,,Percent of Total Billed Charges,,,,,184.05,,,,,,,Percent of Total Billed Charges,,,,,40.9,,,,,,,Percent of Total Billed Charges,,,,,57.26,,,,,,,Percent of Total Billed Charges,,,,,163.6,,,,,,,Percent of Total Billed Charges,,,,,40.9,,,,,,,Percent of Total Billed Charges,,,, CARBAMAZEPINE TEGRETOL ,80156TC ,CPT,,Outpatient,,,237.5,190,177.41,,,,,,,Percent of Total Billed Charges,,177.41,177.41,,237.5,,,,,,,Percent of Total Billed Charges,,,,,228,,,,,,,Percent of Total Billed Charges,,,,,225.63,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,201.88,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,213.75,,,,,,,Percent of Total Billed Charges,,,,,213.75,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,190,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,, CEA ,82378TC ,CPT,,Outpatient,,,194,155.2,144.92,,,,,,,Percent of Total Billed Charges,,144.92,144.92,,194,,,,,,,Percent of Total Billed Charges,,,,,186.24,,,,,,,Percent of Total Billed Charges,,,,,184.3,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,164.9,,,,,,,Percent of Total Billed Charges,,,,,40.74,,,,,,,Percent of Total Billed Charges,,,,,174.6,,,,,,,Percent of Total Billed Charges,,,,,174.6,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,54.32,,,,,,,Percent of Total Billed Charges,,,,,155.2,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,, DESIPRAMINE NORPRAMIN ,80335TC ,CPT,,Outpatient,,,309.5,247.6,231.2,,,,,,,Percent of Total Billed Charges,,231.2,231.2,,309.5,,,,,,,Percent of Total Billed Charges,,,,,297.12,,,,,,,Percent of Total Billed Charges,,,,,294.03,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,,,263.08,,,,,,,Percent of Total Billed Charges,,,,,65,,,,,,,Percent of Total Billed Charges,,,,,278.55,,,,,,,Percent of Total Billed Charges,,,,,278.55,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,,,86.66,,,,,,,Percent of Total Billed Charges,,,,,247.6,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,, DHEA ,82626TC ,CPT,,Outpatient,,,147.5,118,110.18,,,,,,,Percent of Total Billed Charges,,110.18,110.18,,147.5,,,,,,,Percent of Total Billed Charges,,,,,141.6,,,,,,,Percent of Total Billed Charges,,,,,140.13,,,,,,,Percent of Total Billed Charges,,,,,29.5,,,,,,,Percent of Total Billed Charges,,,,,125.38,,,,,,,Percent of Total Billed Charges,,,,,30.98,,,,,,,Percent of Total Billed Charges,,,,,132.75,,,,,,,Percent of Total Billed Charges,,,,,132.75,,,,,,,Percent of Total Billed Charges,,,,,29.5,,,,,,,Percent of Total Billed Charges,,,,,41.3,,,,,,,Percent of Total Billed Charges,,,,,118,,,,,,,Percent of Total Billed Charges,,,,,29.5,,,,,,,Percent of Total Billed Charges,,,, DOXEPIN (SINEQUAN) ,80335TC ,CPT,,Outpatient,,,309.5,247.6,231.2,,,,,,,Percent of Total Billed Charges,,231.2,231.2,,309.5,,,,,,,Percent of Total Billed Charges,,,,,297.12,,,,,,,Percent of Total Billed Charges,,,,,294.03,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,,,263.08,,,,,,,Percent of Total Billed Charges,,,,,65,,,,,,,Percent of Total Billed Charges,,,,,278.55,,,,,,,Percent of Total Billed Charges,,,,,278.55,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,,,86.66,,,,,,,Percent of Total Billed Charges,,,,,247.6,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,, DESYREL (TRAZODONE) ,82486TC ,CPT,,Outpatient,,,226.5,181.2,169.2,,,,,,,Percent of Total Billed Charges,,169.2,169.2,,226.5,,,,,,,Percent of Total Billed Charges,,,,,217.44,,,,,,,Percent of Total Billed Charges,,,,,215.18,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,,,192.53,,,,,,,Percent of Total Billed Charges,,,,,47.57,,,,,,,Percent of Total Billed Charges,,,,,203.85,,,,,,,Percent of Total Billed Charges,,,,,203.85,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,,,63.42,,,,,,,Percent of Total Billed Charges,,,,,181.2,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,, FOLATE RBC ,82747TC ,CPT,,Outpatient,,,327,261.6,244.27,,,,,,,Percent of Total Billed Charges,,244.27,244.27,,327,,,,,,,Percent of Total Billed Charges,,,,,313.92,,,,,,,Percent of Total Billed Charges,,,,,310.65,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,,,277.95,,,,,,,Percent of Total Billed Charges,,,,,68.67,,,,,,,Percent of Total Billed Charges,,,,,294.3,,,,,,,Percent of Total Billed Charges,,,,,294.3,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,,,91.56,,,,,,,Percent of Total Billed Charges,,,,,261.6,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,, FOLATE SERUM FOLIC ACID ,82746TC ,CPT,,Outpatient,,,244.5,195.6,182.64,,,,,,,Percent of Total Billed Charges,,182.64,182.64,,244.5,,,,,,,Percent of Total Billed Charges,,,,,234.72,,,,,,,Percent of Total Billed Charges,,,,,232.28,,,,,,,Percent of Total Billed Charges,,,,,48.9,,,,,,,Percent of Total Billed Charges,,,,,207.83,,,,,,,Percent of Total Billed Charges,,,,,51.35,,,,,,,Percent of Total Billed Charges,,,,,220.05,,,,,,,Percent of Total Billed Charges,,,,,220.05,,,,,,,Percent of Total Billed Charges,,,,,48.9,,,,,,,Percent of Total Billed Charges,,,,,68.46,,,,,,,Percent of Total Billed Charges,,,,,195.6,,,,,,,Percent of Total Billed Charges,,,,,48.9,,,,,,,Percent of Total Billed Charges,,,, T3 FREE ,84481TC ,CPT,,Outpatient,,,265.5,212.4,198.33,,,,,,,Percent of Total Billed Charges,,198.33,198.33,,265.5,,,,,,,Percent of Total Billed Charges,,,,,254.88,,,,,,,Percent of Total Billed Charges,,,,,252.23,,,,,,,Percent of Total Billed Charges,,,,,53.1,,,,,,,Percent of Total Billed Charges,,,,,225.68,,,,,,,Percent of Total Billed Charges,,,,,55.76,,,,,,,Percent of Total Billed Charges,,,,,238.95,,,,,,,Percent of Total Billed Charges,,,,,238.95,,,,,,,Percent of Total Billed Charges,,,,,53.1,,,,,,,Percent of Total Billed Charges,,,,,74.34,,,,,,,Percent of Total Billed Charges,,,,,212.4,,,,,,,Percent of Total Billed Charges,,,,,53.1,,,,,,,Percent of Total Billed Charges,,,, FSH SERUM ,83001TC ,CPT,,Outpatient,,,311.5,249.2,232.69,,,,,,,Percent of Total Billed Charges,,232.69,232.69,,311.5,,,,,,,Percent of Total Billed Charges,,,,,299.04,,,,,,,Percent of Total Billed Charges,,,,,295.93,,,,,,,Percent of Total Billed Charges,,,,,62.3,,,,,,,Percent of Total Billed Charges,,,,,264.78,,,,,,,Percent of Total Billed Charges,,,,,65.42,,,,,,,Percent of Total Billed Charges,,,,,280.35,,,,,,,Percent of Total Billed Charges,,,,,280.35,,,,,,,Percent of Total Billed Charges,,,,,62.3,,,,,,,Percent of Total Billed Charges,,,,,87.22,,,,,,,Percent of Total Billed Charges,,,,,249.2,,,,,,,Percent of Total Billed Charges,,,,,62.3,,,,,,,Percent of Total Billed Charges,,,, HAPTOGLOBIN ,83010TC ,CPT,,Outpatient,,,261.5,209.2,195.34,,,,,,,Percent of Total Billed Charges,,195.34,195.34,,261.5,,,,,,,Percent of Total Billed Charges,,,,,251.04,,,,,,,Percent of Total Billed Charges,,,,,248.43,,,,,,,Percent of Total Billed Charges,,,,,52.3,,,,,,,Percent of Total Billed Charges,,,,,222.28,,,,,,,Percent of Total Billed Charges,,,,,54.92,,,,,,,Percent of Total Billed Charges,,,,,235.35,,,,,,,Percent of Total Billed Charges,,,,,235.35,,,,,,,Percent of Total Billed Charges,,,,,52.3,,,,,,,Percent of Total Billed Charges,,,,,73.22,,,,,,,Percent of Total Billed Charges,,,,,209.2,,,,,,,Percent of Total Billed Charges,,,,,52.3,,,,,,,Percent of Total Billed Charges,,,, ..HEPATITIS PROFILE ,80074,CPT,,Outpatient,,,188.5,150.8,140.81,,,,,,,Percent of Total Billed Charges,,140.81,140.81,,188.5,,,,,,,Percent of Total Billed Charges,,,,,180.96,,,,,,,Percent of Total Billed Charges,,,,,179.08,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,160.23,,,,,,,Percent of Total Billed Charges,,,,,39.59,,,,,,,Percent of Total Billed Charges,,,,,169.65,,,,,,,Percent of Total Billed Charges,,,,,169.65,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,52.78,,,,,,,Percent of Total Billed Charges,,,,,150.8,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,, IMIPRAMINE (DESIPRMINE) ,80335TC ,CPT,,Outpatient,,,309.5,247.6,231.2,,,,,,,Percent of Total Billed Charges,,231.2,231.2,,309.5,,,,,,,Percent of Total Billed Charges,,,,,297.12,,,,,,,Percent of Total Billed Charges,,,,,294.03,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,,,263.08,,,,,,,Percent of Total Billed Charges,,,,,65,,,,,,,Percent of Total Billed Charges,,,,,278.55,,,,,,,Percent of Total Billed Charges,,,,,278.55,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,,,86.66,,,,,,,Percent of Total Billed Charges,,,,,247.6,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,, IMMUNOGLOBULIN G ,82784TC ,CPT,,Outpatient,,,154,123.2,115.04,,,,,,,Percent of Total Billed Charges,,115.04,115.04,,154,,,,,,,Percent of Total Billed Charges,,,,,147.84,,,,,,,Percent of Total Billed Charges,,,,,146.3,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,130.9,,,,,,,Percent of Total Billed Charges,,,,,32.34,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,43.12,,,,,,,Percent of Total Billed Charges,,,,,123.2,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,, IMMUNOGLOBULIN A ,82784TC ,CPT,,Outpatient,,,154,123.2,115.04,,,,,,,Percent of Total Billed Charges,,115.04,115.04,,154,,,,,,,Percent of Total Billed Charges,,,,,147.84,,,,,,,Percent of Total Billed Charges,,,,,146.3,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,130.9,,,,,,,Percent of Total Billed Charges,,,,,32.34,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,43.12,,,,,,,Percent of Total Billed Charges,,,,,123.2,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,, IMMUNOGLOBULIN M ,82784TC ,CPT,,Outpatient,,,154,123.2,115.04,,,,,,,Percent of Total Billed Charges,,115.04,115.04,,154,,,,,,,Percent of Total Billed Charges,,,,,147.84,,,,,,,Percent of Total Billed Charges,,,,,146.3,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,130.9,,,,,,,Percent of Total Billed Charges,,,,,32.34,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,43.12,,,,,,,Percent of Total Billed Charges,,,,,123.2,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,, IMMUNOGLOBULIN E ,82785TC ,CPT,,Outpatient,,,255,204,190.49,,,,,,,Percent of Total Billed Charges,,190.49,190.49,,255,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,242.25,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,,,216.75,,,,,,,Percent of Total Billed Charges,,,,,53.55,,,,,,,Percent of Total Billed Charges,,,,,229.5,,,,,,,Percent of Total Billed Charges,,,,,229.5,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,,,71.4,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,, LH LUTEINIZING HORMONE ,83002TC ,CPT,,Outpatient,,,167.5,134,125.12,,,,,,,Percent of Total Billed Charges,,125.12,125.12,,167.5,,,,,,,Percent of Total Billed Charges,,,,,160.8,,,,,,,Percent of Total Billed Charges,,,,,159.13,,,,,,,Percent of Total Billed Charges,,,,,33.5,,,,,,,Percent of Total Billed Charges,,,,,142.38,,,,,,,Percent of Total Billed Charges,,,,,35.18,,,,,,,Percent of Total Billed Charges,,,,,150.75,,,,,,,Percent of Total Billed Charges,,,,,150.75,,,,,,,Percent of Total Billed Charges,,,,,33.5,,,,,,,Percent of Total Billed Charges,,,,,46.9,,,,,,,Percent of Total Billed Charges,,,,,134,,,,,,,Percent of Total Billed Charges,,,,,33.5,,,,,,,Percent of Total Billed Charges,,,, .MYSOLINE (PRIMIDONE) ,80188TC ,CPT,,Outpatient,,,191,152.8,142.68,,,,,,,Percent of Total Billed Charges,,142.68,142.68,,191,,,,,,,Percent of Total Billed Charges,,,,,183.36,,,,,,,Percent of Total Billed Charges,,,,,181.45,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,162.35,,,,,,,Percent of Total Billed Charges,,,,,40.11,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,53.48,,,,,,,Percent of Total Billed Charges,,,,,152.8,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,, NORTRIPTYLINE ,80335TC ,CPT,,Outpatient,,,309.5,247.6,231.2,,,,,,,Percent of Total Billed Charges,,231.2,231.2,,309.5,,,,,,,Percent of Total Billed Charges,,,,,297.12,,,,,,,Percent of Total Billed Charges,,,,,294.03,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,,,263.08,,,,,,,Percent of Total Billed Charges,,,,,65,,,,,,,Percent of Total Billed Charges,,,,,278.55,,,,,,,Percent of Total Billed Charges,,,,,278.55,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,,,86.66,,,,,,,Percent of Total Billed Charges,,,,,247.6,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,, ALK PHOS ISOENZYMES ,84080TC ,CPT,,Outpatient,,,255,204,190.49,,,,,,,Percent of Total Billed Charges,,190.49,190.49,,255,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,242.25,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,,,216.75,,,,,,,Percent of Total Billed Charges,,,,,53.55,,,,,,,Percent of Total Billed Charges,,,,,229.5,,,,,,,Percent of Total Billed Charges,,,,,229.5,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,,,71.4,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,, AMINOLEVULINIC ACID (ALA) ,82135TC ,CPT,,Outpatient,,,249,199.2,186,,,,,,,Percent of Total Billed Charges,,186,186,,249,,,,,,,Percent of Total Billed Charges,,,,,239.04,,,,,,,Percent of Total Billed Charges,,,,,236.55,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,211.65,,,,,,,Percent of Total Billed Charges,,,,,52.29,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,199.2,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,, AMMONIA URINE ,82140TC ,CPT,,Outpatient,,,244.5,195.6,182.64,,,,,,,Percent of Total Billed Charges,,182.64,182.64,,244.5,,,,,,,Percent of Total Billed Charges,,,,,234.72,,,,,,,Percent of Total Billed Charges,,,,,232.28,,,,,,,Percent of Total Billed Charges,,,,,48.9,,,,,,,Percent of Total Billed Charges,,,,,207.83,,,,,,,Percent of Total Billed Charges,,,,,51.35,,,,,,,Percent of Total Billed Charges,,,,,220.05,,,,,,,Percent of Total Billed Charges,,,,,220.05,,,,,,,Percent of Total Billed Charges,,,,,48.9,,,,,,,Percent of Total Billed Charges,,,,,68.46,,,,,,,Percent of Total Billed Charges,,,,,195.6,,,,,,,Percent of Total Billed Charges,,,,,48.9,,,,,,,Percent of Total Billed Charges,,,, ANTIDIURETIC HORMONE ,84588TC ,CPT,,Outpatient,,,609,487.2,454.92,,,,,,,Percent of Total Billed Charges,,454.92,454.92,,609,,,,,,,Percent of Total Billed Charges,,,,,584.64,,,,,,,Percent of Total Billed Charges,,,,,578.55,,,,,,,Percent of Total Billed Charges,,,,,121.8,,,,,,,Percent of Total Billed Charges,,,,,517.65,,,,,,,Percent of Total Billed Charges,,,,,127.89,,,,,,,Percent of Total Billed Charges,,,,,548.1,,,,,,,Percent of Total Billed Charges,,,,,548.1,,,,,,,Percent of Total Billed Charges,,,,,121.8,,,,,,,Percent of Total Billed Charges,,,,,170.52,,,,,,,Percent of Total Billed Charges,,,,,487.2,,,,,,,Percent of Total Billed Charges,,,,,121.8,,,,,,,Percent of Total Billed Charges,,,, THYROID PEROXIDASE (MICROSOMAL) ANTIBODY,86376TC ,CPT,,Outpatient,,,205.5,164.4,153.51,,,,,,,Percent of Total Billed Charges,,153.51,153.51,,205.5,,,,,,,Percent of Total Billed Charges,,,,,197.28,,,,,,,Percent of Total Billed Charges,,,,,195.23,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,174.68,,,,,,,Percent of Total Billed Charges,,,,,43.16,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,57.54,,,,,,,Percent of Total Billed Charges,,,,,164.4,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,, .ANTI MITOCHONDRIAL ANTIBODY ,86256TC ,CPT,,Outpatient,,,353.5,282.8,264.06,,,,,,,Percent of Total Billed Charges,,264.06,264.06,,353.5,,,,,,,Percent of Total Billed Charges,,,,,339.36,,,,,,,Percent of Total Billed Charges,,,,,335.83,,,,,,,Percent of Total Billed Charges,,,,,70.7,,,,,,,Percent of Total Billed Charges,,,,,300.48,,,,,,,Percent of Total Billed Charges,,,,,74.24,,,,,,,Percent of Total Billed Charges,,,,,318.15,,,,,,,Percent of Total Billed Charges,,,,,318.15,,,,,,,Percent of Total Billed Charges,,,,,70.7,,,,,,,Percent of Total Billed Charges,,,,,98.98,,,,,,,Percent of Total Billed Charges,,,,,282.8,,,,,,,Percent of Total Billed Charges,,,,,70.7,,,,,,,Percent of Total Billed Charges,,,, BETA HCG QUANTITATIVE ,84702TC ,CPT,,Outpatient,,,285.5,228.4,213.27,,,,,,,Percent of Total Billed Charges,,213.27,213.27,,285.5,,,,,,,Percent of Total Billed Charges,,,,,274.08,,,,,,,Percent of Total Billed Charges,,,,,271.23,,,,,,,Percent of Total Billed Charges,,,,,57.1,,,,,,,Percent of Total Billed Charges,,,,,242.68,,,,,,,Percent of Total Billed Charges,,,,,59.96,,,,,,,Percent of Total Billed Charges,,,,,256.95,,,,,,,Percent of Total Billed Charges,,,,,256.95,,,,,,,Percent of Total Billed Charges,,,,,57.1,,,,,,,Percent of Total Billed Charges,,,,,79.94,,,,,,,Percent of Total Billed Charges,,,,,228.4,,,,,,,Percent of Total Billed Charges,,,,,57.1,,,,,,,Percent of Total Billed Charges,,,, CAROTENE ,82380TC ,CPT,,Outpatient,,,166,132.8,124,,,,,,,Percent of Total Billed Charges,,124,124,,166,,,,,,,Percent of Total Billed Charges,,,,,159.36,,,,,,,Percent of Total Billed Charges,,,,,157.7,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,141.1,,,,,,,Percent of Total Billed Charges,,,,,34.86,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,46.48,,,,,,,Percent of Total Billed Charges,,,,,132.8,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,, CATECHOLAMINES TOTAL URINE 24HR ,82384TC ,CPT,,Outpatient,,,392,313.6,292.82,,,,,,,Percent of Total Billed Charges,,292.82,292.82,,392,,,,,,,Percent of Total Billed Charges,,,,,376.32,,,,,,,Percent of Total Billed Charges,,,,,372.4,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,333.2,,,,,,,Percent of Total Billed Charges,,,,,82.32,,,,,,,Percent of Total Billed Charges,,,,,352.8,,,,,,,Percent of Total Billed Charges,,,,,352.8,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,109.76,,,,,,,Percent of Total Billed Charges,,,,,313.6,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,, CERULOPLASMIN ,82390TC ,CPT,,Outpatient,,,190.5,152.4,142.3,,,,,,,Percent of Total Billed Charges,,142.3,142.3,,190.5,,,,,,,Percent of Total Billed Charges,,,,,182.88,,,,,,,Percent of Total Billed Charges,,,,,180.98,,,,,,,Percent of Total Billed Charges,,,,,38.1,,,,,,,Percent of Total Billed Charges,,,,,161.93,,,,,,,Percent of Total Billed Charges,,,,,40.01,,,,,,,Percent of Total Billed Charges,,,,,171.45,,,,,,,Percent of Total Billed Charges,,,,,171.45,,,,,,,Percent of Total Billed Charges,,,,,38.1,,,,,,,Percent of Total Billed Charges,,,,,53.34,,,,,,,Percent of Total Billed Charges,,,,,152.4,,,,,,,Percent of Total Billed Charges,,,,,38.1,,,,,,,Percent of Total Billed Charges,,,, CLONAZEPAM (CLONOPIN) ,80346TC ,CPT,,Outpatient,,,336,268.8,250.99,,,,,,,Percent of Total Billed Charges,,250.99,250.99,,336,,,,,,,Percent of Total Billed Charges,,,,,322.56,,,,,,,Percent of Total Billed Charges,,,,,319.2,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,285.6,,,,,,,Percent of Total Billed Charges,,,,,70.56,,,,,,,Percent of Total Billed Charges,,,,,302.4,,,,,,,Percent of Total Billed Charges,,,,,302.4,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,268.8,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,, COMPLEMENT C3 ,86160TC ,CPT,,Outpatient,,,204,163.2,152.39,,,,,,,Percent of Total Billed Charges,,152.39,152.39,,204,,,,,,,Percent of Total Billed Charges,,,,,195.84,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,173.4,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,, COMPLEMENT TOTAL (CH50) ,86162TC ,CPT,,Outpatient,,,327.5,262,244.64,,,,,,,Percent of Total Billed Charges,,244.64,244.64,,327.5,,,,,,,Percent of Total Billed Charges,,,,,314.4,,,,,,,Percent of Total Billed Charges,,,,,311.13,,,,,,,Percent of Total Billed Charges,,,,,65.5,,,,,,,Percent of Total Billed Charges,,,,,278.38,,,,,,,Percent of Total Billed Charges,,,,,68.78,,,,,,,Percent of Total Billed Charges,,,,,294.75,,,,,,,Percent of Total Billed Charges,,,,,294.75,,,,,,,Percent of Total Billed Charges,,,,,65.5,,,,,,,Percent of Total Billed Charges,,,,,91.7,,,,,,,Percent of Total Billed Charges,,,,,262,,,,,,,Percent of Total Billed Charges,,,,,65.5,,,,,,,Percent of Total Billed Charges,,,, COPPER SERUM ,82525TC ,CPT,,Outpatient,,,204,163.2,152.39,,,,,,,Percent of Total Billed Charges,,152.39,152.39,,204,,,,,,,Percent of Total Billed Charges,,,,,195.84,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,173.4,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,, CPK ISO FRACTIONATED ,82554TC ,CPT,,Outpatient,,,259.5,207.6,193.85,,,,,,,Percent of Total Billed Charges,,193.85,193.85,,259.5,,,,,,,Percent of Total Billed Charges,,,,,249.12,,,,,,,Percent of Total Billed Charges,,,,,246.53,,,,,,,Percent of Total Billed Charges,,,,,51.9,,,,,,,Percent of Total Billed Charges,,,,,220.58,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,233.55,,,,,,,Percent of Total Billed Charges,,,,,233.55,,,,,,,Percent of Total Billed Charges,,,,,51.9,,,,,,,Percent of Total Billed Charges,,,,,72.66,,,,,,,Percent of Total Billed Charges,,,,,207.6,,,,,,,Percent of Total Billed Charges,,,,,51.9,,,,,,,Percent of Total Billed Charges,,,, "EOSINOPHIL COUNT, URINE - METHODISTS ",87205TC ,CPT,,Outpatient,,,80.5,64.4,60.13,,,,,,,Percent of Total Billed Charges,,60.13,60.13,,80.5,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,76.48,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,68.43,,,,,,,Percent of Total Billed Charges,,,,,16.91,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,22.54,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,, ESTROGEN RECEPTOR ASSAY ,84233TC ,CPT,,Outpatient,,,887.5,710,662.96,,,,,,,Percent of Total Billed Charges,,662.96,662.96,,887.5,,,,,,,Percent of Total Billed Charges,,,,,852,,,,,,,Percent of Total Billed Charges,,,,,843.13,,,,,,,Percent of Total Billed Charges,,,,,177.5,,,,,,,Percent of Total Billed Charges,,,,,754.38,,,,,,,Percent of Total Billed Charges,,,,,186.38,,,,,,,Percent of Total Billed Charges,,,,,798.75,,,,,,,Percent of Total Billed Charges,,,,,798.75,,,,,,,Percent of Total Billed Charges,,,,,177.5,,,,,,,Percent of Total Billed Charges,,,,,248.5,,,,,,,Percent of Total Billed Charges,,,,,710,,,,,,,Percent of Total Billed Charges,,,,,177.5,,,,,,,Percent of Total Billed Charges,,,, ETHOSUXIMIDE (ZARONTIN) ,80168TC ,CPT,,Outpatient,,,231,184.8,172.56,,,,,,,Percent of Total Billed Charges,,172.56,172.56,,231,,,,,,,Percent of Total Billed Charges,,,,,221.76,,,,,,,Percent of Total Billed Charges,,,,,219.45,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,196.35,,,,,,,Percent of Total Billed Charges,,,,,48.51,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,, FECAL FAT QUALITATIVE ,82705TC ,CPT,,Outpatient,,,121,96.8,90.39,,,,,,,Percent of Total Billed Charges,,90.39,90.39,,121,,,,,,,Percent of Total Billed Charges,,,,,116.16,,,,,,,Percent of Total Billed Charges,,,,,114.95,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,102.85,,,,,,,Percent of Total Billed Charges,,,,,25.41,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,33.88,,,,,,,Percent of Total Billed Charges,,,,,96.8,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,, FECAL FAT QUANTITATIVE ,82710TC ,CPT,,Outpatient,,,332.5,266,248.38,,,,,,,Percent of Total Billed Charges,,248.38,248.38,,332.5,,,,,,,Percent of Total Billed Charges,,,,,319.2,,,,,,,Percent of Total Billed Charges,,,,,315.88,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,282.63,,,,,,,Percent of Total Billed Charges,,,,,69.83,,,,,,,Percent of Total Billed Charges,,,,,299.25,,,,,,,Percent of Total Billed Charges,,,,,299.25,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,266,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,, FERRITIN ,82728TC ,CPT,,Outpatient,,,277.5,222,207.29,,,,,,,Percent of Total Billed Charges,,207.29,207.29,,277.5,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,263.63,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,235.88,,,,,,,Percent of Total Billed Charges,,,,,58.28,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,222,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,, FIBRIN DEGREDATION PRODUCTS ,85362TC ,CPT,,Outpatient,,,185.5,148.4,138.57,,,,,,,Percent of Total Billed Charges,,138.57,138.57,,185.5,,,,,,,Percent of Total Billed Charges,,,,,178.08,,,,,,,Percent of Total Billed Charges,,,,,176.23,,,,,,,Percent of Total Billed Charges,,,,,37.1,,,,,,,Percent of Total Billed Charges,,,,,157.68,,,,,,,Percent of Total Billed Charges,,,,,38.96,,,,,,,Percent of Total Billed Charges,,,,,166.95,,,,,,,Percent of Total Billed Charges,,,,,166.95,,,,,,,Percent of Total Billed Charges,,,,,37.1,,,,,,,Percent of Total Billed Charges,,,,,51.94,,,,,,,Percent of Total Billed Charges,,,,,148.4,,,,,,,Percent of Total Billed Charges,,,,,37.1,,,,,,,Percent of Total Billed Charges,,,, FIBRINOGEN ,85384TC ,CPT,,Outpatient,,,130,104,97.11,,,,,,,Percent of Total Billed Charges,,97.11,97.11,,130,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,123.5,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,110.5,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,117,,,,,,,Percent of Total Billed Charges,,,,,117,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,,,104,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,, T4 FREE ,84439TC ,CPT,,Outpatient,,,206,164.8,153.88,,,,,,,Percent of Total Billed Charges,,153.88,153.88,,206,,,,,,,Percent of Total Billed Charges,,,,,197.76,,,,,,,Percent of Total Billed Charges,,,,,195.7,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,175.1,,,,,,,Percent of Total Billed Charges,,,,,43.26,,,,,,,Percent of Total Billed Charges,,,,,185.4,,,,,,,Percent of Total Billed Charges,,,,,185.4,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,57.68,,,,,,,Percent of Total Billed Charges,,,,,164.8,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,, GASTRIN SERUM ,82941TC ,CPT,,Outpatient,,,259.5,207.6,193.85,,,,,,,Percent of Total Billed Charges,,193.85,193.85,,259.5,,,,,,,Percent of Total Billed Charges,,,,,249.12,,,,,,,Percent of Total Billed Charges,,,,,246.53,,,,,,,Percent of Total Billed Charges,,,,,51.9,,,,,,,Percent of Total Billed Charges,,,,,220.58,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,233.55,,,,,,,Percent of Total Billed Charges,,,,,233.55,,,,,,,Percent of Total Billed Charges,,,,,51.9,,,,,,,Percent of Total Billed Charges,,,,,72.66,,,,,,,Percent of Total Billed Charges,,,,,207.6,,,,,,,Percent of Total Billed Charges,,,,,51.9,,,,,,,Percent of Total Billed Charges,,,, HEMOGLOBIN A1c ,83036TC ,CPT,,Outpatient,,,190,152,141.93,,,,,,,Percent of Total Billed Charges,,141.93,141.93,,190,,,,,,,Percent of Total Billed Charges,,,,,182.4,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,161.5,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,171,,,,,,,Percent of Total Billed Charges,,,,,171,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,53.2,,,,,,,Percent of Total Billed Charges,,,,,152,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,, HLA B27 ,81374TC ,CPT,,Outpatient,,,1043.5,834.8,779.49,,,,,,,Percent of Total Billed Charges,,779.49,779.49,,1043.5,,,,,,,Percent of Total Billed Charges,,,,,1001.76,,,,,,,Percent of Total Billed Charges,,,,,991.33,,,,,,,Percent of Total Billed Charges,,,,,208.7,,,,,,,Percent of Total Billed Charges,,,,,886.98,,,,,,,Percent of Total Billed Charges,,,,,219.14,,,,,,,Percent of Total Billed Charges,,,,,939.15,,,,,,,Percent of Total Billed Charges,,,,,939.15,,,,,,,Percent of Total Billed Charges,,,,,208.7,,,,,,,Percent of Total Billed Charges,,,,,292.18,,,,,,,Percent of Total Billed Charges,,,,,834.8,,,,,,,Percent of Total Billed Charges,,,,,208.7,,,,,,,Percent of Total Billed Charges,,,, HIAA 5 URINE ,83497TC ,CPT,,Outpatient,,,261.5,209.2,195.34,,,,,,,Percent of Total Billed Charges,,195.34,195.34,,261.5,,,,,,,Percent of Total Billed Charges,,,,,251.04,,,,,,,Percent of Total Billed Charges,,,,,248.43,,,,,,,Percent of Total Billed Charges,,,,,52.3,,,,,,,Percent of Total Billed Charges,,,,,222.28,,,,,,,Percent of Total Billed Charges,,,,,54.92,,,,,,,Percent of Total Billed Charges,,,,,235.35,,,,,,,Percent of Total Billed Charges,,,,,235.35,,,,,,,Percent of Total Billed Charges,,,,,52.3,,,,,,,Percent of Total Billed Charges,,,,,73.22,,,,,,,Percent of Total Billed Charges,,,,,209.2,,,,,,,Percent of Total Billed Charges,,,,,52.3,,,,,,,Percent of Total Billed Charges,,,, HYDROXYCORTICOSTEROIDS 17- ,83491TC ,CPT,,Outpatient,,,218,174.4,162.85,,,,,,,Percent of Total Billed Charges,,162.85,162.85,,218,,,,,,,Percent of Total Billed Charges,,,,,209.28,,,,,,,Percent of Total Billed Charges,,,,,207.1,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,185.3,,,,,,,Percent of Total Billed Charges,,,,,45.78,,,,,,,Percent of Total Billed Charges,,,,,196.2,,,,,,,Percent of Total Billed Charges,,,,,196.2,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,61.04,,,,,,,Percent of Total Billed Charges,,,,,174.4,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,, ..HYDROXYCORTICOSTEROIDS 17-FRACTIONATED,83586,CPT,,Outpatient,,,329.5,263.6,246.14,,,,,,,Percent of Total Billed Charges,,246.14,246.14,,329.5,,,,,,,Percent of Total Billed Charges,,,,,316.32,,,,,,,Percent of Total Billed Charges,,,,,313.03,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,,,280.08,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,296.55,,,,,,,Percent of Total Billed Charges,,,,,296.55,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,,,92.26,,,,,,,Percent of Total Billed Charges,,,,,263.6,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,, IEP IMMUNOELECTROPHORESIS SERUM ,86320TC ,CPT,,Outpatient,,,329.5,263.6,246.14,,,,,,,Percent of Total Billed Charges,,246.14,246.14,,329.5,,,,,,,Percent of Total Billed Charges,,,,,316.32,,,,,,,Percent of Total Billed Charges,,,,,313.03,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,,,280.08,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,296.55,,,,,,,Percent of Total Billed Charges,,,,,296.55,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,,,92.26,,,,,,,Percent of Total Billed Charges,,,,,263.6,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,, INDIA INK PREP ,87210TC ,CPT,,Outpatient,,,65,52,48.56,,,,,,,Percent of Total Billed Charges,,48.56,48.56,,65,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,,,61.75,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,55.25,,,,,,,Percent of Total Billed Charges,,,,,13.65,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,52,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,, .INSULIN NOT AVAILABLE ,83525TC ,CPT,,Outpatient,,,204,163.2,152.39,,,,,,,Percent of Total Billed Charges,,152.39,152.39,,204,,,,,,,Percent of Total Billed Charges,,,,,195.84,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,173.4,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,, KETOSTEROIDS 17- TOTAL ,83586TC ,CPT,,Outpatient,,,218,174.4,162.85,,,,,,,Percent of Total Billed Charges,,162.85,162.85,,218,,,,,,,Percent of Total Billed Charges,,,,,209.28,,,,,,,Percent of Total Billed Charges,,,,,207.1,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,185.3,,,,,,,Percent of Total Billed Charges,,,,,45.78,,,,,,,Percent of Total Billed Charges,,,,,196.2,,,,,,,Percent of Total Billed Charges,,,,,196.2,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,61.04,,,,,,,Percent of Total Billed Charges,,,,,174.4,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,, LEAD ,83655TC ,CPT,,Outpatient,,,170,136,126.99,,,,,,,Percent of Total Billed Charges,,126.99,126.99,,170,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,161.5,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,144.5,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,153,,,,,,,Percent of Total Billed Charges,,,,,153,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,,,136,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,, LEUKOCYTE ALK PHOS ,85540TC ,CPT,,Outpatient,,,153,122.4,114.29,,,,,,,Percent of Total Billed Charges,,114.29,114.29,,153,,,,,,,Percent of Total Billed Charges,,,,,146.88,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,32.13,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,122.4,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,, LIDOCAINE ,80176TC ,CPT,,Outpatient,,,255,204,190.49,,,,,,,Percent of Total Billed Charges,,190.49,190.49,,255,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,242.25,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,,,216.75,,,,,,,Percent of Total Billed Charges,,,,,53.55,,,,,,,Percent of Total Billed Charges,,,,,229.5,,,,,,,Percent of Total Billed Charges,,,,,229.5,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,,,71.4,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,,,51,,,,,,,Percent of Total Billed Charges,,,, LITHIUM ,80178TC ,CPT,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, MERCURY BLOOD ,83825TC ,CPT,,Outpatient,,,286,228.8,213.64,,,,,,,Percent of Total Billed Charges,,213.64,213.64,,286,,,,,,,Percent of Total Billed Charges,,,,,274.56,,,,,,,Percent of Total Billed Charges,,,,,271.7,,,,,,,Percent of Total Billed Charges,,,,,57.2,,,,,,,Percent of Total Billed Charges,,,,,243.1,,,,,,,Percent of Total Billed Charges,,,,,60.06,,,,,,,Percent of Total Billed Charges,,,,,257.4,,,,,,,Percent of Total Billed Charges,,,,,257.4,,,,,,,Percent of Total Billed Charges,,,,,57.2,,,,,,,Percent of Total Billed Charges,,,,,80.08,,,,,,,Percent of Total Billed Charges,,,,,228.8,,,,,,,Percent of Total Billed Charges,,,,,57.2,,,,,,,Percent of Total Billed Charges,,,, METANEPHRINES URINE 24HR ,83835TC ,CPT,,Outpatient,,,249,199.2,186,,,,,,,Percent of Total Billed Charges,,186,186,,249,,,,,,,Percent of Total Billed Charges,,,,,239.04,,,,,,,Percent of Total Billed Charges,,,,,236.55,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,211.65,,,,,,,Percent of Total Billed Charges,,,,,52.29,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,199.2,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,, ISOENZYMES AMYLASE ,82664TC ,CPT,,Outpatient,,,120,96,89.64,,,,,,,Percent of Total Billed Charges,,89.64,89.64,,120,,,,,,,Percent of Total Billed Charges,,,,,115.2,,,,,,,Percent of Total Billed Charges,,,,,114,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,102,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,108,,,,,,,Percent of Total Billed Charges,,,,,108,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,, OSMOLALITY SERUM ,83930TC ,CPT,,Outpatient,,,160,128,119.52,,,,,,,Percent of Total Billed Charges,,119.52,119.52,,160,,,,,,,Percent of Total Billed Charges,,,,,153.6,,,,,,,Percent of Total Billed Charges,,,,,152,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,136,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,144,,,,,,,Percent of Total Billed Charges,,,,,144,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,44.8,,,,,,,Percent of Total Billed Charges,,,,,128,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,, OSMOLALITY URINE ,83935TC ,CPT,,Outpatient,,,160,128,119.52,,,,,,,Percent of Total Billed Charges,,119.52,119.52,,160,,,,,,,Percent of Total Billed Charges,,,,,153.6,,,,,,,Percent of Total Billed Charges,,,,,152,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,136,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,144,,,,,,,Percent of Total Billed Charges,,,,,144,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,44.8,,,,,,,Percent of Total Billed Charges,,,,,128,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,, OXALATE URINE 24HR ,83945TC ,CPT,,Outpatient,,,237.5,190,177.41,,,,,,,Percent of Total Billed Charges,,177.41,177.41,,237.5,,,,,,,Percent of Total Billed Charges,,,,,228,,,,,,,Percent of Total Billed Charges,,,,,225.63,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,201.88,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,213.75,,,,,,,Percent of Total Billed Charges,,,,,213.75,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,190,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,, PTH C-TERMINAL ,83970TC ,CPT,,Outpatient,,,517,413.6,386.2,,,,,,,Percent of Total Billed Charges,,386.2,386.2,,517,,,,,,,Percent of Total Billed Charges,,,,,496.32,,,,,,,Percent of Total Billed Charges,,,,,491.15,,,,,,,Percent of Total Billed Charges,,,,,103.4,,,,,,,Percent of Total Billed Charges,,,,,439.45,,,,,,,Percent of Total Billed Charges,,,,,108.57,,,,,,,Percent of Total Billed Charges,,,,,465.3,,,,,,,Percent of Total Billed Charges,,,,,465.3,,,,,,,Percent of Total Billed Charges,,,,,103.4,,,,,,,Percent of Total Billed Charges,,,,,144.76,,,,,,,Percent of Total Billed Charges,,,,,413.6,,,,,,,Percent of Total Billed Charges,,,,,103.4,,,,,,,Percent of Total Billed Charges,,,, PTH N-TERMINAL ,83970TC ,CPT,,Outpatient,,,522,417.6,389.93,,,,,,,Percent of Total Billed Charges,,389.93,389.93,,522,,,,,,,Percent of Total Billed Charges,,,,,501.12,,,,,,,Percent of Total Billed Charges,,,,,495.9,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,443.7,,,,,,,Percent of Total Billed Charges,,,,,109.62,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,146.16,,,,,,,Percent of Total Billed Charges,,,,,417.6,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,, PORPHOBILINOGEN QUANTITATIVE URINE 24HR ,84110TC ,CPT,,Outpatient,,,186,148.8,138.94,,,,,,,Percent of Total Billed Charges,,138.94,138.94,,186,,,,,,,Percent of Total Billed Charges,,,,,178.56,,,,,,,Percent of Total Billed Charges,,,,,176.7,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,158.1,,,,,,,Percent of Total Billed Charges,,,,,39.06,,,,,,,Percent of Total Billed Charges,,,,,167.4,,,,,,,Percent of Total Billed Charges,,,,,167.4,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,52.08,,,,,,,Percent of Total Billed Charges,,,,,148.8,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,, PROGESTERONE RECEPTOR ASSAY ,84234TC ,CPT,,Outpatient,,,1181,944.8,882.21,,,,,,,Percent of Total Billed Charges,,882.21,882.21,,1181,,,,,,,Percent of Total Billed Charges,,,,,1133.76,,,,,,,Percent of Total Billed Charges,,,,,1121.95,,,,,,,Percent of Total Billed Charges,,,,,236.2,,,,,,,Percent of Total Billed Charges,,,,,1003.85,,,,,,,Percent of Total Billed Charges,,,,,248.01,,,,,,,Percent of Total Billed Charges,,,,,1062.9,,,,,,,Percent of Total Billed Charges,,,,,1062.9,,,,,,,Percent of Total Billed Charges,,,,,236.2,,,,,,,Percent of Total Billed Charges,,,,,330.68,,,,,,,Percent of Total Billed Charges,,,,,944.8,,,,,,,Percent of Total Billed Charges,,,,,236.2,,,,,,,Percent of Total Billed Charges,,,, PROGESTERONE ,84144TC ,CPT,,Outpatient,,,275.5,220.4,205.8,,,,,,,Percent of Total Billed Charges,,205.8,205.8,,275.5,,,,,,,Percent of Total Billed Charges,,,,,264.48,,,,,,,Percent of Total Billed Charges,,,,,261.73,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,57.86,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,77.14,,,,,,,Percent of Total Billed Charges,,,,,220.4,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,, PROLACTIN ,84146TC ,CPT,,Outpatient,,,249.5,199.6,186.38,,,,,,,Percent of Total Billed Charges,,186.38,186.38,,249.5,,,,,,,Percent of Total Billed Charges,,,,,239.52,,,,,,,Percent of Total Billed Charges,,,,,237.03,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,,,212.08,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,224.55,,,,,,,Percent of Total Billed Charges,,,,,224.55,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,,,69.86,,,,,,,Percent of Total Billed Charges,,,,,199.6,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,, PROPRANOLOL (INDEROL) ,250,RC,,Outpatient,,,196,156.8,146.41,,,,,,,Percent of Total Billed Charges,,146.41,146.41,,196,,,,,,,Percent of Total Billed Charges,,,,,188.16,,,,,,,Percent of Total Billed Charges,,,,,186.2,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,166.6,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,54.88,,,,,,,Percent of Total Billed Charges,,,,,156.8,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,, PROTEIN SERUM ELECTROPHORESIS ,84165TC ,CPT,,Outpatient,,,170,136,126.99,,,,,,,Percent of Total Billed Charges,,126.99,126.99,,170,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,161.5,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,144.5,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,153,,,,,,,Percent of Total Billed Charges,,,,,153,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,,,136,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,, "BICARBONATE, URINE ",20245TC ,CPT,,Outpatient,,,116,92.8,86.65,,,,,,,Percent of Total Billed Charges,,86.65,86.65,,116,,,,,,,Percent of Total Billed Charges,,,,,111.36,,,,,,,Percent of Total Billed Charges,,,,,110.2,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,98.6,,,,,,,Percent of Total Billed Charges,,,,,24.36,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,32.48,,,,,,,Percent of Total Billed Charges,,,,,92.8,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,, RUBELLA IGG ,86762TC ,CPT,,Outpatient,,,116,92.8,86.65,,,,,,,Percent of Total Billed Charges,,86.65,86.65,,116,,,,,,,Percent of Total Billed Charges,,,,,111.36,,,,,,,Percent of Total Billed Charges,,,,,110.2,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,98.6,,,,,,,Percent of Total Billed Charges,,,,,24.36,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,32.48,,,,,,,Percent of Total Billed Charges,,,,,92.8,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,, SEROTONIN WHOLE BLOOD ,84260TC ,CPT,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, TESTOSTERONE TOTAL ,84403TC ,CPT,,Outpatient,,,394,315.2,294.32,,,,,,,Percent of Total Billed Charges,,294.32,294.32,,394,,,,,,,Percent of Total Billed Charges,,,,,378.24,,,,,,,Percent of Total Billed Charges,,,,,374.3,,,,,,,Percent of Total Billed Charges,,,,,78.8,,,,,,,Percent of Total Billed Charges,,,,,334.9,,,,,,,Percent of Total Billed Charges,,,,,82.74,,,,,,,Percent of Total Billed Charges,,,,,354.6,,,,,,,Percent of Total Billed Charges,,,,,354.6,,,,,,,Percent of Total Billed Charges,,,,,78.8,,,,,,,Percent of Total Billed Charges,,,,,110.32,,,,,,,Percent of Total Billed Charges,,,,,315.2,,,,,,,Percent of Total Billed Charges,,,,,78.8,,,,,,,Percent of Total Billed Charges,,,, THIORIDAZINE (MELLARIL) ,80342TC ,CPT,,Outpatient,,,277.5,222,207.29,,,,,,,Percent of Total Billed Charges,,207.29,207.29,,277.5,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,263.63,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,235.88,,,,,,,Percent of Total Billed Charges,,,,,58.28,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,222,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,, THYROXINE BINDING GLOBULIN ,84442TC ,CPT,,Outpatient,,,358,286.4,267.43,,,,,,,Percent of Total Billed Charges,,267.43,267.43,,358,,,,,,,Percent of Total Billed Charges,,,,,343.68,,,,,,,Percent of Total Billed Charges,,,,,340.1,,,,,,,Percent of Total Billed Charges,,,,,71.6,,,,,,,Percent of Total Billed Charges,,,,,304.3,,,,,,,Percent of Total Billed Charges,,,,,75.18,,,,,,,Percent of Total Billed Charges,,,,,322.2,,,,,,,Percent of Total Billed Charges,,,,,322.2,,,,,,,Percent of Total Billed Charges,,,,,71.6,,,,,,,Percent of Total Billed Charges,,,,,100.24,,,,,,,Percent of Total Billed Charges,,,,,286.4,,,,,,,Percent of Total Billed Charges,,,,,71.6,,,,,,,Percent of Total Billed Charges,,,, TOBRAMYCIN PEAK ,80200TC ,CPT,,Outpatient,,,316,252.8,236.05,,,,,,,Percent of Total Billed Charges,,236.05,236.05,,316,,,,,,,Percent of Total Billed Charges,,,,,303.36,,,,,,,Percent of Total Billed Charges,,,,,300.2,,,,,,,Percent of Total Billed Charges,,,,,63.2,,,,,,,Percent of Total Billed Charges,,,,,268.6,,,,,,,Percent of Total Billed Charges,,,,,66.36,,,,,,,Percent of Total Billed Charges,,,,,284.4,,,,,,,Percent of Total Billed Charges,,,,,284.4,,,,,,,Percent of Total Billed Charges,,,,,63.2,,,,,,,Percent of Total Billed Charges,,,,,88.48,,,,,,,Percent of Total Billed Charges,,,,,252.8,,,,,,,Percent of Total Billed Charges,,,,,63.2,,,,,,,Percent of Total Billed Charges,,,, TOBRAMYCIN TROUGH ,80200TC ,CPT,,Outpatient,,,125.5,100.4,93.75,,,,,,,Percent of Total Billed Charges,,93.75,93.75,,125.5,,,,,,,Percent of Total Billed Charges,,,,,120.48,,,,,,,Percent of Total Billed Charges,,,,,119.23,,,,,,,Percent of Total Billed Charges,,,,,25.1,,,,,,,Percent of Total Billed Charges,,,,,106.68,,,,,,,Percent of Total Billed Charges,,,,,26.36,,,,,,,Percent of Total Billed Charges,,,,,112.95,,,,,,,Percent of Total Billed Charges,,,,,112.95,,,,,,,Percent of Total Billed Charges,,,,,25.1,,,,,,,Percent of Total Billed Charges,,,,,35.14,,,,,,,Percent of Total Billed Charges,,,,,100.4,,,,,,,Percent of Total Billed Charges,,,,,25.1,,,,,,,Percent of Total Billed Charges,,,, TSH (THYROID STIMULATING HORMONE) ,84443TC ,CPT,,Outpatient,,,298,238.4,222.61,,,,,,,Percent of Total Billed Charges,,222.61,222.61,,298,,,,,,,Percent of Total Billed Charges,,,,,286.08,,,,,,,Percent of Total Billed Charges,,,,,283.1,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,,,62.58,,,,,,,Percent of Total Billed Charges,,,,,268.2,,,,,,,Percent of Total Billed Charges,,,,,268.2,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,,,83.44,,,,,,,Percent of Total Billed Charges,,,,,238.4,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,, UUN (URINE UREA NITROGEN) 24 HR ,84540TC ,CPT,,Outpatient,,,67,53.6,50.05,,,,,,,Percent of Total Billed Charges,,50.05,50.05,,67,,,,,,,Percent of Total Billed Charges,,,,,64.32,,,,,,,Percent of Total Billed Charges,,,,,63.65,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,56.95,,,,,,,Percent of Total Billed Charges,,,,,14.07,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,18.76,,,,,,,Percent of Total Billed Charges,,,,,53.6,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,, UROPORPHYRINES URINE 24HR ,84120TC ,CPT,,Outpatient,,,245.5,196.4,183.39,,,,,,,Percent of Total Billed Charges,,183.39,183.39,,245.5,,,,,,,Percent of Total Billed Charges,,,,,235.68,,,,,,,Percent of Total Billed Charges,,,,,233.23,,,,,,,Percent of Total Billed Charges,,,,,49.1,,,,,,,Percent of Total Billed Charges,,,,,208.68,,,,,,,Percent of Total Billed Charges,,,,,51.56,,,,,,,Percent of Total Billed Charges,,,,,220.95,,,,,,,Percent of Total Billed Charges,,,,,220.95,,,,,,,Percent of Total Billed Charges,,,,,49.1,,,,,,,Percent of Total Billed Charges,,,,,68.74,,,,,,,Percent of Total Billed Charges,,,,,196.4,,,,,,,Percent of Total Billed Charges,,,,,49.1,,,,,,,Percent of Total Billed Charges,,,, VITAMIN B12 ,82607TC ,CPT,,Outpatient,,,231,184.8,172.56,,,,,,,Percent of Total Billed Charges,,172.56,172.56,,231,,,,,,,Percent of Total Billed Charges,,,,,221.76,,,,,,,Percent of Total Billed Charges,,,,,219.45,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,196.35,,,,,,,Percent of Total Billed Charges,,,,,48.51,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,, VITAMIN C (ASCORBIC ACID) ,82180TC ,CPT,,Outpatient,,,205.5,164.4,153.51,,,,,,,Percent of Total Billed Charges,,153.51,153.51,,205.5,,,,,,,Percent of Total Billed Charges,,,,,197.28,,,,,,,Percent of Total Billed Charges,,,,,195.23,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,174.68,,,,,,,Percent of Total Billed Charges,,,,,43.16,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,57.54,,,,,,,Percent of Total Billed Charges,,,,,164.4,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,, VMA (VANILLYMANDELIC ACID) ,84585TC ,CPT,,Outpatient,,,285,228,212.9,,,,,,,Percent of Total Billed Charges,,212.9,212.9,,285,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,270.75,,,,,,,Percent of Total Billed Charges,,,,,57,,,,,,,Percent of Total Billed Charges,,,,,242.25,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,256.5,,,,,,,Percent of Total Billed Charges,,,,,256.5,,,,,,,Percent of Total Billed Charges,,,,,57,,,,,,,Percent of Total Billed Charges,,,,,79.8,,,,,,,Percent of Total Billed Charges,,,,,228,,,,,,,Percent of Total Billed Charges,,,,,57,,,,,,,Percent of Total Billed Charges,,,, XYLOSE ABSORPTION ,84620TC ,CPT,,Outpatient,,,244.5,195.6,182.64,,,,,,,Percent of Total Billed Charges,,182.64,182.64,,244.5,,,,,,,Percent of Total Billed Charges,,,,,234.72,,,,,,,Percent of Total Billed Charges,,,,,232.28,,,,,,,Percent of Total Billed Charges,,,,,48.9,,,,,,,Percent of Total Billed Charges,,,,,207.83,,,,,,,Percent of Total Billed Charges,,,,,51.35,,,,,,,Percent of Total Billed Charges,,,,,220.05,,,,,,,Percent of Total Billed Charges,,,,,220.05,,,,,,,Percent of Total Billed Charges,,,,,48.9,,,,,,,Percent of Total Billed Charges,,,,,68.46,,,,,,,Percent of Total Billed Charges,,,,,195.6,,,,,,,Percent of Total Billed Charges,,,,,48.9,,,,,,,Percent of Total Billed Charges,,,, "CHOLINESTERASE, PLASMA ",82480TC ,CPT,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, BASIC METABOLIC PROFILE ,80048TC ,CPT,,Outpatient,,,269,215.2,200.94,,,,,,,Percent of Total Billed Charges,,200.94,200.94,,269,,,,,,,Percent of Total Billed Charges,,,,,258.24,,,,,,,Percent of Total Billed Charges,,,,,255.55,,,,,,,Percent of Total Billed Charges,,,,,53.8,,,,,,,Percent of Total Billed Charges,,,,,228.65,,,,,,,Percent of Total Billed Charges,,,,,56.49,,,,,,,Percent of Total Billed Charges,,,,,242.1,,,,,,,Percent of Total Billed Charges,,,,,242.1,,,,,,,Percent of Total Billed Charges,,,,,53.8,,,,,,,Percent of Total Billed Charges,,,,,75.32,,,,,,,Percent of Total Billed Charges,,,,,215.2,,,,,,,Percent of Total Billed Charges,,,,,53.8,,,,,,,Percent of Total Billed Charges,,,, prenatal screening ,250,RC,,Outpatient,,,398,318.4,297.31,,,,,,,Percent of Total Billed Charges,,297.31,297.31,,398,,,,,,,Percent of Total Billed Charges,,,,,382.08,,,,,,,Percent of Total Billed Charges,,,,,378.1,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,338.3,,,,,,,Percent of Total Billed Charges,,,,,83.58,,,,,,,Percent of Total Billed Charges,,,,,358.2,,,,,,,Percent of Total Billed Charges,,,,,358.2,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,111.44,,,,,,,Percent of Total Billed Charges,,,,,318.4,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,, DEPAKENE (VALPROIC ACID) ,80164TC ,CPT,,Outpatient,,,233.5,186.8,174.42,,,,,,,Percent of Total Billed Charges,,174.42,174.42,,233.5,,,,,,,Percent of Total Billed Charges,,,,,224.16,,,,,,,Percent of Total Billed Charges,,,,,221.83,,,,,,,Percent of Total Billed Charges,,,,,46.7,,,,,,,Percent of Total Billed Charges,,,,,198.48,,,,,,,Percent of Total Billed Charges,,,,,49.04,,,,,,,Percent of Total Billed Charges,,,,,210.15,,,,,,,Percent of Total Billed Charges,,,,,210.15,,,,,,,Percent of Total Billed Charges,,,,,46.7,,,,,,,Percent of Total Billed Charges,,,,,65.38,,,,,,,Percent of Total Billed Charges,,,,,186.8,,,,,,,Percent of Total Billed Charges,,,,,46.7,,,,,,,Percent of Total Billed Charges,,,, TTAD (TRICYCLIC ANTIDEPRESSANTS) ,80299TC ,CPT,,Outpatient,,,318.5,254.8,237.92,,,,,,,Percent of Total Billed Charges,,237.92,237.92,,318.5,,,,,,,Percent of Total Billed Charges,,,,,305.76,,,,,,,Percent of Total Billed Charges,,,,,302.58,,,,,,,Percent of Total Billed Charges,,,,,63.7,,,,,,,Percent of Total Billed Charges,,,,,270.73,,,,,,,Percent of Total Billed Charges,,,,,66.89,,,,,,,Percent of Total Billed Charges,,,,,286.65,,,,,,,Percent of Total Billed Charges,,,,,286.65,,,,,,,Percent of Total Billed Charges,,,,,63.7,,,,,,,Percent of Total Billed Charges,,,,,89.18,,,,,,,Percent of Total Billed Charges,,,,,254.8,,,,,,,Percent of Total Billed Charges,,,,,63.7,,,,,,,Percent of Total Billed Charges,,,, ...CYCLOSPORINE LEVEL ,80158TC ,CPT,,Outpatient,,,67.5,54,50.42,,,,,,,Percent of Total Billed Charges,,50.42,50.42,,67.5,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,64.13,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,57.38,,,,,,,Percent of Total Billed Charges,,,,,14.18,,,,,,,Percent of Total Billed Charges,,,,,60.75,,,,,,,Percent of Total Billed Charges,,,,,60.75,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,, PREALBUMIN ,84134TC ,CPT,,Outpatient,,,304.5,243.6,227.46,,,,,,,Percent of Total Billed Charges,,227.46,227.46,,304.5,,,,,,,Percent of Total Billed Charges,,,,,292.32,,,,,,,Percent of Total Billed Charges,,,,,289.28,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,258.83,,,,,,,Percent of Total Billed Charges,,,,,63.95,,,,,,,Percent of Total Billed Charges,,,,,274.05,,,,,,,Percent of Total Billed Charges,,,,,274.05,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,85.26,,,,,,,Percent of Total Billed Charges,,,,,243.6,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,, "MYCOPLASMA ANTIBODY, IgG & IgM ",86738TC ,CPT,,Outpatient,,,342.5,274,255.85,,,,,,,Percent of Total Billed Charges,,255.85,255.85,,342.5,,,,,,,Percent of Total Billed Charges,,,,,328.8,,,,,,,Percent of Total Billed Charges,,,,,325.38,,,,,,,Percent of Total Billed Charges,,,,,68.5,,,,,,,Percent of Total Billed Charges,,,,,291.13,,,,,,,Percent of Total Billed Charges,,,,,71.93,,,,,,,Percent of Total Billed Charges,,,,,308.25,,,,,,,Percent of Total Billed Charges,,,,,308.25,,,,,,,Percent of Total Billed Charges,,,,,68.5,,,,,,,Percent of Total Billed Charges,,,,,95.9,,,,,,,Percent of Total Billed Charges,,,,,274,,,,,,,Percent of Total Billed Charges,,,,,68.5,,,,,,,Percent of Total Billed Charges,,,, .BENCE JONES PROTEIN ,86325TC ,CPT,,Outpatient,,,144.5,115.6,107.94,,,,,,,Percent of Total Billed Charges,,107.94,107.94,,144.5,,,,,,,Percent of Total Billed Charges,,,,,138.72,,,,,,,Percent of Total Billed Charges,,,,,137.28,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,122.83,,,,,,,Percent of Total Billed Charges,,,,,30.35,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,40.46,,,,,,,Percent of Total Billed Charges,,,,,115.6,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,, .CHLAMYDIA (BY AMPLIFIED PROBE) ,87491TC ,CPT,,Outpatient,,,136.5,109.2,101.97,,,,,,,Percent of Total Billed Charges,,101.97,101.97,,136.5,,,,,,,Percent of Total Billed Charges,,,,,131.04,,,,,,,Percent of Total Billed Charges,,,,,129.68,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,116.03,,,,,,,Percent of Total Billed Charges,,,,,28.67,,,,,,,Percent of Total Billed Charges,,,,,122.85,,,,,,,Percent of Total Billed Charges,,,,,122.85,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,38.22,,,,,,,Percent of Total Billed Charges,,,,,109.2,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,, "LEGIONELLA ANTIBODY, ACUTE ",86256TC ,CPT,,Outpatient,,,468,374.4,349.6,,,,,,,Percent of Total Billed Charges,,349.6,349.6,,468,,,,,,,Percent of Total Billed Charges,,,,,449.28,,,,,,,Percent of Total Billed Charges,,,,,444.6,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,397.8,,,,,,,Percent of Total Billed Charges,,,,,98.28,,,,,,,Percent of Total Billed Charges,,,,,421.2,,,,,,,Percent of Total Billed Charges,,,,,421.2,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,131.04,,,,,,,Percent of Total Billed Charges,,,,,374.4,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,, "LEGIONELLA ANTIBODY, CONVALESCENT ",86256TC ,CPT,,Outpatient,,,468,374.4,349.6,,,,,,,Percent of Total Billed Charges,,349.6,349.6,,468,,,,,,,Percent of Total Billed Charges,,,,,449.28,,,,,,,Percent of Total Billed Charges,,,,,444.6,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,397.8,,,,,,,Percent of Total Billed Charges,,,,,98.28,,,,,,,Percent of Total Billed Charges,,,,,421.2,,,,,,,Percent of Total Billed Charges,,,,,421.2,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,131.04,,,,,,,Percent of Total Billed Charges,,,,,374.4,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,, CRYOGLOBULIN ,82595TC ,CPT,,Outpatient,,,76.5,61.2,57.15,,,,,,,Percent of Total Billed Charges,,57.15,57.15,,76.5,,,,,,,Percent of Total Billed Charges,,,,,73.44,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,65.03,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,, METHSUXIMIDE (CELONTIN) ,80339TC ,CPT,,Outpatient,,,350,280,261.45,,,,,,,Percent of Total Billed Charges,,261.45,261.45,,350,,,,,,,Percent of Total Billed Charges,,,,,336,,,,,,,Percent of Total Billed Charges,,,,,332.5,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,297.5,,,,,,,Percent of Total Billed Charges,,,,,73.5,,,,,,,Percent of Total Billed Charges,,,,,315,,,,,,,Percent of Total Billed Charges,,,,,315,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,98,,,,,,,Percent of Total Billed Charges,,,,,280,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,, DRUG SCREEN COMPREHENSIVE W/MARIJUANA ,250,RC,,Outpatient,,,534,427.2,398.9,,,,,,,Percent of Total Billed Charges,,398.9,398.9,,534,,,,,,,Percent of Total Billed Charges,,,,,512.64,,,,,,,Percent of Total Billed Charges,,,,,507.3,,,,,,,Percent of Total Billed Charges,,,,,106.8,,,,,,,Percent of Total Billed Charges,,,,,453.9,,,,,,,Percent of Total Billed Charges,,,,,112.14,,,,,,,Percent of Total Billed Charges,,,,,480.6,,,,,,,Percent of Total Billed Charges,,,,,480.6,,,,,,,Percent of Total Billed Charges,,,,,106.8,,,,,,,Percent of Total Billed Charges,,,,,149.52,,,,,,,Percent of Total Billed Charges,,,,,427.2,,,,,,,Percent of Total Billed Charges,,,,,106.8,,,,,,,Percent of Total Billed Charges,,,, ...HIV ,86703TC ,CPT,,Outpatient,,,188.5,150.8,140.81,,,,,,,Percent of Total Billed Charges,,140.81,140.81,,188.5,,,,,,,Percent of Total Billed Charges,,,,,180.96,,,,,,,Percent of Total Billed Charges,,,,,179.08,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,160.23,,,,,,,Percent of Total Billed Charges,,,,,39.59,,,,,,,Percent of Total Billed Charges,,,,,169.65,,,,,,,Percent of Total Billed Charges,,,,,169.65,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,52.78,,,,,,,Percent of Total Billed Charges,,,,,150.8,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,, CA125 ,86304TC ,CPT,,Outpatient,,,218,174.4,162.85,,,,,,,Percent of Total Billed Charges,,162.85,162.85,,218,,,,,,,Percent of Total Billed Charges,,,,,209.28,,,,,,,Percent of Total Billed Charges,,,,,207.1,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,185.3,,,,,,,Percent of Total Billed Charges,,,,,45.78,,,,,,,Percent of Total Billed Charges,,,,,196.2,,,,,,,Percent of Total Billed Charges,,,,,196.2,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,61.04,,,,,,,Percent of Total Billed Charges,,,,,174.4,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,, VITAMIN B 1(THIAMINE) WHOLE BLOOD ,84425TC ,CPT,,Outpatient,,,231,184.8,172.56,,,,,,,Percent of Total Billed Charges,,172.56,172.56,,231,,,,,,,Percent of Total Billed Charges,,,,,221.76,,,,,,,Percent of Total Billed Charges,,,,,219.45,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,196.35,,,,,,,Percent of Total Billed Charges,,,,,48.51,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,, DRUG SCREEN (COMMERCIAL) MEDTOX ,99001,CPT,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, CULTURE CHLAMYDIA ,87110TC ,CPT,,Outpatient,,,192,153.6,143.42,,,,,,,Percent of Total Billed Charges,,143.42,143.42,,192,,,,,,,Percent of Total Billed Charges,,,,,184.32,,,,,,,Percent of Total Billed Charges,,,,,182.4,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,53.76,,,,,,,Percent of Total Billed Charges,,,,,153.6,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,, AMIKACIN PEAK ,80150TC ,CPT,,Outpatient,,,191.5,153.2,143.05,,,,,,,Percent of Total Billed Charges,,143.05,143.05,,191.5,,,,,,,Percent of Total Billed Charges,,,,,183.84,,,,,,,Percent of Total Billed Charges,,,,,181.93,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,162.78,,,,,,,Percent of Total Billed Charges,,,,,40.22,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,53.62,,,,,,,Percent of Total Billed Charges,,,,,153.2,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,, ALPHA FETOPROTEIN TUMOR MARKER ,82105TC ,CPT,,Outpatient,,,178.5,142.8,133.34,,,,,,,Percent of Total Billed Charges,,133.34,133.34,,178.5,,,,,,,Percent of Total Billed Charges,,,,,171.36,,,,,,,Percent of Total Billed Charges,,,,,169.58,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,151.73,,,,,,,Percent of Total Billed Charges,,,,,37.49,,,,,,,Percent of Total Billed Charges,,,,,160.65,,,,,,,Percent of Total Billed Charges,,,,,160.65,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,49.98,,,,,,,Percent of Total Billed Charges,,,,,142.8,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,, CITRIC ACID SERUM ,82507TC ,CPT,,Outpatient,,,607.5,486,453.8,,,,,,,Percent of Total Billed Charges,,453.8,453.8,,607.5,,,,,,,Percent of Total Billed Charges,,,,,583.2,,,,,,,Percent of Total Billed Charges,,,,,577.13,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,,,516.38,,,,,,,Percent of Total Billed Charges,,,,,127.58,,,,,,,Percent of Total Billed Charges,,,,,546.75,,,,,,,Percent of Total Billed Charges,,,,,546.75,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,,,170.1,,,,,,,Percent of Total Billed Charges,,,,,486,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,, CITRIC ACID 24 HR URINE ,82507TC ,CPT,,Outpatient,,,340,272,253.98,,,,,,,Percent of Total Billed Charges,,253.98,253.98,,340,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,323,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,,,289,,,,,,,Percent of Total Billed Charges,,,,,71.4,,,,,,,Percent of Total Billed Charges,,,,,306,,,,,,,Percent of Total Billed Charges,,,,,306,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,,,95.2,,,,,,,Percent of Total Billed Charges,,,,,272,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,, LYME ANTIBODIES ,86618TC ,CPT,,Outpatient,,,302.5,242,225.97,,,,,,,Percent of Total Billed Charges,,225.97,225.97,,302.5,,,,,,,Percent of Total Billed Charges,,,,,290.4,,,,,,,Percent of Total Billed Charges,,,,,287.38,,,,,,,Percent of Total Billed Charges,,,,,60.5,,,,,,,Percent of Total Billed Charges,,,,,257.13,,,,,,,Percent of Total Billed Charges,,,,,63.53,,,,,,,Percent of Total Billed Charges,,,,,272.25,,,,,,,Percent of Total Billed Charges,,,,,272.25,,,,,,,Percent of Total Billed Charges,,,,,60.5,,,,,,,Percent of Total Billed Charges,,,,,84.7,,,,,,,Percent of Total Billed Charges,,,,,242,,,,,,,Percent of Total Billed Charges,,,,,60.5,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS B SURF AG (HBsAg) ,87340TC ,CPT,,Outpatient,,,153,122.4,114.29,,,,,,,Percent of Total Billed Charges,,114.29,114.29,,153,,,,,,,Percent of Total Billed Charges,,,,,146.88,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,32.13,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,122.4,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,, PSA ,84153TC ,CPT,,Outpatient,,,281,224.8,209.91,,,,,,,Percent of Total Billed Charges,,209.91,209.91,,281,,,,,,,Percent of Total Billed Charges,,,,,269.76,,,,,,,Percent of Total Billed Charges,,,,,266.95,,,,,,,Percent of Total Billed Charges,,,,,56.2,,,,,,,Percent of Total Billed Charges,,,,,238.85,,,,,,,Percent of Total Billed Charges,,,,,59.01,,,,,,,Percent of Total Billed Charges,,,,,252.9,,,,,,,Percent of Total Billed Charges,,,,,252.9,,,,,,,Percent of Total Billed Charges,,,,,56.2,,,,,,,Percent of Total Billed Charges,,,,,78.68,,,,,,,Percent of Total Billed Charges,,,,,224.8,,,,,,,Percent of Total Billed Charges,,,,,56.2,,,,,,,Percent of Total Billed Charges,,,, HERPES SIMPLEX CULTURE ,87255TC ,CPT,,Outpatient,,,182.5,146,136.33,,,,,,,Percent of Total Billed Charges,,136.33,136.33,,182.5,,,,,,,Percent of Total Billed Charges,,,,,175.2,,,,,,,Percent of Total Billed Charges,,,,,173.38,,,,,,,Percent of Total Billed Charges,,,,,36.5,,,,,,,Percent of Total Billed Charges,,,,,155.13,,,,,,,Percent of Total Billed Charges,,,,,38.33,,,,,,,Percent of Total Billed Charges,,,,,164.25,,,,,,,Percent of Total Billed Charges,,,,,164.25,,,,,,,Percent of Total Billed Charges,,,,,36.5,,,,,,,Percent of Total Billed Charges,,,,,51.1,,,,,,,Percent of Total Billed Charges,,,,,146,,,,,,,Percent of Total Billed Charges,,,,,36.5,,,,,,,Percent of Total Billed Charges,,,, C DIFFICILE TOXIN PCR ,87493TC ,CPT,,Outpatient,,,425,340,317.48,,,,,,,Percent of Total Billed Charges,,317.48,317.48,,425,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,403.75,,,,,,,Percent of Total Billed Charges,,,,,85,,,,,,,Percent of Total Billed Charges,,,,,361.25,,,,,,,Percent of Total Billed Charges,,,,,89.25,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,85,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,340,,,,,,,Percent of Total Billed Charges,,,,,85,,,,,,,Percent of Total Billed Charges,,,, LYMPHOCYTE SUBSET PANEL 4 ,86359TC ,CPT,,Outpatient,,,751,600.8,561,,,,,,,Percent of Total Billed Charges,,561,561,,751,,,,,,,Percent of Total Billed Charges,,,,,720.96,,,,,,,Percent of Total Billed Charges,,,,,713.45,,,,,,,Percent of Total Billed Charges,,,,,150.2,,,,,,,Percent of Total Billed Charges,,,,,638.35,,,,,,,Percent of Total Billed Charges,,,,,157.71,,,,,,,Percent of Total Billed Charges,,,,,675.9,,,,,,,Percent of Total Billed Charges,,,,,675.9,,,,,,,Percent of Total Billed Charges,,,,,150.2,,,,,,,Percent of Total Billed Charges,,,,,210.28,,,,,,,Percent of Total Billed Charges,,,,,600.8,,,,,,,Percent of Total Billed Charges,,,,,150.2,,,,,,,Percent of Total Billed Charges,,,, .PANEL 10 (X10 DRUG CLASSES) ,80307TC ,CPT,,Outpatient,,,23,18.4,17.18,,,,,,,Percent of Total Billed Charges,,17.18,17.18,,23,,,,,,,Percent of Total Billed Charges,,,,,22.08,,,,,,,Percent of Total Billed Charges,,,,,21.85,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,19.55,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,, AMIKACIN TROUGH ,80150TC ,CPT,,Outpatient,,,191.5,153.2,143.05,,,,,,,Percent of Total Billed Charges,,143.05,143.05,,191.5,,,,,,,Percent of Total Billed Charges,,,,,183.84,,,,,,,Percent of Total Billed Charges,,,,,181.93,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,162.78,,,,,,,Percent of Total Billed Charges,,,,,40.22,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,53.62,,,,,,,Percent of Total Billed Charges,,,,,153.2,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,, ...DRUG ABUSE SCREEN-1 (PANEL 5) ,80100,CPT,,Outpatient,,,238,190.4,177.79,,,,,,,Percent of Total Billed Charges,,177.79,177.79,,238,,,,,,,Percent of Total Billed Charges,,,,,228.48,,,,,,,Percent of Total Billed Charges,,,,,226.1,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,,,202.3,,,,,,,Percent of Total Billed Charges,,,,,49.98,,,,,,,Percent of Total Billed Charges,,,,,214.2,,,,,,,Percent of Total Billed Charges,,,,,214.2,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,,,66.64,,,,,,,Percent of Total Billed Charges,,,,,190.4,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,, CA 15-3 ,86300TC ,CPT,,Outpatient,,,298,238.4,222.61,,,,,,,Percent of Total Billed Charges,,222.61,222.61,,298,,,,,,,Percent of Total Billed Charges,,,,,286.08,,,,,,,Percent of Total Billed Charges,,,,,283.1,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,,,62.58,,,,,,,Percent of Total Billed Charges,,,,,268.2,,,,,,,Percent of Total Billed Charges,,,,,268.2,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,,,83.44,,,,,,,Percent of Total Billed Charges,,,,,238.4,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,, ..GTT ADD'L SPEC ,82952TC ,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, .IRON (NO TIBC) ,83540TC ,CPT,,Outpatient,,,198.5,158.8,148.28,,,,,,,Percent of Total Billed Charges,,148.28,148.28,,198.5,,,,,,,Percent of Total Billed Charges,,,,,190.56,,,,,,,Percent of Total Billed Charges,,,,,188.58,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,168.73,,,,,,,Percent of Total Billed Charges,,,,,41.69,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,158.8,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,, .TIBC (NO IRON) ,83550TC ,CPT,,Outpatient,,,198.5,158.8,148.28,,,,,,,Percent of Total Billed Charges,,148.28,148.28,,198.5,,,,,,,Percent of Total Billed Charges,,,,,190.56,,,,,,,Percent of Total Billed Charges,,,,,188.58,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,168.73,,,,,,,Percent of Total Billed Charges,,,,,41.69,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,158.8,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,, ..PKU NEONATAL ,84030,CPT,,Outpatient,,,50,40,37.35,,,,,,,Percent of Total Billed Charges,,37.35,37.35,,50,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,, ..T4 NEONATAL ,84437,CPT,,Outpatient,,,50,40,37.35,,,,,,,Percent of Total Billed Charges,,37.35,37.35,,50,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,, ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODY ,86036TC ,CPT,,Outpatient,,,726,580.8,542.32,,,,,,,Percent of Total Billed Charges,,542.32,542.32,,726,,,,,,,Percent of Total Billed Charges,,,,,696.96,,,,,,,Percent of Total Billed Charges,,,,,689.7,,,,,,,Percent of Total Billed Charges,,,,,145.2,,,,,,,Percent of Total Billed Charges,,,,,617.1,,,,,,,Percent of Total Billed Charges,,,,,152.46,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,653.4,,,,,,,Percent of Total Billed Charges,,,,,145.2,,,,,,,Percent of Total Billed Charges,,,,,203.28,,,,,,,Percent of Total Billed Charges,,,,,580.8,,,,,,,Percent of Total Billed Charges,,,,,145.2,,,,,,,Percent of Total Billed Charges,,,, BETA 2 MICROGLOBULIN ,82232TC ,CPT,,Outpatient,,,278,222.4,207.67,,,,,,,Percent of Total Billed Charges,,207.67,207.67,,278,,,,,,,Percent of Total Billed Charges,,,,,266.88,,,,,,,Percent of Total Billed Charges,,,,,264.1,,,,,,,Percent of Total Billed Charges,,,,,55.6,,,,,,,Percent of Total Billed Charges,,,,,236.3,,,,,,,Percent of Total Billed Charges,,,,,58.38,,,,,,,Percent of Total Billed Charges,,,,,250.2,,,,,,,Percent of Total Billed Charges,,,,,250.2,,,,,,,Percent of Total Billed Charges,,,,,55.6,,,,,,,Percent of Total Billed Charges,,,,,77.84,,,,,,,Percent of Total Billed Charges,,,,,222.4,,,,,,,Percent of Total Billed Charges,,,,,55.6,,,,,,,Percent of Total Billed Charges,,,, KEPPRA ,80177TC ,CPT,,Outpatient,,,374.5,299.6,279.75,,,,,,,Percent of Total Billed Charges,,279.75,279.75,,374.5,,,,,,,Percent of Total Billed Charges,,,,,359.52,,,,,,,Percent of Total Billed Charges,,,,,355.78,,,,,,,Percent of Total Billed Charges,,,,,74.9,,,,,,,Percent of Total Billed Charges,,,,,318.33,,,,,,,Percent of Total Billed Charges,,,,,78.65,,,,,,,Percent of Total Billed Charges,,,,,337.05,,,,,,,Percent of Total Billed Charges,,,,,337.05,,,,,,,Percent of Total Billed Charges,,,,,74.9,,,,,,,Percent of Total Billed Charges,,,,,104.86,,,,,,,Percent of Total Billed Charges,,,,,299.6,,,,,,,Percent of Total Billed Charges,,,,,74.9,,,,,,,Percent of Total Billed Charges,,,, .POTASSIUM - PLASMA ,84132TC ,CPT,,Outpatient,,,80.5,64.4,60.13,,,,,,,Percent of Total Billed Charges,,60.13,60.13,,80.5,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,76.48,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,68.43,,,,,,,Percent of Total Billed Charges,,,,,16.91,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,22.54,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,, DRUG SCREEN (MOST) ALERE ,250,RC,,Outpatient,,,36,28.8,26.89,,,,,,,Percent of Total Billed Charges,,26.89,26.89,,36,,,,,,,Percent of Total Billed Charges,,,,,34.56,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,32.4,,,,,,,Percent of Total Billed Charges,,,,,32.4,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,, LDH ISOENZYMES ,83625TC ,CPT,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, PROTOPORPHYRIN (FREE ERYTHROCYTE) ,84202TC ,CPT,,Outpatient,,,141.5,113.2,105.7,,,,,,,Percent of Total Billed Charges,,105.7,105.7,,141.5,,,,,,,Percent of Total Billed Charges,,,,,135.84,,,,,,,Percent of Total Billed Charges,,,,,134.43,,,,,,,Percent of Total Billed Charges,,,,,28.3,,,,,,,Percent of Total Billed Charges,,,,,120.28,,,,,,,Percent of Total Billed Charges,,,,,29.72,,,,,,,Percent of Total Billed Charges,,,,,127.35,,,,,,,Percent of Total Billed Charges,,,,,127.35,,,,,,,Percent of Total Billed Charges,,,,,28.3,,,,,,,Percent of Total Billed Charges,,,,,39.62,,,,,,,Percent of Total Billed Charges,,,,,113.2,,,,,,,Percent of Total Billed Charges,,,,,28.3,,,,,,,Percent of Total Billed Charges,,,, ACETYLCHOL REC BINDING ANTIBODY ,83519TC ,CPT,,Outpatient,,,408.5,326.8,305.15,,,,,,,Percent of Total Billed Charges,,305.15,305.15,,408.5,,,,,,,Percent of Total Billed Charges,,,,,392.16,,,,,,,Percent of Total Billed Charges,,,,,388.08,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,,,347.23,,,,,,,Percent of Total Billed Charges,,,,,85.79,,,,,,,Percent of Total Billed Charges,,,,,367.65,,,,,,,Percent of Total Billed Charges,,,,,367.65,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,,,114.38,,,,,,,Percent of Total Billed Charges,,,,,326.8,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,, "BACTI ID, WOUND/SPUTUM/OTHER ",87070TC ,CPT,,Outpatient,,,179.5,143.6,134.09,,,,,,,Percent of Total Billed Charges,,134.09,134.09,,179.5,,,,,,,Percent of Total Billed Charges,,,,,172.32,,,,,,,Percent of Total Billed Charges,,,,,170.53,,,,,,,Percent of Total Billed Charges,,,,,35.9,,,,,,,Percent of Total Billed Charges,,,,,152.58,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,161.55,,,,,,,Percent of Total Billed Charges,,,,,161.55,,,,,,,Percent of Total Billed Charges,,,,,35.9,,,,,,,Percent of Total Billed Charges,,,,,50.26,,,,,,,Percent of Total Billed Charges,,,,,143.6,,,,,,,Percent of Total Billed Charges,,,,,35.9,,,,,,,Percent of Total Billed Charges,,,, SUSCEPTIBILITY TEST ,87186TC ,CPT,,Outpatient,,,94.5,75.6,70.59,,,,,,,Percent of Total Billed Charges,,70.59,70.59,,94.5,,,,,,,Percent of Total Billed Charges,,,,,90.72,,,,,,,Percent of Total Billed Charges,,,,,89.78,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,80.33,,,,,,,Percent of Total Billed Charges,,,,,19.85,,,,,,,Percent of Total Billed Charges,,,,,85.05,,,,,,,Percent of Total Billed Charges,,,,,85.05,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,26.46,,,,,,,Percent of Total Billed Charges,,,,,75.6,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,, RAST- INDIVIDUAL ALLERGENS ,86003TC ,CPT,,Outpatient,,,45,36,33.62,,,,,,,Percent of Total Billed Charges,,33.62,33.62,,45,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,42.75,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,38.25,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,, COMPLEMENT C4 ,86160TC ,CPT,,Outpatient,,,204,163.2,152.39,,,,,,,Percent of Total Billed Charges,,152.39,152.39,,204,,,,,,,Percent of Total Billed Charges,,,,,195.84,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,173.4,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS B SURF AB ,86317TC ,CPT,,Outpatient,,,112,89.6,83.66,,,,,,,Percent of Total Billed Charges,,83.66,83.66,,112,,,,,,,Percent of Total Billed Charges,,,,,107.52,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,95.2,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,31.36,,,,,,,Percent of Total Billed Charges,,,,,89.6,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,, FUNGAL SMEAR ,87205TC ,CPT,,Outpatient,,,58,46.4,43.33,,,,,,,Percent of Total Billed Charges,,43.33,43.33,,58,,,,,,,Percent of Total Billed Charges,,,,,55.68,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,16.24,,,,,,,Percent of Total Billed Charges,,,,,46.4,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,, ANTI DNA AB -- DOUBLE-STRANDED ,86225TC ,CPT,,Outpatient,,,304.5,243.6,227.46,,,,,,,Percent of Total Billed Charges,,227.46,227.46,,304.5,,,,,,,Percent of Total Billed Charges,,,,,292.32,,,,,,,Percent of Total Billed Charges,,,,,289.28,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,258.83,,,,,,,Percent of Total Billed Charges,,,,,63.95,,,,,,,Percent of Total Billed Charges,,,,,274.05,,,,,,,Percent of Total Billed Charges,,,,,274.05,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,85.26,,,,,,,Percent of Total Billed Charges,,,,,243.6,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,, "MYOGLOBIN, SERUM ",83874TC ,CPT,,Outpatient,,,231,184.8,172.56,,,,,,,Percent of Total Billed Charges,,172.56,172.56,,231,,,,,,,Percent of Total Billed Charges,,,,,221.76,,,,,,,Percent of Total Billed Charges,,,,,219.45,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,196.35,,,,,,,Percent of Total Billed Charges,,,,,48.51,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,, CMV IgG ANTIBODY ,86644TC ,CPT,,Outpatient,,,162.5,130,121.39,,,,,,,Percent of Total Billed Charges,,121.39,121.39,,162.5,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,154.38,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,,,138.13,,,,,,,Percent of Total Billed Charges,,,,,34.13,,,,,,,Percent of Total Billed Charges,,,,,146.25,,,,,,,Percent of Total Billed Charges,,,,,146.25,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,,,45.5,,,,,,,Percent of Total Billed Charges,,,,,130,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,, CMV IgM ANTIBODY ,86645TC ,CPT,,Outpatient,,,511.5,409.2,382.09,,,,,,,Percent of Total Billed Charges,,382.09,382.09,,511.5,,,,,,,Percent of Total Billed Charges,,,,,491.04,,,,,,,Percent of Total Billed Charges,,,,,485.93,,,,,,,Percent of Total Billed Charges,,,,,102.3,,,,,,,Percent of Total Billed Charges,,,,,434.78,,,,,,,Percent of Total Billed Charges,,,,,107.42,,,,,,,Percent of Total Billed Charges,,,,,460.35,,,,,,,Percent of Total Billed Charges,,,,,460.35,,,,,,,Percent of Total Billed Charges,,,,,102.3,,,,,,,Percent of Total Billed Charges,,,,,143.22,,,,,,,Percent of Total Billed Charges,,,,,409.2,,,,,,,Percent of Total Billed Charges,,,,,102.3,,,,,,,Percent of Total Billed Charges,,,, "CARBAMAZEPINE, FREE & TOTAL ",80156TC ,CPT,,Outpatient,,,442,353.6,330.17,,,,,,,Percent of Total Billed Charges,,330.17,330.17,,442,,,,,,,Percent of Total Billed Charges,,,,,424.32,,,,,,,Percent of Total Billed Charges,,,,,419.9,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,375.7,,,,,,,Percent of Total Billed Charges,,,,,92.82,,,,,,,Percent of Total Billed Charges,,,,,397.8,,,,,,,Percent of Total Billed Charges,,,,,397.8,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,123.76,,,,,,,Percent of Total Billed Charges,,,,,353.6,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,, .PROTEIN URINE ELECTROPHORESIS ,84165TC ,CPT,,Outpatient,,,140,112,104.58,,,,,,,Percent of Total Billed Charges,,104.58,104.58,,140,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,, ..IEP IMMUNOELECTROPHORESIS URINE ,86325TC ,CPT,,Outpatient,,,329.5,263.6,246.14,,,,,,,Percent of Total Billed Charges,,246.14,246.14,,329.5,,,,,,,Percent of Total Billed Charges,,,,,316.32,,,,,,,Percent of Total Billed Charges,,,,,313.03,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,,,280.08,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,296.55,,,,,,,Percent of Total Billed Charges,,,,,296.55,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,,,92.26,,,,,,,Percent of Total Billed Charges,,,,,263.6,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,, ROTAVIRUS ANTIGEN DETECTION ,87425TC ,CPT,,Outpatient,,,245.5,196.4,183.39,,,,,,,Percent of Total Billed Charges,,183.39,183.39,,245.5,,,,,,,Percent of Total Billed Charges,,,,,235.68,,,,,,,Percent of Total Billed Charges,,,,,233.23,,,,,,,Percent of Total Billed Charges,,,,,49.1,,,,,,,Percent of Total Billed Charges,,,,,208.68,,,,,,,Percent of Total Billed Charges,,,,,51.56,,,,,,,Percent of Total Billed Charges,,,,,220.95,,,,,,,Percent of Total Billed Charges,,,,,220.95,,,,,,,Percent of Total Billed Charges,,,,,49.1,,,,,,,Percent of Total Billed Charges,,,,,68.74,,,,,,,Percent of Total Billed Charges,,,,,196.4,,,,,,,Percent of Total Billed Charges,,,,,49.1,,,,,,,Percent of Total Billed Charges,,,, QUINIDINE ,80194TC ,CPT,,Outpatient,,,153,122.4,114.29,,,,,,,Percent of Total Billed Charges,,114.29,114.29,,153,,,,,,,Percent of Total Billed Charges,,,,,146.88,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,32.13,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,122.4,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,, ADDITIONAL CASSETTES ,250,RC,,Outpatient,,,54.5,43.6,40.71,,,,,,,Percent of Total Billed Charges,,40.71,40.71,,54.5,,,,,,,Percent of Total Billed Charges,,,,,52.32,,,,,,,Percent of Total Billed Charges,,,,,51.78,,,,,,,Percent of Total Billed Charges,,,,,10.9,,,,,,,Percent of Total Billed Charges,,,,,46.33,,,,,,,Percent of Total Billed Charges,,,,,11.45,,,,,,,Percent of Total Billed Charges,,,,,49.05,,,,,,,Percent of Total Billed Charges,,,,,49.05,,,,,,,Percent of Total Billed Charges,,,,,10.9,,,,,,,Percent of Total Billed Charges,,,,,15.26,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,10.9,,,,,,,Percent of Total Billed Charges,,,, 24 HR URINE FOR QUANT KAPPA LIGHT CHAINS,86325TC ,CPT,,Outpatient,,,394,315.2,294.32,,,,,,,Percent of Total Billed Charges,,294.32,294.32,,394,,,,,,,Percent of Total Billed Charges,,,,,378.24,,,,,,,Percent of Total Billed Charges,,,,,374.3,,,,,,,Percent of Total Billed Charges,,,,,78.8,,,,,,,Percent of Total Billed Charges,,,,,334.9,,,,,,,Percent of Total Billed Charges,,,,,82.74,,,,,,,Percent of Total Billed Charges,,,,,354.6,,,,,,,Percent of Total Billed Charges,,,,,354.6,,,,,,,Percent of Total Billed Charges,,,,,78.8,,,,,,,Percent of Total Billed Charges,,,,,110.32,,,,,,,Percent of Total Billed Charges,,,,,315.2,,,,,,,Percent of Total Billed Charges,,,,,78.8,,,,,,,Percent of Total Billed Charges,,,, LDH-FLUID ,83615TC ,CPT,,Outpatient,,,147,117.6,109.81,,,,,,,Percent of Total Billed Charges,,109.81,109.81,,147,,,,,,,Percent of Total Billed Charges,,,,,141.12,,,,,,,Percent of Total Billed Charges,,,,,139.65,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,124.95,,,,,,,Percent of Total Billed Charges,,,,,30.87,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,, GLUCOSE-FLUID ,82945TC ,CPT,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, URIC ACID-FLUID ,84550TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, CHLORIDE-FLUID ,82435TC ,CPT,,Outpatient,,,93.5,74.8,69.84,,,,,,,Percent of Total Billed Charges,,69.84,69.84,,93.5,,,,,,,Percent of Total Billed Charges,,,,,89.76,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,79.48,,,,,,,Percent of Total Billed Charges,,,,,19.64,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,26.18,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,, AMYLASE-FLUID ,82150TC ,CPT,,Outpatient,,,166,132.8,124,,,,,,,Percent of Total Billed Charges,,124,124,,166,,,,,,,Percent of Total Billed Charges,,,,,159.36,,,,,,,Percent of Total Billed Charges,,,,,157.7,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,141.1,,,,,,,Percent of Total Billed Charges,,,,,34.86,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,46.48,,,,,,,Percent of Total Billed Charges,,,,,132.8,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,, ALKALINE PHOSPHATASE-FLUID ,84075TC ,CPT,,Outpatient,,,134.5,107.6,100.47,,,,,,,Percent of Total Billed Charges,,100.47,100.47,,134.5,,,,,,,Percent of Total Billed Charges,,,,,129.12,,,,,,,Percent of Total Billed Charges,,,,,127.78,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,114.33,,,,,,,Percent of Total Billed Charges,,,,,28.25,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,37.66,,,,,,,Percent of Total Billed Charges,,,,,107.6,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,, "CALCIUM, IONIZED ",82330TC ,CPT,,Outpatient,,,120.5,96.4,90.01,,,,,,,Percent of Total Billed Charges,,90.01,90.01,,120.5,,,,,,,Percent of Total Billed Charges,,,,,115.68,,,,,,,Percent of Total Billed Charges,,,,,114.48,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,102.43,,,,,,,Percent of Total Billed Charges,,,,,25.31,,,,,,,Percent of Total Billed Charges,,,,,108.45,,,,,,,Percent of Total Billed Charges,,,,,108.45,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,33.74,,,,,,,Percent of Total Billed Charges,,,,,96.4,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,, "MELANIN, URINE ",81005TC ,CPT,,Outpatient,,,212,169.6,158.36,,,,,,,Percent of Total Billed Charges,,158.36,158.36,,212,,,,,,,Percent of Total Billed Charges,,,,,203.52,,,,,,,Percent of Total Billed Charges,,,,,201.4,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,180.2,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,59.36,,,,,,,Percent of Total Billed Charges,,,,,169.6,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,, "CATECHOLAMINES, PLASMA ",82384TC ,CPT,,Outpatient,,,346.5,277.2,258.84,,,,,,,Percent of Total Billed Charges,,258.84,258.84,,346.5,,,,,,,Percent of Total Billed Charges,,,,,332.64,,,,,,,Percent of Total Billed Charges,,,,,329.18,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,294.53,,,,,,,Percent of Total Billed Charges,,,,,72.77,,,,,,,Percent of Total Billed Charges,,,,,311.85,,,,,,,Percent of Total Billed Charges,,,,,311.85,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,97.02,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,, ALDOLASE ,82085TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, CA 19-9 ,86301TC ,CPT,,Outpatient,,,302.5,242,225.97,,,,,,,Percent of Total Billed Charges,,225.97,225.97,,302.5,,,,,,,Percent of Total Billed Charges,,,,,290.4,,,,,,,Percent of Total Billed Charges,,,,,287.38,,,,,,,Percent of Total Billed Charges,,,,,60.5,,,,,,,Percent of Total Billed Charges,,,,,257.13,,,,,,,Percent of Total Billed Charges,,,,,63.53,,,,,,,Percent of Total Billed Charges,,,,,272.25,,,,,,,Percent of Total Billed Charges,,,,,272.25,,,,,,,Percent of Total Billed Charges,,,,,60.5,,,,,,,Percent of Total Billed Charges,,,,,84.7,,,,,,,Percent of Total Billed Charges,,,,,242,,,,,,,Percent of Total Billed Charges,,,,,60.5,,,,,,,Percent of Total Billed Charges,,,, "ESTROGENS, TOTAL ",82671TC ,CPT,,Outpatient,,,275.5,220.4,205.8,,,,,,,Percent of Total Billed Charges,,205.8,205.8,,275.5,,,,,,,Percent of Total Billed Charges,,,,,264.48,,,,,,,Percent of Total Billed Charges,,,,,261.73,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,57.86,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,77.14,,,,,,,Percent of Total Billed Charges,,,,,220.4,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,, RESTORIL ,250,RC,,Outpatient,,,358,286.4,267.43,,,,,,,Percent of Total Billed Charges,,267.43,267.43,,358,,,,,,,Percent of Total Billed Charges,,,,,343.68,,,,,,,Percent of Total Billed Charges,,,,,340.1,,,,,,,Percent of Total Billed Charges,,,,,71.6,,,,,,,Percent of Total Billed Charges,,,,,304.3,,,,,,,Percent of Total Billed Charges,,,,,75.18,,,,,,,Percent of Total Billed Charges,,,,,322.2,,,,,,,Percent of Total Billed Charges,,,,,322.2,,,,,,,Percent of Total Billed Charges,,,,,71.6,,,,,,,Percent of Total Billed Charges,,,,,100.24,,,,,,,Percent of Total Billed Charges,,,,,286.4,,,,,,,Percent of Total Billed Charges,,,,,71.6,,,,,,,Percent of Total Billed Charges,,,, "COCAINE, URINE QUAL. ",250,RC,,Outpatient,,,385.5,308.4,287.97,,,,,,,Percent of Total Billed Charges,,287.97,287.97,,385.5,,,,,,,Percent of Total Billed Charges,,,,,370.08,,,,,,,Percent of Total Billed Charges,,,,,366.23,,,,,,,Percent of Total Billed Charges,,,,,77.1,,,,,,,Percent of Total Billed Charges,,,,,327.68,,,,,,,Percent of Total Billed Charges,,,,,80.96,,,,,,,Percent of Total Billed Charges,,,,,346.95,,,,,,,Percent of Total Billed Charges,,,,,346.95,,,,,,,Percent of Total Billed Charges,,,,,77.1,,,,,,,Percent of Total Billed Charges,,,,,107.94,,,,,,,Percent of Total Billed Charges,,,,,308.4,,,,,,,Percent of Total Billed Charges,,,,,77.1,,,,,,,Percent of Total Billed Charges,,,, VLDL CHOLESTEROL ,83719TC ,CPT,,Outpatient,,,263.5,210.8,196.83,,,,,,,Percent of Total Billed Charges,,196.83,196.83,,263.5,,,,,,,Percent of Total Billed Charges,,,,,252.96,,,,,,,Percent of Total Billed Charges,,,,,250.33,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,,,223.98,,,,,,,Percent of Total Billed Charges,,,,,55.34,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,,,73.78,,,,,,,Percent of Total Billed Charges,,,,,210.8,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN PEAK ,80202TC ,CPT,,Outpatient,,,231.5,185.2,172.93,,,,,,,Percent of Total Billed Charges,,172.93,172.93,,231.5,,,,,,,Percent of Total Billed Charges,,,,,222.24,,,,,,,Percent of Total Billed Charges,,,,,219.93,,,,,,,Percent of Total Billed Charges,,,,,46.3,,,,,,,Percent of Total Billed Charges,,,,,196.78,,,,,,,Percent of Total Billed Charges,,,,,48.62,,,,,,,Percent of Total Billed Charges,,,,,208.35,,,,,,,Percent of Total Billed Charges,,,,,208.35,,,,,,,Percent of Total Billed Charges,,,,,46.3,,,,,,,Percent of Total Billed Charges,,,,,64.82,,,,,,,Percent of Total Billed Charges,,,,,185.2,,,,,,,Percent of Total Billed Charges,,,,,46.3,,,,,,,Percent of Total Billed Charges,,,, VANCOMYCIN TROUGH ,80202TC ,CPT,,Outpatient,,,231.5,185.2,172.93,,,,,,,Percent of Total Billed Charges,,172.93,172.93,,231.5,,,,,,,Percent of Total Billed Charges,,,,,222.24,,,,,,,Percent of Total Billed Charges,,,,,219.93,,,,,,,Percent of Total Billed Charges,,,,,46.3,,,,,,,Percent of Total Billed Charges,,,,,196.78,,,,,,,Percent of Total Billed Charges,,,,,48.62,,,,,,,Percent of Total Billed Charges,,,,,208.35,,,,,,,Percent of Total Billed Charges,,,,,208.35,,,,,,,Percent of Total Billed Charges,,,,,46.3,,,,,,,Percent of Total Billed Charges,,,,,64.82,,,,,,,Percent of Total Billed Charges,,,,,185.2,,,,,,,Percent of Total Billed Charges,,,,,46.3,,,,,,,Percent of Total Billed Charges,,,, HEMOQUANT ,84126TC ,CPT,,Outpatient,,,159,127.2,118.77,,,,,,,Percent of Total Billed Charges,,118.77,118.77,,159,,,,,,,Percent of Total Billed Charges,,,,,152.64,,,,,,,Percent of Total Billed Charges,,,,,151.05,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,135.15,,,,,,,Percent of Total Billed Charges,,,,,33.39,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,127.2,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,, CULTURE VIBRIO ,87045TC ,CPT,,Outpatient,,,196,156.8,146.41,,,,,,,Percent of Total Billed Charges,,146.41,146.41,,196,,,,,,,Percent of Total Billed Charges,,,,,188.16,,,,,,,Percent of Total Billed Charges,,,,,186.2,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,166.6,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,54.88,,,,,,,Percent of Total Billed Charges,,,,,156.8,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,, .CULTURE C. DIFF ,87230TC ,CPT,,Outpatient,,,110.5,88.4,82.54,,,,,,,Percent of Total Billed Charges,,82.54,82.54,,110.5,,,,,,,Percent of Total Billed Charges,,,,,106.08,,,,,,,Percent of Total Billed Charges,,,,,104.98,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,93.93,,,,,,,Percent of Total Billed Charges,,,,,23.21,,,,,,,Percent of Total Billed Charges,,,,,99.45,,,,,,,Percent of Total Billed Charges,,,,,99.45,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,30.94,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,, "BACTI ID, ANAEROBIC ",87076TC ,CPT,,Outpatient,,,124,99.2,92.63,,,,,,,Percent of Total Billed Charges,,92.63,92.63,,124,,,,,,,Percent of Total Billed Charges,,,,,119.04,,,,,,,Percent of Total Billed Charges,,,,,117.8,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,105.4,,,,,,,Percent of Total Billed Charges,,,,,26.04,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,34.72,,,,,,,Percent of Total Billed Charges,,,,,99.2,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,, DNA CELL CYCLE ANALYSIS ,250,RC,,Outpatient,,,859,687.2,641.67,,,,,,,Percent of Total Billed Charges,,641.67,641.67,,859,,,,,,,Percent of Total Billed Charges,,,,,824.64,,,,,,,Percent of Total Billed Charges,,,,,816.05,,,,,,,Percent of Total Billed Charges,,,,,171.8,,,,,,,Percent of Total Billed Charges,,,,,730.15,,,,,,,Percent of Total Billed Charges,,,,,180.39,,,,,,,Percent of Total Billed Charges,,,,,773.1,,,,,,,Percent of Total Billed Charges,,,,,773.1,,,,,,,Percent of Total Billed Charges,,,,,171.8,,,,,,,Percent of Total Billed Charges,,,,,240.52,,,,,,,Percent of Total Billed Charges,,,,,687.2,,,,,,,Percent of Total Billed Charges,,,,,171.8,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS C ANTIBODY ,86803TC ,CPT,,Outpatient,,,301.5,241.2,225.22,,,,,,,Percent of Total Billed Charges,,225.22,225.22,,301.5,,,,,,,Percent of Total Billed Charges,,,,,289.44,,,,,,,Percent of Total Billed Charges,,,,,286.43,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,256.28,,,,,,,Percent of Total Billed Charges,,,,,63.32,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,84.42,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,, SODIUM RANDOM URINE ,84300TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, TAMBOCOR (FLECAINIDE) ,80150TC ,CPT,,Outpatient,,,91.5,73.2,68.35,,,,,,,Percent of Total Billed Charges,,68.35,68.35,,91.5,,,,,,,Percent of Total Billed Charges,,,,,87.84,,,,,,,Percent of Total Billed Charges,,,,,86.93,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,,,77.78,,,,,,,Percent of Total Billed Charges,,,,,19.22,,,,,,,Percent of Total Billed Charges,,,,,82.35,,,,,,,Percent of Total Billed Charges,,,,,82.35,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,,,25.62,,,,,,,Percent of Total Billed Charges,,,,,73.2,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,, BB DIRECTED DONOR UNIT ADMIN & ARC PROC ,36430TC ,CPT,,Outpatient,,,782.5,626,584.53,,,,,,,Percent of Total Billed Charges,,584.53,584.53,,782.5,,,,,,,Percent of Total Billed Charges,,,,,751.2,,,,,,,Percent of Total Billed Charges,,,,,743.38,,,,,,,Percent of Total Billed Charges,,,,,156.5,,,,,,,Percent of Total Billed Charges,,,,,665.13,,,,,,,Percent of Total Billed Charges,,,,,164.33,,,,,,,Percent of Total Billed Charges,,,,,704.25,,,,,,,Percent of Total Billed Charges,,,,,704.25,,,,,,,Percent of Total Billed Charges,,,,,156.5,,,,,,,Percent of Total Billed Charges,,,,,219.1,,,,,,,Percent of Total Billed Charges,,,,,626,,,,,,,Percent of Total Billed Charges,,,,,156.5,,,,,,,Percent of Total Billed Charges,,,, ...CRYPTOCOCCUS ANTIGEN CSF ,86171,CPT,,Outpatient,,,426,340.8,318.22,,,,,,,Percent of Total Billed Charges,,318.22,318.22,,426,,,,,,,Percent of Total Billed Charges,,,,,408.96,,,,,,,Percent of Total Billed Charges,,,,,404.7,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,362.1,,,,,,,Percent of Total Billed Charges,,,,,89.46,,,,,,,Percent of Total Billed Charges,,,,,383.4,,,,,,,Percent of Total Billed Charges,,,,,383.4,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,119.28,,,,,,,Percent of Total Billed Charges,,,,,340.8,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,, ...EXECUTIVE SCREENING ,250,RC,,Outpatient,,,369,295.2,275.64,,,,,,,Percent of Total Billed Charges,,275.64,275.64,,369,,,,,,,Percent of Total Billed Charges,,,,,354.24,,,,,,,Percent of Total Billed Charges,,,,,350.55,,,,,,,Percent of Total Billed Charges,,,,,73.8,,,,,,,Percent of Total Billed Charges,,,,,313.65,,,,,,,Percent of Total Billed Charges,,,,,77.49,,,,,,,Percent of Total Billed Charges,,,,,332.1,,,,,,,Percent of Total Billed Charges,,,,,332.1,,,,,,,Percent of Total Billed Charges,,,,,73.8,,,,,,,Percent of Total Billed Charges,,,,,103.32,,,,,,,Percent of Total Billed Charges,,,,,295.2,,,,,,,Percent of Total Billed Charges,,,,,73.8,,,,,,,Percent of Total Billed Charges,,,, COMPLEMENT SPECIFIC IMMUNE COMPLEX EVAL ,86329TC ,CPT,,Outpatient,,,846,676.8,631.96,,,,,,,Percent of Total Billed Charges,,631.96,631.96,,846,,,,,,,Percent of Total Billed Charges,,,,,812.16,,,,,,,Percent of Total Billed Charges,,,,,803.7,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,719.1,,,,,,,Percent of Total Billed Charges,,,,,177.66,,,,,,,Percent of Total Billed Charges,,,,,761.4,,,,,,,Percent of Total Billed Charges,,,,,761.4,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,236.88,,,,,,,Percent of Total Billed Charges,,,,,676.8,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,, .THYROID AUTO-ANTIBODIES ,86376TC ,CPT,,Outpatient,,,131,104.8,97.86,,,,,,,Percent of Total Billed Charges,,97.86,97.86,,131,,,,,,,Percent of Total Billed Charges,,,,,125.76,,,,,,,Percent of Total Billed Charges,,,,,124.45,,,,,,,Percent of Total Billed Charges,,,,,26.2,,,,,,,Percent of Total Billed Charges,,,,,111.35,,,,,,,Percent of Total Billed Charges,,,,,27.51,,,,,,,Percent of Total Billed Charges,,,,,117.9,,,,,,,Percent of Total Billed Charges,,,,,117.9,,,,,,,Percent of Total Billed Charges,,,,,26.2,,,,,,,Percent of Total Billed Charges,,,,,36.68,,,,,,,Percent of Total Billed Charges,,,,,104.8,,,,,,,Percent of Total Billed Charges,,,,,26.2,,,,,,,Percent of Total Billed Charges,,,, PARVOVIRUS B19 IgG & IgM ANTIBODIES ,86747TC ,CPT,,Outpatient,,,403.5,322.8,301.41,,,,,,,Percent of Total Billed Charges,,301.41,301.41,,403.5,,,,,,,Percent of Total Billed Charges,,,,,387.36,,,,,,,Percent of Total Billed Charges,,,,,383.33,,,,,,,Percent of Total Billed Charges,,,,,80.7,,,,,,,Percent of Total Billed Charges,,,,,342.98,,,,,,,Percent of Total Billed Charges,,,,,84.74,,,,,,,Percent of Total Billed Charges,,,,,363.15,,,,,,,Percent of Total Billed Charges,,,,,363.15,,,,,,,Percent of Total Billed Charges,,,,,80.7,,,,,,,Percent of Total Billed Charges,,,,,112.98,,,,,,,Percent of Total Billed Charges,,,,,322.8,,,,,,,Percent of Total Billed Charges,,,,,80.7,,,,,,,Percent of Total Billed Charges,,,, .GC (BY AMPLIFIED PROBE) ,87590TC ,CPT,,Outpatient,,,136.5,109.2,101.97,,,,,,,Percent of Total Billed Charges,,101.97,101.97,,136.5,,,,,,,Percent of Total Billed Charges,,,,,131.04,,,,,,,Percent of Total Billed Charges,,,,,129.68,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,116.03,,,,,,,Percent of Total Billed Charges,,,,,28.67,,,,,,,Percent of Total Billed Charges,,,,,122.85,,,,,,,Percent of Total Billed Charges,,,,,122.85,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,38.22,,,,,,,Percent of Total Billed Charges,,,,,109.2,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,, NORPACE (DISOPYRAMIDE) ,80150TC ,CPT,,Outpatient,,,159,127.2,118.77,,,,,,,Percent of Total Billed Charges,,118.77,118.77,,159,,,,,,,Percent of Total Billed Charges,,,,,152.64,,,,,,,Percent of Total Billed Charges,,,,,151.05,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,135.15,,,,,,,Percent of Total Billed Charges,,,,,33.39,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,127.2,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,, LUPUS TYPE ANTICOAG ,85705TC ,CPT,,Outpatient,,,565.5,452.4,422.43,,,,,,,Percent of Total Billed Charges,,422.43,422.43,,565.5,,,,,,,Percent of Total Billed Charges,,,,,542.88,,,,,,,Percent of Total Billed Charges,,,,,537.23,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,,,480.68,,,,,,,Percent of Total Billed Charges,,,,,118.76,,,,,,,Percent of Total Billed Charges,,,,,508.95,,,,,,,Percent of Total Billed Charges,,,,,508.95,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,,,158.34,,,,,,,Percent of Total Billed Charges,,,,,452.4,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,, CARDIOLIPIN AB IGG ,86147TC ,CPT,,Outpatient,,,455,364,339.89,,,,,,,Percent of Total Billed Charges,,339.89,339.89,,455,,,,,,,Percent of Total Billed Charges,,,,,436.8,,,,,,,Percent of Total Billed Charges,,,,,432.25,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,386.75,,,,,,,Percent of Total Billed Charges,,,,,95.55,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,364,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,, ..CAT SCRATCH AB IGG & IGM ,86611TC ,CPT,,Outpatient,,,326,260.8,243.52,,,,,,,Percent of Total Billed Charges,,243.52,243.52,,326,,,,,,,Percent of Total Billed Charges,,,,,312.96,,,,,,,Percent of Total Billed Charges,,,,,309.7,,,,,,,Percent of Total Billed Charges,,,,,65.2,,,,,,,Percent of Total Billed Charges,,,,,277.1,,,,,,,Percent of Total Billed Charges,,,,,68.46,,,,,,,Percent of Total Billed Charges,,,,,293.4,,,,,,,Percent of Total Billed Charges,,,,,293.4,,,,,,,Percent of Total Billed Charges,,,,,65.2,,,,,,,Percent of Total Billed Charges,,,,,91.28,,,,,,,Percent of Total Billed Charges,,,,,260.8,,,,,,,Percent of Total Billed Charges,,,,,65.2,,,,,,,Percent of Total Billed Charges,,,, BB PLATELET INFUSION SET ,250,RC,,Outpatient,,,153,122.4,114.29,,,,,,,Percent of Total Billed Charges,,114.29,114.29,,153,,,,,,,Percent of Total Billed Charges,,,,,146.88,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,32.13,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,122.4,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,, BB POOLED PLATELET BAG ,250,RC,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, ETHYLENE GLYCOL ,82693TC ,CPT,,Outpatient,,,235.5,188.4,175.92,,,,,,,Percent of Total Billed Charges,,175.92,175.92,,235.5,,,,,,,Percent of Total Billed Charges,,,,,226.08,,,,,,,Percent of Total Billed Charges,,,,,223.73,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,,,200.18,,,,,,,Percent of Total Billed Charges,,,,,49.46,,,,,,,Percent of Total Billed Charges,,,,,211.95,,,,,,,Percent of Total Billed Charges,,,,,211.95,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,,,65.94,,,,,,,Percent of Total Billed Charges,,,,,188.4,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,, .B-HYDROXYBUTYRATE ,250,RC,,Outpatient,,,65,52,48.56,,,,,,,Percent of Total Billed Charges,,48.56,48.56,,65,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,,,61.75,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,55.25,,,,,,,Percent of Total Billed Charges,,,,,13.65,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,52,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,, IBUPROFEN ,80299TC ,CPT,,Outpatient,,,304,243.2,227.09,,,,,,,Percent of Total Billed Charges,,227.09,227.09,,304,,,,,,,Percent of Total Billed Charges,,,,,291.84,,,,,,,Percent of Total Billed Charges,,,,,288.8,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,85.12,,,,,,,Percent of Total Billed Charges,,,,,243.2,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,, "MONOCLONAL PROTEIN STUDY, SERUM ",86334TC ,CPT,,Outpatient,,,442,353.6,330.17,,,,,,,Percent of Total Billed Charges,,330.17,330.17,,442,,,,,,,Percent of Total Billed Charges,,,,,424.32,,,,,,,Percent of Total Billed Charges,,,,,419.9,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,375.7,,,,,,,Percent of Total Billed Charges,,,,,92.82,,,,,,,Percent of Total Billed Charges,,,,,397.8,,,,,,,Percent of Total Billed Charges,,,,,397.8,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,123.76,,,,,,,Percent of Total Billed Charges,,,,,353.6,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,, IMMUNOFIXATION - URINE ,84156TC ,CPT,,Outpatient,,,490,392,366.03,,,,,,,Percent of Total Billed Charges,,366.03,366.03,,490,,,,,,,Percent of Total Billed Charges,,,,,470.4,,,,,,,Percent of Total Billed Charges,,,,,465.5,,,,,,,Percent of Total Billed Charges,,,,,98,,,,,,,Percent of Total Billed Charges,,,,,416.5,,,,,,,Percent of Total Billed Charges,,,,,102.9,,,,,,,Percent of Total Billed Charges,,,,,441,,,,,,,Percent of Total Billed Charges,,,,,441,,,,,,,Percent of Total Billed Charges,,,,,98,,,,,,,Percent of Total Billed Charges,,,,,137.2,,,,,,,Percent of Total Billed Charges,,,,,392,,,,,,,Percent of Total Billed Charges,,,,,98,,,,,,,Percent of Total Billed Charges,,,, CULTURE HELICOBACTER ,250,RC,,Outpatient,,,196,156.8,146.41,,,,,,,Percent of Total Billed Charges,,146.41,146.41,,196,,,,,,,Percent of Total Billed Charges,,,,,188.16,,,,,,,Percent of Total Billed Charges,,,,,186.2,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,166.6,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,54.88,,,,,,,Percent of Total Billed Charges,,,,,156.8,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,, ..SOMATOMEDIN-C ,84305,CPT,,Outpatient,,,184,147.2,137.45,,,,,,,Percent of Total Billed Charges,,137.45,137.45,,184,,,,,,,Percent of Total Billed Charges,,,,,176.64,,,,,,,Percent of Total Billed Charges,,,,,174.8,,,,,,,Percent of Total Billed Charges,,,,,36.8,,,,,,,Percent of Total Billed Charges,,,,,156.4,,,,,,,Percent of Total Billed Charges,,,,,38.64,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,36.8,,,,,,,Percent of Total Billed Charges,,,,,51.52,,,,,,,Percent of Total Billed Charges,,,,,147.2,,,,,,,Percent of Total Billed Charges,,,,,36.8,,,,,,,Percent of Total Billed Charges,,,, SINEMET (LEVODOPA) ,80150TC ,CPT,,Outpatient,,,846,676.8,631.96,,,,,,,Percent of Total Billed Charges,,631.96,631.96,,846,,,,,,,Percent of Total Billed Charges,,,,,812.16,,,,,,,Percent of Total Billed Charges,,,,,803.7,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,719.1,,,,,,,Percent of Total Billed Charges,,,,,177.66,,,,,,,Percent of Total Billed Charges,,,,,761.4,,,,,,,Percent of Total Billed Charges,,,,,761.4,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,236.88,,,,,,,Percent of Total Billed Charges,,,,,676.8,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,, COXSACKIE A VIRUS ANTIBODY ,86658TC ,CPT,,Outpatient,,,412,329.6,307.76,,,,,,,Percent of Total Billed Charges,,307.76,307.76,,412,,,,,,,Percent of Total Billed Charges,,,,,395.52,,,,,,,Percent of Total Billed Charges,,,,,391.4,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,,,350.2,,,,,,,Percent of Total Billed Charges,,,,,86.52,,,,,,,Percent of Total Billed Charges,,,,,370.8,,,,,,,Percent of Total Billed Charges,,,,,370.8,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,,,115.36,,,,,,,Percent of Total Billed Charges,,,,,329.6,,,,,,,Percent of Total Billed Charges,,,,,82.4,,,,,,,Percent of Total Billed Charges,,,, COXSACKIE B VIRUS ANTIBODY ,86658TC ,CPT,,Outpatient,,,751,600.8,561,,,,,,,Percent of Total Billed Charges,,561,561,,751,,,,,,,Percent of Total Billed Charges,,,,,720.96,,,,,,,Percent of Total Billed Charges,,,,,713.45,,,,,,,Percent of Total Billed Charges,,,,,150.2,,,,,,,Percent of Total Billed Charges,,,,,638.35,,,,,,,Percent of Total Billed Charges,,,,,157.71,,,,,,,Percent of Total Billed Charges,,,,,675.9,,,,,,,Percent of Total Billed Charges,,,,,675.9,,,,,,,Percent of Total Billed Charges,,,,,150.2,,,,,,,Percent of Total Billed Charges,,,,,210.28,,,,,,,Percent of Total Billed Charges,,,,,600.8,,,,,,,Percent of Total Billed Charges,,,,,150.2,,,,,,,Percent of Total Billed Charges,,,, ECHOVIRUS ,86658TC ,CPT,,Outpatient,,,466,372.8,348.1,,,,,,,Percent of Total Billed Charges,,348.1,348.1,,466,,,,,,,Percent of Total Billed Charges,,,,,447.36,,,,,,,Percent of Total Billed Charges,,,,,442.7,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,,,396.1,,,,,,,Percent of Total Billed Charges,,,,,97.86,,,,,,,Percent of Total Billed Charges,,,,,419.4,,,,,,,Percent of Total Billed Charges,,,,,419.4,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,,,130.48,,,,,,,Percent of Total Billed Charges,,,,,372.8,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,, ..ARSENIC ,82175TC ,CPT,,Outpatient,,,351.5,281.2,262.57,,,,,,,Percent of Total Billed Charges,,262.57,262.57,,351.5,,,,,,,Percent of Total Billed Charges,,,,,337.44,,,,,,,Percent of Total Billed Charges,,,,,333.93,,,,,,,Percent of Total Billed Charges,,,,,70.3,,,,,,,Percent of Total Billed Charges,,,,,298.78,,,,,,,Percent of Total Billed Charges,,,,,73.82,,,,,,,Percent of Total Billed Charges,,,,,316.35,,,,,,,Percent of Total Billed Charges,,,,,316.35,,,,,,,Percent of Total Billed Charges,,,,,70.3,,,,,,,Percent of Total Billed Charges,,,,,98.42,,,,,,,Percent of Total Billed Charges,,,,,281.2,,,,,,,Percent of Total Billed Charges,,,,,70.3,,,,,,,Percent of Total Billed Charges,,,, ..LEAD ,83655TC ,CPT,,Outpatient,,,214.5,171.6,160.23,,,,,,,Percent of Total Billed Charges,,160.23,160.23,,214.5,,,,,,,Percent of Total Billed Charges,,,,,205.92,,,,,,,Percent of Total Billed Charges,,,,,203.78,,,,,,,Percent of Total Billed Charges,,,,,42.9,,,,,,,Percent of Total Billed Charges,,,,,182.33,,,,,,,Percent of Total Billed Charges,,,,,45.05,,,,,,,Percent of Total Billed Charges,,,,,193.05,,,,,,,Percent of Total Billed Charges,,,,,193.05,,,,,,,Percent of Total Billed Charges,,,,,42.9,,,,,,,Percent of Total Billed Charges,,,,,60.06,,,,,,,Percent of Total Billed Charges,,,,,171.6,,,,,,,Percent of Total Billed Charges,,,,,42.9,,,,,,,Percent of Total Billed Charges,,,, ..MERCURY ,83825TC ,CPT,,Outpatient,,,289,231.2,215.88,,,,,,,Percent of Total Billed Charges,,215.88,215.88,,289,,,,,,,Percent of Total Billed Charges,,,,,277.44,,,,,,,Percent of Total Billed Charges,,,,,274.55,,,,,,,Percent of Total Billed Charges,,,,,57.8,,,,,,,Percent of Total Billed Charges,,,,,245.65,,,,,,,Percent of Total Billed Charges,,,,,60.69,,,,,,,Percent of Total Billed Charges,,,,,260.1,,,,,,,Percent of Total Billed Charges,,,,,260.1,,,,,,,Percent of Total Billed Charges,,,,,57.8,,,,,,,Percent of Total Billed Charges,,,,,80.92,,,,,,,Percent of Total Billed Charges,,,,,231.2,,,,,,,Percent of Total Billed Charges,,,,,57.8,,,,,,,Percent of Total Billed Charges,,,, CULTURE LEGIONELLA ,87075TC ,CPT,,Outpatient,,,468,374.4,349.6,,,,,,,Percent of Total Billed Charges,,349.6,349.6,,468,,,,,,,Percent of Total Billed Charges,,,,,449.28,,,,,,,Percent of Total Billed Charges,,,,,444.6,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,397.8,,,,,,,Percent of Total Billed Charges,,,,,98.28,,,,,,,Percent of Total Billed Charges,,,,,421.2,,,,,,,Percent of Total Billed Charges,,,,,421.2,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,131.04,,,,,,,Percent of Total Billed Charges,,,,,374.4,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,, HISTOPLASMA ANTIBODY BY COMP. FIXATION ,86698TC ,CPT,,Outpatient,,,214,171.2,159.86,,,,,,,Percent of Total Billed Charges,,159.86,159.86,,214,,,,,,,Percent of Total Billed Charges,,,,,205.44,,,,,,,Percent of Total Billed Charges,,,,,203.3,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,,,181.9,,,,,,,Percent of Total Billed Charges,,,,,44.94,,,,,,,Percent of Total Billed Charges,,,,,192.6,,,,,,,Percent of Total Billed Charges,,,,,192.6,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,,,59.92,,,,,,,Percent of Total Billed Charges,,,,,171.2,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,, HISTOPLASMA ANTIBODY BY IMMUNODIFFUSION ,86698TC ,CPT,,Outpatient,,,214,171.2,159.86,,,,,,,Percent of Total Billed Charges,,159.86,159.86,,214,,,,,,,Percent of Total Billed Charges,,,,,205.44,,,,,,,Percent of Total Billed Charges,,,,,203.3,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,,,181.9,,,,,,,Percent of Total Billed Charges,,,,,44.94,,,,,,,Percent of Total Billed Charges,,,,,192.6,,,,,,,Percent of Total Billed Charges,,,,,192.6,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,,,59.92,,,,,,,Percent of Total Billed Charges,,,,,171.2,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,, HYPERSENSITIVITY PNEUMONITIS PANEL ,86606TC * ,CPT,,Outpatient,,,346,276.8,258.46,,,,,,,Percent of Total Billed Charges,,258.46,258.46,,346,,,,,,,Percent of Total Billed Charges,,,,,332.16,,,,,,,Percent of Total Billed Charges,,,,,328.7,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,294.1,,,,,,,Percent of Total Billed Charges,,,,,72.66,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,96.88,,,,,,,Percent of Total Billed Charges,,,,,276.8,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,, FRUCTOSAMINE ,82985TC ,CPT,,Outpatient,,,134.5,107.6,100.47,,,,,,,Percent of Total Billed Charges,,100.47,100.47,,134.5,,,,,,,Percent of Total Billed Charges,,,,,129.12,,,,,,,Percent of Total Billed Charges,,,,,127.78,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,114.33,,,,,,,Percent of Total Billed Charges,,,,,28.25,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,37.66,,,,,,,Percent of Total Billed Charges,,,,,107.6,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,, .ASPERGILLUS FUMIGATUS ANTIBODIES ,86606TC ,CPT,,Outpatient,,,154,123.2,115.04,,,,,,,Percent of Total Billed Charges,,115.04,115.04,,154,,,,,,,Percent of Total Billed Charges,,,,,147.84,,,,,,,Percent of Total Billed Charges,,,,,146.3,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,130.9,,,,,,,Percent of Total Billed Charges,,,,,32.34,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,43.12,,,,,,,Percent of Total Billed Charges,,,,,123.2,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS B CORE IgM ANTIBODY ,86705TC ,CPT,,Outpatient,,,173,138.4,129.23,,,,,,,Percent of Total Billed Charges,,129.23,129.23,,173,,,,,,,Percent of Total Billed Charges,,,,,166.08,,,,,,,Percent of Total Billed Charges,,,,,164.35,,,,,,,Percent of Total Billed Charges,,,,,34.6,,,,,,,Percent of Total Billed Charges,,,,,147.05,,,,,,,Percent of Total Billed Charges,,,,,36.33,,,,,,,Percent of Total Billed Charges,,,,,155.7,,,,,,,Percent of Total Billed Charges,,,,,155.7,,,,,,,Percent of Total Billed Charges,,,,,34.6,,,,,,,Percent of Total Billed Charges,,,,,48.44,,,,,,,Percent of Total Billed Charges,,,,,138.4,,,,,,,Percent of Total Billed Charges,,,,,34.6,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS A IgM ANTIBODY ,86709TC ,CPT,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, OR GC BY DNA PROBE ,87590,CPT,,Outpatient,,,80.5,64.4,60.13,,,,,,,Percent of Total Billed Charges,,60.13,60.13,,80.5,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,76.48,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,68.43,,,,,,,Percent of Total Billed Charges,,,,,16.91,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,22.54,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,, ...DRUG SCREEN (MDH) ,80301,CPT,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, FUNGUS IDENTIFICATION ,86628TC ,CPT,,Outpatient,,,153,122.4,114.29,,,,,,,Percent of Total Billed Charges,,114.29,114.29,,153,,,,,,,Percent of Total Billed Charges,,,,,146.88,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,32.13,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,122.4,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,, BONE MARROW BIOPSY PROCEDURE ,250,RC,,Outpatient,,,536,428.8,400.39,,,,,,,Percent of Total Billed Charges,,400.39,400.39,,536,,,,,,,Percent of Total Billed Charges,,,,,514.56,,,,,,,Percent of Total Billed Charges,,,,,509.2,,,,,,,Percent of Total Billed Charges,,,,,107.2,,,,,,,Percent of Total Billed Charges,,,,,455.6,,,,,,,Percent of Total Billed Charges,,,,,112.56,,,,,,,Percent of Total Billed Charges,,,,,482.4,,,,,,,Percent of Total Billed Charges,,,,,482.4,,,,,,,Percent of Total Billed Charges,,,,,107.2,,,,,,,Percent of Total Billed Charges,,,,,150.08,,,,,,,Percent of Total Billed Charges,,,,,428.8,,,,,,,Percent of Total Billed Charges,,,,,107.2,,,,,,,Percent of Total Billed Charges,,,, ..BONE MARROW BIOPSY INTERPRETATION ,88305,CPT,,Outpatient,,,226.5,181.2,169.2,,,,,,,Percent of Total Billed Charges,,169.2,169.2,,226.5,,,,,,,Percent of Total Billed Charges,,,,,217.44,,,,,,,Percent of Total Billed Charges,,,,,215.18,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,,,192.53,,,,,,,Percent of Total Billed Charges,,,,,47.57,,,,,,,Percent of Total Billed Charges,,,,,203.85,,,,,,,Percent of Total Billed Charges,,,,,203.85,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,,,63.42,,,,,,,Percent of Total Billed Charges,,,,,181.2,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,, ANTI - ENA ANTIBODY PANEL ,86235TC ,CPT,,Outpatient,,,569.5,455.6,425.42,,,,,,,Percent of Total Billed Charges,,425.42,425.42,,569.5,,,,,,,Percent of Total Billed Charges,,,,,546.72,,,,,,,Percent of Total Billed Charges,,,,,541.03,,,,,,,Percent of Total Billed Charges,,,,,113.9,,,,,,,Percent of Total Billed Charges,,,,,484.08,,,,,,,Percent of Total Billed Charges,,,,,119.6,,,,,,,Percent of Total Billed Charges,,,,,512.55,,,,,,,Percent of Total Billed Charges,,,,,512.55,,,,,,,Percent of Total Billed Charges,,,,,113.9,,,,,,,Percent of Total Billed Charges,,,,,159.46,,,,,,,Percent of Total Billed Charges,,,,,455.6,,,,,,,Percent of Total Billed Charges,,,,,113.9,,,,,,,Percent of Total Billed Charges,,,, THROMBIN TIME ,85670TC ,CPT,,Outpatient,,,150,120,112.05,,,,,,,Percent of Total Billed Charges,,112.05,112.05,,150,,,,,,,Percent of Total Billed Charges,,,,,144,,,,,,,Percent of Total Billed Charges,,,,,142.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,127.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,135,,,,,,,Percent of Total Billed Charges,,,,,135,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,42,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,, CELL SURFACE MARKER ,88184TC ,CPT,,Outpatient,,,180,144,134.46,,,,,,,Percent of Total Billed Charges,,134.46,134.46,,180,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,171,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,153,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,162,,,,,,,Percent of Total Billed Charges,,,,,162,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,144,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,, SEX HORMONE BINDING GLOBULIN (SHBG) ,84270TC ,CPT,,Outpatient,,,143.5,114.8,107.19,,,,,,,Percent of Total Billed Charges,,107.19,107.19,,143.5,,,,,,,Percent of Total Billed Charges,,,,,137.76,,,,,,,Percent of Total Billed Charges,,,,,136.33,,,,,,,Percent of Total Billed Charges,,,,,28.7,,,,,,,Percent of Total Billed Charges,,,,,121.98,,,,,,,Percent of Total Billed Charges,,,,,30.14,,,,,,,Percent of Total Billed Charges,,,,,129.15,,,,,,,Percent of Total Billed Charges,,,,,129.15,,,,,,,Percent of Total Billed Charges,,,,,28.7,,,,,,,Percent of Total Billed Charges,,,,,40.18,,,,,,,Percent of Total Billed Charges,,,,,114.8,,,,,,,Percent of Total Billed Charges,,,,,28.7,,,,,,,Percent of Total Billed Charges,,,, ANDROSTENEDIONE ,82157TC ,CPT,,Outpatient,,,349,279.2,260.7,,,,,,,Percent of Total Billed Charges,,260.7,260.7,,349,,,,,,,Percent of Total Billed Charges,,,,,335.04,,,,,,,Percent of Total Billed Charges,,,,,331.55,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,296.65,,,,,,,Percent of Total Billed Charges,,,,,73.29,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,97.72,,,,,,,Percent of Total Billed Charges,,,,,279.2,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,, ANTITHROMBIN III ,85300TC ,CPT,,Outpatient,,,276,220.8,206.17,,,,,,,Percent of Total Billed Charges,,206.17,206.17,,276,,,,,,,Percent of Total Billed Charges,,,,,264.96,,,,,,,Percent of Total Billed Charges,,,,,262.2,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,234.6,,,,,,,Percent of Total Billed Charges,,,,,57.96,,,,,,,Percent of Total Billed Charges,,,,,248.4,,,,,,,Percent of Total Billed Charges,,,,,248.4,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,220.8,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,, .PROTEIN C & S PANEL ,85302TC ,CPT,,Outpatient,,,248,198.4,185.26,,,,,,,Percent of Total Billed Charges,,185.26,185.26,,248,,,,,,,Percent of Total Billed Charges,,,,,238.08,,,,,,,Percent of Total Billed Charges,,,,,235.6,,,,,,,Percent of Total Billed Charges,,,,,49.6,,,,,,,Percent of Total Billed Charges,,,,,210.8,,,,,,,Percent of Total Billed Charges,,,,,52.08,,,,,,,Percent of Total Billed Charges,,,,,223.2,,,,,,,Percent of Total Billed Charges,,,,,223.2,,,,,,,Percent of Total Billed Charges,,,,,49.6,,,,,,,Percent of Total Billed Charges,,,,,69.44,,,,,,,Percent of Total Billed Charges,,,,,198.4,,,,,,,Percent of Total Billed Charges,,,,,49.6,,,,,,,Percent of Total Billed Charges,,,, HEMOGLOBIN SERUM FREE ,250,RC,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, POTASSIUM RANDOM URINE ,84133TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, CREATININE RANDOM URINE ,82570TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, NICOTINE URINE ,80307TC ,CPT,,Outpatient,,,298,238.4,222.61,,,,,,,Percent of Total Billed Charges,,222.61,222.61,,298,,,,,,,Percent of Total Billed Charges,,,,,286.08,,,,,,,Percent of Total Billed Charges,,,,,283.1,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,,,62.58,,,,,,,Percent of Total Billed Charges,,,,,268.2,,,,,,,Percent of Total Billed Charges,,,,,268.2,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,,,83.44,,,,,,,Percent of Total Billed Charges,,,,,238.4,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,, "PTH, INTACT ",83970TC ,CPT,,Outpatient,,,362,289.6,270.41,,,,,,,Percent of Total Billed Charges,,270.41,270.41,,362,,,,,,,Percent of Total Billed Charges,,,,,347.52,,,,,,,Percent of Total Billed Charges,,,,,343.9,,,,,,,Percent of Total Billed Charges,,,,,72.4,,,,,,,Percent of Total Billed Charges,,,,,307.7,,,,,,,Percent of Total Billed Charges,,,,,76.02,,,,,,,Percent of Total Billed Charges,,,,,325.8,,,,,,,Percent of Total Billed Charges,,,,,325.8,,,,,,,Percent of Total Billed Charges,,,,,72.4,,,,,,,Percent of Total Billed Charges,,,,,101.36,,,,,,,Percent of Total Billed Charges,,,,,289.6,,,,,,,Percent of Total Billed Charges,,,,,72.4,,,,,,,Percent of Total Billed Charges,,,, PLATELET ASSOCIATED IMMUNOGLOBULINS ,86023TCx2 ,CPT,,Outpatient,,,1245.5,996.4,930.39,,,,,,,Percent of Total Billed Charges,,930.39,930.39,,1245.5,,,,,,,Percent of Total Billed Charges,,,,,1195.68,,,,,,,Percent of Total Billed Charges,,,,,1183.23,,,,,,,Percent of Total Billed Charges,,,,,249.1,,,,,,,Percent of Total Billed Charges,,,,,1058.68,,,,,,,Percent of Total Billed Charges,,,,,261.56,,,,,,,Percent of Total Billed Charges,,,,,1120.95,,,,,,,Percent of Total Billed Charges,,,,,1120.95,,,,,,,Percent of Total Billed Charges,,,,,249.1,,,,,,,Percent of Total Billed Charges,,,,,348.74,,,,,,,Percent of Total Billed Charges,,,,,996.4,,,,,,,Percent of Total Billed Charges,,,,,249.1,,,,,,,Percent of Total Billed Charges,,,, ...TESTOSTERONE FREE & WEAKLY BOUND ,250,RC,,Outpatient,,,353.5,282.8,264.06,,,,,,,Percent of Total Billed Charges,,264.06,264.06,,353.5,,,,,,,Percent of Total Billed Charges,,,,,339.36,,,,,,,Percent of Total Billed Charges,,,,,335.83,,,,,,,Percent of Total Billed Charges,,,,,70.7,,,,,,,Percent of Total Billed Charges,,,,,300.48,,,,,,,Percent of Total Billed Charges,,,,,74.24,,,,,,,Percent of Total Billed Charges,,,,,318.15,,,,,,,Percent of Total Billed Charges,,,,,318.15,,,,,,,Percent of Total Billed Charges,,,,,70.7,,,,,,,Percent of Total Billed Charges,,,,,98.98,,,,,,,Percent of Total Billed Charges,,,,,282.8,,,,,,,Percent of Total Billed Charges,,,,,70.7,,,,,,,Percent of Total Billed Charges,,,, .STOOL FOR WBC'S ,87205TC ,CPT,,Outpatient,,,76.5,61.2,57.15,,,,,,,Percent of Total Billed Charges,,57.15,57.15,,76.5,,,,,,,Percent of Total Billed Charges,,,,,73.44,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,65.03,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,, .C DIFFICILE TOXIN SCREEN ,87230TC ,CPT,,Outpatient,,,351.5,281.2,262.57,,,,,,,Percent of Total Billed Charges,,262.57,262.57,,351.5,,,,,,,Percent of Total Billed Charges,,,,,337.44,,,,,,,Percent of Total Billed Charges,,,,,333.93,,,,,,,Percent of Total Billed Charges,,,,,70.3,,,,,,,Percent of Total Billed Charges,,,,,298.78,,,,,,,Percent of Total Billed Charges,,,,,73.82,,,,,,,Percent of Total Billed Charges,,,,,316.35,,,,,,,Percent of Total Billed Charges,,,,,316.35,,,,,,,Percent of Total Billed Charges,,,,,70.3,,,,,,,Percent of Total Billed Charges,,,,,98.42,,,,,,,Percent of Total Billed Charges,,,,,281.2,,,,,,,Percent of Total Billed Charges,,,,,70.3,,,,,,,Percent of Total Billed Charges,,,, CRYPTOSPORIDIUM EXAM ,87177TC ,CPT,,Outpatient,,,92,73.6,68.72,,,,,,,Percent of Total Billed Charges,,68.72,68.72,,92,,,,,,,Percent of Total Billed Charges,,,,,88.32,,,,,,,Percent of Total Billed Charges,,,,,87.4,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,78.2,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,82.8,,,,,,,Percent of Total Billed Charges,,,,,82.8,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,25.76,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,, SENSITIVITY MICROSCAN ,87186TC ,CPT,,Outpatient,,,199.5,159.6,149.03,,,,,,,Percent of Total Billed Charges,,149.03,149.03,,199.5,,,,,,,Percent of Total Billed Charges,,,,,191.52,,,,,,,Percent of Total Billed Charges,,,,,189.53,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,169.58,,,,,,,Percent of Total Billed Charges,,,,,41.9,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,55.86,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,, PNEUMOCYSTIS CARINII EXAM ,88312TC ,CPT,,Outpatient,,,398,318.4,297.31,,,,,,,Percent of Total Billed Charges,,297.31,297.31,,398,,,,,,,Percent of Total Billed Charges,,,,,382.08,,,,,,,Percent of Total Billed Charges,,,,,378.1,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,338.3,,,,,,,Percent of Total Billed Charges,,,,,83.58,,,,,,,Percent of Total Billed Charges,,,,,358.2,,,,,,,Percent of Total Billed Charges,,,,,358.2,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,111.44,,,,,,,Percent of Total Billed Charges,,,,,318.4,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,, RENIN ACTIVITY--PLASMA ,84244TC ,CPT,,Outpatient,,,245.5,196.4,183.39,,,,,,,Percent of Total Billed Charges,,183.39,183.39,,245.5,,,,,,,Percent of Total Billed Charges,,,,,235.68,,,,,,,Percent of Total Billed Charges,,,,,233.23,,,,,,,Percent of Total Billed Charges,,,,,49.1,,,,,,,Percent of Total Billed Charges,,,,,208.68,,,,,,,Percent of Total Billed Charges,,,,,51.56,,,,,,,Percent of Total Billed Charges,,,,,220.95,,,,,,,Percent of Total Billed Charges,,,,,220.95,,,,,,,Percent of Total Billed Charges,,,,,49.1,,,,,,,Percent of Total Billed Charges,,,,,68.74,,,,,,,Percent of Total Billed Charges,,,,,196.4,,,,,,,Percent of Total Billed Charges,,,,,49.1,,,,,,,Percent of Total Billed Charges,,,, SMOOTH MUSCLE ANTIBODY ,86015TC ,CPT,,Outpatient,,,273.5,218.8,204.3,,,,,,,Percent of Total Billed Charges,,204.3,204.3,,273.5,,,,,,,Percent of Total Billed Charges,,,,,262.56,,,,,,,Percent of Total Billed Charges,,,,,259.83,,,,,,,Percent of Total Billed Charges,,,,,54.7,,,,,,,Percent of Total Billed Charges,,,,,232.48,,,,,,,Percent of Total Billed Charges,,,,,57.44,,,,,,,Percent of Total Billed Charges,,,,,246.15,,,,,,,Percent of Total Billed Charges,,,,,246.15,,,,,,,Percent of Total Billed Charges,,,,,54.7,,,,,,,Percent of Total Billed Charges,,,,,76.58,,,,,,,Percent of Total Billed Charges,,,,,218.8,,,,,,,Percent of Total Billed Charges,,,,,54.7,,,,,,,Percent of Total Billed Charges,,,, PROSTATIC ACID PHOSPHATASE ,84066TC ,CPT,,Outpatient,,,181,144.8,135.21,,,,,,,Percent of Total Billed Charges,,135.21,135.21,,181,,,,,,,Percent of Total Billed Charges,,,,,173.76,,,,,,,Percent of Total Billed Charges,,,,,171.95,,,,,,,Percent of Total Billed Charges,,,,,36.2,,,,,,,Percent of Total Billed Charges,,,,,153.85,,,,,,,Percent of Total Billed Charges,,,,,38.01,,,,,,,Percent of Total Billed Charges,,,,,162.9,,,,,,,Percent of Total Billed Charges,,,,,162.9,,,,,,,Percent of Total Billed Charges,,,,,36.2,,,,,,,Percent of Total Billed Charges,,,,,50.68,,,,,,,Percent of Total Billed Charges,,,,,144.8,,,,,,,Percent of Total Billed Charges,,,,,36.2,,,,,,,Percent of Total Billed Charges,,,, FUNGAL ANTIBODY PANEL BY ID ,86698TC ,CPT,,Outpatient,,,726.5,581.2,542.7,,,,,,,Percent of Total Billed Charges,,542.7,542.7,,726.5,,,,,,,Percent of Total Billed Charges,,,,,697.44,,,,,,,Percent of Total Billed Charges,,,,,690.18,,,,,,,Percent of Total Billed Charges,,,,,145.3,,,,,,,Percent of Total Billed Charges,,,,,617.53,,,,,,,Percent of Total Billed Charges,,,,,152.57,,,,,,,Percent of Total Billed Charges,,,,,653.85,,,,,,,Percent of Total Billed Charges,,,,,653.85,,,,,,,Percent of Total Billed Charges,,,,,145.3,,,,,,,Percent of Total Billed Charges,,,,,203.42,,,,,,,Percent of Total Billed Charges,,,,,581.2,,,,,,,Percent of Total Billed Charges,,,,,145.3,,,,,,,Percent of Total Billed Charges,,,, PLATELET ANTIBODY ,86022TC ,CPT,,Outpatient,,,565.5,452.4,422.43,,,,,,,Percent of Total Billed Charges,,422.43,422.43,,565.5,,,,,,,Percent of Total Billed Charges,,,,,542.88,,,,,,,Percent of Total Billed Charges,,,,,537.23,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,,,480.68,,,,,,,Percent of Total Billed Charges,,,,,118.76,,,,,,,Percent of Total Billed Charges,,,,,508.95,,,,,,,Percent of Total Billed Charges,,,,,508.95,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,,,158.34,,,,,,,Percent of Total Billed Charges,,,,,452.4,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,, "CULTURE VIRUS, NON-RESPIRATORY ",87252TC ,CPT,,Outpatient,,,424.5,339.6,317.1,,,,,,,Percent of Total Billed Charges,,317.1,317.1,,424.5,,,,,,,Percent of Total Billed Charges,,,,,407.52,,,,,,,Percent of Total Billed Charges,,,,,403.28,,,,,,,Percent of Total Billed Charges,,,,,84.9,,,,,,,Percent of Total Billed Charges,,,,,360.83,,,,,,,Percent of Total Billed Charges,,,,,89.15,,,,,,,Percent of Total Billed Charges,,,,,382.05,,,,,,,Percent of Total Billed Charges,,,,,382.05,,,,,,,Percent of Total Billed Charges,,,,,84.9,,,,,,,Percent of Total Billed Charges,,,,,118.86,,,,,,,Percent of Total Billed Charges,,,,,339.6,,,,,,,Percent of Total Billed Charges,,,,,84.9,,,,,,,Percent of Total Billed Charges,,,, .CLOZARIL ,80159TC ,CPT,,Outpatient,,,366.5,293.2,273.78,,,,,,,Percent of Total Billed Charges,,273.78,273.78,,366.5,,,,,,,Percent of Total Billed Charges,,,,,351.84,,,,,,,Percent of Total Billed Charges,,,,,348.18,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,311.53,,,,,,,Percent of Total Billed Charges,,,,,76.97,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,102.62,,,,,,,Percent of Total Billed Charges,,,,,293.2,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,, HERPES SIMPLEX IgM TYPE 1 & 2 ANTIBODIES,86694TC ,CPT,,Outpatient,,,220,176,164.34,,,,,,,Percent of Total Billed Charges,,164.34,164.34,,220,,,,,,,Percent of Total Billed Charges,,,,,211.2,,,,,,,Percent of Total Billed Charges,,,,,209,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,187,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,176,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,, CYANIDE ,82600TC ,CPT,,Outpatient,,,198.5,158.8,148.28,,,,,,,Percent of Total Billed Charges,,148.28,148.28,,198.5,,,,,,,Percent of Total Billed Charges,,,,,190.56,,,,,,,Percent of Total Billed Charges,,,,,188.58,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,168.73,,,,,,,Percent of Total Billed Charges,,,,,41.69,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,158.8,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,, HYDROCARBON PANEL ,250,RC,,Outpatient,,,366.5,293.2,273.78,,,,,,,Percent of Total Billed Charges,,273.78,273.78,,366.5,,,,,,,Percent of Total Billed Charges,,,,,351.84,,,,,,,Percent of Total Billed Charges,,,,,348.18,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,311.53,,,,,,,Percent of Total Billed Charges,,,,,76.97,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,102.62,,,,,,,Percent of Total Billed Charges,,,,,293.2,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,, CRYPTOCOCCUS ANTIGEN SERUM ,86403TC ,CPT,,Outpatient,,,514.5,411.6,384.33,,,,,,,Percent of Total Billed Charges,,384.33,384.33,,514.5,,,,,,,Percent of Total Billed Charges,,,,,493.92,,,,,,,Percent of Total Billed Charges,,,,,488.78,,,,,,,Percent of Total Billed Charges,,,,,102.9,,,,,,,Percent of Total Billed Charges,,,,,437.33,,,,,,,Percent of Total Billed Charges,,,,,108.05,,,,,,,Percent of Total Billed Charges,,,,,463.05,,,,,,,Percent of Total Billed Charges,,,,,463.05,,,,,,,Percent of Total Billed Charges,,,,,102.9,,,,,,,Percent of Total Billed Charges,,,,,144.06,,,,,,,Percent of Total Billed Charges,,,,,411.6,,,,,,,Percent of Total Billed Charges,,,,,102.9,,,,,,,Percent of Total Billed Charges,,,, .RSV ,86756TC ,CPT,,Outpatient,,,182.5,146,136.33,,,,,,,Percent of Total Billed Charges,,136.33,136.33,,182.5,,,,,,,Percent of Total Billed Charges,,,,,175.2,,,,,,,Percent of Total Billed Charges,,,,,173.38,,,,,,,Percent of Total Billed Charges,,,,,36.5,,,,,,,Percent of Total Billed Charges,,,,,155.13,,,,,,,Percent of Total Billed Charges,,,,,38.33,,,,,,,Percent of Total Billed Charges,,,,,164.25,,,,,,,Percent of Total Billed Charges,,,,,164.25,,,,,,,Percent of Total Billed Charges,,,,,36.5,,,,,,,Percent of Total Billed Charges,,,,,51.1,,,,,,,Percent of Total Billed Charges,,,,,146,,,,,,,Percent of Total Billed Charges,,,,,36.5,,,,,,,Percent of Total Billed Charges,,,, SEXUAL OFFENDER PROFILE ,250,RC,,Outpatient,,,426,340.8,318.22,,,,,,,Percent of Total Billed Charges,,318.22,318.22,,426,,,,,,,Percent of Total Billed Charges,,,,,408.96,,,,,,,Percent of Total Billed Charges,,,,,404.7,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,362.1,,,,,,,Percent of Total Billed Charges,,,,,89.46,,,,,,,Percent of Total Billed Charges,,,,,383.4,,,,,,,Percent of Total Billed Charges,,,,,383.4,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,119.28,,,,,,,Percent of Total Billed Charges,,,,,340.8,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,, MEXILETINE ,80299TC ,CPT,,Outpatient,,,511.5,409.2,382.09,,,,,,,Percent of Total Billed Charges,,382.09,382.09,,511.5,,,,,,,Percent of Total Billed Charges,,,,,491.04,,,,,,,Percent of Total Billed Charges,,,,,485.93,,,,,,,Percent of Total Billed Charges,,,,,102.3,,,,,,,Percent of Total Billed Charges,,,,,434.78,,,,,,,Percent of Total Billed Charges,,,,,107.42,,,,,,,Percent of Total Billed Charges,,,,,460.35,,,,,,,Percent of Total Billed Charges,,,,,460.35,,,,,,,Percent of Total Billed Charges,,,,,102.3,,,,,,,Percent of Total Billed Charges,,,,,143.22,,,,,,,Percent of Total Billed Charges,,,,,409.2,,,,,,,Percent of Total Billed Charges,,,,,102.3,,,,,,,Percent of Total Billed Charges,,,, AMIODARONE ,80151TC ,CPT,,Outpatient,,,327,261.6,244.27,,,,,,,Percent of Total Billed Charges,,244.27,244.27,,327,,,,,,,Percent of Total Billed Charges,,,,,313.92,,,,,,,Percent of Total Billed Charges,,,,,310.65,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,,,277.95,,,,,,,Percent of Total Billed Charges,,,,,68.67,,,,,,,Percent of Total Billed Charges,,,,,294.3,,,,,,,Percent of Total Billed Charges,,,,,294.3,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,,,91.56,,,,,,,Percent of Total Billed Charges,,,,,261.6,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,, ENCAINIDE ,80150TC ,CPT,,Outpatient,,,231,184.8,172.56,,,,,,,Percent of Total Billed Charges,,172.56,172.56,,231,,,,,,,Percent of Total Billed Charges,,,,,221.76,,,,,,,Percent of Total Billed Charges,,,,,219.45,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,196.35,,,,,,,Percent of Total Billed Charges,,,,,48.51,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,, ANTI DNA AB -- SINGLE-STRANDED ,86226TC ,CPT,,Outpatient,,,304.5,243.6,227.46,,,,,,,Percent of Total Billed Charges,,227.46,227.46,,304.5,,,,,,,Percent of Total Billed Charges,,,,,292.32,,,,,,,Percent of Total Billed Charges,,,,,289.28,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,258.83,,,,,,,Percent of Total Billed Charges,,,,,63.95,,,,,,,Percent of Total Billed Charges,,,,,274.05,,,,,,,Percent of Total Billed Charges,,,,,274.05,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,85.26,,,,,,,Percent of Total Billed Charges,,,,,243.6,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,, FELBATOL ,82491TC ,CPT,,Outpatient,,,455,364,339.89,,,,,,,Percent of Total Billed Charges,,339.89,339.89,,455,,,,,,,Percent of Total Billed Charges,,,,,436.8,,,,,,,Percent of Total Billed Charges,,,,,432.25,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,386.75,,,,,,,Percent of Total Billed Charges,,,,,95.55,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,364,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,, .INFLUENZA A ANTIBODY ,86171,CPT,,Outpatient,,,163.5,130.8,122.13,,,,,,,Percent of Total Billed Charges,,122.13,122.13,,163.5,,,,,,,Percent of Total Billed Charges,,,,,156.96,,,,,,,Percent of Total Billed Charges,,,,,155.33,,,,,,,Percent of Total Billed Charges,,,,,32.7,,,,,,,Percent of Total Billed Charges,,,,,138.98,,,,,,,Percent of Total Billed Charges,,,,,34.34,,,,,,,Percent of Total Billed Charges,,,,,147.15,,,,,,,Percent of Total Billed Charges,,,,,147.15,,,,,,,Percent of Total Billed Charges,,,,,32.7,,,,,,,Percent of Total Billed Charges,,,,,45.78,,,,,,,Percent of Total Billed Charges,,,,,130.8,,,,,,,Percent of Total Billed Charges,,,,,32.7,,,,,,,Percent of Total Billed Charges,,,, .TULAREMIA AGGLUTININS ,86000TC ,CPT,,Outpatient,,,99.5,79.6,74.33,,,,,,,Percent of Total Billed Charges,,74.33,74.33,,99.5,,,,,,,Percent of Total Billed Charges,,,,,95.52,,,,,,,Percent of Total Billed Charges,,,,,94.53,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,84.58,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,27.86,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,, ..EPSTEIN-BARR VIRUS AB SCREEN ,86663,CPT,,Outpatient,,,205,164,153.14,,,,,,,Percent of Total Billed Charges,,153.14,153.14,,205,,,,,,,Percent of Total Billed Charges,,,,,196.8,,,,,,,Percent of Total Billed Charges,,,,,194.75,,,,,,,Percent of Total Billed Charges,,,,,41,,,,,,,Percent of Total Billed Charges,,,,,174.25,,,,,,,Percent of Total Billed Charges,,,,,43.05,,,,,,,Percent of Total Billed Charges,,,,,184.5,,,,,,,Percent of Total Billed Charges,,,,,184.5,,,,,,,Percent of Total Billed Charges,,,,,41,,,,,,,Percent of Total Billed Charges,,,,,57.4,,,,,,,Percent of Total Billed Charges,,,,,164,,,,,,,Percent of Total Billed Charges,,,,,41,,,,,,,Percent of Total Billed Charges,,,, bacterial antigens-csf ,86403TC ,CPT,,Outpatient,,,346,276.8,258.46,,,,,,,Percent of Total Billed Charges,,258.46,258.46,,346,,,,,,,Percent of Total Billed Charges,,,,,332.16,,,,,,,Percent of Total Billed Charges,,,,,328.7,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,294.1,,,,,,,Percent of Total Billed Charges,,,,,72.66,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,96.88,,,,,,,Percent of Total Billed Charges,,,,,276.8,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,, ANGIOTENSIN CONVERTING ENZYME ,82164TC ,CPT,,Outpatient,,,279,223.2,208.41,,,,,,,Percent of Total Billed Charges,,208.41,208.41,,279,,,,,,,Percent of Total Billed Charges,,,,,267.84,,,,,,,Percent of Total Billed Charges,,,,,265.05,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,58.59,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,78.12,,,,,,,Percent of Total Billed Charges,,,,,223.2,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,, FTA-ABS ,86780TC ,CPT,,Outpatient,,,122,97.6,91.13,,,,,,,Percent of Total Billed Charges,,91.13,91.13,,122,,,,,,,Percent of Total Billed Charges,,,,,117.12,,,,,,,Percent of Total Billed Charges,,,,,115.9,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,,,103.7,,,,,,,Percent of Total Billed Charges,,,,,25.62,,,,,,,Percent of Total Billed Charges,,,,,109.8,,,,,,,Percent of Total Billed Charges,,,,,109.8,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,,,34.16,,,,,,,Percent of Total Billed Charges,,,,,97.6,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,, .TSH RECEPTOR ANTIBODY ,84238TC ,CPT,,Outpatient,,,318.5,254.8,237.92,,,,,,,Percent of Total Billed Charges,,237.92,237.92,,318.5,,,,,,,Percent of Total Billed Charges,,,,,305.76,,,,,,,Percent of Total Billed Charges,,,,,302.58,,,,,,,Percent of Total Billed Charges,,,,,63.7,,,,,,,Percent of Total Billed Charges,,,,,270.73,,,,,,,Percent of Total Billed Charges,,,,,66.89,,,,,,,Percent of Total Billed Charges,,,,,286.65,,,,,,,Percent of Total Billed Charges,,,,,286.65,,,,,,,Percent of Total Billed Charges,,,,,63.7,,,,,,,Percent of Total Billed Charges,,,,,89.18,,,,,,,Percent of Total Billed Charges,,,,,254.8,,,,,,,Percent of Total Billed Charges,,,,,63.7,,,,,,,Percent of Total Billed Charges,,,, .THYROGLOBULIN ANTIBODIES ,86800,CPT,,Outpatient,,,152,121.6,113.54,,,,,,,Percent of Total Billed Charges,,113.54,113.54,,152,,,,,,,Percent of Total Billed Charges,,,,,145.92,,,,,,,Percent of Total Billed Charges,,,,,144.4,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,,,31.92,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,,,42.56,,,,,,,Percent of Total Billed Charges,,,,,121.6,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,, ERYTHROPOIETIN ,82668TC ,CPT,,Outpatient,,,534,427.2,398.9,,,,,,,Percent of Total Billed Charges,,398.9,398.9,,534,,,,,,,Percent of Total Billed Charges,,,,,512.64,,,,,,,Percent of Total Billed Charges,,,,,507.3,,,,,,,Percent of Total Billed Charges,,,,,106.8,,,,,,,Percent of Total Billed Charges,,,,,453.9,,,,,,,Percent of Total Billed Charges,,,,,112.14,,,,,,,Percent of Total Billed Charges,,,,,480.6,,,,,,,Percent of Total Billed Charges,,,,,480.6,,,,,,,Percent of Total Billed Charges,,,,,106.8,,,,,,,Percent of Total Billed Charges,,,,,149.52,,,,,,,Percent of Total Billed Charges,,,,,427.2,,,,,,,Percent of Total Billed Charges,,,,,106.8,,,,,,,Percent of Total Billed Charges,,,, METHANOL ,84600TC ,CPT,,Outpatient,,,147,117.6,109.81,,,,,,,Percent of Total Billed Charges,,109.81,109.81,,147,,,,,,,Percent of Total Billed Charges,,,,,141.12,,,,,,,Percent of Total Billed Charges,,,,,139.65,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,124.95,,,,,,,Percent of Total Billed Charges,,,,,30.87,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,, "NUCLEOTIDASE, 5' ",83915TC ,CPT,,Outpatient,,,198.5,158.8,148.28,,,,,,,Percent of Total Billed Charges,,148.28,148.28,,198.5,,,,,,,Percent of Total Billed Charges,,,,,190.56,,,,,,,Percent of Total Billed Charges,,,,,188.58,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,168.73,,,,,,,Percent of Total Billed Charges,,,,,41.69,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,158.8,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,, STAT CHARGE - ARC REFERENCE LAB ,250,RC,,Outpatient,,,366.5,293.2,273.78,,,,,,,Percent of Total Billed Charges,,273.78,273.78,,366.5,,,,,,,Percent of Total Billed Charges,,,,,351.84,,,,,,,Percent of Total Billed Charges,,,,,348.18,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,311.53,,,,,,,Percent of Total Billed Charges,,,,,76.97,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,102.62,,,,,,,Percent of Total Billed Charges,,,,,293.2,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,, "VITAMIN D (1,25-DIHYDROXY) ",82652TC ,CPT,,Outpatient,,,565.5,452.4,422.43,,,,,,,Percent of Total Billed Charges,,422.43,422.43,,565.5,,,,,,,Percent of Total Billed Charges,,,,,542.88,,,,,,,Percent of Total Billed Charges,,,,,537.23,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,,,480.68,,,,,,,Percent of Total Billed Charges,,,,,118.76,,,,,,,Percent of Total Billed Charges,,,,,508.95,,,,,,,Percent of Total Billed Charges,,,,,508.95,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,,,158.34,,,,,,,Percent of Total Billed Charges,,,,,452.4,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,, EPSTEIN-BARR VIRUS ANTIBODIES ,86663TC ,CPT,,Outpatient,,,333.5,266.8,249.12,,,,,,,Percent of Total Billed Charges,,249.12,249.12,,333.5,,,,,,,Percent of Total Billed Charges,,,,,320.16,,,,,,,Percent of Total Billed Charges,,,,,316.83,,,,,,,Percent of Total Billed Charges,,,,,66.7,,,,,,,Percent of Total Billed Charges,,,,,283.48,,,,,,,Percent of Total Billed Charges,,,,,70.04,,,,,,,Percent of Total Billed Charges,,,,,300.15,,,,,,,Percent of Total Billed Charges,,,,,300.15,,,,,,,Percent of Total Billed Charges,,,,,66.7,,,,,,,Percent of Total Billed Charges,,,,,93.38,,,,,,,Percent of Total Billed Charges,,,,,266.8,,,,,,,Percent of Total Billed Charges,,,,,66.7,,,,,,,Percent of Total Billed Charges,,,, RA TITER (QUANT) ,86431TC ,CPT,,Outpatient,,,140,112,104.58,,,,,,,Percent of Total Billed Charges,,104.58,104.58,,140,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,, CULTURE BORDETELLA PERTUSSIS ,87206TC ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, .BORDETELLA PERTUSSIS SMEAR BY DFA ,250,RC,,Outpatient,,,76.5,61.2,57.15,,,,,,,Percent of Total Billed Charges,,57.15,57.15,,76.5,,,,,,,Percent of Total Billed Charges,,,,,73.44,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,65.03,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,, "MYOGLOBIN, URINE ",83874TC ,CPT,,Outpatient,,,231,184.8,172.56,,,,,,,Percent of Total Billed Charges,,172.56,172.56,,231,,,,,,,Percent of Total Billed Charges,,,,,221.76,,,,,,,Percent of Total Billed Charges,,,,,219.45,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,196.35,,,,,,,Percent of Total Billed Charges,,,,,48.51,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,, PROTEIN S FUNCTIONAL ,85306TC ,CPT,,Outpatient,,,201,160.8,150.15,,,,,,,Percent of Total Billed Charges,,150.15,150.15,,201,,,,,,,Percent of Total Billed Charges,,,,,192.96,,,,,,,Percent of Total Billed Charges,,,,,190.95,,,,,,,Percent of Total Billed Charges,,,,,40.2,,,,,,,Percent of Total Billed Charges,,,,,170.85,,,,,,,Percent of Total Billed Charges,,,,,42.21,,,,,,,Percent of Total Billed Charges,,,,,180.9,,,,,,,Percent of Total Billed Charges,,,,,180.9,,,,,,,Percent of Total Billed Charges,,,,,40.2,,,,,,,Percent of Total Billed Charges,,,,,56.28,,,,,,,Percent of Total Billed Charges,,,,,160.8,,,,,,,Percent of Total Billed Charges,,,,,40.2,,,,,,,Percent of Total Billed Charges,,,, "CHOLINESTERASE, ACETYL RBC ",82482TC ,CPT,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, ENDOMYSIAL IgA ANTIBODY ,86231TC ,CPT,,Outpatient,,,171.5,137.2,128.11,,,,,,,Percent of Total Billed Charges,,128.11,128.11,,171.5,,,,,,,Percent of Total Billed Charges,,,,,164.64,,,,,,,Percent of Total Billed Charges,,,,,162.93,,,,,,,Percent of Total Billed Charges,,,,,34.3,,,,,,,Percent of Total Billed Charges,,,,,145.78,,,,,,,Percent of Total Billed Charges,,,,,36.02,,,,,,,Percent of Total Billed Charges,,,,,154.35,,,,,,,Percent of Total Billed Charges,,,,,154.35,,,,,,,Percent of Total Billed Charges,,,,,34.3,,,,,,,Percent of Total Billed Charges,,,,,48.02,,,,,,,Percent of Total Billed Charges,,,,,137.2,,,,,,,Percent of Total Billed Charges,,,,,34.3,,,,,,,Percent of Total Billed Charges,,,, MAGNESIUM 24 HR URINE ,83735TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, CYSTINE 24 HR URINE ,82131TC ,CPT,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, .SJOGREN'S ANTIBODIES (SS-A & SS-B) ,86235TC ,CPT,,Outpatient,,,329.5,263.6,246.14,,,,,,,Percent of Total Billed Charges,,246.14,246.14,,329.5,,,,,,,Percent of Total Billed Charges,,,,,316.32,,,,,,,Percent of Total Billed Charges,,,,,313.03,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,,,280.08,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,296.55,,,,,,,Percent of Total Billed Charges,,,,,296.55,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,,,92.26,,,,,,,Percent of Total Billed Charges,,,,,263.6,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,, SCLERODERMA ANTIBODY (Scl-70) ,86235TC ,CPT,,Outpatient,,,168.5,134.8,125.87,,,,,,,Percent of Total Billed Charges,,125.87,125.87,,168.5,,,,,,,Percent of Total Billed Charges,,,,,161.76,,,,,,,Percent of Total Billed Charges,,,,,160.08,,,,,,,Percent of Total Billed Charges,,,,,33.7,,,,,,,Percent of Total Billed Charges,,,,,143.23,,,,,,,Percent of Total Billed Charges,,,,,35.39,,,,,,,Percent of Total Billed Charges,,,,,151.65,,,,,,,Percent of Total Billed Charges,,,,,151.65,,,,,,,Percent of Total Billed Charges,,,,,33.7,,,,,,,Percent of Total Billed Charges,,,,,47.18,,,,,,,Percent of Total Billed Charges,,,,,134.8,,,,,,,Percent of Total Billed Charges,,,,,33.7,,,,,,,Percent of Total Billed Charges,,,, PHENYLALANINE ,84030TC ,CPT,,Outpatient,,,168,134.4,125.5,,,,,,,Percent of Total Billed Charges,,125.5,125.5,,168,,,,,,,Percent of Total Billed Charges,,,,,161.28,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,142.8,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,151.2,,,,,,,Percent of Total Billed Charges,,,,,151.2,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,, T-HELPER/SUPPRESSOR PANEL ,85007TC ,CPT,,Outpatient,,,846,676.8,631.96,,,,,,,Percent of Total Billed Charges,,631.96,631.96,,846,,,,,,,Percent of Total Billed Charges,,,,,812.16,,,,,,,Percent of Total Billed Charges,,,,,803.7,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,719.1,,,,,,,Percent of Total Billed Charges,,,,,177.66,,,,,,,Percent of Total Billed Charges,,,,,761.4,,,,,,,Percent of Total Billed Charges,,,,,761.4,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,236.88,,,,,,,Percent of Total Billed Charges,,,,,676.8,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,, .CHLAMYDIA GROUP ANTIBODY BY IF ,86631TC ,CPT,,Outpatient,,,399,319.2,298.05,,,,,,,Percent of Total Billed Charges,,298.05,298.05,,399,,,,,,,Percent of Total Billed Charges,,,,,383.04,,,,,,,Percent of Total Billed Charges,,,,,379.05,,,,,,,Percent of Total Billed Charges,,,,,79.8,,,,,,,Percent of Total Billed Charges,,,,,339.15,,,,,,,Percent of Total Billed Charges,,,,,83.79,,,,,,,Percent of Total Billed Charges,,,,,359.1,,,,,,,Percent of Total Billed Charges,,,,,359.1,,,,,,,Percent of Total Billed Charges,,,,,79.8,,,,,,,Percent of Total Billed Charges,,,,,111.72,,,,,,,Percent of Total Billed Charges,,,,,319.2,,,,,,,Percent of Total Billed Charges,,,,,79.8,,,,,,,Percent of Total Billed Charges,,,, GLUCOSE-6-PHOSPHATE DEHYDROGENASE ,82955TC ,CPT,,Outpatient,,,173,138.4,129.23,,,,,,,Percent of Total Billed Charges,,129.23,129.23,,173,,,,,,,Percent of Total Billed Charges,,,,,166.08,,,,,,,Percent of Total Billed Charges,,,,,164.35,,,,,,,Percent of Total Billed Charges,,,,,34.6,,,,,,,Percent of Total Billed Charges,,,,,147.05,,,,,,,Percent of Total Billed Charges,,,,,36.33,,,,,,,Percent of Total Billed Charges,,,,,155.7,,,,,,,Percent of Total Billed Charges,,,,,155.7,,,,,,,Percent of Total Billed Charges,,,,,34.6,,,,,,,Percent of Total Billed Charges,,,,,48.44,,,,,,,Percent of Total Billed Charges,,,,,138.4,,,,,,,Percent of Total Billed Charges,,,,,34.6,,,,,,,Percent of Total Billed Charges,,,, LEGIONELLA ANTIBODIES BY ELISA ,86713TC ,CPT,,Outpatient,,,275.5,220.4,205.8,,,,,,,Percent of Total Billed Charges,,205.8,205.8,,275.5,,,,,,,Percent of Total Billed Charges,,,,,264.48,,,,,,,Percent of Total Billed Charges,,,,,261.73,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,57.86,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,77.14,,,,,,,Percent of Total Billed Charges,,,,,220.4,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,, ..CARBOXYHEMOGLOBIN ,82375,CPT,,Outpatient,,,91.5,73.2,68.35,,,,,,,Percent of Total Billed Charges,,68.35,68.35,,91.5,,,,,,,Percent of Total Billed Charges,,,,,87.84,,,,,,,Percent of Total Billed Charges,,,,,86.93,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,,,77.78,,,,,,,Percent of Total Billed Charges,,,,,19.22,,,,,,,Percent of Total Billed Charges,,,,,82.35,,,,,,,Percent of Total Billed Charges,,,,,82.35,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,,,25.62,,,,,,,Percent of Total Billed Charges,,,,,73.2,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,, "DRUG SCREEN PANEL 9, BLOOD ONLY ",80307TC ,CPT,,Outpatient,,,401,320.8,299.55,,,,,,,Percent of Total Billed Charges,,299.55,299.55,,401,,,,,,,Percent of Total Billed Charges,,,,,384.96,,,,,,,Percent of Total Billed Charges,,,,,380.95,,,,,,,Percent of Total Billed Charges,,,,,80.2,,,,,,,Percent of Total Billed Charges,,,,,340.85,,,,,,,Percent of Total Billed Charges,,,,,84.21,,,,,,,Percent of Total Billed Charges,,,,,360.9,,,,,,,Percent of Total Billed Charges,,,,,360.9,,,,,,,Percent of Total Billed Charges,,,,,80.2,,,,,,,Percent of Total Billed Charges,,,,,112.28,,,,,,,Percent of Total Billed Charges,,,,,320.8,,,,,,,Percent of Total Billed Charges,,,,,80.2,,,,,,,Percent of Total Billed Charges,,,, PRIMIDONE (MYSOLINE) ,80188TC ,CPT,,Outpatient,,,345,276,257.72,,,,,,,Percent of Total Billed Charges,,257.72,257.72,,345,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,327.75,,,,,,,Percent of Total Billed Charges,,,,,69,,,,,,,Percent of Total Billed Charges,,,,,293.25,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,310.5,,,,,,,Percent of Total Billed Charges,,,,,310.5,,,,,,,Percent of Total Billed Charges,,,,,69,,,,,,,Percent of Total Billed Charges,,,,,96.6,,,,,,,Percent of Total Billed Charges,,,,,276,,,,,,,Percent of Total Billed Charges,,,,,69,,,,,,,Percent of Total Billed Charges,,,, POTASSIUM FECES ,84999TC ,CPT,,Outpatient,,,83,66.4,62,,,,,,,Percent of Total Billed Charges,,62,62,,83,,,,,,,Percent of Total Billed Charges,,,,,79.68,,,,,,,Percent of Total Billed Charges,,,,,78.85,,,,,,,Percent of Total Billed Charges,,,,,16.6,,,,,,,Percent of Total Billed Charges,,,,,70.55,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,74.7,,,,,,,Percent of Total Billed Charges,,,,,74.7,,,,,,,Percent of Total Billed Charges,,,,,16.6,,,,,,,Percent of Total Billed Charges,,,,,23.24,,,,,,,Percent of Total Billed Charges,,,,,66.4,,,,,,,Percent of Total Billed Charges,,,,,16.6,,,,,,,Percent of Total Billed Charges,,,, SODIUM FECES ,84302TC ,CPT,,Outpatient,,,83,66.4,62,,,,,,,Percent of Total Billed Charges,,62,62,,83,,,,,,,Percent of Total Billed Charges,,,,,79.68,,,,,,,Percent of Total Billed Charges,,,,,78.85,,,,,,,Percent of Total Billed Charges,,,,,16.6,,,,,,,Percent of Total Billed Charges,,,,,70.55,,,,,,,Percent of Total Billed Charges,,,,,17.43,,,,,,,Percent of Total Billed Charges,,,,,74.7,,,,,,,Percent of Total Billed Charges,,,,,74.7,,,,,,,Percent of Total Billed Charges,,,,,16.6,,,,,,,Percent of Total Billed Charges,,,,,23.24,,,,,,,Percent of Total Billed Charges,,,,,66.4,,,,,,,Percent of Total Billed Charges,,,,,16.6,,,,,,,Percent of Total Billed Charges,,,, OSMOLALITY FECES ,83935TC ,CPT,,Outpatient,,,275.5,220.4,205.8,,,,,,,Percent of Total Billed Charges,,205.8,205.8,,275.5,,,,,,,Percent of Total Billed Charges,,,,,264.48,,,,,,,Percent of Total Billed Charges,,,,,261.73,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,57.86,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,77.14,,,,,,,Percent of Total Billed Charges,,,,,220.4,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,, T3 TOTAL ,84480TC ,CPT,,Outpatient,,,186,148.8,138.94,,,,,,,Percent of Total Billed Charges,,138.94,138.94,,186,,,,,,,Percent of Total Billed Charges,,,,,178.56,,,,,,,Percent of Total Billed Charges,,,,,176.7,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,158.1,,,,,,,Percent of Total Billed Charges,,,,,39.06,,,,,,,Percent of Total Billed Charges,,,,,167.4,,,,,,,Percent of Total Billed Charges,,,,,167.4,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,52.08,,,,,,,Percent of Total Billed Charges,,,,,148.8,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,, ACTH ,82024TC ,CPT,,Outpatient,,,477.5,382,356.69,,,,,,,Percent of Total Billed Charges,,356.69,356.69,,477.5,,,,,,,Percent of Total Billed Charges,,,,,458.4,,,,,,,Percent of Total Billed Charges,,,,,453.63,,,,,,,Percent of Total Billed Charges,,,,,95.5,,,,,,,Percent of Total Billed Charges,,,,,405.88,,,,,,,Percent of Total Billed Charges,,,,,100.28,,,,,,,Percent of Total Billed Charges,,,,,429.75,,,,,,,Percent of Total Billed Charges,,,,,429.75,,,,,,,Percent of Total Billed Charges,,,,,95.5,,,,,,,Percent of Total Billed Charges,,,,,133.7,,,,,,,Percent of Total Billed Charges,,,,,382,,,,,,,Percent of Total Billed Charges,,,,,95.5,,,,,,,Percent of Total Billed Charges,,,, ESTRADIOL ,82670TC ,CPT,,Outpatient,,,336,268.8,250.99,,,,,,,Percent of Total Billed Charges,,250.99,250.99,,336,,,,,,,Percent of Total Billed Charges,,,,,322.56,,,,,,,Percent of Total Billed Charges,,,,,319.2,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,285.6,,,,,,,Percent of Total Billed Charges,,,,,70.56,,,,,,,Percent of Total Billed Charges,,,,,302.4,,,,,,,Percent of Total Billed Charges,,,,,302.4,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,268.8,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,, HELICOBACTER PYLORI AB IGM (NOT OFFERED),86677TC ,CPT,,Outpatient,,,73,58.4,54.53,,,,,,,Percent of Total Billed Charges,,54.53,54.53,,73,,,,,,,Percent of Total Billed Charges,,,,,70.08,,,,,,,Percent of Total Billed Charges,,,,,69.35,,,,,,,Percent of Total Billed Charges,,,,,14.6,,,,,,,Percent of Total Billed Charges,,,,,62.05,,,,,,,Percent of Total Billed Charges,,,,,15.33,,,,,,,Percent of Total Billed Charges,,,,,65.7,,,,,,,Percent of Total Billed Charges,,,,,65.7,,,,,,,Percent of Total Billed Charges,,,,,14.6,,,,,,,Percent of Total Billed Charges,,,,,20.44,,,,,,,Percent of Total Billed Charges,,,,,58.4,,,,,,,Percent of Total Billed Charges,,,,,14.6,,,,,,,Percent of Total Billed Charges,,,, .ADENOVIRUS ANTIBODIES ,86603TC ,CPT,,Outpatient,,,271,216.8,202.44,,,,,,,Percent of Total Billed Charges,,202.44,202.44,,271,,,,,,,Percent of Total Billed Charges,,,,,260.16,,,,,,,Percent of Total Billed Charges,,,,,257.45,,,,,,,Percent of Total Billed Charges,,,,,54.2,,,,,,,Percent of Total Billed Charges,,,,,230.35,,,,,,,Percent of Total Billed Charges,,,,,56.91,,,,,,,Percent of Total Billed Charges,,,,,243.9,,,,,,,Percent of Total Billed Charges,,,,,243.9,,,,,,,Percent of Total Billed Charges,,,,,54.2,,,,,,,Percent of Total Billed Charges,,,,,75.88,,,,,,,Percent of Total Billed Charges,,,,,216.8,,,,,,,Percent of Total Billed Charges,,,,,54.2,,,,,,,Percent of Total Billed Charges,,,, HERPES S. IgG TYPE 2 ANTIBODIES ,86696TC ,CPT,,Outpatient,,,346.5,277.2,258.84,,,,,,,Percent of Total Billed Charges,,258.84,258.84,,346.5,,,,,,,Percent of Total Billed Charges,,,,,332.64,,,,,,,Percent of Total Billed Charges,,,,,329.18,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,294.53,,,,,,,Percent of Total Billed Charges,,,,,72.77,,,,,,,Percent of Total Billed Charges,,,,,311.85,,,,,,,Percent of Total Billed Charges,,,,,311.85,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,97.02,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,, LACTOSE TOLERANCE TEST ,82952TC ,CPT,,Outpatient,,,278.5,222.8,208.04,,,,,,,Percent of Total Billed Charges,,208.04,208.04,,278.5,,,,,,,Percent of Total Billed Charges,,,,,267.36,,,,,,,Percent of Total Billed Charges,,,,,264.58,,,,,,,Percent of Total Billed Charges,,,,,55.7,,,,,,,Percent of Total Billed Charges,,,,,236.73,,,,,,,Percent of Total Billed Charges,,,,,58.49,,,,,,,Percent of Total Billed Charges,,,,,250.65,,,,,,,Percent of Total Billed Charges,,,,,250.65,,,,,,,Percent of Total Billed Charges,,,,,55.7,,,,,,,Percent of Total Billed Charges,,,,,77.98,,,,,,,Percent of Total Billed Charges,,,,,222.8,,,,,,,Percent of Total Billed Charges,,,,,55.7,,,,,,,Percent of Total Billed Charges,,,, TENORMIN (ATENOLOL) ,250,RC,,Outpatient,,,502.5,402,375.37,,,,,,,Percent of Total Billed Charges,,375.37,375.37,,502.5,,,,,,,Percent of Total Billed Charges,,,,,482.4,,,,,,,Percent of Total Billed Charges,,,,,477.38,,,,,,,Percent of Total Billed Charges,,,,,100.5,,,,,,,Percent of Total Billed Charges,,,,,427.13,,,,,,,Percent of Total Billed Charges,,,,,105.53,,,,,,,Percent of Total Billed Charges,,,,,452.25,,,,,,,Percent of Total Billed Charges,,,,,452.25,,,,,,,Percent of Total Billed Charges,,,,,100.5,,,,,,,Percent of Total Billed Charges,,,,,140.7,,,,,,,Percent of Total Billed Charges,,,,,402,,,,,,,Percent of Total Billed Charges,,,,,100.5,,,,,,,Percent of Total Billed Charges,,,, CHROMOSOME ANALYSIS ,88262TC ,CPT,,Outpatient,,,1163,930.4,868.76,,,,,,,Percent of Total Billed Charges,,868.76,868.76,,1163,,,,,,,Percent of Total Billed Charges,,,,,1116.48,,,,,,,Percent of Total Billed Charges,,,,,1104.85,,,,,,,Percent of Total Billed Charges,,,,,232.6,,,,,,,Percent of Total Billed Charges,,,,,988.55,,,,,,,Percent of Total Billed Charges,,,,,244.23,,,,,,,Percent of Total Billed Charges,,,,,1046.7,,,,,,,Percent of Total Billed Charges,,,,,1046.7,,,,,,,Percent of Total Billed Charges,,,,,232.6,,,,,,,Percent of Total Billed Charges,,,,,325.64,,,,,,,Percent of Total Billed Charges,,,,,930.4,,,,,,,Percent of Total Billed Charges,,,,,232.6,,,,,,,Percent of Total Billed Charges,,,, ASPERGILLUS ANTIBODIES (IMMUNODIFFUSION),86606TC ,CPT,,Outpatient,,,256,204.8,191.23,,,,,,,Percent of Total Billed Charges,,191.23,191.23,,256,,,,,,,Percent of Total Billed Charges,,,,,245.76,,,,,,,Percent of Total Billed Charges,,,,,243.2,,,,,,,Percent of Total Billed Charges,,,,,51.2,,,,,,,Percent of Total Billed Charges,,,,,217.6,,,,,,,Percent of Total Billed Charges,,,,,53.76,,,,,,,Percent of Total Billed Charges,,,,,230.4,,,,,,,Percent of Total Billed Charges,,,,,230.4,,,,,,,Percent of Total Billed Charges,,,,,51.2,,,,,,,Percent of Total Billed Charges,,,,,71.68,,,,,,,Percent of Total Billed Charges,,,,,204.8,,,,,,,Percent of Total Billed Charges,,,,,51.2,,,,,,,Percent of Total Billed Charges,,,, VOLATILES BY GAS CHROMATOGRAPHY ,84600TC ,CPT,,Outpatient,,,846,676.8,631.96,,,,,,,Percent of Total Billed Charges,,631.96,631.96,,846,,,,,,,Percent of Total Billed Charges,,,,,812.16,,,,,,,Percent of Total Billed Charges,,,,,803.7,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,719.1,,,,,,,Percent of Total Billed Charges,,,,,177.66,,,,,,,Percent of Total Billed Charges,,,,,761.4,,,,,,,Percent of Total Billed Charges,,,,,761.4,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,236.88,,,,,,,Percent of Total Billed Charges,,,,,676.8,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,, "REDUCING SUBSTANCES, STOOL ",84999TC ,CPT,,Outpatient,,,198.5,158.8,148.28,,,,,,,Percent of Total Billed Charges,,148.28,148.28,,198.5,,,,,,,Percent of Total Billed Charges,,,,,190.56,,,,,,,Percent of Total Billed Charges,,,,,188.58,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,168.73,,,,,,,Percent of Total Billed Charges,,,,,41.69,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,158.8,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,, ACTIVATED PROTEIN C RESISTANCE ,85307TC ,CPT,,Outpatient,,,1020,816,761.94,,,,,,,Percent of Total Billed Charges,,761.94,761.94,,1020,,,,,,,Percent of Total Billed Charges,,,,,979.2,,,,,,,Percent of Total Billed Charges,,,,,969,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,,,867,,,,,,,Percent of Total Billed Charges,,,,,214.2,,,,,,,Percent of Total Billed Charges,,,,,918,,,,,,,Percent of Total Billed Charges,,,,,918,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,,,285.6,,,,,,,Percent of Total Billed Charges,,,,,816,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,, CANCER ASSOCIATED BREAST ANTIGEN ,86316TC ,CPT,,Outpatient,,,191,152.8,142.68,,,,,,,Percent of Total Billed Charges,,142.68,142.68,,191,,,,,,,Percent of Total Billed Charges,,,,,183.36,,,,,,,Percent of Total Billed Charges,,,,,181.45,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,162.35,,,,,,,Percent of Total Billed Charges,,,,,40.11,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,53.48,,,,,,,Percent of Total Billed Charges,,,,,152.8,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,, FACTOR XII ,85280TC ,CPT,,Outpatient,,,826,660.8,617.02,,,,,,,Percent of Total Billed Charges,,617.02,617.02,,826,,,,,,,Percent of Total Billed Charges,,,,,792.96,,,,,,,Percent of Total Billed Charges,,,,,784.7,,,,,,,Percent of Total Billed Charges,,,,,165.2,,,,,,,Percent of Total Billed Charges,,,,,702.1,,,,,,,Percent of Total Billed Charges,,,,,173.46,,,,,,,Percent of Total Billed Charges,,,,,743.4,,,,,,,Percent of Total Billed Charges,,,,,743.4,,,,,,,Percent of Total Billed Charges,,,,,165.2,,,,,,,Percent of Total Billed Charges,,,,,231.28,,,,,,,Percent of Total Billed Charges,,,,,660.8,,,,,,,Percent of Total Billed Charges,,,,,165.2,,,,,,,Percent of Total Billed Charges,,,, CULTURE STOOL ,87506TC ,CPT,,Outpatient,,,301.5,241.2,225.22,,,,,,,Percent of Total Billed Charges,,225.22,225.22,,301.5,,,,,,,Percent of Total Billed Charges,,,,,289.44,,,,,,,Percent of Total Billed Charges,,,,,286.43,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,256.28,,,,,,,Percent of Total Billed Charges,,,,,63.32,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,84.42,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,, VITAMIN E ,84446TC ,CPT,,Outpatient,,,182.5,146,136.33,,,,,,,Percent of Total Billed Charges,,136.33,136.33,,182.5,,,,,,,Percent of Total Billed Charges,,,,,175.2,,,,,,,Percent of Total Billed Charges,,,,,173.38,,,,,,,Percent of Total Billed Charges,,,,,36.5,,,,,,,Percent of Total Billed Charges,,,,,155.13,,,,,,,Percent of Total Billed Charges,,,,,38.33,,,,,,,Percent of Total Billed Charges,,,,,164.25,,,,,,,Percent of Total Billed Charges,,,,,164.25,,,,,,,Percent of Total Billed Charges,,,,,36.5,,,,,,,Percent of Total Billed Charges,,,,,51.1,,,,,,,Percent of Total Billed Charges,,,,,146,,,,,,,Percent of Total Billed Charges,,,,,36.5,,,,,,,Percent of Total Billed Charges,,,, "VDRL, CSF ",86592TC ,CPT,,Outpatient,,,87,69.6,64.99,,,,,,,Percent of Total Billed Charges,,64.99,64.99,,87,,,,,,,Percent of Total Billed Charges,,,,,83.52,,,,,,,Percent of Total Billed Charges,,,,,82.65,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,73.95,,,,,,,Percent of Total Billed Charges,,,,,18.27,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,24.36,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,, "EOSINOPHIL COUNT, BLOOD ",85025TC ,CPT,,Outpatient,,,51,40.8,38.1,,,,,,,Percent of Total Billed Charges,,38.1,38.1,,51,,,,,,,Percent of Total Billed Charges,,,,,48.96,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,43.35,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,, CULTURE CMV ,87250TC ,CPT,,Outpatient,,,191,152.8,142.68,,,,,,,Percent of Total Billed Charges,,142.68,142.68,,191,,,,,,,Percent of Total Billed Charges,,,,,183.36,,,,,,,Percent of Total Billed Charges,,,,,181.45,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,162.35,,,,,,,Percent of Total Billed Charges,,,,,40.11,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,53.48,,,,,,,Percent of Total Billed Charges,,,,,152.8,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,, NITRO BLUE TETRAZOLIUM TEST ,86384TC ,CPT,,Outpatient,,,248,198.4,185.26,,,,,,,Percent of Total Billed Charges,,185.26,185.26,,248,,,,,,,Percent of Total Billed Charges,,,,,238.08,,,,,,,Percent of Total Billed Charges,,,,,235.6,,,,,,,Percent of Total Billed Charges,,,,,49.6,,,,,,,Percent of Total Billed Charges,,,,,210.8,,,,,,,Percent of Total Billed Charges,,,,,52.08,,,,,,,Percent of Total Billed Charges,,,,,223.2,,,,,,,Percent of Total Billed Charges,,,,,223.2,,,,,,,Percent of Total Billed Charges,,,,,49.6,,,,,,,Percent of Total Billed Charges,,,,,69.44,,,,,,,Percent of Total Billed Charges,,,,,198.4,,,,,,,Percent of Total Billed Charges,,,,,49.6,,,,,,,Percent of Total Billed Charges,,,, .PLATELET ANTIBODY PANEL ,86022,CPT,,Outpatient,,,1962.5,1570,1465.99,,,,,,,Percent of Total Billed Charges,,1465.99,1465.99,,1962.5,,,,,,,Percent of Total Billed Charges,,,,,1884,,,,,,,Percent of Total Billed Charges,,,,,1864.38,,,,,,,Percent of Total Billed Charges,,,,,392.5,,,,,,,Percent of Total Billed Charges,,,,,1668.13,,,,,,,Percent of Total Billed Charges,,,,,412.13,,,,,,,Percent of Total Billed Charges,,,,,1766.25,,,,,,,Percent of Total Billed Charges,,,,,1766.25,,,,,,,Percent of Total Billed Charges,,,,,392.5,,,,,,,Percent of Total Billed Charges,,,,,549.5,,,,,,,Percent of Total Billed Charges,,,,,1570,,,,,,,Percent of Total Billed Charges,,,,,392.5,,,,,,,Percent of Total Billed Charges,,,, ALPHA 1 ANTITRYPSIN PHENOTYPE ,82104TC ,CPT,,Outpatient,,,565.5,452.4,422.43,,,,,,,Percent of Total Billed Charges,,422.43,422.43,,565.5,,,,,,,Percent of Total Billed Charges,,,,,542.88,,,,,,,Percent of Total Billed Charges,,,,,537.23,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,,,480.68,,,,,,,Percent of Total Billed Charges,,,,,118.76,,,,,,,Percent of Total Billed Charges,,,,,508.95,,,,,,,Percent of Total Billed Charges,,,,,508.95,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,,,158.34,,,,,,,Percent of Total Billed Charges,,,,,452.4,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,, HEAVY METAL SCREEN--24 HR URINE ,83015TC ,CPT,,Outpatient,,,71,56.8,53.04,,,,,,,Percent of Total Billed Charges,,53.04,53.04,,71,,,,,,,Percent of Total Billed Charges,,,,,68.16,,,,,,,Percent of Total Billed Charges,,,,,67.45,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,60.35,,,,,,,Percent of Total Billed Charges,,,,,14.91,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,19.88,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,, HUMAN GROWTH HORMONE ,83003TC ,CPT,,Outpatient,,,172,137.6,128.48,,,,,,,Percent of Total Billed Charges,,128.48,128.48,,172,,,,,,,Percent of Total Billed Charges,,,,,165.12,,,,,,,Percent of Total Billed Charges,,,,,163.4,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,146.2,,,,,,,Percent of Total Billed Charges,,,,,36.12,,,,,,,Percent of Total Billed Charges,,,,,154.8,,,,,,,Percent of Total Billed Charges,,,,,154.8,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,48.16,,,,,,,Percent of Total Billed Charges,,,,,137.6,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,, "HYDROXYPROGESTERONE, 17 ",83498TC ,CPT,,Outpatient,,,427,341.6,318.97,,,,,,,Percent of Total Billed Charges,,318.97,318.97,,427,,,,,,,Percent of Total Billed Charges,,,,,409.92,,,,,,,Percent of Total Billed Charges,,,,,405.65,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,362.95,,,,,,,Percent of Total Billed Charges,,,,,89.67,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,119.56,,,,,,,Percent of Total Billed Charges,,,,,341.6,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,, HOMOCYSTEINE ,83090TC ,CPT,,Outpatient,,,356.5,285.2,266.31,,,,,,,Percent of Total Billed Charges,,266.31,266.31,,356.5,,,,,,,Percent of Total Billed Charges,,,,,342.24,,,,,,,Percent of Total Billed Charges,,,,,338.68,,,,,,,Percent of Total Billed Charges,,,,,71.3,,,,,,,Percent of Total Billed Charges,,,,,303.03,,,,,,,Percent of Total Billed Charges,,,,,74.87,,,,,,,Percent of Total Billed Charges,,,,,320.85,,,,,,,Percent of Total Billed Charges,,,,,320.85,,,,,,,Percent of Total Billed Charges,,,,,71.3,,,,,,,Percent of Total Billed Charges,,,,,99.82,,,,,,,Percent of Total Billed Charges,,,,,285.2,,,,,,,Percent of Total Billed Charges,,,,,71.3,,,,,,,Percent of Total Billed Charges,,,, ".PLATELET ANTIBODIES IgG, A, &M ",86022,CPT,,Outpatient,,,684.5,547.6,511.32,,,,,,,Percent of Total Billed Charges,,511.32,511.32,,684.5,,,,,,,Percent of Total Billed Charges,,,,,657.12,,,,,,,Percent of Total Billed Charges,,,,,650.28,,,,,,,Percent of Total Billed Charges,,,,,136.9,,,,,,,Percent of Total Billed Charges,,,,,581.83,,,,,,,Percent of Total Billed Charges,,,,,143.75,,,,,,,Percent of Total Billed Charges,,,,,616.05,,,,,,,Percent of Total Billed Charges,,,,,616.05,,,,,,,Percent of Total Billed Charges,,,,,136.9,,,,,,,Percent of Total Billed Charges,,,,,191.66,,,,,,,Percent of Total Billed Charges,,,,,547.6,,,,,,,Percent of Total Billed Charges,,,,,136.9,,,,,,,Percent of Total Billed Charges,,,, "GENTAMICIN, 6 -12 HR POST-INFUSION ",80170TC ,CPT,,Outpatient,,,277.5,222,207.29,,,,,,,Percent of Total Billed Charges,,207.29,207.29,,277.5,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,263.63,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,235.88,,,,,,,Percent of Total Billed Charges,,,,,58.28,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,222,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,, .LYME ANTIBODIES BY WESTERN BLOT ,86617TC ,CPT,,Outpatient,,,455,364,339.89,,,,,,,Percent of Total Billed Charges,,339.89,339.89,,455,,,,,,,Percent of Total Billed Charges,,,,,436.8,,,,,,,Percent of Total Billed Charges,,,,,432.25,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,386.75,,,,,,,Percent of Total Billed Charges,,,,,95.55,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,364,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,, ALDOSTERONE URINE ,82088TC ,CPT,,Outpatient,,,611,488.8,456.42,,,,,,,Percent of Total Billed Charges,,456.42,456.42,,611,,,,,,,Percent of Total Billed Charges,,,,,586.56,,,,,,,Percent of Total Billed Charges,,,,,580.45,,,,,,,Percent of Total Billed Charges,,,,,122.2,,,,,,,Percent of Total Billed Charges,,,,,519.35,,,,,,,Percent of Total Billed Charges,,,,,128.31,,,,,,,Percent of Total Billed Charges,,,,,549.9,,,,,,,Percent of Total Billed Charges,,,,,549.9,,,,,,,Percent of Total Billed Charges,,,,,122.2,,,,,,,Percent of Total Billed Charges,,,,,171.08,,,,,,,Percent of Total Billed Charges,,,,,488.8,,,,,,,Percent of Total Billed Charges,,,,,122.2,,,,,,,Percent of Total Billed Charges,,,, ..GIARDIA LAMBLIA ANTIGEN DETECTION ,87328,CPT,,Outpatient,,,214.5,171.6,160.23,,,,,,,Percent of Total Billed Charges,,160.23,160.23,,214.5,,,,,,,Percent of Total Billed Charges,,,,,205.92,,,,,,,Percent of Total Billed Charges,,,,,203.78,,,,,,,Percent of Total Billed Charges,,,,,42.9,,,,,,,Percent of Total Billed Charges,,,,,182.33,,,,,,,Percent of Total Billed Charges,,,,,45.05,,,,,,,Percent of Total Billed Charges,,,,,193.05,,,,,,,Percent of Total Billed Charges,,,,,193.05,,,,,,,Percent of Total Billed Charges,,,,,42.9,,,,,,,Percent of Total Billed Charges,,,,,60.06,,,,,,,Percent of Total Billed Charges,,,,,171.6,,,,,,,Percent of Total Billed Charges,,,,,42.9,,,,,,,Percent of Total Billed Charges,,,, PSA SCREENING ,G0103TC ,CPT,,Outpatient,,,281,224.8,209.91,,,,,,,Percent of Total Billed Charges,,209.91,209.91,,281,,,,,,,Percent of Total Billed Charges,,,,,269.76,,,,,,,Percent of Total Billed Charges,,,,,266.95,,,,,,,Percent of Total Billed Charges,,,,,56.2,,,,,,,Percent of Total Billed Charges,,,,,238.85,,,,,,,Percent of Total Billed Charges,,,,,59.01,,,,,,,Percent of Total Billed Charges,,,,,252.9,,,,,,,Percent of Total Billed Charges,,,,,252.9,,,,,,,Percent of Total Billed Charges,,,,,56.2,,,,,,,Percent of Total Billed Charges,,,,,78.68,,,,,,,Percent of Total Billed Charges,,,,,224.8,,,,,,,Percent of Total Billed Charges,,,,,56.2,,,,,,,Percent of Total Billed Charges,,,, METHYLMALONIC ACID ,83921TC ,CPT,,Outpatient,,,427,341.6,318.97,,,,,,,Percent of Total Billed Charges,,318.97,318.97,,427,,,,,,,Percent of Total Billed Charges,,,,,409.92,,,,,,,Percent of Total Billed Charges,,,,,405.65,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,362.95,,,,,,,Percent of Total Billed Charges,,,,,89.67,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,119.56,,,,,,,Percent of Total Billed Charges,,,,,341.6,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,, VITAMIN B6 PLASMA ,84207TC ,CPT,,Outpatient,,,374.5,299.6,279.75,,,,,,,Percent of Total Billed Charges,,279.75,279.75,,374.5,,,,,,,Percent of Total Billed Charges,,,,,359.52,,,,,,,Percent of Total Billed Charges,,,,,355.78,,,,,,,Percent of Total Billed Charges,,,,,74.9,,,,,,,Percent of Total Billed Charges,,,,,318.33,,,,,,,Percent of Total Billed Charges,,,,,78.65,,,,,,,Percent of Total Billed Charges,,,,,337.05,,,,,,,Percent of Total Billed Charges,,,,,337.05,,,,,,,Percent of Total Billed Charges,,,,,74.9,,,,,,,Percent of Total Billed Charges,,,,,104.86,,,,,,,Percent of Total Billed Charges,,,,,299.6,,,,,,,Percent of Total Billed Charges,,,,,74.9,,,,,,,Percent of Total Billed Charges,,,, "N-TELOPEPTIDE, SERUM ",82523TC ,CPT,,Outpatient,,,524.5,419.6,391.8,,,,,,,Percent of Total Billed Charges,,391.8,391.8,,524.5,,,,,,,Percent of Total Billed Charges,,,,,503.52,,,,,,,Percent of Total Billed Charges,,,,,498.28,,,,,,,Percent of Total Billed Charges,,,,,104.9,,,,,,,Percent of Total Billed Charges,,,,,445.83,,,,,,,Percent of Total Billed Charges,,,,,110.15,,,,,,,Percent of Total Billed Charges,,,,,472.05,,,,,,,Percent of Total Billed Charges,,,,,472.05,,,,,,,Percent of Total Billed Charges,,,,,104.9,,,,,,,Percent of Total Billed Charges,,,,,146.86,,,,,,,Percent of Total Billed Charges,,,,,419.6,,,,,,,Percent of Total Billed Charges,,,,,104.9,,,,,,,Percent of Total Billed Charges,,,, .INFLUENZA B ANTIBODY ,86317,CPT,,Outpatient,,,198.5,158.8,148.28,,,,,,,Percent of Total Billed Charges,,148.28,148.28,,198.5,,,,,,,Percent of Total Billed Charges,,,,,190.56,,,,,,,Percent of Total Billed Charges,,,,,188.58,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,168.73,,,,,,,Percent of Total Billed Charges,,,,,41.69,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,158.8,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,, Q-FEVER ANTIBODIES ,86638TC ,CPT,,Outpatient,,,259.5,207.6,193.85,,,,,,,Percent of Total Billed Charges,,193.85,193.85,,259.5,,,,,,,Percent of Total Billed Charges,,,,,249.12,,,,,,,Percent of Total Billed Charges,,,,,246.53,,,,,,,Percent of Total Billed Charges,,,,,51.9,,,,,,,Percent of Total Billed Charges,,,,,220.58,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,233.55,,,,,,,Percent of Total Billed Charges,,,,,233.55,,,,,,,Percent of Total Billed Charges,,,,,51.9,,,,,,,Percent of Total Billed Charges,,,,,72.66,,,,,,,Percent of Total Billed Charges,,,,,207.6,,,,,,,Percent of Total Billed Charges,,,,,51.9,,,,,,,Percent of Total Billed Charges,,,, ".PARAINFLUENZE VIRUS TYPES 1,2,3 BY ELIS",86255TC ,CPT,,Outpatient,,,121,96.8,90.39,,,,,,,Percent of Total Billed Charges,,90.39,90.39,,121,,,,,,,Percent of Total Billed Charges,,,,,116.16,,,,,,,Percent of Total Billed Charges,,,,,114.95,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,102.85,,,,,,,Percent of Total Billed Charges,,,,,25.41,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,33.88,,,,,,,Percent of Total Billed Charges,,,,,96.8,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,, "LEAD, INDUSTRIAL ",83655TC ,CPT,,Outpatient,,,170,136,126.99,,,,,,,Percent of Total Billed Charges,,126.99,126.99,,170,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,161.5,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,144.5,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,153,,,,,,,Percent of Total Billed Charges,,,,,153,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,,,136,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,, HEMOGLOBIN ELECTROPHERESIS ,83020TC ,CPT,,Outpatient,,,368,294.4,274.9,,,,,,,Percent of Total Billed Charges,,274.9,274.9,,368,,,,,,,Percent of Total Billed Charges,,,,,353.28,,,,,,,Percent of Total Billed Charges,,,,,349.6,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,,,312.8,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,,,103.04,,,,,,,Percent of Total Billed Charges,,,,,294.4,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,, .ANTI-NEUTROPHIL CYTOPLASMIC AB END-PT ,86255TC ,CPT,,Outpatient,,,601.5,481.2,449.32,,,,,,,Percent of Total Billed Charges,,449.32,449.32,,601.5,,,,,,,Percent of Total Billed Charges,,,,,577.44,,,,,,,Percent of Total Billed Charges,,,,,571.43,,,,,,,Percent of Total Billed Charges,,,,,120.3,,,,,,,Percent of Total Billed Charges,,,,,511.28,,,,,,,Percent of Total Billed Charges,,,,,126.32,,,,,,,Percent of Total Billed Charges,,,,,541.35,,,,,,,Percent of Total Billed Charges,,,,,541.35,,,,,,,Percent of Total Billed Charges,,,,,120.3,,,,,,,Percent of Total Billed Charges,,,,,168.42,,,,,,,Percent of Total Billed Charges,,,,,481.2,,,,,,,Percent of Total Billed Charges,,,,,120.3,,,,,,,Percent of Total Billed Charges,,,, CULTURE C DIPHTHERIA ,87081TC ,CPT,,Outpatient,,,219,175.2,163.59,,,,,,,Percent of Total Billed Charges,,163.59,163.59,,219,,,,,,,Percent of Total Billed Charges,,,,,210.24,,,,,,,Percent of Total Billed Charges,,,,,208.05,,,,,,,Percent of Total Billed Charges,,,,,43.8,,,,,,,Percent of Total Billed Charges,,,,,186.15,,,,,,,Percent of Total Billed Charges,,,,,45.99,,,,,,,Percent of Total Billed Charges,,,,,197.1,,,,,,,Percent of Total Billed Charges,,,,,197.1,,,,,,,Percent of Total Billed Charges,,,,,43.8,,,,,,,Percent of Total Billed Charges,,,,,61.32,,,,,,,Percent of Total Billed Charges,,,,,175.2,,,,,,,Percent of Total Billed Charges,,,,,43.8,,,,,,,Percent of Total Billed Charges,,,, RUBEOLA (MEASLES) AB IGM ,86765TC ,CPT,,Outpatient,,,120.5,96.4,90.01,,,,,,,Percent of Total Billed Charges,,90.01,90.01,,120.5,,,,,,,Percent of Total Billed Charges,,,,,115.68,,,,,,,Percent of Total Billed Charges,,,,,114.48,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,102.43,,,,,,,Percent of Total Billed Charges,,,,,25.31,,,,,,,Percent of Total Billed Charges,,,,,108.45,,,,,,,Percent of Total Billed Charges,,,,,108.45,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,33.74,,,,,,,Percent of Total Billed Charges,,,,,96.4,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,, VITAMIN D (25-H) ,82306TC ,CPT,,Outpatient,,,301.5,241.2,225.22,,,,,,,Percent of Total Billed Charges,,225.22,225.22,,301.5,,,,,,,Percent of Total Billed Charges,,,,,289.44,,,,,,,Percent of Total Billed Charges,,,,,286.43,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,256.28,,,,,,,Percent of Total Billed Charges,,,,,63.32,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,84.42,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,, .VARICELLA-ZOSTER VIRUS AB IGM & IGG ,86787TC ,CPT,,Outpatient,,,205.5,164.4,153.51,,,,,,,Percent of Total Billed Charges,,153.51,153.51,,205.5,,,,,,,Percent of Total Billed Charges,,,,,197.28,,,,,,,Percent of Total Billed Charges,,,,,195.23,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,174.68,,,,,,,Percent of Total Billed Charges,,,,,43.16,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,57.54,,,,,,,Percent of Total Billed Charges,,,,,164.4,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,, FLUOXETINE (PROZAC) ,80299TC ,CPT,,Outpatient,,,565.5,452.4,422.43,,,,,,,Percent of Total Billed Charges,,422.43,422.43,,565.5,,,,,,,Percent of Total Billed Charges,,,,,542.88,,,,,,,Percent of Total Billed Charges,,,,,537.23,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,,,480.68,,,,,,,Percent of Total Billed Charges,,,,,118.76,,,,,,,Percent of Total Billed Charges,,,,,508.95,,,,,,,Percent of Total Billed Charges,,,,,508.95,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,,,158.34,,,,,,,Percent of Total Billed Charges,,,,,452.4,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,, TROPONIN I ,84484TC ,CPT,,Outpatient,,,206,164.8,153.88,,,,,,,Percent of Total Billed Charges,,153.88,153.88,,206,,,,,,,Percent of Total Billed Charges,,,,,197.76,,,,,,,Percent of Total Billed Charges,,,,,195.7,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,175.1,,,,,,,Percent of Total Billed Charges,,,,,43.26,,,,,,,Percent of Total Billed Charges,,,,,185.4,,,,,,,Percent of Total Billed Charges,,,,,185.4,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,57.68,,,,,,,Percent of Total Billed Charges,,,,,164.8,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,, LDL DIRECT ,83721TC ,CPT,,Outpatient,,,87,69.6,64.99,,,,,,,Percent of Total Billed Charges,,64.99,64.99,,87,,,,,,,Percent of Total Billed Charges,,,,,83.52,,,,,,,Percent of Total Billed Charges,,,,,82.65,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,73.95,,,,,,,Percent of Total Billed Charges,,,,,18.27,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,24.36,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,, ..GLOBULIN ,250,RC,,Outpatient,,,35,28,26.15,,,,,,,Percent of Total Billed Charges,,26.15,26.15,,35,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,33.25,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,29.75,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,, .AMP (URINE) ,80301TC ,CPT,,Outpatient,,,329.5,263.6,246.14,,,,,,,Percent of Total Billed Charges,,246.14,246.14,,329.5,,,,,,,Percent of Total Billed Charges,,,,,316.32,,,,,,,Percent of Total Billed Charges,,,,,313.03,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,,,280.08,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,296.55,,,,,,,Percent of Total Billed Charges,,,,,296.55,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,,,92.26,,,,,,,Percent of Total Billed Charges,,,,,263.6,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,, C REACT PROT - HIGH SENSITIVITY ,86141TC ,CPT,,Outpatient,,,189.5,151.6,141.56,,,,,,,Percent of Total Billed Charges,,141.56,141.56,,189.5,,,,,,,Percent of Total Billed Charges,,,,,181.92,,,,,,,Percent of Total Billed Charges,,,,,180.03,,,,,,,Percent of Total Billed Charges,,,,,37.9,,,,,,,Percent of Total Billed Charges,,,,,161.08,,,,,,,Percent of Total Billed Charges,,,,,39.8,,,,,,,Percent of Total Billed Charges,,,,,170.55,,,,,,,Percent of Total Billed Charges,,,,,170.55,,,,,,,Percent of Total Billed Charges,,,,,37.9,,,,,,,Percent of Total Billed Charges,,,,,53.06,,,,,,,Percent of Total Billed Charges,,,,,151.6,,,,,,,Percent of Total Billed Charges,,,,,37.9,,,,,,,Percent of Total Billed Charges,,,, GLOMERULAR BASEMENT MEMB AB IGG ,86255TC ,CPT,,Outpatient,,,609,487.2,454.92,,,,,,,Percent of Total Billed Charges,,454.92,454.92,,609,,,,,,,Percent of Total Billed Charges,,,,,584.64,,,,,,,Percent of Total Billed Charges,,,,,578.55,,,,,,,Percent of Total Billed Charges,,,,,121.8,,,,,,,Percent of Total Billed Charges,,,,,517.65,,,,,,,Percent of Total Billed Charges,,,,,127.89,,,,,,,Percent of Total Billed Charges,,,,,548.1,,,,,,,Percent of Total Billed Charges,,,,,548.1,,,,,,,Percent of Total Billed Charges,,,,,121.8,,,,,,,Percent of Total Billed Charges,,,,,170.52,,,,,,,Percent of Total Billed Charges,,,,,487.2,,,,,,,Percent of Total Billed Charges,,,,,121.8,,,,,,,Percent of Total Billed Charges,,,, BREATH ALCOHOL ,250,RC,,Outpatient,,,99,79.2,73.95,,,,,,,Percent of Total Billed Charges,,73.95,73.95,,99,,,,,,,Percent of Total Billed Charges,,,,,95.04,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,20.79,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,27.72,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,, LAMICTAL (LAMOTRIGINE) ,80175TC ,CPT,,Outpatient,,,333.5,266.8,249.12,,,,,,,Percent of Total Billed Charges,,249.12,249.12,,333.5,,,,,,,Percent of Total Billed Charges,,,,,320.16,,,,,,,Percent of Total Billed Charges,,,,,316.83,,,,,,,Percent of Total Billed Charges,,,,,66.7,,,,,,,Percent of Total Billed Charges,,,,,283.48,,,,,,,Percent of Total Billed Charges,,,,,70.04,,,,,,,Percent of Total Billed Charges,,,,,300.15,,,,,,,Percent of Total Billed Charges,,,,,300.15,,,,,,,Percent of Total Billed Charges,,,,,66.7,,,,,,,Percent of Total Billed Charges,,,,,93.38,,,,,,,Percent of Total Billed Charges,,,,,266.8,,,,,,,Percent of Total Billed Charges,,,,,66.7,,,,,,,Percent of Total Billed Charges,,,, BB RHOGAM ,90384,CPT,,Outpatient,,,101.5,81.2,75.82,,,,,,,Percent of Total Billed Charges,,75.82,75.82,,101.5,,,,,,,Percent of Total Billed Charges,,,,,97.44,,,,,,,Percent of Total Billed Charges,,,,,96.43,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,86.28,,,,,,,Percent of Total Billed Charges,,,,,21.32,,,,,,,Percent of Total Billed Charges,,,,,91.35,,,,,,,Percent of Total Billed Charges,,,,,91.35,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,28.42,,,,,,,Percent of Total Billed Charges,,,,,81.2,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,, SUCROSE LYSIS ,85475TC ,CPT,,Outpatient,,,144.5,115.6,107.94,,,,,,,Percent of Total Billed Charges,,107.94,107.94,,144.5,,,,,,,Percent of Total Billed Charges,,,,,138.72,,,,,,,Percent of Total Billed Charges,,,,,137.28,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,122.83,,,,,,,Percent of Total Billed Charges,,,,,30.35,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,40.46,,,,,,,Percent of Total Billed Charges,,,,,115.6,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,, COMPREHENSIVE METABOLIC PROFILE ,80053TC ,CPT,,Outpatient,,,387,309.6,289.09,,,,,,,Percent of Total Billed Charges,,289.09,289.09,,387,,,,,,,Percent of Total Billed Charges,,,,,371.52,,,,,,,Percent of Total Billed Charges,,,,,367.65,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,328.95,,,,,,,Percent of Total Billed Charges,,,,,81.27,,,,,,,Percent of Total Billed Charges,,,,,348.3,,,,,,,Percent of Total Billed Charges,,,,,348.3,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,108.36,,,,,,,Percent of Total Billed Charges,,,,,309.6,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,, LIVER FUNCTION ,80076TC ,CPT,,Outpatient,,,294,235.2,219.62,,,,,,,Percent of Total Billed Charges,,219.62,219.62,,294,,,,,,,Percent of Total Billed Charges,,,,,282.24,,,,,,,Percent of Total Billed Charges,,,,,279.3,,,,,,,Percent of Total Billed Charges,,,,,58.8,,,,,,,Percent of Total Billed Charges,,,,,249.9,,,,,,,Percent of Total Billed Charges,,,,,61.74,,,,,,,Percent of Total Billed Charges,,,,,264.6,,,,,,,Percent of Total Billed Charges,,,,,264.6,,,,,,,Percent of Total Billed Charges,,,,,58.8,,,,,,,Percent of Total Billed Charges,,,,,82.32,,,,,,,Percent of Total Billed Charges,,,,,235.2,,,,,,,Percent of Total Billed Charges,,,,,58.8,,,,,,,Percent of Total Billed Charges,,,, GIARDIA / CRYPTOSPORIDIA ASSAY ,87272TC ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, RETICULIN ANTIBODY ,86256TC ,CPT,,Outpatient,,,269.5,215.6,201.32,,,,,,,Percent of Total Billed Charges,,201.32,201.32,,269.5,,,,,,,Percent of Total Billed Charges,,,,,258.72,,,,,,,Percent of Total Billed Charges,,,,,256.03,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,,,229.08,,,,,,,Percent of Total Billed Charges,,,,,56.6,,,,,,,Percent of Total Billed Charges,,,,,242.55,,,,,,,Percent of Total Billed Charges,,,,,242.55,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,,,75.46,,,,,,,Percent of Total Billed Charges,,,,,215.6,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,, TESTOSTERONE FREE & TOTAL - MALE ,84402TC ,CPT,,Outpatient,,,656.5,525.2,490.41,,,,,,,Percent of Total Billed Charges,,490.41,490.41,,656.5,,,,,,,Percent of Total Billed Charges,,,,,630.24,,,,,,,Percent of Total Billed Charges,,,,,623.68,,,,,,,Percent of Total Billed Charges,,,,,131.3,,,,,,,Percent of Total Billed Charges,,,,,558.03,,,,,,,Percent of Total Billed Charges,,,,,137.87,,,,,,,Percent of Total Billed Charges,,,,,590.85,,,,,,,Percent of Total Billed Charges,,,,,590.85,,,,,,,Percent of Total Billed Charges,,,,,131.3,,,,,,,Percent of Total Billed Charges,,,,,183.82,,,,,,,Percent of Total Billed Charges,,,,,525.2,,,,,,,Percent of Total Billed Charges,,,,,131.3,,,,,,,Percent of Total Billed Charges,,,, .STFR ,83520TC ,CPT,,Outpatient,,,684.5,547.6,511.32,,,,,,,Percent of Total Billed Charges,,511.32,511.32,,684.5,,,,,,,Percent of Total Billed Charges,,,,,657.12,,,,,,,Percent of Total Billed Charges,,,,,650.28,,,,,,,Percent of Total Billed Charges,,,,,136.9,,,,,,,Percent of Total Billed Charges,,,,,581.83,,,,,,,Percent of Total Billed Charges,,,,,143.75,,,,,,,Percent of Total Billed Charges,,,,,616.05,,,,,,,Percent of Total Billed Charges,,,,,616.05,,,,,,,Percent of Total Billed Charges,,,,,136.9,,,,,,,Percent of Total Billed Charges,,,,,191.66,,,,,,,Percent of Total Billed Charges,,,,,547.6,,,,,,,Percent of Total Billed Charges,,,,,136.9,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS C (QUANT) RNA BY PCR ,87522TC ,CPT,,Outpatient,,,488,390.4,364.54,,,,,,,Percent of Total Billed Charges,,364.54,364.54,,488,,,,,,,Percent of Total Billed Charges,,,,,468.48,,,,,,,Percent of Total Billed Charges,,,,,463.6,,,,,,,Percent of Total Billed Charges,,,,,97.6,,,,,,,Percent of Total Billed Charges,,,,,414.8,,,,,,,Percent of Total Billed Charges,,,,,102.48,,,,,,,Percent of Total Billed Charges,,,,,439.2,,,,,,,Percent of Total Billed Charges,,,,,439.2,,,,,,,Percent of Total Billed Charges,,,,,97.6,,,,,,,Percent of Total Billed Charges,,,,,136.64,,,,,,,Percent of Total Billed Charges,,,,,390.4,,,,,,,Percent of Total Billed Charges,,,,,97.6,,,,,,,Percent of Total Billed Charges,,,, .HEPATITIS C VIRUS RIBA (2nd GENERATION),86804TC ,CPT,,Outpatient,,,684.5,547.6,511.32,,,,,,,Percent of Total Billed Charges,,511.32,511.32,,684.5,,,,,,,Percent of Total Billed Charges,,,,,657.12,,,,,,,Percent of Total Billed Charges,,,,,650.28,,,,,,,Percent of Total Billed Charges,,,,,136.9,,,,,,,Percent of Total Billed Charges,,,,,581.83,,,,,,,Percent of Total Billed Charges,,,,,143.75,,,,,,,Percent of Total Billed Charges,,,,,616.05,,,,,,,Percent of Total Billed Charges,,,,,616.05,,,,,,,Percent of Total Billed Charges,,,,,136.9,,,,,,,Percent of Total Billed Charges,,,,,191.66,,,,,,,Percent of Total Billed Charges,,,,,547.6,,,,,,,Percent of Total Billed Charges,,,,,136.9,,,,,,,Percent of Total Billed Charges,,,, .EMP HEALTH -- HEMOGRAM ,85027,CPT,,Outpatient,,,87,69.6,64.99,,,,,,,Percent of Total Billed Charges,,64.99,64.99,,87,,,,,,,Percent of Total Billed Charges,,,,,83.52,,,,,,,Percent of Total Billed Charges,,,,,82.65,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,73.95,,,,,,,Percent of Total Billed Charges,,,,,18.27,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,24.36,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,, .EMP HEALTH -- URINALYSIS ,81002,CPT,,Outpatient,,,51,40.8,38.1,,,,,,,Percent of Total Billed Charges,,38.1,38.1,,51,,,,,,,Percent of Total Billed Charges,,,,,48.96,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,43.35,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,, .EMP HEALTH -- RUBELLA ,86762,CPT,,Outpatient,,,87,69.6,64.99,,,,,,,Percent of Total Billed Charges,,64.99,64.99,,87,,,,,,,Percent of Total Billed Charges,,,,,83.52,,,,,,,Percent of Total Billed Charges,,,,,82.65,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,73.95,,,,,,,Percent of Total Billed Charges,,,,,18.27,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,24.36,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,, .EMP HEALTH -- THROAT CULTURE ,87070,CPT,,Outpatient,,,75.5,60.4,56.4,,,,,,,Percent of Total Billed Charges,,56.4,56.4,,75.5,,,,,,,Percent of Total Billed Charges,,,,,72.48,,,,,,,Percent of Total Billed Charges,,,,,71.73,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,64.18,,,,,,,Percent of Total Billed Charges,,,,,15.86,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,60.4,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,, BRUCELLA ANTIBODY ,86622TC ,CPT,,Outpatient,,,455,364,339.89,,,,,,,Percent of Total Billed Charges,,339.89,339.89,,455,,,,,,,Percent of Total Billed Charges,,,,,436.8,,,,,,,Percent of Total Billed Charges,,,,,432.25,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,386.75,,,,,,,Percent of Total Billed Charges,,,,,95.55,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,364,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,, MHA-TP ,87285TC ,CPT,,Outpatient,,,283,226.4,211.4,,,,,,,Percent of Total Billed Charges,,211.4,211.4,,283,,,,,,,Percent of Total Billed Charges,,,,,271.68,,,,,,,Percent of Total Billed Charges,,,,,268.85,,,,,,,Percent of Total Billed Charges,,,,,56.6,,,,,,,Percent of Total Billed Charges,,,,,240.55,,,,,,,Percent of Total Billed Charges,,,,,59.43,,,,,,,Percent of Total Billed Charges,,,,,254.7,,,,,,,Percent of Total Billed Charges,,,,,254.7,,,,,,,Percent of Total Billed Charges,,,,,56.6,,,,,,,Percent of Total Billed Charges,,,,,79.24,,,,,,,Percent of Total Billed Charges,,,,,226.4,,,,,,,Percent of Total Billed Charges,,,,,56.6,,,,,,,Percent of Total Billed Charges,,,, RABIES AB TITER ,86382TC ,CPT,,Outpatient,,,274.5,219.6,205.05,,,,,,,Percent of Total Billed Charges,,205.05,205.05,,274.5,,,,,,,Percent of Total Billed Charges,,,,,263.52,,,,,,,Percent of Total Billed Charges,,,,,260.78,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,233.33,,,,,,,Percent of Total Billed Charges,,,,,57.65,,,,,,,Percent of Total Billed Charges,,,,,247.05,,,,,,,Percent of Total Billed Charges,,,,,247.05,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,76.86,,,,,,,Percent of Total Billed Charges,,,,,219.6,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,, FACTOR V LEIDEN ,81241TC ,CPT,,Outpatient,,,559,447.2,417.57,,,,,,,Percent of Total Billed Charges,,417.57,417.57,,559,,,,,,,Percent of Total Billed Charges,,,,,536.64,,,,,,,Percent of Total Billed Charges,,,,,531.05,,,,,,,Percent of Total Billed Charges,,,,,111.8,,,,,,,Percent of Total Billed Charges,,,,,475.15,,,,,,,Percent of Total Billed Charges,,,,,117.39,,,,,,,Percent of Total Billed Charges,,,,,503.1,,,,,,,Percent of Total Billed Charges,,,,,503.1,,,,,,,Percent of Total Billed Charges,,,,,111.8,,,,,,,Percent of Total Billed Charges,,,,,156.52,,,,,,,Percent of Total Billed Charges,,,,,447.2,,,,,,,Percent of Total Billed Charges,,,,,111.8,,,,,,,Percent of Total Billed Charges,,,, FUNGAL ANTIBODY PANEL BY CF ,86635TC ,CPT,,Outpatient,,,726.5,581.2,542.7,,,,,,,Percent of Total Billed Charges,,542.7,542.7,,726.5,,,,,,,Percent of Total Billed Charges,,,,,697.44,,,,,,,Percent of Total Billed Charges,,,,,690.18,,,,,,,Percent of Total Billed Charges,,,,,145.3,,,,,,,Percent of Total Billed Charges,,,,,617.53,,,,,,,Percent of Total Billed Charges,,,,,152.57,,,,,,,Percent of Total Billed Charges,,,,,653.85,,,,,,,Percent of Total Billed Charges,,,,,653.85,,,,,,,Percent of Total Billed Charges,,,,,145.3,,,,,,,Percent of Total Billed Charges,,,,,203.42,,,,,,,Percent of Total Billed Charges,,,,,581.2,,,,,,,Percent of Total Billed Charges,,,,,145.3,,,,,,,Percent of Total Billed Charges,,,, .HISTOPLASMOSIS ANTIGEN (URINE) ,87449TC ,CPT,,Outpatient,,,607.5,486,453.8,,,,,,,Percent of Total Billed Charges,,453.8,453.8,,607.5,,,,,,,Percent of Total Billed Charges,,,,,583.2,,,,,,,Percent of Total Billed Charges,,,,,577.13,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,,,516.38,,,,,,,Percent of Total Billed Charges,,,,,127.58,,,,,,,Percent of Total Billed Charges,,,,,546.75,,,,,,,Percent of Total Billed Charges,,,,,546.75,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,,,170.1,,,,,,,Percent of Total Billed Charges,,,,,486,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,, TSI-THYROID STIMULATING IMMUNOGLOBULIN ,84445TC ,CPT,,Outpatient,,,612.5,490,457.54,,,,,,,Percent of Total Billed Charges,,457.54,457.54,,612.5,,,,,,,Percent of Total Billed Charges,,,,,588,,,,,,,Percent of Total Billed Charges,,,,,581.88,,,,,,,Percent of Total Billed Charges,,,,,122.5,,,,,,,Percent of Total Billed Charges,,,,,520.63,,,,,,,Percent of Total Billed Charges,,,,,128.63,,,,,,,Percent of Total Billed Charges,,,,,551.25,,,,,,,Percent of Total Billed Charges,,,,,551.25,,,,,,,Percent of Total Billed Charges,,,,,122.5,,,,,,,Percent of Total Billed Charges,,,,,171.5,,,,,,,Percent of Total Billed Charges,,,,,490,,,,,,,Percent of Total Billed Charges,,,,,122.5,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS B CORE AB TOTAL(IgG & IgM) ,86704TC ,CPT,,Outpatient,,,244.5,195.6,182.64,,,,,,,Percent of Total Billed Charges,,182.64,182.64,,244.5,,,,,,,Percent of Total Billed Charges,,,,,234.72,,,,,,,Percent of Total Billed Charges,,,,,232.28,,,,,,,Percent of Total Billed Charges,,,,,48.9,,,,,,,Percent of Total Billed Charges,,,,,207.83,,,,,,,Percent of Total Billed Charges,,,,,51.35,,,,,,,Percent of Total Billed Charges,,,,,220.05,,,,,,,Percent of Total Billed Charges,,,,,220.05,,,,,,,Percent of Total Billed Charges,,,,,48.9,,,,,,,Percent of Total Billed Charges,,,,,68.46,,,,,,,Percent of Total Billed Charges,,,,,195.6,,,,,,,Percent of Total Billed Charges,,,,,48.9,,,,,,,Percent of Total Billed Charges,,,, CALCITONIN ,82308TC ,CPT,,Outpatient,,,565.5,452.4,422.43,,,,,,,Percent of Total Billed Charges,,422.43,422.43,,565.5,,,,,,,Percent of Total Billed Charges,,,,,542.88,,,,,,,Percent of Total Billed Charges,,,,,537.23,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,,,480.68,,,,,,,Percent of Total Billed Charges,,,,,118.76,,,,,,,Percent of Total Billed Charges,,,,,508.95,,,,,,,Percent of Total Billed Charges,,,,,508.95,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,,,158.34,,,,,,,Percent of Total Billed Charges,,,,,452.4,,,,,,,Percent of Total Billed Charges,,,,,113.1,,,,,,,Percent of Total Billed Charges,,,, VIP (VASOACTIVE INTESTINAL POLYPEPTIDE) ,84586TC ,CPT,,Outpatient,,,826,660.8,617.02,,,,,,,Percent of Total Billed Charges,,617.02,617.02,,826,,,,,,,Percent of Total Billed Charges,,,,,792.96,,,,,,,Percent of Total Billed Charges,,,,,784.7,,,,,,,Percent of Total Billed Charges,,,,,165.2,,,,,,,Percent of Total Billed Charges,,,,,702.1,,,,,,,Percent of Total Billed Charges,,,,,173.46,,,,,,,Percent of Total Billed Charges,,,,,743.4,,,,,,,Percent of Total Billed Charges,,,,,743.4,,,,,,,Percent of Total Billed Charges,,,,,165.2,,,,,,,Percent of Total Billed Charges,,,,,231.28,,,,,,,Percent of Total Billed Charges,,,,,660.8,,,,,,,Percent of Total Billed Charges,,,,,165.2,,,,,,,Percent of Total Billed Charges,,,, TOXOPLASMOSIS AB IGG ,86317TC ,CPT,,Outpatient,,,358,286.4,267.43,,,,,,,Percent of Total Billed Charges,,267.43,267.43,,358,,,,,,,Percent of Total Billed Charges,,,,,343.68,,,,,,,Percent of Total Billed Charges,,,,,340.1,,,,,,,Percent of Total Billed Charges,,,,,71.6,,,,,,,Percent of Total Billed Charges,,,,,304.3,,,,,,,Percent of Total Billed Charges,,,,,75.18,,,,,,,Percent of Total Billed Charges,,,,,322.2,,,,,,,Percent of Total Billed Charges,,,,,322.2,,,,,,,Percent of Total Billed Charges,,,,,71.6,,,,,,,Percent of Total Billed Charges,,,,,100.24,,,,,,,Percent of Total Billed Charges,,,,,286.4,,,,,,,Percent of Total Billed Charges,,,,,71.6,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS B VIRAL DNA QUANT BY PCR ,87517TC ,CPT,,Outpatient,,,826,660.8,617.02,,,,,,,Percent of Total Billed Charges,,617.02,617.02,,826,,,,,,,Percent of Total Billed Charges,,,,,792.96,,,,,,,Percent of Total Billed Charges,,,,,784.7,,,,,,,Percent of Total Billed Charges,,,,,165.2,,,,,,,Percent of Total Billed Charges,,,,,702.1,,,,,,,Percent of Total Billed Charges,,,,,173.46,,,,,,,Percent of Total Billed Charges,,,,,743.4,,,,,,,Percent of Total Billed Charges,,,,,743.4,,,,,,,Percent of Total Billed Charges,,,,,165.2,,,,,,,Percent of Total Billed Charges,,,,,231.28,,,,,,,Percent of Total Billed Charges,,,,,660.8,,,,,,,Percent of Total Billed Charges,,,,,165.2,,,,,,,Percent of Total Billed Charges,,,, .EMP HEALTH -DRUG SCREEN MED TOX NONDOT,80307TC ,CPT,,Outpatient,,,112,89.6,83.66,,,,,,,Percent of Total Billed Charges,,83.66,83.66,,112,,,,,,,Percent of Total Billed Charges,,,,,107.52,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,95.2,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,31.36,,,,,,,Percent of Total Billed Charges,,,,,89.6,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,, APOLIPOPROTEIN B ,82172TC ,CPT,,Outpatient,,,418.5,334.8,312.62,,,,,,,Percent of Total Billed Charges,,312.62,312.62,,418.5,,,,,,,Percent of Total Billed Charges,,,,,401.76,,,,,,,Percent of Total Billed Charges,,,,,397.58,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,355.73,,,,,,,Percent of Total Billed Charges,,,,,87.89,,,,,,,Percent of Total Billed Charges,,,,,376.65,,,,,,,Percent of Total Billed Charges,,,,,376.65,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,117.18,,,,,,,Percent of Total Billed Charges,,,,,334.8,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,, "PHENOLPHTHALEIN, FECES ",84311TC ,CPT,,Outpatient,,,196,156.8,146.41,,,,,,,Percent of Total Billed Charges,,146.41,146.41,,196,,,,,,,Percent of Total Billed Charges,,,,,188.16,,,,,,,Percent of Total Billed Charges,,,,,186.2,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,166.6,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,54.88,,,,,,,Percent of Total Billed Charges,,,,,156.8,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,, .MICROSOMAL ANTIBODY ,86376TC ,CPT,,Outpatient,,,342.5,274,255.85,,,,,,,Percent of Total Billed Charges,,255.85,255.85,,342.5,,,,,,,Percent of Total Billed Charges,,,,,328.8,,,,,,,Percent of Total Billed Charges,,,,,325.38,,,,,,,Percent of Total Billed Charges,,,,,68.5,,,,,,,Percent of Total Billed Charges,,,,,291.13,,,,,,,Percent of Total Billed Charges,,,,,71.93,,,,,,,Percent of Total Billed Charges,,,,,308.25,,,,,,,Percent of Total Billed Charges,,,,,308.25,,,,,,,Percent of Total Billed Charges,,,,,68.5,,,,,,,Percent of Total Billed Charges,,,,,95.9,,,,,,,Percent of Total Billed Charges,,,,,274,,,,,,,Percent of Total Billed Charges,,,,,68.5,,,,,,,Percent of Total Billed Charges,,,, ALPRAZOLAM (XANAX) ,82491TC ,CPT,,Outpatient,,,309.5,247.6,231.2,,,,,,,Percent of Total Billed Charges,,231.2,231.2,,309.5,,,,,,,Percent of Total Billed Charges,,,,,297.12,,,,,,,Percent of Total Billed Charges,,,,,294.03,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,,,263.08,,,,,,,Percent of Total Billed Charges,,,,,65,,,,,,,Percent of Total Billed Charges,,,,,278.55,,,,,,,Percent of Total Billed Charges,,,,,278.55,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,,,86.66,,,,,,,Percent of Total Billed Charges,,,,,247.6,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,, METHEMOGLOBIN ,83050TC ,CPT,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, URINE MICROSCOPIC ,81015TC ,CPT,,Outpatient,,,76.5,61.2,57.15,,,,,,,Percent of Total Billed Charges,,57.15,57.15,,76.5,,,,,,,Percent of Total Billed Charges,,,,,73.44,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,65.03,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,, ..LDL Direct ,83721,CPT,,Outpatient,,,191,152.8,142.68,,,,,,,Percent of Total Billed Charges,,142.68,142.68,,191,,,,,,,Percent of Total Billed Charges,,,,,183.36,,,,,,,Percent of Total Billed Charges,,,,,181.45,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,162.35,,,,,,,Percent of Total Billed Charges,,,,,40.11,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,53.48,,,,,,,Percent of Total Billed Charges,,,,,152.8,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,, .HEPATITIS A CORE AB TOTAL(IgG & IgM) ,86708TC ,CPT,,Outpatient,,,381.5,305.2,284.98,,,,,,,Percent of Total Billed Charges,,284.98,284.98,,381.5,,,,,,,Percent of Total Billed Charges,,,,,366.24,,,,,,,Percent of Total Billed Charges,,,,,362.43,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,324.28,,,,,,,Percent of Total Billed Charges,,,,,80.12,,,,,,,Percent of Total Billed Charges,,,,,343.35,,,,,,,Percent of Total Billed Charges,,,,,343.35,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,106.82,,,,,,,Percent of Total Billed Charges,,,,,305.2,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,, ANTI Hu (ANTI-NEURONAL NUCLEAR AB TYPE I,86256TC ,CPT,,Outpatient,,,728,582.4,543.82,,,,,,,Percent of Total Billed Charges,,543.82,543.82,,728,,,,,,,Percent of Total Billed Charges,,,,,698.88,,,,,,,Percent of Total Billed Charges,,,,,691.6,,,,,,,Percent of Total Billed Charges,,,,,145.6,,,,,,,Percent of Total Billed Charges,,,,,618.8,,,,,,,Percent of Total Billed Charges,,,,,152.88,,,,,,,Percent of Total Billed Charges,,,,,655.2,,,,,,,Percent of Total Billed Charges,,,,,655.2,,,,,,,Percent of Total Billed Charges,,,,,145.6,,,,,,,Percent of Total Billed Charges,,,,,203.84,,,,,,,Percent of Total Billed Charges,,,,,582.4,,,,,,,Percent of Total Billed Charges,,,,,145.6,,,,,,,Percent of Total Billed Charges,,,, "MICROALBUMIN, RANDOM URINE ",82043TC ,CPT,,Outpatient,,,93,74.4,69.47,,,,,,,Percent of Total Billed Charges,,69.47,69.47,,93,,,,,,,Percent of Total Billed Charges,,,,,89.28,,,,,,,Percent of Total Billed Charges,,,,,88.35,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,79.05,,,,,,,Percent of Total Billed Charges,,,,,19.53,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,26.04,,,,,,,Percent of Total Billed Charges,,,,,74.4,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,, AMINO ACID QUANT -- 24 HR URINE ,82139TC ,CPT,,Outpatient,,,427,341.6,318.97,,,,,,,Percent of Total Billed Charges,,318.97,318.97,,427,,,,,,,Percent of Total Billed Charges,,,,,409.92,,,,,,,Percent of Total Billed Charges,,,,,405.65,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,362.95,,,,,,,Percent of Total Billed Charges,,,,,89.67,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,119.56,,,,,,,Percent of Total Billed Charges,,,,,341.6,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,, .PROTHROMBIN PROMOTOR MUTATION FACTOR II,81240TC ,CPT,,Outpatient,,,846,676.8,631.96,,,,,,,Percent of Total Billed Charges,,631.96,631.96,,846,,,,,,,Percent of Total Billed Charges,,,,,812.16,,,,,,,Percent of Total Billed Charges,,,,,803.7,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,719.1,,,,,,,Percent of Total Billed Charges,,,,,177.66,,,,,,,Percent of Total Billed Charges,,,,,761.4,,,,,,,Percent of Total Billed Charges,,,,,761.4,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,,,236.88,,,,,,,Percent of Total Billed Charges,,,,,676.8,,,,,,,Percent of Total Billed Charges,,,,,169.2,,,,,,,Percent of Total Billed Charges,,,, FACTOR VIII ASSAY ,85270TC ,CPT,,Outpatient,,,285,228,212.9,,,,,,,Percent of Total Billed Charges,,212.9,212.9,,285,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,270.75,,,,,,,Percent of Total Billed Charges,,,,,57,,,,,,,Percent of Total Billed Charges,,,,,242.25,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,256.5,,,,,,,Percent of Total Billed Charges,,,,,256.5,,,,,,,Percent of Total Billed Charges,,,,,57,,,,,,,Percent of Total Billed Charges,,,,,79.8,,,,,,,Percent of Total Billed Charges,,,,,228,,,,,,,Percent of Total Billed Charges,,,,,57,,,,,,,Percent of Total Billed Charges,,,, FACTOR IX ASSAY ,85280TC ,CPT,,Outpatient,,,315,252,235.31,,,,,,,Percent of Total Billed Charges,,235.31,235.31,,315,,,,,,,Percent of Total Billed Charges,,,,,302.4,,,,,,,Percent of Total Billed Charges,,,,,299.25,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,267.75,,,,,,,Percent of Total Billed Charges,,,,,66.15,,,,,,,Percent of Total Billed Charges,,,,,283.5,,,,,,,Percent of Total Billed Charges,,,,,283.5,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,252,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,, FATS STUDY ,36415TC ,CPT,,Outpatient,,,60.5,48.4,45.19,,,,,,,Percent of Total Billed Charges,,45.19,45.19,,60.5,,,,,,,Percent of Total Billed Charges,,,,,58.08,,,,,,,Percent of Total Billed Charges,,,,,57.48,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,51.43,,,,,,,Percent of Total Billed Charges,,,,,12.71,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,16.94,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,, PSA FREE AND TOTAL ,84154TC ,CPT,,Outpatient,,,455,364,339.89,,,,,,,Percent of Total Billed Charges,,339.89,339.89,,455,,,,,,,Percent of Total Billed Charges,,,,,436.8,,,,,,,Percent of Total Billed Charges,,,,,432.25,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,386.75,,,,,,,Percent of Total Billed Charges,,,,,95.55,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,364,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,, THYROGLOBULIN PANEL (THRGLBLN & AB) ,86800TC ,CPT,,Outpatient,,,466,372.8,348.1,,,,,,,Percent of Total Billed Charges,,348.1,348.1,,466,,,,,,,Percent of Total Billed Charges,,,,,447.36,,,,,,,Percent of Total Billed Charges,,,,,442.7,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,,,396.1,,,,,,,Percent of Total Billed Charges,,,,,97.86,,,,,,,Percent of Total Billed Charges,,,,,419.4,,,,,,,Percent of Total Billed Charges,,,,,419.4,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,,,130.48,,,,,,,Percent of Total Billed Charges,,,,,372.8,,,,,,,Percent of Total Billed Charges,,,,,93.2,,,,,,,Percent of Total Billed Charges,,,, LEPTOSPIRA ANTIBODY ,86720TC ,CPT,,Outpatient,,,315.5,252.4,235.68,,,,,,,Percent of Total Billed Charges,,235.68,235.68,,315.5,,,,,,,Percent of Total Billed Charges,,,,,302.88,,,,,,,Percent of Total Billed Charges,,,,,299.73,,,,,,,Percent of Total Billed Charges,,,,,63.1,,,,,,,Percent of Total Billed Charges,,,,,268.18,,,,,,,Percent of Total Billed Charges,,,,,66.26,,,,,,,Percent of Total Billed Charges,,,,,283.95,,,,,,,Percent of Total Billed Charges,,,,,283.95,,,,,,,Percent of Total Billed Charges,,,,,63.1,,,,,,,Percent of Total Billed Charges,,,,,88.34,,,,,,,Percent of Total Billed Charges,,,,,252.4,,,,,,,Percent of Total Billed Charges,,,,,63.1,,,,,,,Percent of Total Billed Charges,,,, BORDETELLA PERTUSSIS AB IGG & IGM ,86615TC ,CPT,,Outpatient,,,392,313.6,292.82,,,,,,,Percent of Total Billed Charges,,292.82,292.82,,392,,,,,,,Percent of Total Billed Charges,,,,,376.32,,,,,,,Percent of Total Billed Charges,,,,,372.4,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,333.2,,,,,,,Percent of Total Billed Charges,,,,,82.32,,,,,,,Percent of Total Billed Charges,,,,,352.8,,,,,,,Percent of Total Billed Charges,,,,,352.8,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,109.76,,,,,,,Percent of Total Billed Charges,,,,,313.6,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,, PYRIDINOLINE-DEOXYPYRIDINOLINE ,82491TC ,CPT,,Outpatient,,,787,629.6,587.89,,,,,,,Percent of Total Billed Charges,,587.89,587.89,,787,,,,,,,Percent of Total Billed Charges,,,,,755.52,,,,,,,Percent of Total Billed Charges,,,,,747.65,,,,,,,Percent of Total Billed Charges,,,,,157.4,,,,,,,Percent of Total Billed Charges,,,,,668.95,,,,,,,Percent of Total Billed Charges,,,,,165.27,,,,,,,Percent of Total Billed Charges,,,,,708.3,,,,,,,Percent of Total Billed Charges,,,,,708.3,,,,,,,Percent of Total Billed Charges,,,,,157.4,,,,,,,Percent of Total Billed Charges,,,,,220.36,,,,,,,Percent of Total Billed Charges,,,,,629.6,,,,,,,Percent of Total Billed Charges,,,,,157.4,,,,,,,Percent of Total Billed Charges,,,, OSTEOCALCIN ,83937TC ,CPT,,Outpatient,,,285.5,228.4,213.27,,,,,,,Percent of Total Billed Charges,,213.27,213.27,,285.5,,,,,,,Percent of Total Billed Charges,,,,,274.08,,,,,,,Percent of Total Billed Charges,,,,,271.23,,,,,,,Percent of Total Billed Charges,,,,,57.1,,,,,,,Percent of Total Billed Charges,,,,,242.68,,,,,,,Percent of Total Billed Charges,,,,,59.96,,,,,,,Percent of Total Billed Charges,,,,,256.95,,,,,,,Percent of Total Billed Charges,,,,,256.95,,,,,,,Percent of Total Billed Charges,,,,,57.1,,,,,,,Percent of Total Billed Charges,,,,,79.94,,,,,,,Percent of Total Billed Charges,,,,,228.4,,,,,,,Percent of Total Billed Charges,,,,,57.1,,,,,,,Percent of Total Billed Charges,,,, .CYSTIC FIBROSIS GENOTYPING ,81220TC ,CPT,,Outpatient,,,426,340.8,318.22,,,,,,,Percent of Total Billed Charges,,318.22,318.22,,426,,,,,,,Percent of Total Billed Charges,,,,,408.96,,,,,,,Percent of Total Billed Charges,,,,,404.7,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,362.1,,,,,,,Percent of Total Billed Charges,,,,,89.46,,,,,,,Percent of Total Billed Charges,,,,,383.4,,,,,,,Percent of Total Billed Charges,,,,,383.4,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,119.28,,,,,,,Percent of Total Billed Charges,,,,,340.8,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,, CA 27.29 ,86300TC ,CPT,,Outpatient,,,206,164.8,153.88,,,,,,,Percent of Total Billed Charges,,153.88,153.88,,206,,,,,,,Percent of Total Billed Charges,,,,,197.76,,,,,,,Percent of Total Billed Charges,,,,,195.7,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,175.1,,,,,,,Percent of Total Billed Charges,,,,,43.26,,,,,,,Percent of Total Billed Charges,,,,,185.4,,,,,,,Percent of Total Billed Charges,,,,,185.4,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,57.68,,,,,,,Percent of Total Billed Charges,,,,,164.8,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,, LIPOPROTEIN (a) ,83721TC ,CPT,,Outpatient,,,140,112,104.58,,,,,,,Percent of Total Billed Charges,,104.58,104.58,,140,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,, APOLIPOPROTEIN E4 ,81401TC ,CPT,,Outpatient,,,1502,1201.6,1121.99,,,,,,,Percent of Total Billed Charges,,1121.99,1121.99,,1502,,,,,,,Percent of Total Billed Charges,,,,,1441.92,,,,,,,Percent of Total Billed Charges,,,,,1426.9,,,,,,,Percent of Total Billed Charges,,,,,300.4,,,,,,,Percent of Total Billed Charges,,,,,1276.7,,,,,,,Percent of Total Billed Charges,,,,,315.42,,,,,,,Percent of Total Billed Charges,,,,,1351.8,,,,,,,Percent of Total Billed Charges,,,,,1351.8,,,,,,,Percent of Total Billed Charges,,,,,300.4,,,,,,,Percent of Total Billed Charges,,,,,420.56,,,,,,,Percent of Total Billed Charges,,,,,1201.6,,,,,,,Percent of Total Billed Charges,,,,,300.4,,,,,,,Percent of Total Billed Charges,,,, APOLIPOPROTEIN A1 ,82172TC ,CPT,,Outpatient,,,455,364,339.89,,,,,,,Percent of Total Billed Charges,,339.89,339.89,,455,,,,,,,Percent of Total Billed Charges,,,,,436.8,,,,,,,Percent of Total Billed Charges,,,,,432.25,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,386.75,,,,,,,Percent of Total Billed Charges,,,,,95.55,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,364,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,, CHOLINESTERASE ANTIBODY ,82482TC ,CPT,,Outpatient,,,320,256,239.04,,,,,,,Percent of Total Billed Charges,,239.04,239.04,,320,,,,,,,Percent of Total Billed Charges,,,,,307.2,,,,,,,Percent of Total Billed Charges,,,,,304,,,,,,,Percent of Total Billed Charges,,,,,64,,,,,,,Percent of Total Billed Charges,,,,,272,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,288,,,,,,,Percent of Total Billed Charges,,,,,288,,,,,,,Percent of Total Billed Charges,,,,,64,,,,,,,Percent of Total Billed Charges,,,,,89.6,,,,,,,Percent of Total Billed Charges,,,,,256,,,,,,,Percent of Total Billed Charges,,,,,64,,,,,,,Percent of Total Billed Charges,,,, D-DIMER ,85379TC ,CPT,,Outpatient,,,455,364,339.89,,,,,,,Percent of Total Billed Charges,,339.89,339.89,,455,,,,,,,Percent of Total Billed Charges,,,,,436.8,,,,,,,Percent of Total Billed Charges,,,,,432.25,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,386.75,,,,,,,Percent of Total Billed Charges,,,,,95.55,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,364,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,, GLIADIN ANTIBODIES ,86258TC ,CPT,,Outpatient,,,254,203.2,189.74,,,,,,,Percent of Total Billed Charges,,189.74,189.74,,254,,,,,,,Percent of Total Billed Charges,,,,,243.84,,,,,,,Percent of Total Billed Charges,,,,,241.3,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,,,215.9,,,,,,,Percent of Total Billed Charges,,,,,53.34,,,,,,,Percent of Total Billed Charges,,,,,228.6,,,,,,,Percent of Total Billed Charges,,,,,228.6,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,,,71.12,,,,,,,Percent of Total Billed Charges,,,,,203.2,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,, ..ENDOMYSIAL AB ,86255* ,CPT,,Outpatient,,,269.5,215.6,201.32,,,,,,,Percent of Total Billed Charges,,201.32,201.32,,269.5,,,,,,,Percent of Total Billed Charges,,,,,258.72,,,,,,,Percent of Total Billed Charges,,,,,256.03,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,,,229.08,,,,,,,Percent of Total Billed Charges,,,,,56.6,,,,,,,Percent of Total Billed Charges,,,,,242.55,,,,,,,Percent of Total Billed Charges,,,,,242.55,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,,,75.46,,,,,,,Percent of Total Billed Charges,,,,,215.6,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,, TICK IDENTIFICATION ,87210TC ,CPT,,Outpatient,,,67.5,54,50.42,,,,,,,Percent of Total Billed Charges,,50.42,50.42,,67.5,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,64.13,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,57.38,,,,,,,Percent of Total Billed Charges,,,,,14.18,,,,,,,Percent of Total Billed Charges,,,,,60.75,,,,,,,Percent of Total Billed Charges,,,,,60.75,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,, ASPERIGILLUS FUMIGATUS IgE ,86606TC ,CPT,,Outpatient,,,169,135.2,126.24,,,,,,,Percent of Total Billed Charges,,126.24,126.24,,169,,,,,,,Percent of Total Billed Charges,,,,,162.24,,,,,,,Percent of Total Billed Charges,,,,,160.55,,,,,,,Percent of Total Billed Charges,,,,,33.8,,,,,,,Percent of Total Billed Charges,,,,,143.65,,,,,,,Percent of Total Billed Charges,,,,,35.49,,,,,,,Percent of Total Billed Charges,,,,,152.1,,,,,,,Percent of Total Billed Charges,,,,,152.1,,,,,,,Percent of Total Billed Charges,,,,,33.8,,,,,,,Percent of Total Billed Charges,,,,,47.32,,,,,,,Percent of Total Billed Charges,,,,,135.2,,,,,,,Percent of Total Billed Charges,,,,,33.8,,,,,,,Percent of Total Billed Charges,,,, ASPERIGILLUS FUMIGATUS IgG ,86606TC ,CPT,,Outpatient,,,169,135.2,126.24,,,,,,,Percent of Total Billed Charges,,126.24,126.24,,169,,,,,,,Percent of Total Billed Charges,,,,,162.24,,,,,,,Percent of Total Billed Charges,,,,,160.55,,,,,,,Percent of Total Billed Charges,,,,,33.8,,,,,,,Percent of Total Billed Charges,,,,,143.65,,,,,,,Percent of Total Billed Charges,,,,,35.49,,,,,,,Percent of Total Billed Charges,,,,,152.1,,,,,,,Percent of Total Billed Charges,,,,,152.1,,,,,,,Percent of Total Billed Charges,,,,,33.8,,,,,,,Percent of Total Billed Charges,,,,,47.32,,,,,,,Percent of Total Billed Charges,,,,,135.2,,,,,,,Percent of Total Billed Charges,,,,,33.8,,,,,,,Percent of Total Billed Charges,,,, MUMPS AB IgM ,86735TC ,CPT,,Outpatient,,,385.5,308.4,287.97,,,,,,,Percent of Total Billed Charges,,287.97,287.97,,385.5,,,,,,,Percent of Total Billed Charges,,,,,370.08,,,,,,,Percent of Total Billed Charges,,,,,366.23,,,,,,,Percent of Total Billed Charges,,,,,77.1,,,,,,,Percent of Total Billed Charges,,,,,327.68,,,,,,,Percent of Total Billed Charges,,,,,80.96,,,,,,,Percent of Total Billed Charges,,,,,346.95,,,,,,,Percent of Total Billed Charges,,,,,346.95,,,,,,,Percent of Total Billed Charges,,,,,77.1,,,,,,,Percent of Total Billed Charges,,,,,107.94,,,,,,,Percent of Total Billed Charges,,,,,308.4,,,,,,,Percent of Total Billed Charges,,,,,77.1,,,,,,,Percent of Total Billed Charges,,,, PTH RELATED PROTEIN ,83519TC ,CPT,,Outpatient,,,668.5,534.8,499.37,,,,,,,Percent of Total Billed Charges,,499.37,499.37,,668.5,,,,,,,Percent of Total Billed Charges,,,,,641.76,,,,,,,Percent of Total Billed Charges,,,,,635.08,,,,,,,Percent of Total Billed Charges,,,,,133.7,,,,,,,Percent of Total Billed Charges,,,,,568.23,,,,,,,Percent of Total Billed Charges,,,,,140.39,,,,,,,Percent of Total Billed Charges,,,,,601.65,,,,,,,Percent of Total Billed Charges,,,,,601.65,,,,,,,Percent of Total Billed Charges,,,,,133.7,,,,,,,Percent of Total Billed Charges,,,,,187.18,,,,,,,Percent of Total Billed Charges,,,,,534.8,,,,,,,Percent of Total Billed Charges,,,,,133.7,,,,,,,Percent of Total Billed Charges,,,, FACTOR II ,85240TC ,CPT,,Outpatient,,,153,122.4,114.29,,,,,,,Percent of Total Billed Charges,,114.29,114.29,,153,,,,,,,Percent of Total Billed Charges,,,,,146.88,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,32.13,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,122.4,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,, FACTOR VII ,85260TC ,CPT,,Outpatient,,,134.5,107.6,100.47,,,,,,,Percent of Total Billed Charges,,100.47,100.47,,134.5,,,,,,,Percent of Total Billed Charges,,,,,129.12,,,,,,,Percent of Total Billed Charges,,,,,127.78,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,114.33,,,,,,,Percent of Total Billed Charges,,,,,28.25,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,37.66,,,,,,,Percent of Total Billed Charges,,,,,107.6,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,, FACTOR X ,85210TC ,CPT,,Outpatient,,,134.5,107.6,100.47,,,,,,,Percent of Total Billed Charges,,100.47,100.47,,134.5,,,,,,,Percent of Total Billed Charges,,,,,129.12,,,,,,,Percent of Total Billed Charges,,,,,127.78,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,114.33,,,,,,,Percent of Total Billed Charges,,,,,28.25,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,37.66,,,,,,,Percent of Total Billed Charges,,,,,107.6,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,, FACTOR V ,85250TC ,CPT,,Outpatient,,,153,122.4,114.29,,,,,,,Percent of Total Billed Charges,,114.29,114.29,,153,,,,,,,Percent of Total Billed Charges,,,,,146.88,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,32.13,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,122.4,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,, SOLUBLE TRANSFERRIN RECEPTOR ASSAY ,83520TC ,CPT,,Outpatient,,,1020,816,761.94,,,,,,,Percent of Total Billed Charges,,761.94,761.94,,1020,,,,,,,Percent of Total Billed Charges,,,,,979.2,,,,,,,Percent of Total Billed Charges,,,,,969,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,,,867,,,,,,,Percent of Total Billed Charges,,,,,214.2,,,,,,,Percent of Total Billed Charges,,,,,918,,,,,,,Percent of Total Billed Charges,,,,,918,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,,,285.6,,,,,,,Percent of Total Billed Charges,,,,,816,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,, ROCKY MOUNTAIN SPOTTED FEVER AB ,86790TC ,CPT,,Outpatient,,,538.5,430.8,402.26,,,,,,,Percent of Total Billed Charges,,402.26,402.26,,538.5,,,,,,,Percent of Total Billed Charges,,,,,516.96,,,,,,,Percent of Total Billed Charges,,,,,511.58,,,,,,,Percent of Total Billed Charges,,,,,107.7,,,,,,,Percent of Total Billed Charges,,,,,457.73,,,,,,,Percent of Total Billed Charges,,,,,113.09,,,,,,,Percent of Total Billed Charges,,,,,484.65,,,,,,,Percent of Total Billed Charges,,,,,484.65,,,,,,,Percent of Total Billed Charges,,,,,107.7,,,,,,,Percent of Total Billed Charges,,,,,150.78,,,,,,,Percent of Total Billed Charges,,,,,430.8,,,,,,,Percent of Total Billed Charges,,,,,107.7,,,,,,,Percent of Total Billed Charges,,,, EHRLICHIOSIS ABS (HME) ,86666TC ,CPT,,Outpatient,,,882,705.6,658.85,,,,,,,Percent of Total Billed Charges,,658.85,658.85,,882,,,,,,,Percent of Total Billed Charges,,,,,846.72,,,,,,,Percent of Total Billed Charges,,,,,837.9,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,749.7,,,,,,,Percent of Total Billed Charges,,,,,185.22,,,,,,,Percent of Total Billed Charges,,,,,793.8,,,,,,,Percent of Total Billed Charges,,,,,793.8,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,246.96,,,,,,,Percent of Total Billed Charges,,,,,705.6,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,, BABESIOSIS SMEAR ,87207TC ,CPT,,Outpatient,,,162.5,130,121.39,,,,,,,Percent of Total Billed Charges,,121.39,121.39,,162.5,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,154.38,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,,,138.13,,,,,,,Percent of Total Billed Charges,,,,,34.13,,,,,,,Percent of Total Billed Charges,,,,,146.25,,,,,,,Percent of Total Billed Charges,,,,,146.25,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,,,45.5,,,,,,,Percent of Total Billed Charges,,,,,130,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,, BONE MARROW PACK ,250,RC,,Outpatient,,,232.5,186,173.68,,,,,,,Percent of Total Billed Charges,,173.68,173.68,,232.5,,,,,,,Percent of Total Billed Charges,,,,,223.2,,,,,,,Percent of Total Billed Charges,,,,,220.88,,,,,,,Percent of Total Billed Charges,,,,,46.5,,,,,,,Percent of Total Billed Charges,,,,,197.63,,,,,,,Percent of Total Billed Charges,,,,,48.83,,,,,,,Percent of Total Billed Charges,,,,,209.25,,,,,,,Percent of Total Billed Charges,,,,,209.25,,,,,,,Percent of Total Billed Charges,,,,,46.5,,,,,,,Percent of Total Billed Charges,,,,,65.1,,,,,,,Percent of Total Billed Charges,,,,,186,,,,,,,Percent of Total Billed Charges,,,,,46.5,,,,,,,Percent of Total Billed Charges,,,, BONE MARROW NEEDLE ,250,RC,,Outpatient,,,398.5,318.8,297.68,,,,,,,Percent of Total Billed Charges,,297.68,297.68,,398.5,,,,,,,Percent of Total Billed Charges,,,,,382.56,,,,,,,Percent of Total Billed Charges,,,,,378.58,,,,,,,Percent of Total Billed Charges,,,,,79.7,,,,,,,Percent of Total Billed Charges,,,,,338.73,,,,,,,Percent of Total Billed Charges,,,,,83.69,,,,,,,Percent of Total Billed Charges,,,,,358.65,,,,,,,Percent of Total Billed Charges,,,,,358.65,,,,,,,Percent of Total Billed Charges,,,,,79.7,,,,,,,Percent of Total Billed Charges,,,,,111.58,,,,,,,Percent of Total Billed Charges,,,,,318.8,,,,,,,Percent of Total Billed Charges,,,,,79.7,,,,,,,Percent of Total Billed Charges,,,, HIV VIRAL LOAD ,87536TC ,CPT,,Outpatient,,,1020,816,761.94,,,,,,,Percent of Total Billed Charges,,761.94,761.94,,1020,,,,,,,Percent of Total Billed Charges,,,,,979.2,,,,,,,Percent of Total Billed Charges,,,,,969,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,,,867,,,,,,,Percent of Total Billed Charges,,,,,214.2,,,,,,,Percent of Total Billed Charges,,,,,918,,,,,,,Percent of Total Billed Charges,,,,,918,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,,,285.6,,,,,,,Percent of Total Billed Charges,,,,,816,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,, HEMOGLOBIN A2 QUANT ,83020TC ,CPT,,Outpatient,,,172,137.6,128.48,,,,,,,Percent of Total Billed Charges,,128.48,128.48,,172,,,,,,,Percent of Total Billed Charges,,,,,165.12,,,,,,,Percent of Total Billed Charges,,,,,163.4,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,146.2,,,,,,,Percent of Total Billed Charges,,,,,36.12,,,,,,,Percent of Total Billed Charges,,,,,154.8,,,,,,,Percent of Total Billed Charges,,,,,154.8,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,48.16,,,,,,,Percent of Total Billed Charges,,,,,137.6,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,, HEMOGLOBIN F QUANT ,83030TC ,CPT,,Outpatient,,,304.5,243.6,227.46,,,,,,,Percent of Total Billed Charges,,227.46,227.46,,304.5,,,,,,,Percent of Total Billed Charges,,,,,292.32,,,,,,,Percent of Total Billed Charges,,,,,289.28,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,258.83,,,,,,,Percent of Total Billed Charges,,,,,63.95,,,,,,,Percent of Total Billed Charges,,,,,274.05,,,,,,,Percent of Total Billed Charges,,,,,274.05,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,85.26,,,,,,,Percent of Total Billed Charges,,,,,243.6,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,, "...IMMUNOFIXATION, QUANT - SERUM ",86334 x3* ,CPT,,Outpatient,,,643,514.4,480.32,,,,,,,Percent of Total Billed Charges,,480.32,480.32,,643,,,,,,,Percent of Total Billed Charges,,,,,617.28,,,,,,,Percent of Total Billed Charges,,,,,610.85,,,,,,,Percent of Total Billed Charges,,,,,128.6,,,,,,,Percent of Total Billed Charges,,,,,546.55,,,,,,,Percent of Total Billed Charges,,,,,135.03,,,,,,,Percent of Total Billed Charges,,,,,578.7,,,,,,,Percent of Total Billed Charges,,,,,578.7,,,,,,,Percent of Total Billed Charges,,,,,128.6,,,,,,,Percent of Total Billed Charges,,,,,180.04,,,,,,,Percent of Total Billed Charges,,,,,514.4,,,,,,,Percent of Total Billed Charges,,,,,128.6,,,,,,,Percent of Total Billed Charges,,,, VARICELLA-ZOSTER IgG AB ,86787TC ,CPT,,Outpatient,,,162.5,130,121.39,,,,,,,Percent of Total Billed Charges,,121.39,121.39,,162.5,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,154.38,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,,,138.13,,,,,,,Percent of Total Billed Charges,,,,,34.13,,,,,,,Percent of Total Billed Charges,,,,,146.25,,,,,,,Percent of Total Billed Charges,,,,,146.25,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,,,45.5,,,,,,,Percent of Total Billed Charges,,,,,130,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,, DVVT (DILUTE VIPER VENOM TEST) ,85613TC ,CPT,,Outpatient,,,76.5,61.2,57.15,,,,,,,Percent of Total Billed Charges,,57.15,57.15,,76.5,,,,,,,Percent of Total Billed Charges,,,,,73.44,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,65.03,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,, "MICROALBUMIN, 24 HR URINE ",82043TC ,CPT,,Outpatient,,,186,148.8,138.94,,,,,,,Percent of Total Billed Charges,,138.94,138.94,,186,,,,,,,Percent of Total Billed Charges,,,,,178.56,,,,,,,Percent of Total Billed Charges,,,,,176.7,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,158.1,,,,,,,Percent of Total Billed Charges,,,,,39.06,,,,,,,Percent of Total Billed Charges,,,,,167.4,,,,,,,Percent of Total Billed Charges,,,,,167.4,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,52.08,,,,,,,Percent of Total Billed Charges,,,,,148.8,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,, DRUG SCREEN CONFIRMATION TEST ,80320TC ,CPT,,Outpatient,,,234.5,187.6,175.17,,,,,,,Percent of Total Billed Charges,,175.17,175.17,,234.5,,,,,,,Percent of Total Billed Charges,,,,,225.12,,,,,,,Percent of Total Billed Charges,,,,,222.78,,,,,,,Percent of Total Billed Charges,,,,,46.9,,,,,,,Percent of Total Billed Charges,,,,,199.33,,,,,,,Percent of Total Billed Charges,,,,,49.25,,,,,,,Percent of Total Billed Charges,,,,,211.05,,,,,,,Percent of Total Billed Charges,,,,,211.05,,,,,,,Percent of Total Billed Charges,,,,,46.9,,,,,,,Percent of Total Billed Charges,,,,,65.66,,,,,,,Percent of Total Billed Charges,,,,,187.6,,,,,,,Percent of Total Billed Charges,,,,,46.9,,,,,,,Percent of Total Billed Charges,,,, RENAL FUNCTION PANEL ,80069TC ,CPT,,Outpatient,,,306.5,245.2,228.96,,,,,,,Percent of Total Billed Charges,,228.96,228.96,,306.5,,,,,,,Percent of Total Billed Charges,,,,,294.24,,,,,,,Percent of Total Billed Charges,,,,,291.18,,,,,,,Percent of Total Billed Charges,,,,,61.3,,,,,,,Percent of Total Billed Charges,,,,,260.53,,,,,,,Percent of Total Billed Charges,,,,,64.37,,,,,,,Percent of Total Billed Charges,,,,,275.85,,,,,,,Percent of Total Billed Charges,,,,,275.85,,,,,,,Percent of Total Billed Charges,,,,,61.3,,,,,,,Percent of Total Billed Charges,,,,,85.82,,,,,,,Percent of Total Billed Charges,,,,,245.2,,,,,,,Percent of Total Billed Charges,,,,,61.3,,,,,,,Percent of Total Billed Charges,,,, ZINC ,84630TC ,CPT,,Outpatient,,,274.5,219.6,205.05,,,,,,,Percent of Total Billed Charges,,205.05,205.05,,274.5,,,,,,,Percent of Total Billed Charges,,,,,263.52,,,,,,,Percent of Total Billed Charges,,,,,260.78,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,233.33,,,,,,,Percent of Total Billed Charges,,,,,57.65,,,,,,,Percent of Total Billed Charges,,,,,247.05,,,,,,,Percent of Total Billed Charges,,,,,247.05,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,76.86,,,,,,,Percent of Total Billed Charges,,,,,219.6,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,, SELENIUM ,84255TC ,CPT,,Outpatient,,,418.5,334.8,312.62,,,,,,,Percent of Total Billed Charges,,312.62,312.62,,418.5,,,,,,,Percent of Total Billed Charges,,,,,401.76,,,,,,,Percent of Total Billed Charges,,,,,397.58,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,355.73,,,,,,,Percent of Total Billed Charges,,,,,87.89,,,,,,,Percent of Total Billed Charges,,,,,376.65,,,,,,,Percent of Total Billed Charges,,,,,376.65,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,117.18,,,,,,,Percent of Total Billed Charges,,,,,334.8,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,, ANAPLASMOSIS ABS (HGA) ,86609TC ,CPT,,Outpatient,,,882,705.6,658.85,,,,,,,Percent of Total Billed Charges,,658.85,658.85,,882,,,,,,,Percent of Total Billed Charges,,,,,846.72,,,,,,,Percent of Total Billed Charges,,,,,837.9,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,749.7,,,,,,,Percent of Total Billed Charges,,,,,185.22,,,,,,,Percent of Total Billed Charges,,,,,793.8,,,,,,,Percent of Total Billed Charges,,,,,793.8,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,246.96,,,,,,,Percent of Total Billed Charges,,,,,705.6,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,, .EHRLICHIOSIS-HME (HUMAN MONOCYTIC) ,86666TC ,CPT,,Outpatient,,,731.5,585.2,546.43,,,,,,,Percent of Total Billed Charges,,546.43,546.43,,731.5,,,,,,,Percent of Total Billed Charges,,,,,702.24,,,,,,,Percent of Total Billed Charges,,,,,694.93,,,,,,,Percent of Total Billed Charges,,,,,146.3,,,,,,,Percent of Total Billed Charges,,,,,621.78,,,,,,,Percent of Total Billed Charges,,,,,153.62,,,,,,,Percent of Total Billed Charges,,,,,658.35,,,,,,,Percent of Total Billed Charges,,,,,658.35,,,,,,,Percent of Total Billed Charges,,,,,146.3,,,,,,,Percent of Total Billed Charges,,,,,204.82,,,,,,,Percent of Total Billed Charges,,,,,585.2,,,,,,,Percent of Total Billed Charges,,,,,146.3,,,,,,,Percent of Total Billed Charges,,,, PROTHROMBIN GENE MUTATION ,81240TC ,CPT,,Outpatient,,,683.5,546.8,510.57,,,,,,,Percent of Total Billed Charges,,510.57,510.57,,683.5,,,,,,,Percent of Total Billed Charges,,,,,656.16,,,,,,,Percent of Total Billed Charges,,,,,649.33,,,,,,,Percent of Total Billed Charges,,,,,136.7,,,,,,,Percent of Total Billed Charges,,,,,580.98,,,,,,,Percent of Total Billed Charges,,,,,143.54,,,,,,,Percent of Total Billed Charges,,,,,615.15,,,,,,,Percent of Total Billed Charges,,,,,615.15,,,,,,,Percent of Total Billed Charges,,,,,136.7,,,,,,,Percent of Total Billed Charges,,,,,191.38,,,,,,,Percent of Total Billed Charges,,,,,546.8,,,,,,,Percent of Total Billed Charges,,,,,136.7,,,,,,,Percent of Total Billed Charges,,,, "LEGIONELLA ANTIGEN, URINE ",87449TC ,CPT,,Outpatient,,,252,201.6,188.24,,,,,,,Percent of Total Billed Charges,,188.24,188.24,,252,,,,,,,Percent of Total Billed Charges,,,,,241.92,,,,,,,Percent of Total Billed Charges,,,,,239.4,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,214.2,,,,,,,Percent of Total Billed Charges,,,,,52.92,,,,,,,Percent of Total Billed Charges,,,,,226.8,,,,,,,Percent of Total Billed Charges,,,,,226.8,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,70.56,,,,,,,Percent of Total Billed Charges,,,,,201.6,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,, BABESIA ANTIBODY ,86753TCx2 ,CPT,,Outpatient,,,400,320,298.8,,,,,,,Percent of Total Billed Charges,,298.8,298.8,,400,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,380,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,340,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,320,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,, .STOOL FOR H PYLORI ANTIGEN ,87449,CPT,,Outpatient,,,400,320,298.8,,,,,,,Percent of Total Billed Charges,,298.8,298.8,,400,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,380,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,340,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,320,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,, C-PEPTIDE ,84681TC ,CPT,,Outpatient,,,182.5,146,136.33,,,,,,,Percent of Total Billed Charges,,136.33,136.33,,182.5,,,,,,,Percent of Total Billed Charges,,,,,175.2,,,,,,,Percent of Total Billed Charges,,,,,173.38,,,,,,,Percent of Total Billed Charges,,,,,36.5,,,,,,,Percent of Total Billed Charges,,,,,155.13,,,,,,,Percent of Total Billed Charges,,,,,38.33,,,,,,,Percent of Total Billed Charges,,,,,164.25,,,,,,,Percent of Total Billed Charges,,,,,164.25,,,,,,,Percent of Total Billed Charges,,,,,36.5,,,,,,,Percent of Total Billed Charges,,,,,51.1,,,,,,,Percent of Total Billed Charges,,,,,146,,,,,,,Percent of Total Billed Charges,,,,,36.5,,,,,,,Percent of Total Billed Charges,,,, BCR-ABL P210 QUANT PCR ,81206TC ,CPT,,Outpatient,,,1861.5,1489.2,1390.54,,,,,,,Percent of Total Billed Charges,,1390.54,1390.54,,1861.5,,,,,,,Percent of Total Billed Charges,,,,,1787.04,,,,,,,Percent of Total Billed Charges,,,,,1768.43,,,,,,,Percent of Total Billed Charges,,,,,372.3,,,,,,,Percent of Total Billed Charges,,,,,1582.28,,,,,,,Percent of Total Billed Charges,,,,,390.92,,,,,,,Percent of Total Billed Charges,,,,,1675.35,,,,,,,Percent of Total Billed Charges,,,,,1675.35,,,,,,,Percent of Total Billed Charges,,,,,372.3,,,,,,,Percent of Total Billed Charges,,,,,521.22,,,,,,,Percent of Total Billed Charges,,,,,1489.2,,,,,,,Percent of Total Billed Charges,,,,,372.3,,,,,,,Percent of Total Billed Charges,,,, HEMOCHROMATOSIS GENE MUTATE ,81256TC ,CPT,,Outpatient,,,1502,1201.6,1121.99,,,,,,,Percent of Total Billed Charges,,1121.99,1121.99,,1502,,,,,,,Percent of Total Billed Charges,,,,,1441.92,,,,,,,Percent of Total Billed Charges,,,,,1426.9,,,,,,,Percent of Total Billed Charges,,,,,300.4,,,,,,,Percent of Total Billed Charges,,,,,1276.7,,,,,,,Percent of Total Billed Charges,,,,,315.42,,,,,,,Percent of Total Billed Charges,,,,,1351.8,,,,,,,Percent of Total Billed Charges,,,,,1351.8,,,,,,,Percent of Total Billed Charges,,,,,300.4,,,,,,,Percent of Total Billed Charges,,,,,420.56,,,,,,,Percent of Total Billed Charges,,,,,1201.6,,,,,,,Percent of Total Billed Charges,,,,,300.4,,,,,,,Percent of Total Billed Charges,,,, .VON WILLEBRAND FACTOR ,85245TC ,CPT,,Outpatient,,,193,154.4,144.17,,,,,,,Percent of Total Billed Charges,,144.17,144.17,,193,,,,,,,Percent of Total Billed Charges,,,,,185.28,,,,,,,Percent of Total Billed Charges,,,,,183.35,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,,,164.05,,,,,,,Percent of Total Billed Charges,,,,,40.53,,,,,,,Percent of Total Billed Charges,,,,,173.7,,,,,,,Percent of Total Billed Charges,,,,,173.7,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,,,54.04,,,,,,,Percent of Total Billed Charges,,,,,154.4,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,, RISTOCETIN COFACTOR ,85245TC ,CPT,,Outpatient,,,456.5,365.2,341.01,,,,,,,Percent of Total Billed Charges,,341.01,341.01,,456.5,,,,,,,Percent of Total Billed Charges,,,,,438.24,,,,,,,Percent of Total Billed Charges,,,,,433.68,,,,,,,Percent of Total Billed Charges,,,,,91.3,,,,,,,Percent of Total Billed Charges,,,,,388.03,,,,,,,Percent of Total Billed Charges,,,,,95.87,,,,,,,Percent of Total Billed Charges,,,,,410.85,,,,,,,Percent of Total Billed Charges,,,,,410.85,,,,,,,Percent of Total Billed Charges,,,,,91.3,,,,,,,Percent of Total Billed Charges,,,,,127.82,,,,,,,Percent of Total Billed Charges,,,,,365.2,,,,,,,Percent of Total Billed Charges,,,,,91.3,,,,,,,Percent of Total Billed Charges,,,, TOPOMAX (TOPIRAMATE) ,80201TC ,CPT,,Outpatient,,,231.5,185.2,172.93,,,,,,,Percent of Total Billed Charges,,172.93,172.93,,231.5,,,,,,,Percent of Total Billed Charges,,,,,222.24,,,,,,,Percent of Total Billed Charges,,,,,219.93,,,,,,,Percent of Total Billed Charges,,,,,46.3,,,,,,,Percent of Total Billed Charges,,,,,196.78,,,,,,,Percent of Total Billed Charges,,,,,48.62,,,,,,,Percent of Total Billed Charges,,,,,208.35,,,,,,,Percent of Total Billed Charges,,,,,208.35,,,,,,,Percent of Total Billed Charges,,,,,46.3,,,,,,,Percent of Total Billed Charges,,,,,64.82,,,,,,,Percent of Total Billed Charges,,,,,185.2,,,,,,,Percent of Total Billed Charges,,,,,46.3,,,,,,,Percent of Total Billed Charges,,,, FEBRILE AGGLUTININS ,86622TC ,CPT,,Outpatient,,,377,301.6,281.62,,,,,,,Percent of Total Billed Charges,,281.62,281.62,,377,,,,,,,Percent of Total Billed Charges,,,,,361.92,,,,,,,Percent of Total Billed Charges,,,,,358.15,,,,,,,Percent of Total Billed Charges,,,,,75.4,,,,,,,Percent of Total Billed Charges,,,,,320.45,,,,,,,Percent of Total Billed Charges,,,,,79.17,,,,,,,Percent of Total Billed Charges,,,,,339.3,,,,,,,Percent of Total Billed Charges,,,,,339.3,,,,,,,Percent of Total Billed Charges,,,,,75.4,,,,,,,Percent of Total Billed Charges,,,,,105.56,,,,,,,Percent of Total Billed Charges,,,,,301.6,,,,,,,Percent of Total Billed Charges,,,,,75.4,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS C GENOTYPE ,87902TC ,CPT,,Outpatient,,,1600.5,1280.4,1195.57,,,,,,,Percent of Total Billed Charges,,1195.57,1195.57,,1600.5,,,,,,,Percent of Total Billed Charges,,,,,1536.48,,,,,,,Percent of Total Billed Charges,,,,,1520.48,,,,,,,Percent of Total Billed Charges,,,,,320.1,,,,,,,Percent of Total Billed Charges,,,,,1360.43,,,,,,,Percent of Total Billed Charges,,,,,336.11,,,,,,,Percent of Total Billed Charges,,,,,1440.45,,,,,,,Percent of Total Billed Charges,,,,,1440.45,,,,,,,Percent of Total Billed Charges,,,,,320.1,,,,,,,Percent of Total Billed Charges,,,,,448.14,,,,,,,Percent of Total Billed Charges,,,,,1280.4,,,,,,,Percent of Total Billed Charges,,,,,320.1,,,,,,,Percent of Total Billed Charges,,,, BETA HCG TUMOR MARKER ,84702TC ,CPT,,Outpatient,,,285.5,228.4,213.27,,,,,,,Percent of Total Billed Charges,,213.27,213.27,,285.5,,,,,,,Percent of Total Billed Charges,,,,,274.08,,,,,,,Percent of Total Billed Charges,,,,,271.23,,,,,,,Percent of Total Billed Charges,,,,,57.1,,,,,,,Percent of Total Billed Charges,,,,,242.68,,,,,,,Percent of Total Billed Charges,,,,,59.96,,,,,,,Percent of Total Billed Charges,,,,,256.95,,,,,,,Percent of Total Billed Charges,,,,,256.95,,,,,,,Percent of Total Billed Charges,,,,,57.1,,,,,,,Percent of Total Billed Charges,,,,,79.94,,,,,,,Percent of Total Billed Charges,,,,,228.4,,,,,,,Percent of Total Billed Charges,,,,,57.1,,,,,,,Percent of Total Billed Charges,,,, "METHYLPHENIDATE, SERUM (RITALIN) ",82491TC ,CPT,,Outpatient,,,291.5,233.2,217.75,,,,,,,Percent of Total Billed Charges,,217.75,217.75,,291.5,,,,,,,Percent of Total Billed Charges,,,,,279.84,,,,,,,Percent of Total Billed Charges,,,,,276.93,,,,,,,Percent of Total Billed Charges,,,,,58.3,,,,,,,Percent of Total Billed Charges,,,,,247.78,,,,,,,Percent of Total Billed Charges,,,,,61.22,,,,,,,Percent of Total Billed Charges,,,,,262.35,,,,,,,Percent of Total Billed Charges,,,,,262.35,,,,,,,Percent of Total Billed Charges,,,,,58.3,,,,,,,Percent of Total Billed Charges,,,,,81.62,,,,,,,Percent of Total Billed Charges,,,,,233.2,,,,,,,Percent of Total Billed Charges,,,,,58.3,,,,,,,Percent of Total Billed Charges,,,, CATECHOLAMINES RANDOM URINE ,82384TC ,CPT,,Outpatient,,,210.5,168.4,157.24,,,,,,,Percent of Total Billed Charges,,157.24,157.24,,210.5,,,,,,,Percent of Total Billed Charges,,,,,202.08,,,,,,,Percent of Total Billed Charges,,,,,199.98,,,,,,,Percent of Total Billed Charges,,,,,42.1,,,,,,,Percent of Total Billed Charges,,,,,178.93,,,,,,,Percent of Total Billed Charges,,,,,44.21,,,,,,,Percent of Total Billed Charges,,,,,189.45,,,,,,,Percent of Total Billed Charges,,,,,189.45,,,,,,,Percent of Total Billed Charges,,,,,42.1,,,,,,,Percent of Total Billed Charges,,,,,58.94,,,,,,,Percent of Total Billed Charges,,,,,168.4,,,,,,,Percent of Total Billed Charges,,,,,42.1,,,,,,,Percent of Total Billed Charges,,,, ".TOXICOLOGY SCREEN, WHOLE BLOOD ",80307TC ,CPT,,Outpatient,,,289,231.2,215.88,,,,,,,Percent of Total Billed Charges,,215.88,215.88,,289,,,,,,,Percent of Total Billed Charges,,,,,277.44,,,,,,,Percent of Total Billed Charges,,,,,274.55,,,,,,,Percent of Total Billed Charges,,,,,57.8,,,,,,,Percent of Total Billed Charges,,,,,245.65,,,,,,,Percent of Total Billed Charges,,,,,60.69,,,,,,,Percent of Total Billed Charges,,,,,260.1,,,,,,,Percent of Total Billed Charges,,,,,260.1,,,,,,,Percent of Total Billed Charges,,,,,57.8,,,,,,,Percent of Total Billed Charges,,,,,80.92,,,,,,,Percent of Total Billed Charges,,,,,231.2,,,,,,,Percent of Total Billed Charges,,,,,57.8,,,,,,,Percent of Total Billed Charges,,,, FACTOR XI ,85220TC ,CPT,,Outpatient,,,315,252,235.31,,,,,,,Percent of Total Billed Charges,,235.31,235.31,,315,,,,,,,Percent of Total Billed Charges,,,,,302.4,,,,,,,Percent of Total Billed Charges,,,,,299.25,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,267.75,,,,,,,Percent of Total Billed Charges,,,,,66.15,,,,,,,Percent of Total Billed Charges,,,,,283.5,,,,,,,Percent of Total Billed Charges,,,,,283.5,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,252,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,, BUCCAL SWAB COLLECTION ONLY ,250,RC,,Outpatient,,,120.5,96.4,90.01,,,,,,,Percent of Total Billed Charges,,90.01,90.01,,120.5,,,,,,,Percent of Total Billed Charges,,,,,115.68,,,,,,,Percent of Total Billed Charges,,,,,114.48,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,102.43,,,,,,,Percent of Total Billed Charges,,,,,25.31,,,,,,,Percent of Total Billed Charges,,,,,108.45,,,,,,,Percent of Total Billed Charges,,,,,108.45,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,33.74,,,,,,,Percent of Total Billed Charges,,,,,96.4,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,, C1 ESTERASE INHIBITOR ,86161TC ,CPT,,Outpatient,,,314,251.2,234.56,,,,,,,Percent of Total Billed Charges,,234.56,234.56,,314,,,,,,,Percent of Total Billed Charges,,,,,301.44,,,,,,,Percent of Total Billed Charges,,,,,298.3,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,266.9,,,,,,,Percent of Total Billed Charges,,,,,65.94,,,,,,,Percent of Total Billed Charges,,,,,282.6,,,,,,,Percent of Total Billed Charges,,,,,282.6,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,87.92,,,,,,,Percent of Total Billed Charges,,,,,251.2,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,, TEICHOIC ACID ,86329TC ,CPT,,Outpatient,,,91,72.8,67.98,,,,,,,Percent of Total Billed Charges,,67.98,67.98,,91,,,,,,,Percent of Total Billed Charges,,,,,87.36,,,,,,,Percent of Total Billed Charges,,,,,86.45,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,77.35,,,,,,,Percent of Total Billed Charges,,,,,19.11,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,25.48,,,,,,,Percent of Total Billed Charges,,,,,72.8,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,, LIVER-KIDNEY MICROSOME AB ,86376TC ,CPT,,Outpatient,,,260,208,194.22,,,,,,,Percent of Total Billed Charges,,194.22,194.22,,260,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,247,,,,,,,Percent of Total Billed Charges,,,,,52,,,,,,,Percent of Total Billed Charges,,,,,221,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,234,,,,,,,Percent of Total Billed Charges,,,,,234,,,,,,,Percent of Total Billed Charges,,,,,52,,,,,,,Percent of Total Billed Charges,,,,,72.8,,,,,,,Percent of Total Billed Charges,,,,,208,,,,,,,Percent of Total Billed Charges,,,,,52,,,,,,,Percent of Total Billed Charges,,,, PREKALLIKREIN FACTOR ,85292TC ,CPT,,Outpatient,,,409.5,327.6,305.9,,,,,,,Percent of Total Billed Charges,,305.9,305.9,,409.5,,,,,,,Percent of Total Billed Charges,,,,,393.12,,,,,,,Percent of Total Billed Charges,,,,,389.03,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,348.08,,,,,,,Percent of Total Billed Charges,,,,,86,,,,,,,Percent of Total Billed Charges,,,,,368.55,,,,,,,Percent of Total Billed Charges,,,,,368.55,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,114.66,,,,,,,Percent of Total Billed Charges,,,,,327.6,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,, HSV (QUANT) BY PCR TYPE 1 AND 2 ,87530TC ,CPT,,Outpatient,,,557,445.6,416.08,,,,,,,Percent of Total Billed Charges,,416.08,416.08,,557,,,,,,,Percent of Total Billed Charges,,,,,534.72,,,,,,,Percent of Total Billed Charges,,,,,529.15,,,,,,,Percent of Total Billed Charges,,,,,111.4,,,,,,,Percent of Total Billed Charges,,,,,473.45,,,,,,,Percent of Total Billed Charges,,,,,116.97,,,,,,,Percent of Total Billed Charges,,,,,501.3,,,,,,,Percent of Total Billed Charges,,,,,501.3,,,,,,,Percent of Total Billed Charges,,,,,111.4,,,,,,,Percent of Total Billed Charges,,,,,155.96,,,,,,,Percent of Total Billed Charges,,,,,445.6,,,,,,,Percent of Total Billed Charges,,,,,111.4,,,,,,,Percent of Total Billed Charges,,,, .ALDOSTERONE / RENIN ACTIVITY RATIO ,82088,CPT,,Outpatient,,,175.5,140.4,131.1,,,,,,,Percent of Total Billed Charges,,131.1,131.1,,175.5,,,,,,,Percent of Total Billed Charges,,,,,168.48,,,,,,,Percent of Total Billed Charges,,,,,166.73,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,149.18,,,,,,,Percent of Total Billed Charges,,,,,36.86,,,,,,,Percent of Total Billed Charges,,,,,157.95,,,,,,,Percent of Total Billed Charges,,,,,157.95,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,,,49.14,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,35.1,,,,,,,Percent of Total Billed Charges,,,, ANTI MITOCHONDRIAL AB ,86381TC ,CPT,,Outpatient,,,293.5,234.8,219.24,,,,,,,Percent of Total Billed Charges,,219.24,219.24,,293.5,,,,,,,Percent of Total Billed Charges,,,,,281.76,,,,,,,Percent of Total Billed Charges,,,,,278.83,,,,,,,Percent of Total Billed Charges,,,,,58.7,,,,,,,Percent of Total Billed Charges,,,,,249.48,,,,,,,Percent of Total Billed Charges,,,,,61.64,,,,,,,Percent of Total Billed Charges,,,,,264.15,,,,,,,Percent of Total Billed Charges,,,,,264.15,,,,,,,Percent of Total Billed Charges,,,,,58.7,,,,,,,Percent of Total Billed Charges,,,,,82.18,,,,,,,Percent of Total Billed Charges,,,,,234.8,,,,,,,Percent of Total Billed Charges,,,,,58.7,,,,,,,Percent of Total Billed Charges,,,, "ANTI XA, LMWH ",85520TC ,CPT,,Outpatient,,,224.5,179.6,167.7,,,,,,,Percent of Total Billed Charges,,167.7,167.7,,224.5,,,,,,,Percent of Total Billed Charges,,,,,215.52,,,,,,,Percent of Total Billed Charges,,,,,213.28,,,,,,,Percent of Total Billed Charges,,,,,44.9,,,,,,,Percent of Total Billed Charges,,,,,190.83,,,,,,,Percent of Total Billed Charges,,,,,47.15,,,,,,,Percent of Total Billed Charges,,,,,202.05,,,,,,,Percent of Total Billed Charges,,,,,202.05,,,,,,,Percent of Total Billed Charges,,,,,44.9,,,,,,,Percent of Total Billed Charges,,,,,62.86,,,,,,,Percent of Total Billed Charges,,,,,179.6,,,,,,,Percent of Total Billed Charges,,,,,44.9,,,,,,,Percent of Total Billed Charges,,,, ".RUBEOLA (MEASLES) AB, IgG ONLY ",86765TC ,CPT,,Outpatient,,,99,79.2,73.95,,,,,,,Percent of Total Billed Charges,,73.95,73.95,,99,,,,,,,Percent of Total Billed Charges,,,,,95.04,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,20.79,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,27.72,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,, "DILANTIN, FREE ",250,RC,,Outpatient,,,159,127.2,118.77,,,,,,,Percent of Total Billed Charges,,118.77,118.77,,159,,,,,,,Percent of Total Billed Charges,,,,,152.64,,,,,,,Percent of Total Billed Charges,,,,,151.05,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,135.15,,,,,,,Percent of Total Billed Charges,,,,,33.39,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,127.2,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,, "MUMPS AB, IgG ONLY ",86735TC ,CPT,,Outpatient,,,120.5,96.4,90.01,,,,,,,Percent of Total Billed Charges,,90.01,90.01,,120.5,,,,,,,Percent of Total Billed Charges,,,,,115.68,,,,,,,Percent of Total Billed Charges,,,,,114.48,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,102.43,,,,,,,Percent of Total Billed Charges,,,,,25.31,,,,,,,Percent of Total Billed Charges,,,,,108.45,,,,,,,Percent of Total Billed Charges,,,,,108.45,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,33.74,,,,,,,Percent of Total Billed Charges,,,,,96.4,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,, ..CULTURE VIRUS ,87252TC ,CPT,,Outpatient,,,425,340,317.48,,,,,,,Percent of Total Billed Charges,,317.48,317.48,,425,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,403.75,,,,,,,Percent of Total Billed Charges,,,,,85,,,,,,,Percent of Total Billed Charges,,,,,361.25,,,,,,,Percent of Total Billed Charges,,,,,89.25,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,382.5,,,,,,,Percent of Total Billed Charges,,,,,85,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,340,,,,,,,Percent of Total Billed Charges,,,,,85,,,,,,,Percent of Total Billed Charges,,,, SHIPPING; OVERNIGHT SPECIMEN DELIVERY ,99001,CPT,,Outpatient,,,99.5,79.6,74.33,,,,,,,Percent of Total Billed Charges,,74.33,74.33,,99.5,,,,,,,Percent of Total Billed Charges,,,,,95.52,,,,,,,Percent of Total Billed Charges,,,,,94.53,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,84.58,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,27.86,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,, "METANEPHRINE, PLASMA FREE ",83835TC ,CPT,,Outpatient,,,952,761.6,711.14,,,,,,,Percent of Total Billed Charges,,711.14,711.14,,952,,,,,,,Percent of Total Billed Charges,,,,,913.92,,,,,,,Percent of Total Billed Charges,,,,,904.4,,,,,,,Percent of Total Billed Charges,,,,,190.4,,,,,,,Percent of Total Billed Charges,,,,,809.2,,,,,,,Percent of Total Billed Charges,,,,,199.92,,,,,,,Percent of Total Billed Charges,,,,,856.8,,,,,,,Percent of Total Billed Charges,,,,,856.8,,,,,,,Percent of Total Billed Charges,,,,,190.4,,,,,,,Percent of Total Billed Charges,,,,,266.56,,,,,,,Percent of Total Billed Charges,,,,,761.6,,,,,,,Percent of Total Billed Charges,,,,,190.4,,,,,,,Percent of Total Billed Charges,,,, B-TNP (B-TYPE NATIURETIC PEPTIDE) ,83880TC ,CPT,,Outpatient,,,432,345.6,322.7,,,,,,,Percent of Total Billed Charges,,322.7,322.7,,432,,,,,,,Percent of Total Billed Charges,,,,,414.72,,,,,,,Percent of Total Billed Charges,,,,,410.4,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,90.72,,,,,,,Percent of Total Billed Charges,,,,,388.8,,,,,,,Percent of Total Billed Charges,,,,,388.8,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,120.96,,,,,,,Percent of Total Billed Charges,,,,,345.6,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,, ISLET CELL ANTIBODY ,86341TC ,CPT,,Outpatient,,,952,761.6,711.14,,,,,,,Percent of Total Billed Charges,,711.14,711.14,,952,,,,,,,Percent of Total Billed Charges,,,,,913.92,,,,,,,Percent of Total Billed Charges,,,,,904.4,,,,,,,Percent of Total Billed Charges,,,,,190.4,,,,,,,Percent of Total Billed Charges,,,,,809.2,,,,,,,Percent of Total Billed Charges,,,,,199.92,,,,,,,Percent of Total Billed Charges,,,,,856.8,,,,,,,Percent of Total Billed Charges,,,,,856.8,,,,,,,Percent of Total Billed Charges,,,,,190.4,,,,,,,Percent of Total Billed Charges,,,,,266.56,,,,,,,Percent of Total Billed Charges,,,,,761.6,,,,,,,Percent of Total Billed Charges,,,,,190.4,,,,,,,Percent of Total Billed Charges,,,, ARSENIC BLOOD ,82175TC ,CPT,,Outpatient,,,139,111.2,103.83,,,,,,,Percent of Total Billed Charges,,103.83,103.83,,139,,,,,,,Percent of Total Billed Charges,,,,,133.44,,,,,,,Percent of Total Billed Charges,,,,,132.05,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,,,118.15,,,,,,,Percent of Total Billed Charges,,,,,29.19,,,,,,,Percent of Total Billed Charges,,,,,125.1,,,,,,,Percent of Total Billed Charges,,,,,125.1,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,,,38.92,,,,,,,Percent of Total Billed Charges,,,,,111.2,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,, PANEL 6 ,80100,CPT,,Outpatient,,,121.5,97.2,90.76,,,,,,,Percent of Total Billed Charges,,90.76,90.76,,121.5,,,,,,,Percent of Total Billed Charges,,,,,116.64,,,,,,,Percent of Total Billed Charges,,,,,115.43,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,103.28,,,,,,,Percent of Total Billed Charges,,,,,25.52,,,,,,,Percent of Total Billed Charges,,,,,109.35,,,,,,,Percent of Total Billed Charges,,,,,109.35,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,34.02,,,,,,,Percent of Total Billed Charges,,,,,97.2,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,, H PYLORI ANTIGEN STOOL ,87338TC ,CPT,,Outpatient,,,273,218.4,203.93,,,,,,,Percent of Total Billed Charges,,203.93,203.93,,273,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,259.35,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,232.05,,,,,,,Percent of Total Billed Charges,,,,,57.33,,,,,,,Percent of Total Billed Charges,,,,,245.7,,,,,,,Percent of Total Billed Charges,,,,,245.7,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,76.44,,,,,,,Percent of Total Billed Charges,,,,,218.4,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,, LEAD 24 HOUR URINE ,83655TC ,CPT,,Outpatient,,,78.5,62.8,58.64,,,,,,,Percent of Total Billed Charges,,58.64,58.64,,78.5,,,,,,,Percent of Total Billed Charges,,,,,75.36,,,,,,,Percent of Total Billed Charges,,,,,74.58,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,66.73,,,,,,,Percent of Total Billed Charges,,,,,16.49,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,21.98,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,, CLO-TEST ,83013TC ,CPT,,Outpatient,,,329,263.2,245.76,,,,,,,Percent of Total Billed Charges,,245.76,245.76,,329,,,,,,,Percent of Total Billed Charges,,,,,315.84,,,,,,,Percent of Total Billed Charges,,,,,312.55,,,,,,,Percent of Total Billed Charges,,,,,65.8,,,,,,,Percent of Total Billed Charges,,,,,279.65,,,,,,,Percent of Total Billed Charges,,,,,69.09,,,,,,,Percent of Total Billed Charges,,,,,296.1,,,,,,,Percent of Total Billed Charges,,,,,296.1,,,,,,,Percent of Total Billed Charges,,,,,65.8,,,,,,,Percent of Total Billed Charges,,,,,92.12,,,,,,,Percent of Total Billed Charges,,,,,263.2,,,,,,,Percent of Total Billed Charges,,,,,65.8,,,,,,,Percent of Total Billed Charges,,,, CARDIOLIPIN AB IGA ,86147TC ,CPT,,Outpatient,,,231.5,185.2,172.93,,,,,,,Percent of Total Billed Charges,,172.93,172.93,,231.5,,,,,,,Percent of Total Billed Charges,,,,,222.24,,,,,,,Percent of Total Billed Charges,,,,,219.93,,,,,,,Percent of Total Billed Charges,,,,,46.3,,,,,,,Percent of Total Billed Charges,,,,,196.78,,,,,,,Percent of Total Billed Charges,,,,,48.62,,,,,,,Percent of Total Billed Charges,,,,,208.35,,,,,,,Percent of Total Billed Charges,,,,,208.35,,,,,,,Percent of Total Billed Charges,,,,,46.3,,,,,,,Percent of Total Billed Charges,,,,,64.82,,,,,,,Percent of Total Billed Charges,,,,,185.2,,,,,,,Percent of Total Billed Charges,,,,,46.3,,,,,,,Percent of Total Billed Charges,,,, GLUTAMIC ACID DECARBOXYLASE ANTIBODY ,83516TC ,CPT,,Outpatient,,,377,301.6,281.62,,,,,,,Percent of Total Billed Charges,,281.62,281.62,,377,,,,,,,Percent of Total Billed Charges,,,,,361.92,,,,,,,Percent of Total Billed Charges,,,,,358.15,,,,,,,Percent of Total Billed Charges,,,,,75.4,,,,,,,Percent of Total Billed Charges,,,,,320.45,,,,,,,Percent of Total Billed Charges,,,,,79.17,,,,,,,Percent of Total Billed Charges,,,,,339.3,,,,,,,Percent of Total Billed Charges,,,,,339.3,,,,,,,Percent of Total Billed Charges,,,,,75.4,,,,,,,Percent of Total Billed Charges,,,,,105.56,,,,,,,Percent of Total Billed Charges,,,,,301.6,,,,,,,Percent of Total Billed Charges,,,,,75.4,,,,,,,Percent of Total Billed Charges,,,, DHEA-S ,82627TC ,CPT,,Outpatient,,,112,89.6,83.66,,,,,,,Percent of Total Billed Charges,,83.66,83.66,,112,,,,,,,Percent of Total Billed Charges,,,,,107.52,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,95.2,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,31.36,,,,,,,Percent of Total Billed Charges,,,,,89.6,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,, SPUTUM CYTOLOGY ,88160TC ,CPT,,Outpatient,,,175,140,130.73,,,,,,,Percent of Total Billed Charges,,130.73,130.73,,175,,,,,,,Percent of Total Billed Charges,,,,,168,,,,,,,Percent of Total Billed Charges,,,,,166.25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,148.75,,,,,,,Percent of Total Billed Charges,,,,,36.75,,,,,,,Percent of Total Billed Charges,,,,,157.5,,,,,,,Percent of Total Billed Charges,,,,,157.5,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,49,,,,,,,Percent of Total Billed Charges,,,,,140,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,, NICOTINE SERUM ,80323TC ,CPT,,Outpatient,,,346,276.8,258.46,,,,,,,Percent of Total Billed Charges,,258.46,258.46,,346,,,,,,,Percent of Total Billed Charges,,,,,332.16,,,,,,,Percent of Total Billed Charges,,,,,328.7,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,294.1,,,,,,,Percent of Total Billed Charges,,,,,72.66,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,96.88,,,,,,,Percent of Total Billed Charges,,,,,276.8,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,, .CBC WITH MANUAL DIFFERENTIAL ,85025TC ,CPT,,Outpatient,,,234,187.2,174.8,,,,,,,Percent of Total Billed Charges,,174.8,174.8,,234,,,,,,,Percent of Total Billed Charges,,,,,224.64,,,,,,,Percent of Total Billed Charges,,,,,222.3,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,49.14,,,,,,,Percent of Total Billed Charges,,,,,210.6,,,,,,,Percent of Total Billed Charges,,,,,210.6,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,65.52,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,, FETAL CELL STAIN ,85461TC ,CPT,,Outpatient,,,436,348.8,325.69,,,,,,,Percent of Total Billed Charges,,325.69,325.69,,436,,,,,,,Percent of Total Billed Charges,,,,,418.56,,,,,,,Percent of Total Billed Charges,,,,,414.2,,,,,,,Percent of Total Billed Charges,,,,,87.2,,,,,,,Percent of Total Billed Charges,,,,,370.6,,,,,,,Percent of Total Billed Charges,,,,,91.56,,,,,,,Percent of Total Billed Charges,,,,,392.4,,,,,,,Percent of Total Billed Charges,,,,,392.4,,,,,,,Percent of Total Billed Charges,,,,,87.2,,,,,,,Percent of Total Billed Charges,,,,,122.08,,,,,,,Percent of Total Billed Charges,,,,,348.8,,,,,,,Percent of Total Billed Charges,,,,,87.2,,,,,,,Percent of Total Billed Charges,,,, PLATELET COUNT ,85032TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, .CELL COUNT WBC ,89051TC ,CPT,,Outpatient,,,121,96.8,90.39,,,,,,,Percent of Total Billed Charges,,90.39,90.39,,121,,,,,,,Percent of Total Billed Charges,,,,,116.16,,,,,,,Percent of Total Billed Charges,,,,,114.95,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,102.85,,,,,,,Percent of Total Billed Charges,,,,,25.41,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,33.88,,,,,,,Percent of Total Billed Charges,,,,,96.8,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,, .CELL COUNT RBC ,89050TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, RETICULOCYTE COUNT ,85046TC ,CPT,,Outpatient,,,161,128.8,120.27,,,,,,,Percent of Total Billed Charges,,120.27,120.27,,161,,,,,,,Percent of Total Billed Charges,,,,,154.56,,,,,,,Percent of Total Billed Charges,,,,,152.95,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,136.85,,,,,,,Percent of Total Billed Charges,,,,,33.81,,,,,,,Percent of Total Billed Charges,,,,,144.9,,,,,,,Percent of Total Billed Charges,,,,,144.9,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,45.08,,,,,,,Percent of Total Billed Charges,,,,,128.8,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,, HGB AND HCT (HEMOGRAM) ,85014TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, MALARIA SMEAR ,87207TC ,CPT,,Outpatient,,,162.5,130,121.39,,,,,,,Percent of Total Billed Charges,,121.39,121.39,,162.5,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,154.38,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,,,138.13,,,,,,,Percent of Total Billed Charges,,,,,34.13,,,,,,,Percent of Total Billed Charges,,,,,146.25,,,,,,,Percent of Total Billed Charges,,,,,146.25,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,,,45.5,,,,,,,Percent of Total Billed Charges,,,,,130,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,, "CENTROMERE ANTIBODY, IgG ",83516TC ,CPT,,Outpatient,,,264,211.2,197.21,,,,,,,Percent of Total Billed Charges,,197.21,197.21,,264,,,,,,,Percent of Total Billed Charges,,,,,253.44,,,,,,,Percent of Total Billed Charges,,,,,250.8,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,224.4,,,,,,,Percent of Total Billed Charges,,,,,55.44,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,211.2,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,, AUTOMATED WBC DIFFERENTIAL ,85025TC ,CPT,,Outpatient,,,78.5,62.8,58.64,,,,,,,Percent of Total Billed Charges,,58.64,58.64,,78.5,,,,,,,Percent of Total Billed Charges,,,,,75.36,,,,,,,Percent of Total Billed Charges,,,,,74.58,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,66.73,,,,,,,Percent of Total Billed Charges,,,,,16.49,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,21.98,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,, SEDRATE ,85651TC ,CPT,,Outpatient,,,145.5,116.4,108.69,,,,,,,Percent of Total Billed Charges,,108.69,108.69,,145.5,,,,,,,Percent of Total Billed Charges,,,,,139.68,,,,,,,Percent of Total Billed Charges,,,,,138.23,,,,,,,Percent of Total Billed Charges,,,,,29.1,,,,,,,Percent of Total Billed Charges,,,,,123.68,,,,,,,Percent of Total Billed Charges,,,,,30.56,,,,,,,Percent of Total Billed Charges,,,,,130.95,,,,,,,Percent of Total Billed Charges,,,,,130.95,,,,,,,Percent of Total Billed Charges,,,,,29.1,,,,,,,Percent of Total Billed Charges,,,,,40.74,,,,,,,Percent of Total Billed Charges,,,,,116.4,,,,,,,Percent of Total Billed Charges,,,,,29.1,,,,,,,Percent of Total Billed Charges,,,, CBC WITH AUTOMATED DIFFERENTIAL ,85025TC ,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, ...MANUAL WBC ,85032,CPT,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, ...MANUAL HGB ,85018,CPT,,Outpatient,,,47,37.6,35.11,,,,,,,Percent of Total Billed Charges,,35.11,35.11,,47,,,,,,,Percent of Total Billed Charges,,,,,45.12,,,,,,,Percent of Total Billed Charges,,,,,44.65,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,39.95,,,,,,,Percent of Total Billed Charges,,,,,9.87,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,13.16,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,, ...MICROHEMATOCRIT ,85013,CPT,,Outpatient,,,47,37.6,35.11,,,,,,,Percent of Total Billed Charges,,35.11,35.11,,47,,,,,,,Percent of Total Billed Charges,,,,,45.12,,,,,,,Percent of Total Billed Charges,,,,,44.65,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,39.95,,,,,,,Percent of Total Billed Charges,,,,,9.87,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,13.16,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,, ...MANUAL DIFFERENTIAL ,85007,CPT,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, PATH REVIEW OF PERIPHERAL SMEAR ,85060TC ,CPT,,Outpatient,,,184.5,147.6,137.82,,,,,,,Percent of Total Billed Charges,,137.82,137.82,,184.5,,,,,,,Percent of Total Billed Charges,,,,,177.12,,,,,,,Percent of Total Billed Charges,,,,,175.28,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,156.83,,,,,,,Percent of Total Billed Charges,,,,,38.75,,,,,,,Percent of Total Billed Charges,,,,,166.05,,,,,,,Percent of Total Billed Charges,,,,,166.05,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,51.66,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,, CHLORIDE RANDOM URINE ,82436TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, CHLORIDE URINE 24HR ,82436TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, .STREPTOZYME ,86403TC ,CPT,,Outpatient,,,128.5,102.8,95.99,,,,,,,Percent of Total Billed Charges,,95.99,95.99,,128.5,,,,,,,Percent of Total Billed Charges,,,,,123.36,,,,,,,Percent of Total Billed Charges,,,,,122.08,,,,,,,Percent of Total Billed Charges,,,,,25.7,,,,,,,Percent of Total Billed Charges,,,,,109.23,,,,,,,Percent of Total Billed Charges,,,,,26.99,,,,,,,Percent of Total Billed Charges,,,,,115.65,,,,,,,Percent of Total Billed Charges,,,,,115.65,,,,,,,Percent of Total Billed Charges,,,,,25.7,,,,,,,Percent of Total Billed Charges,,,,,35.98,,,,,,,Percent of Total Billed Charges,,,,,102.8,,,,,,,Percent of Total Billed Charges,,,,,25.7,,,,,,,Percent of Total Billed Charges,,,, .TRILEPTAL ,82491,CPT,,Outpatient,,,225.5,180.4,168.45,,,,,,,Percent of Total Billed Charges,,168.45,168.45,,225.5,,,,,,,Percent of Total Billed Charges,,,,,216.48,,,,,,,Percent of Total Billed Charges,,,,,214.23,,,,,,,Percent of Total Billed Charges,,,,,45.1,,,,,,,Percent of Total Billed Charges,,,,,191.68,,,,,,,Percent of Total Billed Charges,,,,,47.36,,,,,,,Percent of Total Billed Charges,,,,,202.95,,,,,,,Percent of Total Billed Charges,,,,,202.95,,,,,,,Percent of Total Billed Charges,,,,,45.1,,,,,,,Percent of Total Billed Charges,,,,,63.14,,,,,,,Percent of Total Billed Charges,,,,,180.4,,,,,,,Percent of Total Billed Charges,,,,,45.1,,,,,,,Percent of Total Billed Charges,,,, VET PHOSPHORUS ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, CYTOLOGY - URINE ,88108TC ,CPT,,Outpatient,,,254,203.2,189.74,,,,,,,Percent of Total Billed Charges,,189.74,189.74,,254,,,,,,,Percent of Total Billed Charges,,,,,243.84,,,,,,,Percent of Total Billed Charges,,,,,241.3,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,,,215.9,,,,,,,Percent of Total Billed Charges,,,,,53.34,,,,,,,Percent of Total Billed Charges,,,,,228.6,,,,,,,Percent of Total Billed Charges,,,,,228.6,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,,,71.12,,,,,,,Percent of Total Billed Charges,,,,,203.2,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,, PROTEIN/CREATININE RATIO - RANDOM URINE ,82570TC ,CPT,,Outpatient,,,149.5,119.6,111.68,,,,,,,Percent of Total Billed Charges,,111.68,111.68,,149.5,,,,,,,Percent of Total Billed Charges,,,,,143.52,,,,,,,Percent of Total Billed Charges,,,,,142.03,,,,,,,Percent of Total Billed Charges,,,,,29.9,,,,,,,Percent of Total Billed Charges,,,,,127.08,,,,,,,Percent of Total Billed Charges,,,,,31.4,,,,,,,Percent of Total Billed Charges,,,,,134.55,,,,,,,Percent of Total Billed Charges,,,,,134.55,,,,,,,Percent of Total Billed Charges,,,,,29.9,,,,,,,Percent of Total Billed Charges,,,,,41.86,,,,,,,Percent of Total Billed Charges,,,,,119.6,,,,,,,Percent of Total Billed Charges,,,,,29.9,,,,,,,Percent of Total Billed Charges,,,, GMS STAIN FOR FUNGI ,87205TC ,CPT,,Outpatient,,,93.5,74.8,69.84,,,,,,,Percent of Total Billed Charges,,69.84,69.84,,93.5,,,,,,,Percent of Total Billed Charges,,,,,89.76,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,79.48,,,,,,,Percent of Total Billed Charges,,,,,19.64,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,26.18,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,, WBC/DIFF ,85048TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, ..OBSTETRIC PANEL - SEE ORDER NOTES ,80081TC ,CPT,,Outpatient,,,710.5,568.4,530.74,,,,,,,Percent of Total Billed Charges,,530.74,530.74,,710.5,,,,,,,Percent of Total Billed Charges,,,,,682.08,,,,,,,Percent of Total Billed Charges,,,,,674.98,,,,,,,Percent of Total Billed Charges,,,,,142.1,,,,,,,Percent of Total Billed Charges,,,,,603.93,,,,,,,Percent of Total Billed Charges,,,,,149.21,,,,,,,Percent of Total Billed Charges,,,,,639.45,,,,,,,Percent of Total Billed Charges,,,,,639.45,,,,,,,Percent of Total Billed Charges,,,,,142.1,,,,,,,Percent of Total Billed Charges,,,,,198.94,,,,,,,Percent of Total Billed Charges,,,,,568.4,,,,,,,Percent of Total Billed Charges,,,,,142.1,,,,,,,Percent of Total Billed Charges,,,, GROUP. B STREP SCREEN-VAG/RECTAL ,87081TC ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, VET CREAT/PROTEIN RATIO - RAN URINE ,82565,CPT,,Outpatient,,,67,53.6,50.05,,,,,,,Percent of Total Billed Charges,,50.05,50.05,,67,,,,,,,Percent of Total Billed Charges,,,,,64.32,,,,,,,Percent of Total Billed Charges,,,,,63.65,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,56.95,,,,,,,Percent of Total Billed Charges,,,,,14.07,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,18.76,,,,,,,Percent of Total Billed Charges,,,,,53.6,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,, IGF-1 ,84305TC ,CPT,,Outpatient,,,394,315.2,294.32,,,,,,,Percent of Total Billed Charges,,294.32,294.32,,394,,,,,,,Percent of Total Billed Charges,,,,,378.24,,,,,,,Percent of Total Billed Charges,,,,,374.3,,,,,,,Percent of Total Billed Charges,,,,,78.8,,,,,,,Percent of Total Billed Charges,,,,,334.9,,,,,,,Percent of Total Billed Charges,,,,,82.74,,,,,,,Percent of Total Billed Charges,,,,,354.6,,,,,,,Percent of Total Billed Charges,,,,,354.6,,,,,,,Percent of Total Billed Charges,,,,,78.8,,,,,,,Percent of Total Billed Charges,,,,,110.32,,,,,,,Percent of Total Billed Charges,,,,,315.2,,,,,,,Percent of Total Billed Charges,,,,,78.8,,,,,,,Percent of Total Billed Charges,,,, CALCIUM URINE RANDOM ,82360TC ,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, CULTURE GROUP B STREP ,87081,CPT,,Outpatient,,,58,46.4,43.33,,,,,,,Percent of Total Billed Charges,,43.33,43.33,,58,,,,,,,Percent of Total Billed Charges,,,,,55.68,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,,,16.24,,,,,,,Percent of Total Billed Charges,,,,,46.4,,,,,,,Percent of Total Billed Charges,,,,,11.6,,,,,,,Percent of Total Billed Charges,,,, "IGG SUBCLASSES 1,2,3,4 ",82787TC ,CPT,,Outpatient,,,433.5,346.8,323.82,,,,,,,Percent of Total Billed Charges,,323.82,323.82,,433.5,,,,,,,Percent of Total Billed Charges,,,,,416.16,,,,,,,Percent of Total Billed Charges,,,,,411.83,,,,,,,Percent of Total Billed Charges,,,,,86.7,,,,,,,Percent of Total Billed Charges,,,,,368.48,,,,,,,Percent of Total Billed Charges,,,,,91.04,,,,,,,Percent of Total Billed Charges,,,,,390.15,,,,,,,Percent of Total Billed Charges,,,,,390.15,,,,,,,Percent of Total Billed Charges,,,,,86.7,,,,,,,Percent of Total Billed Charges,,,,,121.38,,,,,,,Percent of Total Billed Charges,,,,,346.8,,,,,,,Percent of Total Billed Charges,,,,,86.7,,,,,,,Percent of Total Billed Charges,,,, DNASE B ANITBODY ,86215TC ,CPT,,Outpatient,,,244,195.2,182.27,,,,,,,Percent of Total Billed Charges,,182.27,182.27,,244,,,,,,,Percent of Total Billed Charges,,,,,234.24,,,,,,,Percent of Total Billed Charges,,,,,231.8,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,,,207.4,,,,,,,Percent of Total Billed Charges,,,,,51.24,,,,,,,Percent of Total Billed Charges,,,,,219.6,,,,,,,Percent of Total Billed Charges,,,,,219.6,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,,,68.32,,,,,,,Percent of Total Billed Charges,,,,,195.2,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,, .FISH HER 2 NEU ,88365TC ,CPT,,Outpatient,,,1228.5,982.8,917.69,,,,,,,Percent of Total Billed Charges,,917.69,917.69,,1228.5,,,,,,,Percent of Total Billed Charges,,,,,1179.36,,,,,,,Percent of Total Billed Charges,,,,,1167.08,,,,,,,Percent of Total Billed Charges,,,,,245.7,,,,,,,Percent of Total Billed Charges,,,,,1044.23,,,,,,,Percent of Total Billed Charges,,,,,257.99,,,,,,,Percent of Total Billed Charges,,,,,1105.65,,,,,,,Percent of Total Billed Charges,,,,,1105.65,,,,,,,Percent of Total Billed Charges,,,,,245.7,,,,,,,Percent of Total Billed Charges,,,,,343.98,,,,,,,Percent of Total Billed Charges,,,,,982.8,,,,,,,Percent of Total Billed Charges,,,,,245.7,,,,,,,Percent of Total Billed Charges,,,, ..ENDOMYSIAL AB ,83516,CPT,,Outpatient,,,87,69.6,64.99,,,,,,,Percent of Total Billed Charges,,64.99,64.99,,87,,,,,,,Percent of Total Billed Charges,,,,,83.52,,,,,,,Percent of Total Billed Charges,,,,,82.65,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,73.95,,,,,,,Percent of Total Billed Charges,,,,,18.27,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,24.36,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,, MENINGOENCEPHALITIS PANEL ,86651TC ,CPT,,Outpatient,,,1484.5,1187.6,1108.92,,,,,,,Percent of Total Billed Charges,,1108.92,1108.92,,1484.5,,,,,,,Percent of Total Billed Charges,,,,,1425.12,,,,,,,Percent of Total Billed Charges,,,,,1410.28,,,,,,,Percent of Total Billed Charges,,,,,296.9,,,,,,,Percent of Total Billed Charges,,,,,1261.83,,,,,,,Percent of Total Billed Charges,,,,,311.75,,,,,,,Percent of Total Billed Charges,,,,,1336.05,,,,,,,Percent of Total Billed Charges,,,,,1336.05,,,,,,,Percent of Total Billed Charges,,,,,296.9,,,,,,,Percent of Total Billed Charges,,,,,415.66,,,,,,,Percent of Total Billed Charges,,,,,1187.6,,,,,,,Percent of Total Billed Charges,,,,,296.9,,,,,,,Percent of Total Billed Charges,,,, ...PTH RELATED PEPTIDE ,82397,CPT,,Outpatient,,,329.5,263.6,246.14,,,,,,,Percent of Total Billed Charges,,246.14,246.14,,329.5,,,,,,,Percent of Total Billed Charges,,,,,316.32,,,,,,,Percent of Total Billed Charges,,,,,313.03,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,,,280.08,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,296.55,,,,,,,Percent of Total Billed Charges,,,,,296.55,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,,,92.26,,,,,,,Percent of Total Billed Charges,,,,,263.6,,,,,,,Percent of Total Billed Charges,,,,,65.9,,,,,,,Percent of Total Billed Charges,,,, .METHYLTETRAHYDROFOLATE REDUCTASE ,86780TC ,CPT,,Outpatient,,,668.5,534.8,499.37,,,,,,,Percent of Total Billed Charges,,499.37,499.37,,668.5,,,,,,,Percent of Total Billed Charges,,,,,641.76,,,,,,,Percent of Total Billed Charges,,,,,635.08,,,,,,,Percent of Total Billed Charges,,,,,133.7,,,,,,,Percent of Total Billed Charges,,,,,568.23,,,,,,,Percent of Total Billed Charges,,,,,140.39,,,,,,,Percent of Total Billed Charges,,,,,601.65,,,,,,,Percent of Total Billed Charges,,,,,601.65,,,,,,,Percent of Total Billed Charges,,,,,133.7,,,,,,,Percent of Total Billed Charges,,,,,187.18,,,,,,,Percent of Total Billed Charges,,,,,534.8,,,,,,,Percent of Total Billed Charges,,,,,133.7,,,,,,,Percent of Total Billed Charges,,,, WEST NILE AB IGG & IGM ,86790TC ,CPT,,Outpatient,,,618,494.4,461.65,,,,,,,Percent of Total Billed Charges,,461.65,461.65,,618,,,,,,,Percent of Total Billed Charges,,,,,593.28,,,,,,,Percent of Total Billed Charges,,,,,587.1,,,,,,,Percent of Total Billed Charges,,,,,123.6,,,,,,,Percent of Total Billed Charges,,,,,525.3,,,,,,,Percent of Total Billed Charges,,,,,129.78,,,,,,,Percent of Total Billed Charges,,,,,556.2,,,,,,,Percent of Total Billed Charges,,,,,556.2,,,,,,,Percent of Total Billed Charges,,,,,123.6,,,,,,,Percent of Total Billed Charges,,,,,173.04,,,,,,,Percent of Total Billed Charges,,,,,494.4,,,,,,,Percent of Total Billed Charges,,,,,123.6,,,,,,,Percent of Total Billed Charges,,,, COCAINE - WHOLE BLOOD ,80353TC ,CPT,,Outpatient,,,285.5,228.4,213.27,,,,,,,Percent of Total Billed Charges,,213.27,213.27,,285.5,,,,,,,Percent of Total Billed Charges,,,,,274.08,,,,,,,Percent of Total Billed Charges,,,,,271.23,,,,,,,Percent of Total Billed Charges,,,,,57.1,,,,,,,Percent of Total Billed Charges,,,,,242.68,,,,,,,Percent of Total Billed Charges,,,,,59.96,,,,,,,Percent of Total Billed Charges,,,,,256.95,,,,,,,Percent of Total Billed Charges,,,,,256.95,,,,,,,Percent of Total Billed Charges,,,,,57.1,,,,,,,Percent of Total Billed Charges,,,,,79.94,,,,,,,Percent of Total Billed Charges,,,,,228.4,,,,,,,Percent of Total Billed Charges,,,,,57.1,,,,,,,Percent of Total Billed Charges,,,, AMPHETAMINES - WHOLE BLOOD ,80335TC ,CPT,,Outpatient,,,351.5,281.2,262.57,,,,,,,Percent of Total Billed Charges,,262.57,262.57,,351.5,,,,,,,Percent of Total Billed Charges,,,,,337.44,,,,,,,Percent of Total Billed Charges,,,,,333.93,,,,,,,Percent of Total Billed Charges,,,,,70.3,,,,,,,Percent of Total Billed Charges,,,,,298.78,,,,,,,Percent of Total Billed Charges,,,,,73.82,,,,,,,Percent of Total Billed Charges,,,,,316.35,,,,,,,Percent of Total Billed Charges,,,,,316.35,,,,,,,Percent of Total Billed Charges,,,,,70.3,,,,,,,Percent of Total Billed Charges,,,,,98.42,,,,,,,Percent of Total Billed Charges,,,,,281.2,,,,,,,Percent of Total Billed Charges,,,,,70.3,,,,,,,Percent of Total Billed Charges,,,, CANNABINOIDS WHOLE BLOOD ,82542TC ,CPT,,Outpatient,,,284.5,227.6,212.52,,,,,,,Percent of Total Billed Charges,,212.52,212.52,,284.5,,,,,,,Percent of Total Billed Charges,,,,,273.12,,,,,,,Percent of Total Billed Charges,,,,,270.28,,,,,,,Percent of Total Billed Charges,,,,,56.9,,,,,,,Percent of Total Billed Charges,,,,,241.83,,,,,,,Percent of Total Billed Charges,,,,,59.75,,,,,,,Percent of Total Billed Charges,,,,,256.05,,,,,,,Percent of Total Billed Charges,,,,,256.05,,,,,,,Percent of Total Billed Charges,,,,,56.9,,,,,,,Percent of Total Billed Charges,,,,,79.66,,,,,,,Percent of Total Billed Charges,,,,,227.6,,,,,,,Percent of Total Billed Charges,,,,,56.9,,,,,,,Percent of Total Billed Charges,,,, BLASTOMYCES BY COMPLEMENT FIXATION ,86612TC ,CPT,,Outpatient,,,214,171.2,159.86,,,,,,,Percent of Total Billed Charges,,159.86,159.86,,214,,,,,,,Percent of Total Billed Charges,,,,,205.44,,,,,,,Percent of Total Billed Charges,,,,,203.3,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,,,181.9,,,,,,,Percent of Total Billed Charges,,,,,44.94,,,,,,,Percent of Total Billed Charges,,,,,192.6,,,,,,,Percent of Total Billed Charges,,,,,192.6,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,,,59.92,,,,,,,Percent of Total Billed Charges,,,,,171.2,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,, COCCIDIOIDES AB BY COMPLEMENT FIXATION ,86635TC ,CPT,,Outpatient,,,199.5,159.6,149.03,,,,,,,Percent of Total Billed Charges,,149.03,149.03,,199.5,,,,,,,Percent of Total Billed Charges,,,,,191.52,,,,,,,Percent of Total Billed Charges,,,,,189.53,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,169.58,,,,,,,Percent of Total Billed Charges,,,,,41.9,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,55.86,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS Be ANTIGEN ,87350TC ,CPT,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, CHROMOGRANIN A ,86316TC ,CPT,,Outpatient,,,218,174.4,162.85,,,,,,,Percent of Total Billed Charges,,162.85,162.85,,218,,,,,,,Percent of Total Billed Charges,,,,,209.28,,,,,,,Percent of Total Billed Charges,,,,,207.1,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,185.3,,,,,,,Percent of Total Billed Charges,,,,,45.78,,,,,,,Percent of Total Billed Charges,,,,,196.2,,,,,,,Percent of Total Billed Charges,,,,,196.2,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,61.04,,,,,,,Percent of Total Billed Charges,,,,,174.4,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,, NEURON SPECIFIC ENOLASE ,86316TC ,CPT,,Outpatient,,,236,188.8,176.29,,,,,,,Percent of Total Billed Charges,,176.29,176.29,,236,,,,,,,Percent of Total Billed Charges,,,,,226.56,,,,,,,Percent of Total Billed Charges,,,,,224.2,,,,,,,Percent of Total Billed Charges,,,,,47.2,,,,,,,Percent of Total Billed Charges,,,,,200.6,,,,,,,Percent of Total Billed Charges,,,,,49.56,,,,,,,Percent of Total Billed Charges,,,,,212.4,,,,,,,Percent of Total Billed Charges,,,,,212.4,,,,,,,Percent of Total Billed Charges,,,,,47.2,,,,,,,Percent of Total Billed Charges,,,,,66.08,,,,,,,Percent of Total Billed Charges,,,,,188.8,,,,,,,Percent of Total Billed Charges,,,,,47.2,,,,,,,Percent of Total Billed Charges,,,, ANTI - SSA ,86235TC ,CPT,,Outpatient,,,264,211.2,197.21,,,,,,,Percent of Total Billed Charges,,197.21,197.21,,264,,,,,,,Percent of Total Billed Charges,,,,,253.44,,,,,,,Percent of Total Billed Charges,,,,,250.8,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,224.4,,,,,,,Percent of Total Billed Charges,,,,,55.44,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,211.2,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,, ANTI - SSB ,86235TC ,CPT,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, VENOUS BLOOD GASES ,82803TC ,CPT,,Outpatient,,,483,386.4,360.8,,,,,,,Percent of Total Billed Charges,,360.8,360.8,,483,,,,,,,Percent of Total Billed Charges,,,,,463.68,,,,,,,Percent of Total Billed Charges,,,,,458.85,,,,,,,Percent of Total Billed Charges,,,,,96.6,,,,,,,Percent of Total Billed Charges,,,,,410.55,,,,,,,Percent of Total Billed Charges,,,,,101.43,,,,,,,Percent of Total Billed Charges,,,,,434.7,,,,,,,Percent of Total Billed Charges,,,,,434.7,,,,,,,Percent of Total Billed Charges,,,,,96.6,,,,,,,Percent of Total Billed Charges,,,,,135.24,,,,,,,Percent of Total Billed Charges,,,,,386.4,,,,,,,Percent of Total Billed Charges,,,,,96.6,,,,,,,Percent of Total Billed Charges,,,, BORDETELLA PERTUSSIS BY PCR ,87081TC ,CPT,,Outpatient,,,292,233.6,218.12,,,,,,,Percent of Total Billed Charges,,218.12,218.12,,292,,,,,,,Percent of Total Billed Charges,,,,,280.32,,,,,,,Percent of Total Billed Charges,,,,,277.4,,,,,,,Percent of Total Billed Charges,,,,,58.4,,,,,,,Percent of Total Billed Charges,,,,,248.2,,,,,,,Percent of Total Billed Charges,,,,,61.32,,,,,,,Percent of Total Billed Charges,,,,,262.8,,,,,,,Percent of Total Billed Charges,,,,,262.8,,,,,,,Percent of Total Billed Charges,,,,,58.4,,,,,,,Percent of Total Billed Charges,,,,,81.76,,,,,,,Percent of Total Billed Charges,,,,,233.6,,,,,,,Percent of Total Billed Charges,,,,,58.4,,,,,,,Percent of Total Billed Charges,,,, ANTI GM1-IgG ,83520TC ,CPT,,Outpatient,,,216,172.8,161.35,,,,,,,Percent of Total Billed Charges,,161.35,161.35,,216,,,,,,,Percent of Total Billed Charges,,,,,207.36,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,45.36,,,,,,,Percent of Total Billed Charges,,,,,194.4,,,,,,,Percent of Total Billed Charges,,,,,194.4,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,, MAG ANTIBODY IgM ,86256TC ,CPT,,Outpatient,,,236.5,189.2,176.67,,,,,,,Percent of Total Billed Charges,,176.67,176.67,,236.5,,,,,,,Percent of Total Billed Charges,,,,,227.04,,,,,,,Percent of Total Billed Charges,,,,,224.68,,,,,,,Percent of Total Billed Charges,,,,,47.3,,,,,,,Percent of Total Billed Charges,,,,,201.03,,,,,,,Percent of Total Billed Charges,,,,,49.67,,,,,,,Percent of Total Billed Charges,,,,,212.85,,,,,,,Percent of Total Billed Charges,,,,,212.85,,,,,,,Percent of Total Billed Charges,,,,,47.3,,,,,,,Percent of Total Billed Charges,,,,,66.22,,,,,,,Percent of Total Billed Charges,,,,,189.2,,,,,,,Percent of Total Billed Charges,,,,,47.3,,,,,,,Percent of Total Billed Charges,,,, ..ESR ,85651,CPT,,Outpatient,,,51,40.8,38.1,,,,,,,Percent of Total Billed Charges,,38.1,38.1,,51,,,,,,,Percent of Total Billed Charges,,,,,48.96,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,43.35,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,, BB FRESH FROZEN PLASMA OR FP24 ,P9017 ,CPT,,Outpatient,,,277.5,222,207.29,,,,,,,Percent of Total Billed Charges,,207.29,207.29,,277.5,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,263.63,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,235.88,,,,,,,Percent of Total Billed Charges,,,,,58.28,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,222,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,, VDRL - SERUM ,86592TC ,CPT,,Outpatient,,,146,116.8,109.06,,,,,,,Percent of Total Billed Charges,,109.06,109.06,,146,,,,,,,Percent of Total Billed Charges,,,,,140.16,,,,,,,Percent of Total Billed Charges,,,,,138.7,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,124.1,,,,,,,Percent of Total Billed Charges,,,,,30.66,,,,,,,Percent of Total Billed Charges,,,,,131.4,,,,,,,Percent of Total Billed Charges,,,,,131.4,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,40.88,,,,,,,Percent of Total Billed Charges,,,,,116.8,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,, .GASTROCCULT ,82270,CPT,,Outpatient,,,63,50.4,47.06,,,,,,,Percent of Total Billed Charges,,47.06,47.06,,63,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,53.55,,,,,,,Percent of Total Billed Charges,,,,,13.23,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,17.64,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,, "ZONISAMIDE, SERUM ",80299TC ,CPT,,Outpatient,,,451,360.8,336.9,,,,,,,Percent of Total Billed Charges,,336.9,336.9,,451,,,,,,,Percent of Total Billed Charges,,,,,432.96,,,,,,,Percent of Total Billed Charges,,,,,428.45,,,,,,,Percent of Total Billed Charges,,,,,90.2,,,,,,,Percent of Total Billed Charges,,,,,383.35,,,,,,,Percent of Total Billed Charges,,,,,94.71,,,,,,,Percent of Total Billed Charges,,,,,405.9,,,,,,,Percent of Total Billed Charges,,,,,405.9,,,,,,,Percent of Total Billed Charges,,,,,90.2,,,,,,,Percent of Total Billed Charges,,,,,126.28,,,,,,,Percent of Total Billed Charges,,,,,360.8,,,,,,,Percent of Total Billed Charges,,,,,90.2,,,,,,,Percent of Total Billed Charges,,,, "ALBUMIN, FLUID ",82040TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, TOBRAMYCIN-POST INFUSION ,80200TC ,CPT,,Outpatient,,,125.5,100.4,93.75,,,,,,,Percent of Total Billed Charges,,93.75,93.75,,125.5,,,,,,,Percent of Total Billed Charges,,,,,120.48,,,,,,,Percent of Total Billed Charges,,,,,119.23,,,,,,,Percent of Total Billed Charges,,,,,25.1,,,,,,,Percent of Total Billed Charges,,,,,106.68,,,,,,,Percent of Total Billed Charges,,,,,26.36,,,,,,,Percent of Total Billed Charges,,,,,112.95,,,,,,,Percent of Total Billed Charges,,,,,112.95,,,,,,,Percent of Total Billed Charges,,,,,25.1,,,,,,,Percent of Total Billed Charges,,,,,35.14,,,,,,,Percent of Total Billed Charges,,,,,100.4,,,,,,,Percent of Total Billed Charges,,,,,25.1,,,,,,,Percent of Total Billed Charges,,,, CPK Q8HR ,82550TC ,CPT,,Outpatient,,,147,117.6,109.81,,,,,,,Percent of Total Billed Charges,,109.81,109.81,,147,,,,,,,Percent of Total Billed Charges,,,,,141.12,,,,,,,Percent of Total Billed Charges,,,,,139.65,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,124.95,,,,,,,Percent of Total Billed Charges,,,,,30.87,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,, TROPONIN I Q8HR ,84484,CPT,,Outpatient,,,85,68,63.5,,,,,,,Percent of Total Billed Charges,,63.5,63.5,,85,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,80.75,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,72.25,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,, CBC Q AM (X3) ,85027TC ,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, BMP Q AM (X3) ,80048TC ,CPT,,Outpatient,,,269,215.2,200.94,,,,,,,Percent of Total Billed Charges,,200.94,200.94,,269,,,,,,,Percent of Total Billed Charges,,,,,258.24,,,,,,,Percent of Total Billed Charges,,,,,255.55,,,,,,,Percent of Total Billed Charges,,,,,53.8,,,,,,,Percent of Total Billed Charges,,,,,228.65,,,,,,,Percent of Total Billed Charges,,,,,56.49,,,,,,,Percent of Total Billed Charges,,,,,242.1,,,,,,,Percent of Total Billed Charges,,,,,242.1,,,,,,,Percent of Total Billed Charges,,,,,53.8,,,,,,,Percent of Total Billed Charges,,,,,75.32,,,,,,,Percent of Total Billed Charges,,,,,215.2,,,,,,,Percent of Total Billed Charges,,,,,53.8,,,,,,,Percent of Total Billed Charges,,,, CMP Q AM(X3) ,80053TC ,CPT,,Outpatient,,,387,309.6,289.09,,,,,,,Percent of Total Billed Charges,,289.09,289.09,,387,,,,,,,Percent of Total Billed Charges,,,,,371.52,,,,,,,Percent of Total Billed Charges,,,,,367.65,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,328.95,,,,,,,Percent of Total Billed Charges,,,,,81.27,,,,,,,Percent of Total Billed Charges,,,,,348.3,,,,,,,Percent of Total Billed Charges,,,,,348.3,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,108.36,,,,,,,Percent of Total Billed Charges,,,,,309.6,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,, "PROTEIN, OB QUAL ",81000TC ,CPT,,Outpatient,,,26.5,21.2,19.8,,,,,,,Percent of Total Billed Charges,,19.8,19.8,,26.5,,,,,,,Percent of Total Billed Charges,,,,,25.44,,,,,,,Percent of Total Billed Charges,,,,,25.18,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,22.53,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,7.42,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,, .PROTIME - GRAHAM ,85610,CPT,,Outpatient,,,76.5,61.2,57.15,,,,,,,Percent of Total Billed Charges,,57.15,57.15,,76.5,,,,,,,Percent of Total Billed Charges,,,,,73.44,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,65.03,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,, .PROTIME-MMC ,85610,CPT,,Outpatient,,,76.5,61.2,57.15,,,,,,,Percent of Total Billed Charges,,57.15,57.15,,76.5,,,,,,,Percent of Total Billed Charges,,,,,73.44,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,65.03,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,, DRUG TEST COLL FEE-DOT ,250,RC,,Outpatient,,,51,40.8,38.1,,,,,,,Percent of Total Billed Charges,,38.1,38.1,,51,,,,,,,Percent of Total Billed Charges,,,,,48.96,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,43.35,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,, .BETA HYDROXYBUTYRIC ACID ,82010TC ,CPT,,Outpatient,,,164.5,131.6,122.88,,,,,,,Percent of Total Billed Charges,,122.88,122.88,,164.5,,,,,,,Percent of Total Billed Charges,,,,,157.92,,,,,,,Percent of Total Billed Charges,,,,,156.28,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,139.83,,,,,,,Percent of Total Billed Charges,,,,,34.55,,,,,,,Percent of Total Billed Charges,,,,,148.05,,,,,,,Percent of Total Billed Charges,,,,,148.05,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,46.06,,,,,,,Percent of Total Billed Charges,,,,,131.6,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,, PROINSULIN (UIC) ,84206TC ,CPT,,Outpatient,,,304,243.2,227.09,,,,,,,Percent of Total Billed Charges,,227.09,227.09,,304,,,,,,,Percent of Total Billed Charges,,,,,291.84,,,,,,,Percent of Total Billed Charges,,,,,288.8,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,85.12,,,,,,,Percent of Total Billed Charges,,,,,243.2,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,, PROTIME Q AM ,85610TC ,CPT,,Outpatient,,,93.5,74.8,69.84,,,,,,,Percent of Total Billed Charges,,69.84,69.84,,93.5,,,,,,,Percent of Total Billed Charges,,,,,89.76,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,79.48,,,,,,,Percent of Total Billed Charges,,,,,19.64,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,26.18,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,, ANTI INTRINSIC FACTOR ,86340TC ,CPT,,Outpatient,,,304,243.2,227.09,,,,,,,Percent of Total Billed Charges,,227.09,227.09,,304,,,,,,,Percent of Total Billed Charges,,,,,291.84,,,,,,,Percent of Total Billed Charges,,,,,288.8,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,85.12,,,,,,,Percent of Total Billed Charges,,,,,243.2,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,, IDENTIFICATION (OBJECT) ,87210TC ,CPT,,Outpatient,,,134.5,107.6,100.47,,,,,,,Percent of Total Billed Charges,,100.47,100.47,,134.5,,,,,,,Percent of Total Billed Charges,,,,,129.12,,,,,,,Percent of Total Billed Charges,,,,,127.78,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,114.33,,,,,,,Percent of Total Billed Charges,,,,,28.25,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,37.66,,,,,,,Percent of Total Billed Charges,,,,,107.6,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,, JAK-2 ,81270TC ,CPT,,Outpatient,,,1027.5,822,767.54,,,,,,,Percent of Total Billed Charges,,767.54,767.54,,1027.5,,,,,,,Percent of Total Billed Charges,,,,,986.4,,,,,,,Percent of Total Billed Charges,,,,,976.13,,,,,,,Percent of Total Billed Charges,,,,,205.5,,,,,,,Percent of Total Billed Charges,,,,,873.38,,,,,,,Percent of Total Billed Charges,,,,,215.78,,,,,,,Percent of Total Billed Charges,,,,,924.75,,,,,,,Percent of Total Billed Charges,,,,,924.75,,,,,,,Percent of Total Billed Charges,,,,,205.5,,,,,,,Percent of Total Billed Charges,,,,,287.7,,,,,,,Percent of Total Billed Charges,,,,,822,,,,,,,Percent of Total Billed Charges,,,,,205.5,,,,,,,Percent of Total Billed Charges,,,, TISSUE (IGA) TRANSGLUTAMINASE AB ,86364TC ,CPT,,Outpatient,,,304,243.2,227.09,,,,,,,Percent of Total Billed Charges,,227.09,227.09,,304,,,,,,,Percent of Total Billed Charges,,,,,291.84,,,,,,,Percent of Total Billed Charges,,,,,288.8,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,85.12,,,,,,,Percent of Total Billed Charges,,,,,243.2,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,, .THYROID STIM. IMMUNO. ,84445TC ,CPT,,Outpatient,,,416.5,333.2,311.13,,,,,,,Percent of Total Billed Charges,,311.13,311.13,,416.5,,,,,,,Percent of Total Billed Charges,,,,,399.84,,,,,,,Percent of Total Billed Charges,,,,,395.68,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,354.03,,,,,,,Percent of Total Billed Charges,,,,,87.47,,,,,,,Percent of Total Billed Charges,,,,,374.85,,,,,,,Percent of Total Billed Charges,,,,,374.85,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,116.62,,,,,,,Percent of Total Billed Charges,,,,,333.2,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,, .CULTURE ANAEROBE ,87075TC ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, CULTURE BLOOD ,87040TC ,CPT,,Outpatient,,,474.5,379.6,354.45,,,,,,,Percent of Total Billed Charges,,354.45,354.45,,474.5,,,,,,,Percent of Total Billed Charges,,,,,455.52,,,,,,,Percent of Total Billed Charges,,,,,450.78,,,,,,,Percent of Total Billed Charges,,,,,94.9,,,,,,,Percent of Total Billed Charges,,,,,403.33,,,,,,,Percent of Total Billed Charges,,,,,99.65,,,,,,,Percent of Total Billed Charges,,,,,427.05,,,,,,,Percent of Total Billed Charges,,,,,427.05,,,,,,,Percent of Total Billed Charges,,,,,94.9,,,,,,,Percent of Total Billed Charges,,,,,132.86,,,,,,,Percent of Total Billed Charges,,,,,379.6,,,,,,,Percent of Total Billed Charges,,,,,94.9,,,,,,,Percent of Total Billed Charges,,,, CULTURE BODY FLUID SPECIFY (METHODIST) ,87070TC ,CPT,,Outpatient,,,277.5,222,207.29,,,,,,,Percent of Total Billed Charges,,207.29,207.29,,277.5,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,263.63,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,235.88,,,,,,,Percent of Total Billed Charges,,,,,58.28,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,222,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,, CULTURE NOSE ,87070TC ,CPT,,Outpatient,,,231.5,185.2,172.93,,,,,,,Percent of Total Billed Charges,,172.93,172.93,,231.5,,,,,,,Percent of Total Billed Charges,,,,,222.24,,,,,,,Percent of Total Billed Charges,,,,,219.93,,,,,,,Percent of Total Billed Charges,,,,,46.3,,,,,,,Percent of Total Billed Charges,,,,,196.78,,,,,,,Percent of Total Billed Charges,,,,,48.62,,,,,,,Percent of Total Billed Charges,,,,,208.35,,,,,,,Percent of Total Billed Charges,,,,,208.35,,,,,,,Percent of Total Billed Charges,,,,,46.3,,,,,,,Percent of Total Billed Charges,,,,,64.82,,,,,,,Percent of Total Billed Charges,,,,,185.2,,,,,,,Percent of Total Billed Charges,,,,,46.3,,,,,,,Percent of Total Billed Charges,,,, CULTURE SPUTUM ,87070TC ,CPT,,Outpatient,,,277.5,222,207.29,,,,,,,Percent of Total Billed Charges,,207.29,207.29,,277.5,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,263.63,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,235.88,,,,,,,Percent of Total Billed Charges,,,,,58.28,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,222,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,, CULTURE CSF ,87070TC ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, ..culture stool (MDH) ,87045,CPT,,Outpatient,,,215.5,172.4,160.98,,,,,,,Percent of Total Billed Charges,,160.98,160.98,,215.5,,,,,,,Percent of Total Billed Charges,,,,,206.88,,,,,,,Percent of Total Billed Charges,,,,,204.73,,,,,,,Percent of Total Billed Charges,,,,,43.1,,,,,,,Percent of Total Billed Charges,,,,,183.18,,,,,,,Percent of Total Billed Charges,,,,,45.26,,,,,,,Percent of Total Billed Charges,,,,,193.95,,,,,,,Percent of Total Billed Charges,,,,,193.95,,,,,,,Percent of Total Billed Charges,,,,,43.1,,,,,,,Percent of Total Billed Charges,,,,,60.34,,,,,,,Percent of Total Billed Charges,,,,,172.4,,,,,,,Percent of Total Billed Charges,,,,,43.1,,,,,,,Percent of Total Billed Charges,,,, CULTURE THROAT/GRP A STREP ,87070TC ,CPT,,Outpatient,,,277.5,222,207.29,,,,,,,Percent of Total Billed Charges,,207.29,207.29,,277.5,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,263.63,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,235.88,,,,,,,Percent of Total Billed Charges,,,,,58.28,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,222,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,, .CULTURE URINE ,87086,CPT,,Outpatient,,,191,152.8,142.68,,,,,,,Percent of Total Billed Charges,,142.68,142.68,,191,,,,,,,Percent of Total Billed Charges,,,,,183.36,,,,,,,Percent of Total Billed Charges,,,,,181.45,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,162.35,,,,,,,Percent of Total Billed Charges,,,,,40.11,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,53.48,,,,,,,Percent of Total Billed Charges,,,,,152.8,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,, CULTURE VAGINAL ,87070TC ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, CULTURE WOUND AEROBIC ,87070TC ,CPT,,Outpatient,,,277.5,222,207.29,,,,,,,Percent of Total Billed Charges,,207.29,207.29,,277.5,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,263.63,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,235.88,,,,,,,Percent of Total Billed Charges,,,,,58.28,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,222,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,, CULTURE EAR ,87070TC ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, CULTURE EYE ,87070TC ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, ..GC SCREEN AND CLASSIFICATION ,87081,CPT,,Outpatient,,,121,96.8,90.39,,,,,,,Percent of Total Billed Charges,,90.39,90.39,,121,,,,,,,Percent of Total Billed Charges,,,,,116.16,,,,,,,Percent of Total Billed Charges,,,,,114.95,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,102.85,,,,,,,Percent of Total Billed Charges,,,,,25.41,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,33.88,,,,,,,Percent of Total Billed Charges,,,,,96.8,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,, GRAM STAIN ,87205TC ,CPT,,Outpatient,,,93.5,74.8,69.84,,,,,,,Percent of Total Billed Charges,,69.84,69.84,,93.5,,,,,,,Percent of Total Billed Charges,,,,,89.76,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,79.48,,,,,,,Percent of Total Billed Charges,,,,,19.64,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,26.18,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,, OVA AND PARASITES ,87177TC ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, .SENSITIVITY GRAM NEG URINE ,87184TC ,CPT,,Outpatient,,,199.5,159.6,149.03,,,,,,,Percent of Total Billed Charges,,149.03,149.03,,199.5,,,,,,,Percent of Total Billed Charges,,,,,191.52,,,,,,,Percent of Total Billed Charges,,,,,189.53,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,169.58,,,,,,,Percent of Total Billed Charges,,,,,41.9,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,55.86,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,, ..WET PREP ,87210TC ,CPT,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, KOH PREP ,87210TC ,CPT,,Outpatient,,,106,84.8,79.18,,,,,,,Percent of Total Billed Charges,,79.18,79.18,,106,,,,,,,Percent of Total Billed Charges,,,,,101.76,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,90.1,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,95.4,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,29.68,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,, ...STREP SCREEN ,87081,CPT,,Outpatient,,,123.5,98.8,92.25,,,,,,,Percent of Total Billed Charges,,92.25,92.25,,123.5,,,,,,,Percent of Total Billed Charges,,,,,118.56,,,,,,,Percent of Total Billed Charges,,,,,117.33,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,104.98,,,,,,,Percent of Total Billed Charges,,,,,25.94,,,,,,,Percent of Total Billed Charges,,,,,111.15,,,,,,,Percent of Total Billed Charges,,,,,111.15,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,34.58,,,,,,,Percent of Total Billed Charges,,,,,98.8,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,, ...STREP SCREEN (QUICK) ,87880TC ,CPT,,Outpatient,,,139.5,111.6,104.21,,,,,,,Percent of Total Billed Charges,,104.21,104.21,,139.5,,,,,,,Percent of Total Billed Charges,,,,,133.92,,,,,,,Percent of Total Billed Charges,,,,,132.53,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,118.58,,,,,,,Percent of Total Billed Charges,,,,,29.3,,,,,,,Percent of Total Billed Charges,,,,,125.55,,,,,,,Percent of Total Billed Charges,,,,,125.55,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,39.06,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,, PINWORM EXAM ,87172TC ,CPT,,Outpatient,,,87,69.6,64.99,,,,,,,Percent of Total Billed Charges,,64.99,64.99,,87,,,,,,,Percent of Total Billed Charges,,,,,83.52,,,,,,,Percent of Total Billed Charges,,,,,82.65,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,73.95,,,,,,,Percent of Total Billed Charges,,,,,18.27,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,24.36,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,, CULTURE URETHRAL ,87070TC ,CPT,,Outpatient,,,229.5,183.6,171.44,,,,,,,Percent of Total Billed Charges,,171.44,171.44,,229.5,,,,,,,Percent of Total Billed Charges,,,,,220.32,,,,,,,Percent of Total Billed Charges,,,,,218.03,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,195.08,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,206.55,,,,,,,Percent of Total Billed Charges,,,,,206.55,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,64.26,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,, .SENSITIVITY GRAM NEGATIVE ,87184TC ,CPT,,Outpatient,,,199.5,159.6,149.03,,,,,,,Percent of Total Billed Charges,,149.03,149.03,,199.5,,,,,,,Percent of Total Billed Charges,,,,,191.52,,,,,,,Percent of Total Billed Charges,,,,,189.53,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,169.58,,,,,,,Percent of Total Billed Charges,,,,,41.9,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,55.86,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,, .SENSITIVITY GRAM POSITIVE ,87184TC ,CPT,,Outpatient,,,199.5,159.6,149.03,,,,,,,Percent of Total Billed Charges,,149.03,149.03,,199.5,,,,,,,Percent of Total Billed Charges,,,,,191.52,,,,,,,Percent of Total Billed Charges,,,,,189.53,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,169.58,,,,,,,Percent of Total Billed Charges,,,,,41.9,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,55.86,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,, .SENSITIVITY ENTEROCOCCUS ,87184TC ,CPT,,Outpatient,,,199.5,159.6,149.03,,,,,,,Percent of Total Billed Charges,,149.03,149.03,,199.5,,,,,,,Percent of Total Billed Charges,,,,,191.52,,,,,,,Percent of Total Billed Charges,,,,,189.53,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,169.58,,,,,,,Percent of Total Billed Charges,,,,,41.9,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,55.86,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,, SKIN SCRAPING ,87210TC ,CPT,,Outpatient,,,76.5,61.2,57.15,,,,,,,Percent of Total Billed Charges,,57.15,57.15,,76.5,,,,,,,Percent of Total Billed Charges,,,,,73.44,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,65.03,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,, CULTURE YERSINIA ,87081TC ,CPT,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, CULTURE MRSA SURVEILLANCE ,87081TC ,CPT,,Outpatient,,,277.5,222,207.29,,,,,,,Percent of Total Billed Charges,,207.29,207.29,,277.5,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,263.63,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,235.88,,,,,,,Percent of Total Billed Charges,,,,,58.28,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,222,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,, THYROTROPIN INHIBITORY IMMUNOGLOBIN ,83520TC ,CPT,,Outpatient,,,387,309.6,289.09,,,,,,,Percent of Total Billed Charges,,289.09,289.09,,387,,,,,,,Percent of Total Billed Charges,,,,,371.52,,,,,,,Percent of Total Billed Charges,,,,,367.65,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,328.95,,,,,,,Percent of Total Billed Charges,,,,,81.27,,,,,,,Percent of Total Billed Charges,,,,,348.3,,,,,,,Percent of Total Billed Charges,,,,,348.3,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,108.36,,,,,,,Percent of Total Billed Charges,,,,,309.6,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,, NEURONTIN ,80299TC ,CPT,,Outpatient,,,175,140,130.73,,,,,,,Percent of Total Billed Charges,,130.73,130.73,,175,,,,,,,Percent of Total Billed Charges,,,,,168,,,,,,,Percent of Total Billed Charges,,,,,166.25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,148.75,,,,,,,Percent of Total Billed Charges,,,,,36.75,,,,,,,Percent of Total Billed Charges,,,,,157.5,,,,,,,Percent of Total Billed Charges,,,,,157.5,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,49,,,,,,,Percent of Total Billed Charges,,,,,140,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,, TRYPTASE ,83520TC ,CPT,,Outpatient,,,489.5,391.6,365.66,,,,,,,Percent of Total Billed Charges,,365.66,365.66,,489.5,,,,,,,Percent of Total Billed Charges,,,,,469.92,,,,,,,Percent of Total Billed Charges,,,,,465.03,,,,,,,Percent of Total Billed Charges,,,,,97.9,,,,,,,Percent of Total Billed Charges,,,,,416.08,,,,,,,Percent of Total Billed Charges,,,,,102.8,,,,,,,Percent of Total Billed Charges,,,,,440.55,,,,,,,Percent of Total Billed Charges,,,,,440.55,,,,,,,Percent of Total Billed Charges,,,,,97.9,,,,,,,Percent of Total Billed Charges,,,,,137.06,,,,,,,Percent of Total Billed Charges,,,,,391.6,,,,,,,Percent of Total Billed Charges,,,,,97.9,,,,,,,Percent of Total Billed Charges,,,, MYELOPEROXIDASE ANTIBODY ,83516TC ,CPT,,Outpatient,,,445.5,356.4,332.79,,,,,,,Percent of Total Billed Charges,,332.79,332.79,,445.5,,,,,,,Percent of Total Billed Charges,,,,,427.68,,,,,,,Percent of Total Billed Charges,,,,,423.23,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,378.68,,,,,,,Percent of Total Billed Charges,,,,,93.56,,,,,,,Percent of Total Billed Charges,,,,,400.95,,,,,,,Percent of Total Billed Charges,,,,,400.95,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,124.74,,,,,,,Percent of Total Billed Charges,,,,,356.4,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,, .EHRLICHIA TITER ,86666TC ,CPT,,Outpatient,,,99,79.2,73.95,,,,,,,Percent of Total Billed Charges,,73.95,73.95,,99,,,,,,,Percent of Total Billed Charges,,,,,95.04,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,20.79,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,27.72,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,, TISSUE (IGG) TRANSGLUTAMINASE AB ,86364TC ,CPT,,Outpatient,,,304,243.2,227.09,,,,,,,Percent of Total Billed Charges,,227.09,227.09,,304,,,,,,,Percent of Total Billed Charges,,,,,291.84,,,,,,,Percent of Total Billed Charges,,,,,288.8,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,85.12,,,,,,,Percent of Total Billed Charges,,,,,243.2,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,, INHIBIN-A (DIMER) ,86336TC ,CPT,,Outpatient,,,162.5,130,121.39,,,,,,,Percent of Total Billed Charges,,121.39,121.39,,162.5,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,154.38,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,,,138.13,,,,,,,Percent of Total Billed Charges,,,,,34.13,,,,,,,Percent of Total Billed Charges,,,,,146.25,,,,,,,Percent of Total Billed Charges,,,,,146.25,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,,,45.5,,,,,,,Percent of Total Billed Charges,,,,,130,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,, ESTRIOL ,82677TC ,CPT,,Outpatient,,,49,39.2,36.6,,,,,,,Percent of Total Billed Charges,,36.6,36.6,,49,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,46.55,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,41.65,,,,,,,Percent of Total Billed Charges,,,,,10.29,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,13.72,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,, C REACT PROT ,86140TC ,CPT,,Outpatient,,,189.5,151.6,141.56,,,,,,,Percent of Total Billed Charges,,141.56,141.56,,189.5,,,,,,,Percent of Total Billed Charges,,,,,181.92,,,,,,,Percent of Total Billed Charges,,,,,180.03,,,,,,,Percent of Total Billed Charges,,,,,37.9,,,,,,,Percent of Total Billed Charges,,,,,161.08,,,,,,,Percent of Total Billed Charges,,,,,39.8,,,,,,,Percent of Total Billed Charges,,,,,170.55,,,,,,,Percent of Total Billed Charges,,,,,170.55,,,,,,,Percent of Total Billed Charges,,,,,37.9,,,,,,,Percent of Total Billed Charges,,,,,53.06,,,,,,,Percent of Total Billed Charges,,,,,151.6,,,,,,,Percent of Total Billed Charges,,,,,37.9,,,,,,,Percent of Total Billed Charges,,,, RUBEOLA (MEASLES) AB. IGG ,86765TC ,CPT,,Outpatient,,,120.5,96.4,90.01,,,,,,,Percent of Total Billed Charges,,90.01,90.01,,120.5,,,,,,,Percent of Total Billed Charges,,,,,115.68,,,,,,,Percent of Total Billed Charges,,,,,114.48,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,102.43,,,,,,,Percent of Total Billed Charges,,,,,25.31,,,,,,,Percent of Total Billed Charges,,,,,108.45,,,,,,,Percent of Total Billed Charges,,,,,108.45,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,,,33.74,,,,,,,Percent of Total Billed Charges,,,,,96.4,,,,,,,Percent of Total Billed Charges,,,,,24.1,,,,,,,Percent of Total Billed Charges,,,, .HERPES SIMPLEX BY PCR ,87529TC ,CPT,,Outpatient,,,331,264.8,247.26,,,,,,,Percent of Total Billed Charges,,247.26,247.26,,331,,,,,,,Percent of Total Billed Charges,,,,,317.76,,,,,,,Percent of Total Billed Charges,,,,,314.45,,,,,,,Percent of Total Billed Charges,,,,,66.2,,,,,,,Percent of Total Billed Charges,,,,,281.35,,,,,,,Percent of Total Billed Charges,,,,,69.51,,,,,,,Percent of Total Billed Charges,,,,,297.9,,,,,,,Percent of Total Billed Charges,,,,,297.9,,,,,,,Percent of Total Billed Charges,,,,,66.2,,,,,,,Percent of Total Billed Charges,,,,,92.68,,,,,,,Percent of Total Billed Charges,,,,,264.8,,,,,,,Percent of Total Billed Charges,,,,,66.2,,,,,,,Percent of Total Billed Charges,,,, "COPPER, 24 HR URINE ",82525TC ,CPT,,Outpatient,,,400,320,298.8,,,,,,,Percent of Total Billed Charges,,298.8,298.8,,400,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,380,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,340,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,320,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,, CELL SURFACE MARKER(ADDITIONAL) ,88185TC ,CPT,,Outpatient,,,180,144,134.46,,,,,,,Percent of Total Billed Charges,,134.46,134.46,,180,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,171,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,153,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,162,,,,,,,Percent of Total Billed Charges,,,,,162,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,144,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,, MAGNESIUM Q DAILY(X3) ,83735TC ,CPT,,Outpatient,,,159,127.2,118.77,,,,,,,Percent of Total Billed Charges,,118.77,118.77,,159,,,,,,,Percent of Total Billed Charges,,,,,152.64,,,,,,,Percent of Total Billed Charges,,,,,151.05,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,135.15,,,,,,,Percent of Total Billed Charges,,,,,33.39,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,127.2,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,, "MYASTHENIA GRAVIS W/ MUSK REFLEX, SERUM ",86041TC ,CPT,,Outpatient,,,994,795.2,742.52,,,,,,,Percent of Total Billed Charges,,742.52,742.52,,994,,,,,,,Percent of Total Billed Charges,,,,,954.24,,,,,,,Percent of Total Billed Charges,,,,,944.3,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,844.9,,,,,,,Percent of Total Billed Charges,,,,,208.74,,,,,,,Percent of Total Billed Charges,,,,,894.6,,,,,,,Percent of Total Billed Charges,,,,,894.6,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,278.32,,,,,,,Percent of Total Billed Charges,,,,,795.2,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,, AMYLASE DAILY ,82150TC ,CPT,,Outpatient,,,166,132.8,124,,,,,,,Percent of Total Billed Charges,,124,124,,166,,,,,,,Percent of Total Billed Charges,,,,,159.36,,,,,,,Percent of Total Billed Charges,,,,,157.7,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,141.1,,,,,,,Percent of Total Billed Charges,,,,,34.86,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,46.48,,,,,,,Percent of Total Billed Charges,,,,,132.8,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,, ..TEST CBC ,85025,CPT,,Outpatient,,,205,164,153.14,,,,,,,Percent of Total Billed Charges,,153.14,153.14,,205,,,,,,,Percent of Total Billed Charges,,,,,196.8,,,,,,,Percent of Total Billed Charges,,,,,194.75,,,,,,,Percent of Total Billed Charges,,,,,41,,,,,,,Percent of Total Billed Charges,,,,,174.25,,,,,,,Percent of Total Billed Charges,,,,,43.05,,,,,,,Percent of Total Billed Charges,,,,,184.5,,,,,,,Percent of Total Billed Charges,,,,,184.5,,,,,,,Percent of Total Billed Charges,,,,,41,,,,,,,Percent of Total Billed Charges,,,,,57.4,,,,,,,Percent of Total Billed Charges,,,,,164,,,,,,,Percent of Total Billed Charges,,,,,41,,,,,,,Percent of Total Billed Charges,,,, T4 FREE / TSH ,84443TC ,CPT,,Outpatient,,,298,238.4,222.61,,,,,,,Percent of Total Billed Charges,,222.61,222.61,,298,,,,,,,Percent of Total Billed Charges,,,,,286.08,,,,,,,Percent of Total Billed Charges,,,,,283.1,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,,,62.58,,,,,,,Percent of Total Billed Charges,,,,,268.2,,,,,,,Percent of Total Billed Charges,,,,,268.2,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,,,83.44,,,,,,,Percent of Total Billed Charges,,,,,238.4,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,, ".CBC (M,W,F) ",85027TC ,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, CBC WITH AUTO DIFF- DAILY ,85025TC ,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, CMP - DAILY ,80053TC ,CPT,,Outpatient,,,387,309.6,289.09,,,,,,,Percent of Total Billed Charges,,289.09,289.09,,387,,,,,,,Percent of Total Billed Charges,,,,,371.52,,,,,,,Percent of Total Billed Charges,,,,,367.65,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,328.95,,,,,,,Percent of Total Billed Charges,,,,,81.27,,,,,,,Percent of Total Billed Charges,,,,,348.3,,,,,,,Percent of Total Billed Charges,,,,,348.3,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,108.36,,,,,,,Percent of Total Billed Charges,,,,,309.6,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,, BMP - DAILY ,80048TC ,CPT,,Outpatient,,,269,215.2,200.94,,,,,,,Percent of Total Billed Charges,,200.94,200.94,,269,,,,,,,Percent of Total Billed Charges,,,,,258.24,,,,,,,Percent of Total Billed Charges,,,,,255.55,,,,,,,Percent of Total Billed Charges,,,,,53.8,,,,,,,Percent of Total Billed Charges,,,,,228.65,,,,,,,Percent of Total Billed Charges,,,,,56.49,,,,,,,Percent of Total Billed Charges,,,,,242.1,,,,,,,Percent of Total Billed Charges,,,,,242.1,,,,,,,Percent of Total Billed Charges,,,,,53.8,,,,,,,Percent of Total Billed Charges,,,,,75.32,,,,,,,Percent of Total Billed Charges,,,,,215.2,,,,,,,Percent of Total Billed Charges,,,,,53.8,,,,,,,Percent of Total Billed Charges,,,, "DRUG SCREEN ""DATE RAPE"" ",80307TC ,CPT,,Outpatient,,,920.5,736.4,687.61,,,,,,,Percent of Total Billed Charges,,687.61,687.61,,920.5,,,,,,,Percent of Total Billed Charges,,,,,883.68,,,,,,,Percent of Total Billed Charges,,,,,874.48,,,,,,,Percent of Total Billed Charges,,,,,184.1,,,,,,,Percent of Total Billed Charges,,,,,782.43,,,,,,,Percent of Total Billed Charges,,,,,193.31,,,,,,,Percent of Total Billed Charges,,,,,828.45,,,,,,,Percent of Total Billed Charges,,,,,828.45,,,,,,,Percent of Total Billed Charges,,,,,184.1,,,,,,,Percent of Total Billed Charges,,,,,257.74,,,,,,,Percent of Total Billed Charges,,,,,736.4,,,,,,,Percent of Total Billed Charges,,,,,184.1,,,,,,,Percent of Total Billed Charges,,,, FRAGILE X ,81243TC ,CPT,,Outpatient,,,1430.5,1144.4,1068.58,,,,,,,Percent of Total Billed Charges,,1068.58,1068.58,,1430.5,,,,,,,Percent of Total Billed Charges,,,,,1373.28,,,,,,,Percent of Total Billed Charges,,,,,1358.98,,,,,,,Percent of Total Billed Charges,,,,,286.1,,,,,,,Percent of Total Billed Charges,,,,,1215.93,,,,,,,Percent of Total Billed Charges,,,,,300.41,,,,,,,Percent of Total Billed Charges,,,,,1287.45,,,,,,,Percent of Total Billed Charges,,,,,1287.45,,,,,,,Percent of Total Billed Charges,,,,,286.1,,,,,,,Percent of Total Billed Charges,,,,,400.54,,,,,,,Percent of Total Billed Charges,,,,,1144.4,,,,,,,Percent of Total Billed Charges,,,,,286.1,,,,,,,Percent of Total Billed Charges,,,, 88360 SURG. PATH ,88360TC ,CPT,,Outpatient,,,526.5,421.2,393.3,,,,,,,Percent of Total Billed Charges,,393.3,393.3,,526.5,,,,,,,Percent of Total Billed Charges,,,,,505.44,,,,,,,Percent of Total Billed Charges,,,,,500.18,,,,,,,Percent of Total Billed Charges,,,,,105.3,,,,,,,Percent of Total Billed Charges,,,,,447.53,,,,,,,Percent of Total Billed Charges,,,,,110.57,,,,,,,Percent of Total Billed Charges,,,,,473.85,,,,,,,Percent of Total Billed Charges,,,,,473.85,,,,,,,Percent of Total Billed Charges,,,,,105.3,,,,,,,Percent of Total Billed Charges,,,,,147.42,,,,,,,Percent of Total Billed Charges,,,,,421.2,,,,,,,Percent of Total Billed Charges,,,,,105.3,,,,,,,Percent of Total Billed Charges,,,, OR CBC ,85025,CPT,,Outpatient,,,25.5,20.4,19.05,,,,,,,Percent of Total Billed Charges,,19.05,19.05,,25.5,,,,,,,Percent of Total Billed Charges,,,,,24.48,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,21.68,,,,,,,Percent of Total Billed Charges,,,,,5.36,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,22.95,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.1,,,,,,,Percent of Total Billed Charges,,,, GEODON (ZIPRASIDONE) ,80299TC ,CPT,,Outpatient,,,49,39.2,36.6,,,,,,,Percent of Total Billed Charges,,36.6,36.6,,49,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,46.55,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,41.65,,,,,,,Percent of Total Billed Charges,,,,,10.29,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,13.72,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,, OR BASIC METABOLIC PROFILE ,80048,CPT,,Outpatient,,,26.5,21.2,19.8,,,,,,,Percent of Total Billed Charges,,19.8,19.8,,26.5,,,,,,,Percent of Total Billed Charges,,,,,25.44,,,,,,,Percent of Total Billed Charges,,,,,25.18,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,22.53,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,7.42,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,, HETEROPHILE ANTIBODIES ,86308TC ,CPT,,Outpatient,,,39.5,31.6,29.51,,,,,,,Percent of Total Billed Charges,,29.51,29.51,,39.5,,,,,,,Percent of Total Billed Charges,,,,,37.92,,,,,,,Percent of Total Billed Charges,,,,,37.53,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,33.58,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,11.06,,,,,,,Percent of Total Billed Charges,,,,,31.6,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,, OR VANCOMYCIN PEAK ,80202,CPT,,Outpatient,,,56,44.8,41.83,,,,,,,Percent of Total Billed Charges,,41.83,41.83,,56,,,,,,,Percent of Total Billed Charges,,,,,53.76,,,,,,,Percent of Total Billed Charges,,,,,53.2,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,44.8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,, OR VANCOMYCIN TROUGH ,80202,CPT,,Outpatient,,,52.5,42,39.22,,,,,,,Percent of Total Billed Charges,,39.22,39.22,,52.5,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,11.03,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,42,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,, OR VENIPUNCTURE CHARGE ,36415,CPT,,Outpatient,,,8.5,6.8,6.35,,,,,,,Percent of Total Billed Charges,,6.35,6.35,,8.5,,,,,,,Percent of Total Billed Charges,,,,,8.16,,,,,,,Percent of Total Billed Charges,,,,,8.08,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,7.23,,,,,,,Percent of Total Billed Charges,,,,,1.79,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,7.65,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,1.7,,,,,,,Percent of Total Billed Charges,,,, .OR MANUAL WBC DIFFERENTIAL ,85007,CPT,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, . OR MANUAL SLIDE REVIEW (HEMO) ,85008,CPT,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, HERPES S. IgG TYPE 1 ANTIBODIES ,86695TC ,CPT,,Outpatient,,,346.5,277.2,258.84,,,,,,,Percent of Total Billed Charges,,258.84,258.84,,346.5,,,,,,,Percent of Total Billed Charges,,,,,332.64,,,,,,,Percent of Total Billed Charges,,,,,329.18,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,294.53,,,,,,,Percent of Total Billed Charges,,,,,72.77,,,,,,,Percent of Total Billed Charges,,,,,311.85,,,,,,,Percent of Total Billed Charges,,,,,311.85,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,97.02,,,,,,,Percent of Total Billed Charges,,,,,277.2,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,, KAPPA-LAMBDA QNT FLC W/ RATIO ,83521TC ,CPT,,Outpatient,,,479.5,383.6,358.19,,,,,,,Percent of Total Billed Charges,,358.19,358.19,,479.5,,,,,,,Percent of Total Billed Charges,,,,,460.32,,,,,,,Percent of Total Billed Charges,,,,,455.53,,,,,,,Percent of Total Billed Charges,,,,,95.9,,,,,,,Percent of Total Billed Charges,,,,,407.58,,,,,,,Percent of Total Billed Charges,,,,,100.7,,,,,,,Percent of Total Billed Charges,,,,,431.55,,,,,,,Percent of Total Billed Charges,,,,,431.55,,,,,,,Percent of Total Billed Charges,,,,,95.9,,,,,,,Percent of Total Billed Charges,,,,,134.26,,,,,,,Percent of Total Billed Charges,,,,,383.6,,,,,,,Percent of Total Billed Charges,,,,,95.9,,,,,,,Percent of Total Billed Charges,,,, CREATININE (I-STAT) ,82565TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, ...OR TRIGLYCER ,84478,CPT,,Outpatient,,,39.5,31.6,29.51,,,,,,,Percent of Total Billed Charges,,29.51,29.51,,39.5,,,,,,,Percent of Total Billed Charges,,,,,37.92,,,,,,,Percent of Total Billed Charges,,,,,37.53,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,33.58,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,11.06,,,,,,,Percent of Total Billed Charges,,,,,31.6,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,, OR SODIUM RANDOM URINE ,84295,CPT,,Outpatient,,,26.5,21.2,19.8,,,,,,,Percent of Total Billed Charges,,19.8,19.8,,26.5,,,,,,,Percent of Total Billed Charges,,,,,25.44,,,,,,,Percent of Total Billed Charges,,,,,25.18,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,22.53,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,7.42,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,, OR CORTROSYN STIMULATION ,80400,CPT,,Outpatient,,,131,104.8,97.86,,,,,,,Percent of Total Billed Charges,,97.86,97.86,,131,,,,,,,Percent of Total Billed Charges,,,,,125.76,,,,,,,Percent of Total Billed Charges,,,,,124.45,,,,,,,Percent of Total Billed Charges,,,,,26.2,,,,,,,Percent of Total Billed Charges,,,,,111.35,,,,,,,Percent of Total Billed Charges,,,,,27.51,,,,,,,Percent of Total Billed Charges,,,,,117.9,,,,,,,Percent of Total Billed Charges,,,,,117.9,,,,,,,Percent of Total Billed Charges,,,,,26.2,,,,,,,Percent of Total Billed Charges,,,,,36.68,,,,,,,Percent of Total Billed Charges,,,,,104.8,,,,,,,Percent of Total Billed Charges,,,,,26.2,,,,,,,Percent of Total Billed Charges,,,, CULTURE URINE ,87086TC ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, CULTURE MRSA (PRE-OP) ,87081TC ,CPT,,Outpatient,,,277.5,222,207.29,,,,,,,Percent of Total Billed Charges,,207.29,207.29,,277.5,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,263.63,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,235.88,,,,,,,Percent of Total Billed Charges,,,,,58.28,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,222,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,, OR B-NTP ,86255,CPT,,Outpatient,,,151.5,121.2,113.17,,,,,,,Percent of Total Billed Charges,,113.17,113.17,,151.5,,,,,,,Percent of Total Billed Charges,,,,,145.44,,,,,,,Percent of Total Billed Charges,,,,,143.93,,,,,,,Percent of Total Billed Charges,,,,,30.3,,,,,,,Percent of Total Billed Charges,,,,,128.78,,,,,,,Percent of Total Billed Charges,,,,,31.82,,,,,,,Percent of Total Billed Charges,,,,,136.35,,,,,,,Percent of Total Billed Charges,,,,,136.35,,,,,,,Percent of Total Billed Charges,,,,,30.3,,,,,,,Percent of Total Billed Charges,,,,,42.42,,,,,,,Percent of Total Billed Charges,,,,,121.2,,,,,,,Percent of Total Billed Charges,,,,,30.3,,,,,,,Percent of Total Billed Charges,,,, .OR MANUAL SLIDE REVIEW ,85008,CPT,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, T3 REVERSE ,84482TC ,CPT,,Outpatient,,,153.5,122.8,114.66,,,,,,,Percent of Total Billed Charges,,114.66,114.66,,153.5,,,,,,,Percent of Total Billed Charges,,,,,147.36,,,,,,,Percent of Total Billed Charges,,,,,145.83,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,130.48,,,,,,,Percent of Total Billed Charges,,,,,32.24,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,42.98,,,,,,,Percent of Total Billed Charges,,,,,122.8,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE BLOOD ,87040,CPT,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, DIPTHERIA AB IGG ,86317TC ,CPT,,Outpatient,,,265.5,212.4,198.33,,,,,,,Percent of Total Billed Charges,,198.33,198.33,,265.5,,,,,,,Percent of Total Billed Charges,,,,,254.88,,,,,,,Percent of Total Billed Charges,,,,,252.23,,,,,,,Percent of Total Billed Charges,,,,,53.1,,,,,,,Percent of Total Billed Charges,,,,,225.68,,,,,,,Percent of Total Billed Charges,,,,,55.76,,,,,,,Percent of Total Billed Charges,,,,,238.95,,,,,,,Percent of Total Billed Charges,,,,,238.95,,,,,,,Percent of Total Billed Charges,,,,,53.1,,,,,,,Percent of Total Billed Charges,,,,,74.34,,,,,,,Percent of Total Billed Charges,,,,,212.4,,,,,,,Percent of Total Billed Charges,,,,,53.1,,,,,,,Percent of Total Billed Charges,,,, TETANUS AB IGG ,86317TC ,CPT,,Outpatient,,,265.5,212.4,198.33,,,,,,,Percent of Total Billed Charges,,198.33,198.33,,265.5,,,,,,,Percent of Total Billed Charges,,,,,254.88,,,,,,,Percent of Total Billed Charges,,,,,252.23,,,,,,,Percent of Total Billed Charges,,,,,53.1,,,,,,,Percent of Total Billed Charges,,,,,225.68,,,,,,,Percent of Total Billed Charges,,,,,55.76,,,,,,,Percent of Total Billed Charges,,,,,238.95,,,,,,,Percent of Total Billed Charges,,,,,238.95,,,,,,,Percent of Total Billed Charges,,,,,53.1,,,,,,,Percent of Total Billed Charges,,,,,74.34,,,,,,,Percent of Total Billed Charges,,,,,212.4,,,,,,,Percent of Total Billed Charges,,,,,53.1,,,,,,,Percent of Total Billed Charges,,,, PNEUMOCOCCAL AB SEROTYPE 23 ,86317TC ,CPT,,Outpatient,,,34.5,27.6,25.77,,,,,,,Percent of Total Billed Charges,,25.77,25.77,,34.5,,,,,,,Percent of Total Billed Charges,,,,,33.12,,,,,,,Percent of Total Billed Charges,,,,,32.78,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,29.33,,,,,,,Percent of Total Billed Charges,,,,,7.25,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,9.66,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,, *DO NOT USE ,80197TC ,CPT,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, RAPAMUNE ,80299TC ,CPT,,Outpatient,,,67.5,54,50.42,,,,,,,Percent of Total Billed Charges,,50.42,50.42,,67.5,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,64.13,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,57.38,,,,,,,Percent of Total Billed Charges,,,,,14.18,,,,,,,Percent of Total Billed Charges,,,,,60.75,,,,,,,Percent of Total Billed Charges,,,,,60.75,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,54,,,,,,,Percent of Total Billed Charges,,,,,13.5,,,,,,,Percent of Total Billed Charges,,,, .EMP HEALTH -- HEPATITIS B SURF AB ,86706,CPT,,Outpatient,,,112,89.6,83.66,,,,,,,Percent of Total Billed Charges,,83.66,83.66,,112,,,,,,,Percent of Total Billed Charges,,,,,107.52,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,95.2,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,31.36,,,,,,,Percent of Total Billed Charges,,,,,89.6,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,, DIHYDROTESTOSTERONE (DHT) ,82542TC ,CPT,,Outpatient,,,208,166.4,155.38,,,,,,,Percent of Total Billed Charges,,155.38,155.38,,208,,,,,,,Percent of Total Billed Charges,,,,,199.68,,,,,,,Percent of Total Billed Charges,,,,,197.6,,,,,,,Percent of Total Billed Charges,,,,,41.6,,,,,,,Percent of Total Billed Charges,,,,,176.8,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,41.6,,,,,,,Percent of Total Billed Charges,,,,,58.24,,,,,,,Percent of Total Billed Charges,,,,,166.4,,,,,,,Percent of Total Billed Charges,,,,,41.6,,,,,,,Percent of Total Billed Charges,,,, MOLECULAR SEQUENCE ,83890TC ,CPT,,Outpatient,,,1041,832.8,777.63,,,,,,,Percent of Total Billed Charges,,777.63,777.63,,1041,,,,,,,Percent of Total Billed Charges,,,,,999.36,,,,,,,Percent of Total Billed Charges,,,,,988.95,,,,,,,Percent of Total Billed Charges,,,,,208.2,,,,,,,Percent of Total Billed Charges,,,,,884.85,,,,,,,Percent of Total Billed Charges,,,,,218.61,,,,,,,Percent of Total Billed Charges,,,,,936.9,,,,,,,Percent of Total Billed Charges,,,,,936.9,,,,,,,Percent of Total Billed Charges,,,,,208.2,,,,,,,Percent of Total Billed Charges,,,,,291.48,,,,,,,Percent of Total Billed Charges,,,,,832.8,,,,,,,Percent of Total Billed Charges,,,,,208.2,,,,,,,Percent of Total Billed Charges,,,, "PORPHYRINS, SERUM ",84311TC ,CPT,,Outpatient,,,80.5,64.4,60.13,,,,,,,Percent of Total Billed Charges,,60.13,60.13,,80.5,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,76.48,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,68.43,,,,,,,Percent of Total Billed Charges,,,,,16.91,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,22.54,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,, CYTOLOGY - FLUID ,88108TC ,CPT,,Outpatient,,,254,203.2,189.74,,,,,,,Percent of Total Billed Charges,,189.74,189.74,,254,,,,,,,Percent of Total Billed Charges,,,,,243.84,,,,,,,Percent of Total Billed Charges,,,,,241.3,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,,,215.9,,,,,,,Percent of Total Billed Charges,,,,,53.34,,,,,,,Percent of Total Billed Charges,,,,,228.6,,,,,,,Percent of Total Billed Charges,,,,,228.6,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,,,71.12,,,,,,,Percent of Total Billed Charges,,,,,203.2,,,,,,,Percent of Total Billed Charges,,,,,50.8,,,,,,,Percent of Total Billed Charges,,,, BB ANTIBODY SCREENING ,86850TC ,CPT,,Outpatient,,,204,163.2,152.39,,,,,,,Percent of Total Billed Charges,,152.39,152.39,,204,,,,,,,Percent of Total Billed Charges,,,,,195.84,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,173.4,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,, BB BLOOD TYPE/Rh ONLY ,86900TC ,CPT,,Outpatient,,,123,98.4,91.88,,,,,,,Percent of Total Billed Charges,,91.88,91.88,,123,,,,,,,Percent of Total Billed Charges,,,,,118.08,,,,,,,Percent of Total Billed Charges,,,,,116.85,,,,,,,Percent of Total Billed Charges,,,,,24.6,,,,,,,Percent of Total Billed Charges,,,,,104.55,,,,,,,Percent of Total Billed Charges,,,,,25.83,,,,,,,Percent of Total Billed Charges,,,,,110.7,,,,,,,Percent of Total Billed Charges,,,,,110.7,,,,,,,Percent of Total Billed Charges,,,,,24.6,,,,,,,Percent of Total Billed Charges,,,,,34.44,,,,,,,Percent of Total Billed Charges,,,,,98.4,,,,,,,Percent of Total Billed Charges,,,,,24.6,,,,,,,Percent of Total Billed Charges,,,, BB COOMBS DIRECT ,86880TC ,CPT,,Outpatient,,,111.5,89.2,83.29,,,,,,,Percent of Total Billed Charges,,83.29,83.29,,111.5,,,,,,,Percent of Total Billed Charges,,,,,107.04,,,,,,,Percent of Total Billed Charges,,,,,105.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,31.22,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,, BB COOMBS INDIRECT ,86885TC ,CPT,,Outpatient,,,204,163.2,152.39,,,,,,,Percent of Total Billed Charges,,152.39,152.39,,204,,,,,,,Percent of Total Billed Charges,,,,,195.84,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,173.4,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,, BB TYPE AND SCREEN ,86850TC ,CPT,,Outpatient,,,279,223.2,208.41,,,,,,,Percent of Total Billed Charges,,208.41,208.41,,279,,,,,,,Percent of Total Billed Charges,,,,,267.84,,,,,,,Percent of Total Billed Charges,,,,,265.05,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,58.59,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,78.12,,,,,,,Percent of Total Billed Charges,,,,,223.2,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,, BB WHOLE BLOOD ADMIN WITH ARC PROCESSING,36430TC ,CPT,,Outpatient,,,385.5,308.4,287.97,,,,,,,Percent of Total Billed Charges,,287.97,287.97,,385.5,,,,,,,Percent of Total Billed Charges,,,,,370.08,,,,,,,Percent of Total Billed Charges,,,,,366.23,,,,,,,Percent of Total Billed Charges,,,,,77.1,,,,,,,Percent of Total Billed Charges,,,,,327.68,,,,,,,Percent of Total Billed Charges,,,,,80.96,,,,,,,Percent of Total Billed Charges,,,,,346.95,,,,,,,Percent of Total Billed Charges,,,,,346.95,,,,,,,Percent of Total Billed Charges,,,,,77.1,,,,,,,Percent of Total Billed Charges,,,,,107.94,,,,,,,Percent of Total Billed Charges,,,,,308.4,,,,,,,Percent of Total Billed Charges,,,,,77.1,,,,,,,Percent of Total Billed Charges,,,, BB PACKED CELLS ADMIN & ARC PROCESSING ,36430TC ,CPT,,Outpatient,,,468.5,374.8,349.97,,,,,,,Percent of Total Billed Charges,,349.97,349.97,,468.5,,,,,,,Percent of Total Billed Charges,,,,,449.76,,,,,,,Percent of Total Billed Charges,,,,,445.08,,,,,,,Percent of Total Billed Charges,,,,,93.7,,,,,,,Percent of Total Billed Charges,,,,,398.23,,,,,,,Percent of Total Billed Charges,,,,,98.39,,,,,,,Percent of Total Billed Charges,,,,,421.65,,,,,,,Percent of Total Billed Charges,,,,,421.65,,,,,,,Percent of Total Billed Charges,,,,,93.7,,,,,,,Percent of Total Billed Charges,,,,,131.18,,,,,,,Percent of Total Billed Charges,,,,,374.8,,,,,,,Percent of Total Billed Charges,,,,,93.7,,,,,,,Percent of Total Billed Charges,,,, .PLATELET RANDOM DONOR ADMIN & ARC PROC ,36430,CPT,,Outpatient,,,249,199.2,186,,,,,,,Percent of Total Billed Charges,,186,186,,249,,,,,,,Percent of Total Billed Charges,,,,,239.04,,,,,,,Percent of Total Billed Charges,,,,,236.55,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,211.65,,,,,,,Percent of Total Billed Charges,,,,,52.29,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,199.2,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,, ..BB FRESH FROZEN PLASMA ,P9017 ,CPT,,Outpatient,,,229.5,183.6,171.44,,,,,,,Percent of Total Billed Charges,,171.44,171.44,,229.5,,,,,,,Percent of Total Billed Charges,,,,,220.32,,,,,,,Percent of Total Billed Charges,,,,,218.03,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,195.08,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,206.55,,,,,,,Percent of Total Billed Charges,,,,,206.55,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,64.26,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,, BB CRYOPRECIPITATE ADMIN & ARC PROCESSIN,36430TC ,CPT,,Outpatient,,,228.5,182.8,170.69,,,,,,,Percent of Total Billed Charges,,170.69,170.69,,228.5,,,,,,,Percent of Total Billed Charges,,,,,219.36,,,,,,,Percent of Total Billed Charges,,,,,217.08,,,,,,,Percent of Total Billed Charges,,,,,45.7,,,,,,,Percent of Total Billed Charges,,,,,194.23,,,,,,,Percent of Total Billed Charges,,,,,47.99,,,,,,,Percent of Total Billed Charges,,,,,205.65,,,,,,,Percent of Total Billed Charges,,,,,205.65,,,,,,,Percent of Total Billed Charges,,,,,45.7,,,,,,,Percent of Total Billed Charges,,,,,63.98,,,,,,,Percent of Total Billed Charges,,,,,182.8,,,,,,,Percent of Total Billed Charges,,,,,45.7,,,,,,,Percent of Total Billed Charges,,,, ALBUMIN FOR ADMINISTRATION ,36430,CPT,,Outpatient,,,221,176.8,165.09,,,,,,,Percent of Total Billed Charges,,165.09,165.09,,221,,,,,,,Percent of Total Billed Charges,,,,,212.16,,,,,,,Percent of Total Billed Charges,,,,,209.95,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,,,187.85,,,,,,,Percent of Total Billed Charges,,,,,46.41,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,,,61.88,,,,,,,Percent of Total Billed Charges,,,,,176.8,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,, BB ANTIBODY IDENTIFICATION (ARC) ,86870TC ,CPT,,Outpatient,,,587,469.6,438.49,,,,,,,Percent of Total Billed Charges,,438.49,438.49,,587,,,,,,,Percent of Total Billed Charges,,,,,563.52,,,,,,,Percent of Total Billed Charges,,,,,557.65,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,,,498.95,,,,,,,Percent of Total Billed Charges,,,,,123.27,,,,,,,Percent of Total Billed Charges,,,,,528.3,,,,,,,Percent of Total Billed Charges,,,,,528.3,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,,,164.36,,,,,,,Percent of Total Billed Charges,,,,,469.6,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,, BB WASHED PACKED CELLS ADMIN & ARC PROCE,36430TC ,CPT,,Outpatient,,,587,469.6,438.49,,,,,,,Percent of Total Billed Charges,,438.49,438.49,,587,,,,,,,Percent of Total Billed Charges,,,,,563.52,,,,,,,Percent of Total Billed Charges,,,,,557.65,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,,,498.95,,,,,,,Percent of Total Billed Charges,,,,,123.27,,,,,,,Percent of Total Billed Charges,,,,,528.3,,,,,,,Percent of Total Billed Charges,,,,,528.3,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,,,164.36,,,,,,,Percent of Total Billed Charges,,,,,469.6,,,,,,,Percent of Total Billed Charges,,,,,117.4,,,,,,,Percent of Total Billed Charges,,,, BB TRANSFUSION REACTION INVESTIGATION ,86078TC ,CPT,,Outpatient,,,249,199.2,186,,,,,,,Percent of Total Billed Charges,,186,186,,249,,,,,,,Percent of Total Billed Charges,,,,,239.04,,,,,,,Percent of Total Billed Charges,,,,,236.55,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,211.65,,,,,,,Percent of Total Billed Charges,,,,,52.29,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,199.2,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,, BB THERAPEUTIC PHLEBOTOMY ,99195TC ,CPT,,Outpatient,,,617,493.6,460.9,,,,,,,Percent of Total Billed Charges,,460.9,460.9,,617,,,,,,,Percent of Total Billed Charges,,,,,592.32,,,,,,,Percent of Total Billed Charges,,,,,586.15,,,,,,,Percent of Total Billed Charges,,,,,123.4,,,,,,,Percent of Total Billed Charges,,,,,524.45,,,,,,,Percent of Total Billed Charges,,,,,129.57,,,,,,,Percent of Total Billed Charges,,,,,555.3,,,,,,,Percent of Total Billed Charges,,,,,555.3,,,,,,,Percent of Total Billed Charges,,,,,123.4,,,,,,,Percent of Total Billed Charges,,,,,172.76,,,,,,,Percent of Total Billed Charges,,,,,493.6,,,,,,,Percent of Total Billed Charges,,,,,123.4,,,,,,,Percent of Total Billed Charges,,,, .CROSSMATCH 1 UNIT ,86922TC ,CPT,,Outpatient,,,304,243.2,227.09,,,,,,,Percent of Total Billed Charges,,227.09,227.09,,304,,,,,,,Percent of Total Billed Charges,,,,,291.84,,,,,,,Percent of Total Billed Charges,,,,,288.8,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,85.12,,,,,,,Percent of Total Billed Charges,,,,,243.2,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,, .PLATELETS PHERESED (FOR ADMINISTRATION),36430,CPT,,Outpatient,,,2281.5,1825.2,1704.28,,,,,,,Percent of Total Billed Charges,,1704.28,1704.28,,2281.5,,,,,,,Percent of Total Billed Charges,,,,,2190.24,,,,,,,Percent of Total Billed Charges,,,,,2167.43,,,,,,,Percent of Total Billed Charges,,,,,456.3,,,,,,,Percent of Total Billed Charges,,,,,1939.28,,,,,,,Percent of Total Billed Charges,,,,,479.12,,,,,,,Percent of Total Billed Charges,,,,,2053.35,,,,,,,Percent of Total Billed Charges,,,,,2053.35,,,,,,,Percent of Total Billed Charges,,,,,456.3,,,,,,,Percent of Total Billed Charges,,,,,638.82,,,,,,,Percent of Total Billed Charges,,,,,1825.2,,,,,,,Percent of Total Billed Charges,,,,,456.3,,,,,,,Percent of Total Billed Charges,,,, HLA ABC TESTING (ARC) ,86813TC ,CPT,,Outpatient,,,786,628.8,587.14,,,,,,,Percent of Total Billed Charges,,587.14,587.14,,786,,,,,,,Percent of Total Billed Charges,,,,,754.56,,,,,,,Percent of Total Billed Charges,,,,,746.7,,,,,,,Percent of Total Billed Charges,,,,,157.2,,,,,,,Percent of Total Billed Charges,,,,,668.1,,,,,,,Percent of Total Billed Charges,,,,,165.06,,,,,,,Percent of Total Billed Charges,,,,,707.4,,,,,,,Percent of Total Billed Charges,,,,,707.4,,,,,,,Percent of Total Billed Charges,,,,,157.2,,,,,,,Percent of Total Billed Charges,,,,,220.08,,,,,,,Percent of Total Billed Charges,,,,,628.8,,,,,,,Percent of Total Billed Charges,,,,,157.2,,,,,,,Percent of Total Billed Charges,,,, HLA MATCHING (ARC) ,86813TC ,CPT,,Outpatient,,,405.5,324.4,302.91,,,,,,,Percent of Total Billed Charges,,302.91,302.91,,405.5,,,,,,,Percent of Total Billed Charges,,,,,389.28,,,,,,,Percent of Total Billed Charges,,,,,385.23,,,,,,,Percent of Total Billed Charges,,,,,81.1,,,,,,,Percent of Total Billed Charges,,,,,344.68,,,,,,,Percent of Total Billed Charges,,,,,85.16,,,,,,,Percent of Total Billed Charges,,,,,364.95,,,,,,,Percent of Total Billed Charges,,,,,364.95,,,,,,,Percent of Total Billed Charges,,,,,81.1,,,,,,,Percent of Total Billed Charges,,,,,113.54,,,,,,,Percent of Total Billed Charges,,,,,324.4,,,,,,,Percent of Total Billed Charges,,,,,81.1,,,,,,,Percent of Total Billed Charges,,,, .PLATELETS PHERESED (HLA MATCHED) ADMIN ,36430,CPT,,Outpatient,,,2808,2246.4,2097.58,,,,,,,Percent of Total Billed Charges,,2097.58,2097.58,,2808,,,,,,,Percent of Total Billed Charges,,,,,2695.68,,,,,,,Percent of Total Billed Charges,,,,,2667.6,,,,,,,Percent of Total Billed Charges,,,,,561.6,,,,,,,Percent of Total Billed Charges,,,,,2386.8,,,,,,,Percent of Total Billed Charges,,,,,589.68,,,,,,,Percent of Total Billed Charges,,,,,2527.2,,,,,,,Percent of Total Billed Charges,,,,,2527.2,,,,,,,Percent of Total Billed Charges,,,,,561.6,,,,,,,Percent of Total Billed Charges,,,,,786.24,,,,,,,Percent of Total Billed Charges,,,,,2246.4,,,,,,,Percent of Total Billed Charges,,,,,561.6,,,,,,,Percent of Total Billed Charges,,,, "BB PLATELETS PHERESED, LEUKODEPLETED ",P9035TC ,CPT,,Outpatient,,,1742,1393.6,1301.27,,,,,,,Percent of Total Billed Charges,,1301.27,1301.27,,1742,,,,,,,Percent of Total Billed Charges,,,,,1672.32,,,,,,,Percent of Total Billed Charges,,,,,1654.9,,,,,,,Percent of Total Billed Charges,,,,,348.4,,,,,,,Percent of Total Billed Charges,,,,,1480.7,,,,,,,Percent of Total Billed Charges,,,,,365.82,,,,,,,Percent of Total Billed Charges,,,,,1567.8,,,,,,,Percent of Total Billed Charges,,,,,1567.8,,,,,,,Percent of Total Billed Charges,,,,,348.4,,,,,,,Percent of Total Billed Charges,,,,,487.76,,,,,,,Percent of Total Billed Charges,,,,,1393.6,,,,,,,Percent of Total Billed Charges,,,,,348.4,,,,,,,Percent of Total Billed Charges,,,, BB LEUKODEPLETED RBC: ARC PROCESSING CHA,P9016TC ,CPT,,Outpatient,,,879.5,703.6,656.99,,,,,,,Percent of Total Billed Charges,,656.99,656.99,,879.5,,,,,,,Percent of Total Billed Charges,,,,,844.32,,,,,,,Percent of Total Billed Charges,,,,,835.53,,,,,,,Percent of Total Billed Charges,,,,,175.9,,,,,,,Percent of Total Billed Charges,,,,,747.58,,,,,,,Percent of Total Billed Charges,,,,,184.7,,,,,,,Percent of Total Billed Charges,,,,,791.55,,,,,,,Percent of Total Billed Charges,,,,,791.55,,,,,,,Percent of Total Billed Charges,,,,,175.9,,,,,,,Percent of Total Billed Charges,,,,,246.26,,,,,,,Percent of Total Billed Charges,,,,,703.6,,,,,,,Percent of Total Billed Charges,,,,,175.9,,,,,,,Percent of Total Billed Charges,,,, BB BLOOD PRODUCT ADMINISTRATION ,36430,CPT,,Outpatient,,,1191.5,953.2,890.05,,,,,,,Percent of Total Billed Charges,,890.05,890.05,,1191.5,,,,,,,Percent of Total Billed Charges,,,,,1143.84,,,,,,,Percent of Total Billed Charges,,,,,1131.93,,,,,,,Percent of Total Billed Charges,,,,,238.3,,,,,,,Percent of Total Billed Charges,,,,,1012.78,,,,,,,Percent of Total Billed Charges,,,,,250.22,,,,,,,Percent of Total Billed Charges,,,,,1072.35,,,,,,,Percent of Total Billed Charges,,,,,1072.35,,,,,,,Percent of Total Billed Charges,,,,,238.3,,,,,,,Percent of Total Billed Charges,,,,,333.62,,,,,,,Percent of Total Billed Charges,,,,,953.2,,,,,,,Percent of Total Billed Charges,,,,,238.3,,,,,,,Percent of Total Billed Charges,,,, "..FFP, THAWING, EACH UNIT ",86927,CPT,,Outpatient,,,121,96.8,90.39,,,,,,,Percent of Total Billed Charges,,90.39,90.39,,121,,,,,,,Percent of Total Billed Charges,,,,,116.16,,,,,,,Percent of Total Billed Charges,,,,,114.95,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,102.85,,,,,,,Percent of Total Billed Charges,,,,,25.41,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,33.88,,,,,,,Percent of Total Billed Charges,,,,,96.8,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,, "..PLATELETS, POOLING, EACH UNIT ",86965,CPT,,Outpatient,,,99.5,79.6,74.33,,,,,,,Percent of Total Billed Charges,,74.33,74.33,,99.5,,,,,,,Percent of Total Billed Charges,,,,,95.52,,,,,,,Percent of Total Billed Charges,,,,,94.53,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,84.58,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,27.86,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,, SLIDE REVIEW ,85060TC ,CPT,,Outpatient,,,92,73.6,68.72,,,,,,,Percent of Total Billed Charges,,68.72,68.72,,92,,,,,,,Percent of Total Billed Charges,,,,,88.32,,,,,,,Percent of Total Billed Charges,,,,,87.4,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,78.2,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,82.8,,,,,,,Percent of Total Billed Charges,,,,,82.8,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,25.76,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,, FNA ASPIRATION WITH CT ,10022,CPT,,Outpatient,,,350,280,261.45,,,,,,,Percent of Total Billed Charges,,261.45,261.45,,350,,,,,,,Percent of Total Billed Charges,,,,,336,,,,,,,Percent of Total Billed Charges,,,,,332.5,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,297.5,,,,,,,Percent of Total Billed Charges,,,,,73.5,,,,,,,Percent of Total Billed Charges,,,,,315,,,,,,,Percent of Total Billed Charges,,,,,315,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,98,,,,,,,Percent of Total Billed Charges,,,,,280,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,, FNA ASPIRATION WITHOUT CT ,10021,CPT,,Outpatient,,,377,301.6,281.62,,,,,,,Percent of Total Billed Charges,,281.62,281.62,,377,,,,,,,Percent of Total Billed Charges,,,,,361.92,,,,,,,Percent of Total Billed Charges,,,,,358.15,,,,,,,Percent of Total Billed Charges,,,,,75.4,,,,,,,Percent of Total Billed Charges,,,,,320.45,,,,,,,Percent of Total Billed Charges,,,,,79.17,,,,,,,Percent of Total Billed Charges,,,,,339.3,,,,,,,Percent of Total Billed Charges,,,,,339.3,,,,,,,Percent of Total Billed Charges,,,,,75.4,,,,,,,Percent of Total Billed Charges,,,,,105.56,,,,,,,Percent of Total Billed Charges,,,,,301.6,,,,,,,Percent of Total Billed Charges,,,,,75.4,,,,,,,Percent of Total Billed Charges,,,, RHO GAM ,90384,CPT,,Outpatient,,,243.5,194.8,181.89,,,,,,,Percent of Total Billed Charges,,181.89,181.89,,243.5,,,,,,,Percent of Total Billed Charges,,,,,233.76,,,,,,,Percent of Total Billed Charges,,,,,231.33,,,,,,,Percent of Total Billed Charges,,,,,48.7,,,,,,,Percent of Total Billed Charges,,,,,206.98,,,,,,,Percent of Total Billed Charges,,,,,51.14,,,,,,,Percent of Total Billed Charges,,,,,219.15,,,,,,,Percent of Total Billed Charges,,,,,219.15,,,,,,,Percent of Total Billed Charges,,,,,48.7,,,,,,,Percent of Total Billed Charges,,,,,68.18,,,,,,,Percent of Total Billed Charges,,,,,194.8,,,,,,,Percent of Total Billed Charges,,,,,48.7,,,,,,,Percent of Total Billed Charges,,,, CBC ,85027TC ,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, .HBSAB QUAL (CIVIL) ,86706TC ,CPT,,Outpatient,,,46,36.8,34.36,,,,,,,Percent of Total Billed Charges,,34.36,34.36,,46,,,,,,,Percent of Total Billed Charges,,,,,44.16,,,,,,,Percent of Total Billed Charges,,,,,43.7,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,39.1,,,,,,,Percent of Total Billed Charges,,,,,9.66,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,12.88,,,,,,,Percent of Total Billed Charges,,,,,36.8,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,, CD59 ,88184TC ,CPT,,Outpatient,,,327,261.6,244.27,,,,,,,Percent of Total Billed Charges,,244.27,244.27,,327,,,,,,,Percent of Total Billed Charges,,,,,313.92,,,,,,,Percent of Total Billed Charges,,,,,310.65,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,,,277.95,,,,,,,Percent of Total Billed Charges,,,,,68.67,,,,,,,Percent of Total Billed Charges,,,,,294.3,,,,,,,Percent of Total Billed Charges,,,,,294.3,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,,,91.56,,,,,,,Percent of Total Billed Charges,,,,,261.6,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,, CD59 ADDITIONAL ,88185TC ,CPT,,Outpatient,,,327,261.6,244.27,,,,,,,Percent of Total Billed Charges,,244.27,244.27,,327,,,,,,,Percent of Total Billed Charges,,,,,313.92,,,,,,,Percent of Total Billed Charges,,,,,310.65,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,,,277.95,,,,,,,Percent of Total Billed Charges,,,,,68.67,,,,,,,Percent of Total Billed Charges,,,,,294.3,,,,,,,Percent of Total Billed Charges,,,,,294.3,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,,,91.56,,,,,,,Percent of Total Billed Charges,,,,,261.6,,,,,,,Percent of Total Billed Charges,,,,,65.4,,,,,,,Percent of Total Billed Charges,,,, TROPONIN I (Q8HR) ,84484TC ,CPT,,Outpatient,,,206,164.8,153.88,,,,,,,Percent of Total Billed Charges,,153.88,153.88,,206,,,,,,,Percent of Total Billed Charges,,,,,197.76,,,,,,,Percent of Total Billed Charges,,,,,195.7,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,175.1,,,,,,,Percent of Total Billed Charges,,,,,43.26,,,,,,,Percent of Total Billed Charges,,,,,185.4,,,,,,,Percent of Total Billed Charges,,,,,185.4,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,57.68,,,,,,,Percent of Total Billed Charges,,,,,164.8,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,, INTERFERON GAMMA ,83529TC ,CPT,,Outpatient,,,598,478.4,446.71,,,,,,,Percent of Total Billed Charges,,446.71,446.71,,598,,,,,,,Percent of Total Billed Charges,,,,,574.08,,,,,,,Percent of Total Billed Charges,,,,,568.1,,,,,,,Percent of Total Billed Charges,,,,,119.6,,,,,,,Percent of Total Billed Charges,,,,,508.3,,,,,,,Percent of Total Billed Charges,,,,,125.58,,,,,,,Percent of Total Billed Charges,,,,,538.2,,,,,,,Percent of Total Billed Charges,,,,,538.2,,,,,,,Percent of Total Billed Charges,,,,,119.6,,,,,,,Percent of Total Billed Charges,,,,,167.44,,,,,,,Percent of Total Billed Charges,,,,,478.4,,,,,,,Percent of Total Billed Charges,,,,,119.6,,,,,,,Percent of Total Billed Charges,,,, QUANTIFERON GOLD ,86480TC ,CPT,,Outpatient,,,360.5,288.4,269.29,,,,,,,Percent of Total Billed Charges,,269.29,269.29,,360.5,,,,,,,Percent of Total Billed Charges,,,,,346.08,,,,,,,Percent of Total Billed Charges,,,,,342.48,,,,,,,Percent of Total Billed Charges,,,,,72.1,,,,,,,Percent of Total Billed Charges,,,,,306.43,,,,,,,Percent of Total Billed Charges,,,,,75.71,,,,,,,Percent of Total Billed Charges,,,,,324.45,,,,,,,Percent of Total Billed Charges,,,,,324.45,,,,,,,Percent of Total Billed Charges,,,,,72.1,,,,,,,Percent of Total Billed Charges,,,,,100.94,,,,,,,Percent of Total Billed Charges,,,,,288.4,,,,,,,Percent of Total Billed Charges,,,,,72.1,,,,,,,Percent of Total Billed Charges,,,, VALPROIC ACID - FREE AND TOTAL ,80164TC ,CPT,,Outpatient,,,290.5,232.4,217,,,,,,,Percent of Total Billed Charges,,217,217,,290.5,,,,,,,Percent of Total Billed Charges,,,,,278.88,,,,,,,Percent of Total Billed Charges,,,,,275.98,,,,,,,Percent of Total Billed Charges,,,,,58.1,,,,,,,Percent of Total Billed Charges,,,,,246.93,,,,,,,Percent of Total Billed Charges,,,,,61.01,,,,,,,Percent of Total Billed Charges,,,,,261.45,,,,,,,Percent of Total Billed Charges,,,,,261.45,,,,,,,Percent of Total Billed Charges,,,,,58.1,,,,,,,Percent of Total Billed Charges,,,,,81.34,,,,,,,Percent of Total Billed Charges,,,,,232.4,,,,,,,Percent of Total Billed Charges,,,,,58.1,,,,,,,Percent of Total Billed Charges,,,, 88361 SURG. PATH ,88361TC ,CPT,,Outpatient,,,422,337.6,315.23,,,,,,,Percent of Total Billed Charges,,315.23,315.23,,422,,,,,,,Percent of Total Billed Charges,,,,,405.12,,,,,,,Percent of Total Billed Charges,,,,,400.9,,,,,,,Percent of Total Billed Charges,,,,,84.4,,,,,,,Percent of Total Billed Charges,,,,,358.7,,,,,,,Percent of Total Billed Charges,,,,,88.62,,,,,,,Percent of Total Billed Charges,,,,,379.8,,,,,,,Percent of Total Billed Charges,,,,,379.8,,,,,,,Percent of Total Billed Charges,,,,,84.4,,,,,,,Percent of Total Billed Charges,,,,,118.16,,,,,,,Percent of Total Billed Charges,,,,,337.6,,,,,,,Percent of Total Billed Charges,,,,,84.4,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE MRSA SURVEILLANCE ,87081,CPT,,Outpatient,,,56,44.8,41.83,,,,,,,Percent of Total Billed Charges,,41.83,41.83,,56,,,,,,,Percent of Total Billed Charges,,,,,53.76,,,,,,,Percent of Total Billed Charges,,,,,53.2,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,15.68,,,,,,,Percent of Total Billed Charges,,,,,44.8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,, .C1Q BINDING ASSAY ,83520TC ,CPT,,Outpatient,,,495.5,396.4,370.14,,,,,,,Percent of Total Billed Charges,,370.14,370.14,,495.5,,,,,,,Percent of Total Billed Charges,,,,,475.68,,,,,,,Percent of Total Billed Charges,,,,,470.73,,,,,,,Percent of Total Billed Charges,,,,,99.1,,,,,,,Percent of Total Billed Charges,,,,,421.18,,,,,,,Percent of Total Billed Charges,,,,,104.06,,,,,,,Percent of Total Billed Charges,,,,,445.95,,,,,,,Percent of Total Billed Charges,,,,,445.95,,,,,,,Percent of Total Billed Charges,,,,,99.1,,,,,,,Percent of Total Billed Charges,,,,,138.74,,,,,,,Percent of Total Billed Charges,,,,,396.4,,,,,,,Percent of Total Billed Charges,,,,,99.1,,,,,,,Percent of Total Billed Charges,,,, $ TRILEVEL CONTROL - HEMOCUE ,250,RC,,Outpatient,,,61.5,49.2,45.94,,,,,,,Percent of Total Billed Charges,,45.94,45.94,,61.5,,,,,,,Percent of Total Billed Charges,,,,,59.04,,,,,,,Percent of Total Billed Charges,,,,,58.43,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,52.28,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,55.35,,,,,,,Percent of Total Billed Charges,,,,,55.35,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,17.22,,,,,,,Percent of Total Billed Charges,,,,,49.2,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,, FISH PRATER WILLI ,250,RC,,Outpatient,,,545,436,407.12,,,,,,,Percent of Total Billed Charges,,407.12,407.12,,545,,,,,,,Percent of Total Billed Charges,,,,,523.2,,,,,,,Percent of Total Billed Charges,,,,,517.75,,,,,,,Percent of Total Billed Charges,,,,,109,,,,,,,Percent of Total Billed Charges,,,,,463.25,,,,,,,Percent of Total Billed Charges,,,,,114.45,,,,,,,Percent of Total Billed Charges,,,,,490.5,,,,,,,Percent of Total Billed Charges,,,,,490.5,,,,,,,Percent of Total Billed Charges,,,,,109,,,,,,,Percent of Total Billed Charges,,,,,152.6,,,,,,,Percent of Total Billed Charges,,,,,436,,,,,,,Percent of Total Billed Charges,,,,,109,,,,,,,Percent of Total Billed Charges,,,, ..FIBRINOGEN PANEL ,85384,CPT,,Outpatient,,,158,126.4,118.03,,,,,,,Percent of Total Billed Charges,,118.03,118.03,,158,,,,,,,Percent of Total Billed Charges,,,,,151.68,,,,,,,Percent of Total Billed Charges,,,,,150.1,,,,,,,Percent of Total Billed Charges,,,,,31.6,,,,,,,Percent of Total Billed Charges,,,,,134.3,,,,,,,Percent of Total Billed Charges,,,,,33.18,,,,,,,Percent of Total Billed Charges,,,,,142.2,,,,,,,Percent of Total Billed Charges,,,,,142.2,,,,,,,Percent of Total Billed Charges,,,,,31.6,,,,,,,Percent of Total Billed Charges,,,,,44.24,,,,,,,Percent of Total Billed Charges,,,,,126.4,,,,,,,Percent of Total Billed Charges,,,,,31.6,,,,,,,Percent of Total Billed Charges,,,, CULTURE VRE SURVEILLANCE ,87081TC ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, ACUTE HEPATITIS PANEL W/ REFLEX HCV PCR ,80074TC ,CPT,,Outpatient,,,578.5,462.8,432.14,,,,,,,Percent of Total Billed Charges,,432.14,432.14,,578.5,,,,,,,Percent of Total Billed Charges,,,,,555.36,,,,,,,Percent of Total Billed Charges,,,,,549.58,,,,,,,Percent of Total Billed Charges,,,,,115.7,,,,,,,Percent of Total Billed Charges,,,,,491.73,,,,,,,Percent of Total Billed Charges,,,,,121.49,,,,,,,Percent of Total Billed Charges,,,,,520.65,,,,,,,Percent of Total Billed Charges,,,,,520.65,,,,,,,Percent of Total Billed Charges,,,,,115.7,,,,,,,Percent of Total Billed Charges,,,,,161.98,,,,,,,Percent of Total Billed Charges,,,,,462.8,,,,,,,Percent of Total Billed Charges,,,,,115.7,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE VRE SURVEILLANCE ,87081,CPT,,Outpatient,,,66,52.8,49.3,,,,,,,Percent of Total Billed Charges,,49.3,49.3,,66,,,,,,,Percent of Total Billed Charges,,,,,63.36,,,,,,,Percent of Total Billed Charges,,,,,62.7,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,56.1,,,,,,,Percent of Total Billed Charges,,,,,13.86,,,,,,,Percent of Total Billed Charges,,,,,59.4,,,,,,,Percent of Total Billed Charges,,,,,59.4,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,18.48,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,, LONG CHAIN FATTY ACID ,82726TC ,CPT,,Outpatient,,,387.5,310,289.46,,,,,,,Percent of Total Billed Charges,,289.46,289.46,,387.5,,,,,,,Percent of Total Billed Charges,,,,,372,,,,,,,Percent of Total Billed Charges,,,,,368.13,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,329.38,,,,,,,Percent of Total Billed Charges,,,,,81.38,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,348.75,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,310,,,,,,,Percent of Total Billed Charges,,,,,77.5,,,,,,,Percent of Total Billed Charges,,,, FLOW CYTOMETRY INITIAL ,88184TC ,CPT,,Outpatient,,,330.5,264.4,246.88,,,,,,,Percent of Total Billed Charges,,246.88,246.88,,330.5,,,,,,,Percent of Total Billed Charges,,,,,317.28,,,,,,,Percent of Total Billed Charges,,,,,313.98,,,,,,,Percent of Total Billed Charges,,,,,66.1,,,,,,,Percent of Total Billed Charges,,,,,280.93,,,,,,,Percent of Total Billed Charges,,,,,69.41,,,,,,,Percent of Total Billed Charges,,,,,297.45,,,,,,,Percent of Total Billed Charges,,,,,297.45,,,,,,,Percent of Total Billed Charges,,,,,66.1,,,,,,,Percent of Total Billed Charges,,,,,92.54,,,,,,,Percent of Total Billed Charges,,,,,264.4,,,,,,,Percent of Total Billed Charges,,,,,66.1,,,,,,,Percent of Total Billed Charges,,,, "OR H. PYLORI ANTIGEN, STOOL ",87338,CPT,,Outpatient,,,66,52.8,49.3,,,,,,,Percent of Total Billed Charges,,49.3,49.3,,66,,,,,,,Percent of Total Billed Charges,,,,,63.36,,,,,,,Percent of Total Billed Charges,,,,,62.7,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,56.1,,,,,,,Percent of Total Billed Charges,,,,,13.86,,,,,,,Percent of Total Billed Charges,,,,,59.4,,,,,,,Percent of Total Billed Charges,,,,,59.4,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,,,18.48,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,13.2,,,,,,,Percent of Total Billed Charges,,,, DEXTROMETHORPHAN ,82491TC ,CPT,,Outpatient,,,273,218.4,203.93,,,,,,,Percent of Total Billed Charges,,203.93,203.93,,273,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,259.35,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,232.05,,,,,,,Percent of Total Billed Charges,,,,,57.33,,,,,,,Percent of Total Billed Charges,,,,,245.7,,,,,,,Percent of Total Billed Charges,,,,,245.7,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,76.44,,,,,,,Percent of Total Billed Charges,,,,,218.4,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,, VASCULAR ENDO. GROWTH FACTOR ,83520TC ,CPT,,Outpatient,,,855,684,638.69,,,,,,,Percent of Total Billed Charges,,638.69,638.69,,855,,,,,,,Percent of Total Billed Charges,,,,,820.8,,,,,,,Percent of Total Billed Charges,,,,,812.25,,,,,,,Percent of Total Billed Charges,,,,,171,,,,,,,Percent of Total Billed Charges,,,,,726.75,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,769.5,,,,,,,Percent of Total Billed Charges,,,,,769.5,,,,,,,Percent of Total Billed Charges,,,,,171,,,,,,,Percent of Total Billed Charges,,,,,239.4,,,,,,,Percent of Total Billed Charges,,,,,684,,,,,,,Percent of Total Billed Charges,,,,,171,,,,,,,Percent of Total Billed Charges,,,, EGFR ,84238TC ,CPT,,Outpatient,,,822,657.6,614.03,,,,,,,Percent of Total Billed Charges,,614.03,614.03,,822,,,,,,,Percent of Total Billed Charges,,,,,789.12,,,,,,,Percent of Total Billed Charges,,,,,780.9,,,,,,,Percent of Total Billed Charges,,,,,164.4,,,,,,,Percent of Total Billed Charges,,,,,698.7,,,,,,,Percent of Total Billed Charges,,,,,172.62,,,,,,,Percent of Total Billed Charges,,,,,739.8,,,,,,,Percent of Total Billed Charges,,,,,739.8,,,,,,,Percent of Total Billed Charges,,,,,164.4,,,,,,,Percent of Total Billed Charges,,,,,230.16,,,,,,,Percent of Total Billed Charges,,,,,657.6,,,,,,,Percent of Total Billed Charges,,,,,164.4,,,,,,,Percent of Total Billed Charges,,,, BB ANTIGEN IDENTIFICATION ,86870TC ,CPT,,Outpatient,,,321.5,257.2,240.16,,,,,,,Percent of Total Billed Charges,,240.16,240.16,,321.5,,,,,,,Percent of Total Billed Charges,,,,,308.64,,,,,,,Percent of Total Billed Charges,,,,,305.43,,,,,,,Percent of Total Billed Charges,,,,,64.3,,,,,,,Percent of Total Billed Charges,,,,,273.28,,,,,,,Percent of Total Billed Charges,,,,,67.52,,,,,,,Percent of Total Billed Charges,,,,,289.35,,,,,,,Percent of Total Billed Charges,,,,,289.35,,,,,,,Percent of Total Billed Charges,,,,,64.3,,,,,,,Percent of Total Billed Charges,,,,,90.02,,,,,,,Percent of Total Billed Charges,,,,,257.2,,,,,,,Percent of Total Billed Charges,,,,,64.3,,,,,,,Percent of Total Billed Charges,,,, ...17-HYDROXYPREGNENOLONE ,84143,CPT,,Outpatient,,,205.5,164.4,153.51,,,,,,,Percent of Total Billed Charges,,153.51,153.51,,205.5,,,,,,,Percent of Total Billed Charges,,,,,197.28,,,,,,,Percent of Total Billed Charges,,,,,195.23,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,174.68,,,,,,,Percent of Total Billed Charges,,,,,43.16,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,57.54,,,,,,,Percent of Total Billed Charges,,,,,164.4,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,, PROINSULIN ,80100TC ,CPT,,Outpatient,,,205.5,164.4,153.51,,,,,,,Percent of Total Billed Charges,,153.51,153.51,,205.5,,,,,,,Percent of Total Billed Charges,,,,,197.28,,,,,,,Percent of Total Billed Charges,,,,,195.23,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,174.68,,,,,,,Percent of Total Billed Charges,,,,,43.16,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,57.54,,,,,,,Percent of Total Billed Charges,,,,,164.4,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,, SULFONYLUREA HYPOGLYCEMICS ,G0480TC ,CPT,,Outpatient,,,373,298.4,278.63,,,,,,,Percent of Total Billed Charges,,278.63,278.63,,373,,,,,,,Percent of Total Billed Charges,,,,,358.08,,,,,,,Percent of Total Billed Charges,,,,,354.35,,,,,,,Percent of Total Billed Charges,,,,,74.6,,,,,,,Percent of Total Billed Charges,,,,,317.05,,,,,,,Percent of Total Billed Charges,,,,,78.33,,,,,,,Percent of Total Billed Charges,,,,,335.7,,,,,,,Percent of Total Billed Charges,,,,,335.7,,,,,,,Percent of Total Billed Charges,,,,,74.6,,,,,,,Percent of Total Billed Charges,,,,,104.44,,,,,,,Percent of Total Billed Charges,,,,,298.4,,,,,,,Percent of Total Billed Charges,,,,,74.6,,,,,,,Percent of Total Billed Charges,,,, "CADMIUM, URINE ",82300TC ,CPT,,Outpatient,,,104.5,83.6,78.06,,,,,,,Percent of Total Billed Charges,,78.06,78.06,,104.5,,,,,,,Percent of Total Billed Charges,,,,,100.32,,,,,,,Percent of Total Billed Charges,,,,,99.28,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,21.95,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,29.26,,,,,,,Percent of Total Billed Charges,,,,,83.6,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,, COLLAGEN TYPE 1 C-TELOPEPTIDE ,82523TC ,CPT,,Outpatient,,,330.5,264.4,246.88,,,,,,,Percent of Total Billed Charges,,246.88,246.88,,330.5,,,,,,,Percent of Total Billed Charges,,,,,317.28,,,,,,,Percent of Total Billed Charges,,,,,313.98,,,,,,,Percent of Total Billed Charges,,,,,66.1,,,,,,,Percent of Total Billed Charges,,,,,280.93,,,,,,,Percent of Total Billed Charges,,,,,69.41,,,,,,,Percent of Total Billed Charges,,,,,297.45,,,,,,,Percent of Total Billed Charges,,,,,297.45,,,,,,,Percent of Total Billed Charges,,,,,66.1,,,,,,,Percent of Total Billed Charges,,,,,92.54,,,,,,,Percent of Total Billed Charges,,,,,264.4,,,,,,,Percent of Total Billed Charges,,,,,66.1,,,,,,,Percent of Total Billed Charges,,,, LYSOZYME ,85549,CPT,,Outpatient,,,164,131.2,122.51,,,,,,,Percent of Total Billed Charges,,122.51,122.51,,164,,,,,,,Percent of Total Billed Charges,,,,,157.44,,,,,,,Percent of Total Billed Charges,,,,,155.8,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,139.4,,,,,,,Percent of Total Billed Charges,,,,,34.44,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,45.92,,,,,,,Percent of Total Billed Charges,,,,,131.2,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,, IMMUNE COMPLEXES PROFILE ,86332TC ,CPT,,Outpatient,,,605.5,484.4,452.31,,,,,,,Percent of Total Billed Charges,,452.31,452.31,,605.5,,,,,,,Percent of Total Billed Charges,,,,,581.28,,,,,,,Percent of Total Billed Charges,,,,,575.23,,,,,,,Percent of Total Billed Charges,,,,,121.1,,,,,,,Percent of Total Billed Charges,,,,,514.68,,,,,,,Percent of Total Billed Charges,,,,,127.16,,,,,,,Percent of Total Billed Charges,,,,,544.95,,,,,,,Percent of Total Billed Charges,,,,,544.95,,,,,,,Percent of Total Billed Charges,,,,,121.1,,,,,,,Percent of Total Billed Charges,,,,,169.54,,,,,,,Percent of Total Billed Charges,,,,,484.4,,,,,,,Percent of Total Billed Charges,,,,,121.1,,,,,,,Percent of Total Billed Charges,,,, INFLUENZAE H1N1 ,87400TC ,CPT,,Outpatient,,,292,233.6,218.12,,,,,,,Percent of Total Billed Charges,,218.12,218.12,,292,,,,,,,Percent of Total Billed Charges,,,,,280.32,,,,,,,Percent of Total Billed Charges,,,,,277.4,,,,,,,Percent of Total Billed Charges,,,,,58.4,,,,,,,Percent of Total Billed Charges,,,,,248.2,,,,,,,Percent of Total Billed Charges,,,,,61.32,,,,,,,Percent of Total Billed Charges,,,,,262.8,,,,,,,Percent of Total Billed Charges,,,,,262.8,,,,,,,Percent of Total Billed Charges,,,,,58.4,,,,,,,Percent of Total Billed Charges,,,,,81.76,,,,,,,Percent of Total Billed Charges,,,,,233.6,,,,,,,Percent of Total Billed Charges,,,,,58.4,,,,,,,Percent of Total Billed Charges,,,, PNEUMOCOCCAL AB SEROTYPE 14 ,86317TC ,CPT,,Outpatient,,,34.5,27.6,25.77,,,,,,,Percent of Total Billed Charges,,25.77,25.77,,34.5,,,,,,,Percent of Total Billed Charges,,,,,33.12,,,,,,,Percent of Total Billed Charges,,,,,32.78,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,29.33,,,,,,,Percent of Total Billed Charges,,,,,7.25,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,9.66,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,, TPMT ENZYME ACTIVITY ,82657TC ,CPT,,Outpatient,,,706,564.8,527.38,,,,,,,Percent of Total Billed Charges,,527.38,527.38,,706,,,,,,,Percent of Total Billed Charges,,,,,677.76,,,,,,,Percent of Total Billed Charges,,,,,670.7,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,,,600.1,,,,,,,Percent of Total Billed Charges,,,,,148.26,,,,,,,Percent of Total Billed Charges,,,,,635.4,,,,,,,Percent of Total Billed Charges,,,,,635.4,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,,,197.68,,,,,,,Percent of Total Billed Charges,,,,,564.8,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,, CMV - PCR BLOOD ,87497TC ,CPT,,Outpatient,,,706,564.8,527.38,,,,,,,Percent of Total Billed Charges,,527.38,527.38,,706,,,,,,,Percent of Total Billed Charges,,,,,677.76,,,,,,,Percent of Total Billed Charges,,,,,670.7,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,,,600.1,,,,,,,Percent of Total Billed Charges,,,,,148.26,,,,,,,Percent of Total Billed Charges,,,,,635.4,,,,,,,Percent of Total Billed Charges,,,,,635.4,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,,,197.68,,,,,,,Percent of Total Billed Charges,,,,,564.8,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,, BK VIRUS DNA - URINE ,82657TC ,CPT,,Outpatient,,,522,417.6,389.93,,,,,,,Percent of Total Billed Charges,,389.93,389.93,,522,,,,,,,Percent of Total Billed Charges,,,,,501.12,,,,,,,Percent of Total Billed Charges,,,,,495.9,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,443.7,,,,,,,Percent of Total Billed Charges,,,,,109.62,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,146.16,,,,,,,Percent of Total Billed Charges,,,,,417.6,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,, BB IRRADITION OF BLOOD PRODUCT ,86945TC ,CPT,,Outpatient,,,219.5,175.6,163.97,,,,,,,Percent of Total Billed Charges,,163.97,163.97,,219.5,,,,,,,Percent of Total Billed Charges,,,,,210.72,,,,,,,Percent of Total Billed Charges,,,,,208.53,,,,,,,Percent of Total Billed Charges,,,,,43.9,,,,,,,Percent of Total Billed Charges,,,,,186.58,,,,,,,Percent of Total Billed Charges,,,,,46.1,,,,,,,Percent of Total Billed Charges,,,,,197.55,,,,,,,Percent of Total Billed Charges,,,,,197.55,,,,,,,Percent of Total Billed Charges,,,,,43.9,,,,,,,Percent of Total Billed Charges,,,,,61.46,,,,,,,Percent of Total Billed Charges,,,,,175.6,,,,,,,Percent of Total Billed Charges,,,,,43.9,,,,,,,Percent of Total Billed Charges,,,, ..CKMB ONLY ,82553,CPT,,Outpatient,,,304,243.2,227.09,,,,,,,Percent of Total Billed Charges,,227.09,227.09,,304,,,,,,,Percent of Total Billed Charges,,,,,291.84,,,,,,,Percent of Total Billed Charges,,,,,288.8,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,85.12,,,,,,,Percent of Total Billed Charges,,,,,243.2,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,, AMIKACIN (RANDOM) ,80150TC ,CPT,,Outpatient,,,191.5,153.2,143.05,,,,,,,Percent of Total Billed Charges,,143.05,143.05,,191.5,,,,,,,Percent of Total Billed Charges,,,,,183.84,,,,,,,Percent of Total Billed Charges,,,,,181.93,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,162.78,,,,,,,Percent of Total Billed Charges,,,,,40.22,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,53.62,,,,,,,Percent of Total Billed Charges,,,,,153.2,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,, ..CKMB ONLY ,82553,CPT,,Outpatient,,,304,243.2,227.09,,,,,,,Percent of Total Billed Charges,,227.09,227.09,,304,,,,,,,Percent of Total Billed Charges,,,,,291.84,,,,,,,Percent of Total Billed Charges,,,,,288.8,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,85.12,,,,,,,Percent of Total Billed Charges,,,,,243.2,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,, GROUP. B STREP SCREEN ,87081,CPT,,Outpatient,,,28.5,22.8,21.29,,,,,,,Percent of Total Billed Charges,,21.29,21.29,,28.5,,,,,,,Percent of Total Billed Charges,,,,,27.36,,,,,,,Percent of Total Billed Charges,,,,,27.08,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,24.23,,,,,,,Percent of Total Billed Charges,,,,,5.99,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,25.65,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,,,7.98,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,5.7,,,,,,,Percent of Total Billed Charges,,,, .CALCIUM - RANDON URINE ,82565TC ,CPT,,Outpatient,,,152,121.6,113.54,,,,,,,Percent of Total Billed Charges,,113.54,113.54,,152,,,,,,,Percent of Total Billed Charges,,,,,145.92,,,,,,,Percent of Total Billed Charges,,,,,144.4,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,,,31.92,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,,,42.56,,,,,,,Percent of Total Billed Charges,,,,,121.6,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,, CITOLOPRAM ,82491TC ,CPT,,Outpatient,,,309.5,247.6,231.2,,,,,,,Percent of Total Billed Charges,,231.2,231.2,,309.5,,,,,,,Percent of Total Billed Charges,,,,,297.12,,,,,,,Percent of Total Billed Charges,,,,,294.03,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,,,263.08,,,,,,,Percent of Total Billed Charges,,,,,65,,,,,,,Percent of Total Billed Charges,,,,,278.55,,,,,,,Percent of Total Billed Charges,,,,,278.55,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,,,86.66,,,,,,,Percent of Total Billed Charges,,,,,247.6,,,,,,,Percent of Total Billed Charges,,,,,61.9,,,,,,,Percent of Total Billed Charges,,,, MAGNESIUM DAILY ,83735TC ,CPT,,Outpatient,,,159,127.2,118.77,,,,,,,Percent of Total Billed Charges,,118.77,118.77,,159,,,,,,,Percent of Total Billed Charges,,,,,152.64,,,,,,,Percent of Total Billed Charges,,,,,151.05,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,135.15,,,,,,,Percent of Total Billed Charges,,,,,33.39,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,127.2,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,, CELIAC PANEL ,86703,CPT,,Outpatient,,,118,94.4,88.15,,,,,,,Percent of Total Billed Charges,,88.15,88.15,,118,,,,,,,Percent of Total Billed Charges,,,,,113.28,,,,,,,Percent of Total Billed Charges,,,,,112.1,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,33.04,,,,,,,Percent of Total Billed Charges,,,,,94.4,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,, SULFAMETHOXAZOLE ,80299TC ,CPT,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, VITAMIN B 2 ,84252TC ,CPT,,Outpatient,,,607.5,486,453.8,,,,,,,Percent of Total Billed Charges,,453.8,453.8,,607.5,,,,,,,Percent of Total Billed Charges,,,,,583.2,,,,,,,Percent of Total Billed Charges,,,,,577.13,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,,,516.38,,,,,,,Percent of Total Billed Charges,,,,,127.58,,,,,,,Percent of Total Billed Charges,,,,,546.75,,,,,,,Percent of Total Billed Charges,,,,,546.75,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,,,170.1,,,,,,,Percent of Total Billed Charges,,,,,486,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,, COLLAGEN TYPE TELOPEPTIDE ,82523TC ,CPT,,Outpatient,,,473,378.4,353.33,,,,,,,Percent of Total Billed Charges,,353.33,353.33,,473,,,,,,,Percent of Total Billed Charges,,,,,454.08,,,,,,,Percent of Total Billed Charges,,,,,449.35,,,,,,,Percent of Total Billed Charges,,,,,94.6,,,,,,,Percent of Total Billed Charges,,,,,402.05,,,,,,,Percent of Total Billed Charges,,,,,99.33,,,,,,,Percent of Total Billed Charges,,,,,425.7,,,,,,,Percent of Total Billed Charges,,,,,425.7,,,,,,,Percent of Total Billed Charges,,,,,94.6,,,,,,,Percent of Total Billed Charges,,,,,132.44,,,,,,,Percent of Total Billed Charges,,,,,378.4,,,,,,,Percent of Total Billed Charges,,,,,94.6,,,,,,,Percent of Total Billed Charges,,,, .CPK CKMB - ER ,82550TC ,CPT,,Outpatient,,,121,96.8,90.39,,,,,,,Percent of Total Billed Charges,,90.39,90.39,,121,,,,,,,Percent of Total Billed Charges,,,,,116.16,,,,,,,Percent of Total Billed Charges,,,,,114.95,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,102.85,,,,,,,Percent of Total Billed Charges,,,,,25.41,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,33.88,,,,,,,Percent of Total Billed Charges,,,,,96.8,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,, CHROMIUM ,82495TC ,CPT,,Outpatient,,,128,102.4,95.62,,,,,,,Percent of Total Billed Charges,,95.62,95.62,,128,,,,,,,Percent of Total Billed Charges,,,,,122.88,,,,,,,Percent of Total Billed Charges,,,,,121.6,,,,,,,Percent of Total Billed Charges,,,,,25.6,,,,,,,Percent of Total Billed Charges,,,,,108.8,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,115.2,,,,,,,Percent of Total Billed Charges,,,,,115.2,,,,,,,Percent of Total Billed Charges,,,,,25.6,,,,,,,Percent of Total Billed Charges,,,,,35.84,,,,,,,Percent of Total Billed Charges,,,,,102.4,,,,,,,Percent of Total Billed Charges,,,,,25.6,,,,,,,Percent of Total Billed Charges,,,, VITAMIN A ,84590TC ,CPT,,Outpatient,,,128,102.4,95.62,,,,,,,Percent of Total Billed Charges,,95.62,95.62,,128,,,,,,,Percent of Total Billed Charges,,,,,122.88,,,,,,,Percent of Total Billed Charges,,,,,121.6,,,,,,,Percent of Total Billed Charges,,,,,25.6,,,,,,,Percent of Total Billed Charges,,,,,108.8,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,115.2,,,,,,,Percent of Total Billed Charges,,,,,115.2,,,,,,,Percent of Total Billed Charges,,,,,25.6,,,,,,,Percent of Total Billed Charges,,,,,35.84,,,,,,,Percent of Total Billed Charges,,,,,102.4,,,,,,,Percent of Total Billed Charges,,,,,25.6,,,,,,,Percent of Total Billed Charges,,,, CORRECTED PTT ,85730TC ,CPT,,Outpatient,,,249,199.2,186,,,,,,,Percent of Total Billed Charges,,186,186,,249,,,,,,,Percent of Total Billed Charges,,,,,239.04,,,,,,,Percent of Total Billed Charges,,,,,236.55,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,211.65,,,,,,,Percent of Total Billed Charges,,,,,52.29,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,199.2,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,, CORRECTED PROTIME ,85610TC ,CPT,,Outpatient,,,175,140,130.73,,,,,,,Percent of Total Billed Charges,,130.73,130.73,,175,,,,,,,Percent of Total Billed Charges,,,,,168,,,,,,,Percent of Total Billed Charges,,,,,166.25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,148.75,,,,,,,Percent of Total Billed Charges,,,,,36.75,,,,,,,Percent of Total Billed Charges,,,,,157.5,,,,,,,Percent of Total Billed Charges,,,,,157.5,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,49,,,,,,,Percent of Total Billed Charges,,,,,140,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,, .INFLUENZAE A & B ,87400,CPT,,Outpatient,,,241.5,193.2,180.4,,,,,,,Percent of Total Billed Charges,,180.4,180.4,,241.5,,,,,,,Percent of Total Billed Charges,,,,,231.84,,,,,,,Percent of Total Billed Charges,,,,,229.43,,,,,,,Percent of Total Billed Charges,,,,,48.3,,,,,,,Percent of Total Billed Charges,,,,,205.28,,,,,,,Percent of Total Billed Charges,,,,,50.72,,,,,,,Percent of Total Billed Charges,,,,,217.35,,,,,,,Percent of Total Billed Charges,,,,,217.35,,,,,,,Percent of Total Billed Charges,,,,,48.3,,,,,,,Percent of Total Billed Charges,,,,,67.62,,,,,,,Percent of Total Billed Charges,,,,,193.2,,,,,,,Percent of Total Billed Charges,,,,,48.3,,,,,,,Percent of Total Billed Charges,,,, PROTIME ,85610TC ,CPT,,Outpatient,,,93.5,74.8,69.84,,,,,,,Percent of Total Billed Charges,,69.84,69.84,,93.5,,,,,,,Percent of Total Billed Charges,,,,,89.76,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,79.48,,,,,,,Percent of Total Billed Charges,,,,,19.64,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,26.18,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,, .BLEEDING TIME ,85002TC ,CPT,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, "TOTAL SYPHILIS AB, IGG & IGM W/ REFLEX ",86780TC ,CPT,,Outpatient,,,148.5,118.8,110.93,,,,,,,Percent of Total Billed Charges,,110.93,110.93,,148.5,,,,,,,Percent of Total Billed Charges,,,,,142.56,,,,,,,Percent of Total Billed Charges,,,,,141.08,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,126.23,,,,,,,Percent of Total Billed Charges,,,,,31.19,,,,,,,Percent of Total Billed Charges,,,,,133.65,,,,,,,Percent of Total Billed Charges,,,,,133.65,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,41.58,,,,,,,Percent of Total Billed Charges,,,,,118.8,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,, .RPR QUANTITATIVE ,86593,CPT,,Outpatient,,,91.5,73.2,68.35,,,,,,,Percent of Total Billed Charges,,68.35,68.35,,91.5,,,,,,,Percent of Total Billed Charges,,,,,87.84,,,,,,,Percent of Total Billed Charges,,,,,86.93,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,,,77.78,,,,,,,Percent of Total Billed Charges,,,,,19.22,,,,,,,Percent of Total Billed Charges,,,,,82.35,,,,,,,Percent of Total Billed Charges,,,,,82.35,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,,,25.62,,,,,,,Percent of Total Billed Charges,,,,,73.2,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,, MONOSPOT ,86310TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, ..RA LATEX ,86430,CPT,,Outpatient,,,115.5,92.4,86.28,,,,,,,Percent of Total Billed Charges,,86.28,86.28,,115.5,,,,,,,Percent of Total Billed Charges,,,,,110.88,,,,,,,Percent of Total Billed Charges,,,,,109.73,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,98.18,,,,,,,Percent of Total Billed Charges,,,,,24.26,,,,,,,Percent of Total Billed Charges,,,,,103.95,,,,,,,Percent of Total Billed Charges,,,,,103.95,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,32.34,,,,,,,Percent of Total Billed Charges,,,,,92.4,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,, URINALYSIS REFLEX TO MICROSCOPIC EXAM ,81003TC ,CPT,,Outpatient,,,96,76.8,71.71,,,,,,,Percent of Total Billed Charges,,71.71,71.71,,96,,,,,,,Percent of Total Billed Charges,,,,,92.16,,,,,,,Percent of Total Billed Charges,,,,,91.2,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,, ...URINALYSIS MICROSCOPIC ,81015,CPT,,Outpatient,,,96,76.8,71.71,,,,,,,Percent of Total Billed Charges,,71.71,71.71,,96,,,,,,,Percent of Total Billed Charges,,,,,92.16,,,,,,,Percent of Total Billed Charges,,,,,91.2,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,, SPECIFIC GRAVITY URINE RANDOM ,81000TC ,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, OCCULT BLOOD FECES (SCREENING X 3) ,82270TC ,CPT,,Outpatient,,,180.5,144.4,134.83,,,,,,,Percent of Total Billed Charges,,134.83,134.83,,180.5,,,,,,,Percent of Total Billed Charges,,,,,173.28,,,,,,,Percent of Total Billed Charges,,,,,171.48,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,,,153.43,,,,,,,Percent of Total Billed Charges,,,,,37.91,,,,,,,Percent of Total Billed Charges,,,,,162.45,,,,,,,Percent of Total Billed Charges,,,,,162.45,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,,,50.54,,,,,,,Percent of Total Billed Charges,,,,,144.4,,,,,,,Percent of Total Billed Charges,,,,,36.1,,,,,,,Percent of Total Billed Charges,,,, "FECAL OCCULT BLOOD, IFOB ",82274,CPT,,Outpatient,,,80.5,64.4,60.13,,,,,,,Percent of Total Billed Charges,,60.13,60.13,,80.5,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,76.48,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,68.43,,,,,,,Percent of Total Billed Charges,,,,,16.91,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,22.54,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,, PH STOOL ,83986TC ,CPT,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, SEMEN ANALYSIS POST VAS ,89300TC ,CPT,,Outpatient,,,111.5,89.2,83.29,,,,,,,Percent of Total Billed Charges,,83.29,83.29,,111.5,,,,,,,Percent of Total Billed Charges,,,,,107.04,,,,,,,Percent of Total Billed Charges,,,,,105.93,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,23.42,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,100.35,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,,,31.22,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,22.3,,,,,,,Percent of Total Billed Charges,,,, ..SEMEN ANALYSIS FERTILITY ,89320,CPT,,Outpatient,,,182,145.6,135.95,,,,,,,Percent of Total Billed Charges,,135.95,135.95,,182,,,,,,,Percent of Total Billed Charges,,,,,174.72,,,,,,,Percent of Total Billed Charges,,,,,172.9,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,,,154.7,,,,,,,Percent of Total Billed Charges,,,,,38.22,,,,,,,Percent of Total Billed Charges,,,,,163.8,,,,,,,Percent of Total Billed Charges,,,,,163.8,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,,,50.96,,,,,,,Percent of Total Billed Charges,,,,,145.6,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,, NASAL SMEAR FOR EOSINOPHILS ,89190TC ,CPT,,Outpatient,,,67,53.6,50.05,,,,,,,Percent of Total Billed Charges,,50.05,50.05,,67,,,,,,,Percent of Total Billed Charges,,,,,64.32,,,,,,,Percent of Total Billed Charges,,,,,63.65,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,56.95,,,,,,,Percent of Total Billed Charges,,,,,14.07,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,18.76,,,,,,,Percent of Total Billed Charges,,,,,53.6,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,, CRYSTAL EXAM FLUID ,89060TC ,CPT,,Outpatient,,,129,103.2,96.36,,,,,,,Percent of Total Billed Charges,,96.36,96.36,,129,,,,,,,Percent of Total Billed Charges,,,,,123.84,,,,,,,Percent of Total Billed Charges,,,,,122.55,,,,,,,Percent of Total Billed Charges,,,,,25.8,,,,,,,Percent of Total Billed Charges,,,,,109.65,,,,,,,Percent of Total Billed Charges,,,,,27.09,,,,,,,Percent of Total Billed Charges,,,,,116.1,,,,,,,Percent of Total Billed Charges,,,,,116.1,,,,,,,Percent of Total Billed Charges,,,,,25.8,,,,,,,Percent of Total Billed Charges,,,,,36.12,,,,,,,Percent of Total Billed Charges,,,,,103.2,,,,,,,Percent of Total Billed Charges,,,,,25.8,,,,,,,Percent of Total Billed Charges,,,, DRAWING/COLLECTION FEE ,36415,CPT,,Outpatient,,,36.5,29.2,27.27,,,,,,,Percent of Total Billed Charges,,27.27,27.27,,36.5,,,,,,,Percent of Total Billed Charges,,,,,35.04,,,,,,,Percent of Total Billed Charges,,,,,34.68,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,31.03,,,,,,,Percent of Total Billed Charges,,,,,7.67,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,, RELAY TO CANTON ,99001,CPT,,Outpatient,,,129.5,103.6,96.74,,,,,,,Percent of Total Billed Charges,,96.74,96.74,,129.5,,,,,,,Percent of Total Billed Charges,,,,,124.32,,,,,,,Percent of Total Billed Charges,,,,,123.03,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,110.08,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,36.26,,,,,,,Percent of Total Billed Charges,,,,,103.6,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,, RELAY TO PEORIA OR SPRINGFIELD ,99001,CPT,,Outpatient,,,204,163.2,152.39,,,,,,,Percent of Total Billed Charges,,152.39,152.39,,204,,,,,,,Percent of Total Billed Charges,,,,,195.84,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,173.4,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,, VENIPUNCTURE CHARGE ,36415,CPT,,Outpatient,,,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, ASO TITER ,86060TC ,CPT,,Outpatient,,,174,139.2,129.98,,,,,,,Percent of Total Billed Charges,,129.98,129.98,,174,,,,,,,Percent of Total Billed Charges,,,,,167.04,,,,,,,Percent of Total Billed Charges,,,,,165.3,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,147.9,,,,,,,Percent of Total Billed Charges,,,,,36.54,,,,,,,Percent of Total Billed Charges,,,,,156.6,,,,,,,Percent of Total Billed Charges,,,,,156.6,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,48.72,,,,,,,Percent of Total Billed Charges,,,,,139.2,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,, COLD AGGLUTININS ,86157TC ,CPT,,Outpatient,,,140,112,104.58,,,,,,,Percent of Total Billed Charges,,104.58,104.58,,140,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,, PH OTHER SPECIFY ,83986TC ,CPT,,Outpatient,,,42.5,34,31.75,,,,,,,Percent of Total Billed Charges,,31.75,31.75,,42.5,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,40.38,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,36.13,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,38.25,,,,,,,Percent of Total Billed Charges,,,,,38.25,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,, "PREGNANCY TEST, SERUM ",84703TC ,CPT,,Outpatient,,,129.5,103.6,96.74,,,,,,,Percent of Total Billed Charges,,96.74,96.74,,129.5,,,,,,,Percent of Total Billed Charges,,,,,124.32,,,,,,,Percent of Total Billed Charges,,,,,123.03,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,110.08,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,36.26,,,,,,,Percent of Total Billed Charges,,,,,103.6,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,, ..DRAWING FEE FOR INSURANCE ,36415,CPT,,Outpatient,,,78.5,62.8,58.64,,,,,,,Percent of Total Billed Charges,,58.64,58.64,,78.5,,,,,,,Percent of Total Billed Charges,,,,,75.36,,,,,,,Percent of Total Billed Charges,,,,,74.58,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,66.73,,,,,,,Percent of Total Billed Charges,,,,,16.49,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,21.98,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,, STAT CHARGE ,S3601 ,CPT,,Outpatient,,,29.5,23.6,22.04,,,,,,,Percent of Total Billed Charges,,22.04,22.04,,29.5,,,,,,,Percent of Total Billed Charges,,,,,28.32,,,,,,,Percent of Total Billed Charges,,,,,28.03,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,25.08,,,,,,,Percent of Total Billed Charges,,,,,6.2,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,26.55,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,,,8.26,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,5.9,,,,,,,Percent of Total Billed Charges,,,, LEUKOCYTES URINE RANDOM ,81000TC ,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, NITRITES URINE RANDOM ,81000TC ,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, PH URINE RANDOM ,81000TC ,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, PROTEIN URINE RANDOM ,81000TC ,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, GLUCOSE URINE RANDOM ,81000TC ,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, KETONE URINE RANDOM ,81000TC ,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, UROBILINOGEN URINE RANDOM ,81000TC ,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, DRUG TEST COLL FEE- NON DOT ,250,RC,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, BILIRUBIN URINE RANDOM ,81000TC ,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, BLOOD URINE RANDOM ,81000TC ,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, ..CSF GLUCOSE ,82947,CPT,,Outpatient,,,36.5,29.2,27.27,,,,,,,Percent of Total Billed Charges,,27.27,27.27,,36.5,,,,,,,Percent of Total Billed Charges,,,,,35.04,,,,,,,Percent of Total Billed Charges,,,,,34.68,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,31.03,,,,,,,Percent of Total Billed Charges,,,,,7.67,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,, ..CSF PROTEIN ,84165,CPT,,Outpatient,,,38.5,30.8,28.76,,,,,,,Percent of Total Billed Charges,,28.76,28.76,,38.5,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,36.58,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,32.73,,,,,,,Percent of Total Billed Charges,,,,,8.09,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,10.78,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,, ...AFB SMEAR ,87206TC ,CPT,,Outpatient,,,63,50.4,47.06,,,,,,,Percent of Total Billed Charges,,47.06,47.06,,63,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,53.55,,,,,,,Percent of Total Billed Charges,,,,,13.23,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,17.64,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,, CULTURE AFB ,87015TC ,CPT,,Outpatient,,,244.5,195.6,182.64,,,,,,,Percent of Total Billed Charges,,182.64,182.64,,244.5,,,,,,,Percent of Total Billed Charges,,,,,234.72,,,,,,,Percent of Total Billed Charges,,,,,232.28,,,,,,,Percent of Total Billed Charges,,,,,48.9,,,,,,,Percent of Total Billed Charges,,,,,207.83,,,,,,,Percent of Total Billed Charges,,,,,51.35,,,,,,,Percent of Total Billed Charges,,,,,220.05,,,,,,,Percent of Total Billed Charges,,,,,220.05,,,,,,,Percent of Total Billed Charges,,,,,48.9,,,,,,,Percent of Total Billed Charges,,,,,68.46,,,,,,,Percent of Total Billed Charges,,,,,195.6,,,,,,,Percent of Total Billed Charges,,,,,48.9,,,,,,,Percent of Total Billed Charges,,,, ".CULTURE FUNGUS - SPUTUM,THROAT, WOUND ",87102TC ,CPT,,Outpatient,,,234,187.2,174.8,,,,,,,Percent of Total Billed Charges,,174.8,174.8,,234,,,,,,,Percent of Total Billed Charges,,,,,224.64,,,,,,,Percent of Total Billed Charges,,,,,222.3,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,49.14,,,,,,,Percent of Total Billed Charges,,,,,210.6,,,,,,,Percent of Total Billed Charges,,,,,210.6,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,65.52,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,, PAP SMEAR (GYN) ,G0124TC ,CPT,,Outpatient,,,115,92,85.91,,,,,,,Percent of Total Billed Charges,,85.91,85.91,,115,,,,,,,Percent of Total Billed Charges,,,,,110.4,,,,,,,Percent of Total Billed Charges,,,,,109.25,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,97.75,,,,,,,Percent of Total Billed Charges,,,,,24.15,,,,,,,Percent of Total Billed Charges,,,,,103.5,,,,,,,Percent of Total Billed Charges,,,,,103.5,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,92,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,, .FLOW CYTOMETRY ADDITIONAL ,88185TC ,CPT,,Outpatient,,,129,103.2,96.36,,,,,,,Percent of Total Billed Charges,,96.36,96.36,,129,,,,,,,Percent of Total Billed Charges,,,,,123.84,,,,,,,Percent of Total Billed Charges,,,,,122.55,,,,,,,Percent of Total Billed Charges,,,,,25.8,,,,,,,Percent of Total Billed Charges,,,,,109.65,,,,,,,Percent of Total Billed Charges,,,,,27.09,,,,,,,Percent of Total Billed Charges,,,,,116.1,,,,,,,Percent of Total Billed Charges,,,,,116.1,,,,,,,Percent of Total Billed Charges,,,,,25.8,,,,,,,Percent of Total Billed Charges,,,,,36.12,,,,,,,Percent of Total Billed Charges,,,,,103.2,,,,,,,Percent of Total Billed Charges,,,,,25.8,,,,,,,Percent of Total Billed Charges,,,, BONE MARROW ASPIRATION PROCEDURE ,250,RC,,Outpatient,,,762.5,610,569.59,,,,,,,Percent of Total Billed Charges,,569.59,569.59,,762.5,,,,,,,Percent of Total Billed Charges,,,,,732,,,,,,,Percent of Total Billed Charges,,,,,724.38,,,,,,,Percent of Total Billed Charges,,,,,152.5,,,,,,,Percent of Total Billed Charges,,,,,648.13,,,,,,,Percent of Total Billed Charges,,,,,160.13,,,,,,,Percent of Total Billed Charges,,,,,686.25,,,,,,,Percent of Total Billed Charges,,,,,686.25,,,,,,,Percent of Total Billed Charges,,,,,152.5,,,,,,,Percent of Total Billed Charges,,,,,213.5,,,,,,,Percent of Total Billed Charges,,,,,610,,,,,,,Percent of Total Billed Charges,,,,,152.5,,,,,,,Percent of Total Billed Charges,,,, FROZEN SECTION ,88331,CPT,,Outpatient,,,194.5,155.6,145.29,,,,,,,Percent of Total Billed Charges,,145.29,145.29,,194.5,,,,,,,Percent of Total Billed Charges,,,,,186.72,,,,,,,Percent of Total Billed Charges,,,,,184.78,,,,,,,Percent of Total Billed Charges,,,,,38.9,,,,,,,Percent of Total Billed Charges,,,,,165.33,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,175.05,,,,,,,Percent of Total Billed Charges,,,,,175.05,,,,,,,Percent of Total Billed Charges,,,,,38.9,,,,,,,Percent of Total Billed Charges,,,,,54.46,,,,,,,Percent of Total Billed Charges,,,,,155.6,,,,,,,Percent of Total Billed Charges,,,,,38.9,,,,,,,Percent of Total Billed Charges,,,, EACH ADDITIONAL FROZEN SECTION ,88332,CPT,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, STONE ANALYSIS - 82360 ,82360TC ,CPT,,Outpatient,,,300,240,224.1,,,,,,,Percent of Total Billed Charges,,224.1,224.1,,300,,,,,,,Percent of Total Billed Charges,,,,,288,,,,,,,Percent of Total Billed Charges,,,,,285,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,,,255,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,270,,,,,,,Percent of Total Billed Charges,,,,,270,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,240,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,, GROSS EXAM ONLY ,88300TC ,CPT,,Outpatient,,,54,43.2,40.34,,,,,,,Percent of Total Billed Charges,,40.34,40.34,,54,,,,,,,Percent of Total Billed Charges,,,,,51.84,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,, TISSUE I ,88304TC ,CPT,,Outpatient,,,192,153.6,143.42,,,,,,,Percent of Total Billed Charges,,143.42,143.42,,192,,,,,,,Percent of Total Billed Charges,,,,,184.32,,,,,,,Percent of Total Billed Charges,,,,,182.4,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,53.76,,,,,,,Percent of Total Billed Charges,,,,,153.6,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,, TISSUE II ,88305TC ,CPT,,Outpatient,,,188.5,150.8,140.81,,,,,,,Percent of Total Billed Charges,,140.81,140.81,,188.5,,,,,,,Percent of Total Billed Charges,,,,,180.96,,,,,,,Percent of Total Billed Charges,,,,,179.08,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,160.23,,,,,,,Percent of Total Billed Charges,,,,,39.59,,,,,,,Percent of Total Billed Charges,,,,,169.65,,,,,,,Percent of Total Billed Charges,,,,,169.65,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,52.78,,,,,,,Percent of Total Billed Charges,,,,,150.8,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,, TISSUE III ,88305TC ,CPT,,Outpatient,,,229.5,183.6,171.44,,,,,,,Percent of Total Billed Charges,,171.44,171.44,,229.5,,,,,,,Percent of Total Billed Charges,,,,,220.32,,,,,,,Percent of Total Billed Charges,,,,,218.03,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,195.08,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,206.55,,,,,,,Percent of Total Billed Charges,,,,,206.55,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,64.26,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,, TISSUE IV ,88307TC ,CPT,,Outpatient,,,268.5,214.8,200.57,,,,,,,Percent of Total Billed Charges,,200.57,200.57,,268.5,,,,,,,Percent of Total Billed Charges,,,,,257.76,,,,,,,Percent of Total Billed Charges,,,,,255.08,,,,,,,Percent of Total Billed Charges,,,,,53.7,,,,,,,Percent of Total Billed Charges,,,,,228.23,,,,,,,Percent of Total Billed Charges,,,,,56.39,,,,,,,Percent of Total Billed Charges,,,,,241.65,,,,,,,Percent of Total Billed Charges,,,,,241.65,,,,,,,Percent of Total Billed Charges,,,,,53.7,,,,,,,Percent of Total Billed Charges,,,,,75.18,,,,,,,Percent of Total Billed Charges,,,,,214.8,,,,,,,Percent of Total Billed Charges,,,,,53.7,,,,,,,Percent of Total Billed Charges,,,, TISSUE V ,88307TC ,CPT,,Outpatient,,,310,248,231.57,,,,,,,Percent of Total Billed Charges,,231.57,231.57,,310,,,,,,,Percent of Total Billed Charges,,,,,297.6,,,,,,,Percent of Total Billed Charges,,,,,294.5,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,,,263.5,,,,,,,Percent of Total Billed Charges,,,,,65.1,,,,,,,Percent of Total Billed Charges,,,,,279,,,,,,,Percent of Total Billed Charges,,,,,279,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,,,86.8,,,,,,,Percent of Total Billed Charges,,,,,248,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,, TISSUE VI ,88307TC ,CPT,,Outpatient,,,350.5,280.4,261.82,,,,,,,Percent of Total Billed Charges,,261.82,261.82,,350.5,,,,,,,Percent of Total Billed Charges,,,,,336.48,,,,,,,Percent of Total Billed Charges,,,,,332.98,,,,,,,Percent of Total Billed Charges,,,,,70.1,,,,,,,Percent of Total Billed Charges,,,,,297.93,,,,,,,Percent of Total Billed Charges,,,,,73.61,,,,,,,Percent of Total Billed Charges,,,,,315.45,,,,,,,Percent of Total Billed Charges,,,,,315.45,,,,,,,Percent of Total Billed Charges,,,,,70.1,,,,,,,Percent of Total Billed Charges,,,,,98.14,,,,,,,Percent of Total Billed Charges,,,,,280.4,,,,,,,Percent of Total Billed Charges,,,,,70.1,,,,,,,Percent of Total Billed Charges,,,, TISSUE VII ,88309TC ,CPT,,Outpatient,,,393,314.4,293.57,,,,,,,Percent of Total Billed Charges,,293.57,293.57,,393,,,,,,,Percent of Total Billed Charges,,,,,377.28,,,,,,,Percent of Total Billed Charges,,,,,373.35,,,,,,,Percent of Total Billed Charges,,,,,78.6,,,,,,,Percent of Total Billed Charges,,,,,334.05,,,,,,,Percent of Total Billed Charges,,,,,82.53,,,,,,,Percent of Total Billed Charges,,,,,353.7,,,,,,,Percent of Total Billed Charges,,,,,353.7,,,,,,,Percent of Total Billed Charges,,,,,78.6,,,,,,,Percent of Total Billed Charges,,,,,110.04,,,,,,,Percent of Total Billed Charges,,,,,314.4,,,,,,,Percent of Total Billed Charges,,,,,78.6,,,,,,,Percent of Total Billed Charges,,,, TISSUE VIII ,88309TC ,CPT,,Outpatient,,,431,344.8,321.96,,,,,,,Percent of Total Billed Charges,,321.96,321.96,,431,,,,,,,Percent of Total Billed Charges,,,,,413.76,,,,,,,Percent of Total Billed Charges,,,,,409.45,,,,,,,Percent of Total Billed Charges,,,,,86.2,,,,,,,Percent of Total Billed Charges,,,,,366.35,,,,,,,Percent of Total Billed Charges,,,,,90.51,,,,,,,Percent of Total Billed Charges,,,,,387.9,,,,,,,Percent of Total Billed Charges,,,,,387.9,,,,,,,Percent of Total Billed Charges,,,,,86.2,,,,,,,Percent of Total Billed Charges,,,,,120.68,,,,,,,Percent of Total Billed Charges,,,,,344.8,,,,,,,Percent of Total Billed Charges,,,,,86.2,,,,,,,Percent of Total Billed Charges,,,, TISSUE IX ,88309TC ,CPT,,Outpatient,,,471.5,377.2,352.21,,,,,,,Percent of Total Billed Charges,,352.21,352.21,,471.5,,,,,,,Percent of Total Billed Charges,,,,,452.64,,,,,,,Percent of Total Billed Charges,,,,,447.93,,,,,,,Percent of Total Billed Charges,,,,,94.3,,,,,,,Percent of Total Billed Charges,,,,,400.78,,,,,,,Percent of Total Billed Charges,,,,,99.02,,,,,,,Percent of Total Billed Charges,,,,,424.35,,,,,,,Percent of Total Billed Charges,,,,,424.35,,,,,,,Percent of Total Billed Charges,,,,,94.3,,,,,,,Percent of Total Billed Charges,,,,,132.02,,,,,,,Percent of Total Billed Charges,,,,,377.2,,,,,,,Percent of Total Billed Charges,,,,,94.3,,,,,,,Percent of Total Billed Charges,,,, TISSUE X ,88309TC ,CPT,,Outpatient,,,514.5,411.6,384.33,,,,,,,Percent of Total Billed Charges,,384.33,384.33,,514.5,,,,,,,Percent of Total Billed Charges,,,,,493.92,,,,,,,Percent of Total Billed Charges,,,,,488.78,,,,,,,Percent of Total Billed Charges,,,,,102.9,,,,,,,Percent of Total Billed Charges,,,,,437.33,,,,,,,Percent of Total Billed Charges,,,,,108.05,,,,,,,Percent of Total Billed Charges,,,,,463.05,,,,,,,Percent of Total Billed Charges,,,,,463.05,,,,,,,Percent of Total Billed Charges,,,,,102.9,,,,,,,Percent of Total Billed Charges,,,,,144.06,,,,,,,Percent of Total Billed Charges,,,,,411.6,,,,,,,Percent of Total Billed Charges,,,,,102.9,,,,,,,Percent of Total Billed Charges,,,, FNA EVALUATION ,88173TC ,CPT,,Outpatient,,,712,569.6,531.86,,,,,,,Percent of Total Billed Charges,,531.86,531.86,,712,,,,,,,Percent of Total Billed Charges,,,,,683.52,,,,,,,Percent of Total Billed Charges,,,,,676.4,,,,,,,Percent of Total Billed Charges,,,,,142.4,,,,,,,Percent of Total Billed Charges,,,,,605.2,,,,,,,Percent of Total Billed Charges,,,,,149.52,,,,,,,Percent of Total Billed Charges,,,,,640.8,,,,,,,Percent of Total Billed Charges,,,,,640.8,,,,,,,Percent of Total Billed Charges,,,,,142.4,,,,,,,Percent of Total Billed Charges,,,,,199.36,,,,,,,Percent of Total Billed Charges,,,,,569.6,,,,,,,Percent of Total Billed Charges,,,,,142.4,,,,,,,Percent of Total Billed Charges,,,, FNA STAT ,88172,CPT,,Outpatient,,,36.5,29.2,27.27,,,,,,,Percent of Total Billed Charges,,27.27,27.27,,36.5,,,,,,,Percent of Total Billed Charges,,,,,35.04,,,,,,,Percent of Total Billed Charges,,,,,34.68,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,31.03,,,,,,,Percent of Total Billed Charges,,,,,7.67,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,, TISSUE NORMAL ,88302TC ,CPT,,Outpatient,,,168,134.4,125.5,,,,,,,Percent of Total Billed Charges,,125.5,125.5,,168,,,,,,,Percent of Total Billed Charges,,,,,161.28,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,142.8,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,151.2,,,,,,,Percent of Total Billed Charges,,,,,151.2,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,, ...EMPLOYEE HEALTH ANNUAL ,250,RC,,Outpatient,,,163.5,130.8,122.13,,,,,,,Percent of Total Billed Charges,,122.13,122.13,,163.5,,,,,,,Percent of Total Billed Charges,,,,,156.96,,,,,,,Percent of Total Billed Charges,,,,,155.33,,,,,,,Percent of Total Billed Charges,,,,,32.7,,,,,,,Percent of Total Billed Charges,,,,,138.98,,,,,,,Percent of Total Billed Charges,,,,,34.34,,,,,,,Percent of Total Billed Charges,,,,,147.15,,,,,,,Percent of Total Billed Charges,,,,,147.15,,,,,,,Percent of Total Billed Charges,,,,,32.7,,,,,,,Percent of Total Billed Charges,,,,,45.78,,,,,,,Percent of Total Billed Charges,,,,,130.8,,,,,,,Percent of Total Billed Charges,,,,,32.7,,,,,,,Percent of Total Billed Charges,,,, ...EMPLOYEE HEALTH NEW ,250,RC,,Outpatient,,,216,172.8,161.35,,,,,,,Percent of Total Billed Charges,,161.35,161.35,,216,,,,,,,Percent of Total Billed Charges,,,,,207.36,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,45.36,,,,,,,Percent of Total Billed Charges,,,,,194.4,,,,,,,Percent of Total Billed Charges,,,,,194.4,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,, "PREGNANCY TEST, URINE ",81025TC ,CPT,,Outpatient,,,152,121.6,113.54,,,,,,,Percent of Total Billed Charges,,113.54,113.54,,152,,,,,,,Percent of Total Billed Charges,,,,,145.92,,,,,,,Percent of Total Billed Charges,,,,,144.4,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,,,31.92,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,,,42.56,,,,,,,Percent of Total Billed Charges,,,,,121.6,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,, ..BONE MARROW ASPIRATION INTERPRETATION ,85097,CPT,,Outpatient,,,226.5,181.2,169.2,,,,,,,Percent of Total Billed Charges,,169.2,169.2,,226.5,,,,,,,Percent of Total Billed Charges,,,,,217.44,,,,,,,Percent of Total Billed Charges,,,,,215.18,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,,,192.53,,,,,,,Percent of Total Billed Charges,,,,,47.57,,,,,,,Percent of Total Billed Charges,,,,,203.85,,,,,,,Percent of Total Billed Charges,,,,,203.85,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,,,63.42,,,,,,,Percent of Total Billed Charges,,,,,181.2,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,, CELL BLOCK ,88304TC ,CPT,,Outpatient,,,226.5,181.2,169.2,,,,,,,Percent of Total Billed Charges,,169.2,169.2,,226.5,,,,,,,Percent of Total Billed Charges,,,,,217.44,,,,,,,Percent of Total Billed Charges,,,,,215.18,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,,,192.53,,,,,,,Percent of Total Billed Charges,,,,,47.57,,,,,,,Percent of Total Billed Charges,,,,,203.85,,,,,,,Percent of Total Billed Charges,,,,,203.85,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,,,63.42,,,,,,,Percent of Total Billed Charges,,,,,181.2,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,, 88311 SURG PATH ,88311TC ,CPT,,Outpatient,,,273,218.4,203.93,,,,,,,Percent of Total Billed Charges,,203.93,203.93,,273,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,259.35,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,232.05,,,,,,,Percent of Total Billed Charges,,,,,57.33,,,,,,,Percent of Total Billed Charges,,,,,245.7,,,,,,,Percent of Total Billed Charges,,,,,245.7,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,76.44,,,,,,,Percent of Total Billed Charges,,,,,218.4,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,, SPECIAL STAIN II ,88313TC ,CPT,,Outpatient,,,99,79.2,73.95,,,,,,,Percent of Total Billed Charges,,73.95,73.95,,99,,,,,,,Percent of Total Billed Charges,,,,,95.04,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,20.79,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,27.72,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,, EACH ADDITIONAL BLOCK ,250,RC,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, FNA SUPER ,250,RC,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, PAP SMEAR (NON-GYN) ,88104TC ,CPT,,Outpatient,,,205.5,164.4,153.51,,,,,,,Percent of Total Billed Charges,,153.51,153.51,,205.5,,,,,,,Percent of Total Billed Charges,,,,,197.28,,,,,,,Percent of Total Billed Charges,,,,,195.23,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,174.68,,,,,,,Percent of Total Billed Charges,,,,,43.16,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,57.54,,,,,,,Percent of Total Billed Charges,,,,,164.4,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,, CONCENTRATED SMEARS ,88108TC ,CPT,,Outpatient,,,144.5,115.6,107.94,,,,,,,Percent of Total Billed Charges,,107.94,107.94,,144.5,,,,,,,Percent of Total Billed Charges,,,,,138.72,,,,,,,Percent of Total Billed Charges,,,,,137.28,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,122.83,,,,,,,Percent of Total Billed Charges,,,,,30.35,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,40.46,,,,,,,Percent of Total Billed Charges,,,,,115.6,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,, CYTOSPIN (ONLY) ,88108TC ,CPT,,Outpatient,,,269,215.2,200.94,,,,,,,Percent of Total Billed Charges,,200.94,200.94,,269,,,,,,,Percent of Total Billed Charges,,,,,258.24,,,,,,,Percent of Total Billed Charges,,,,,255.55,,,,,,,Percent of Total Billed Charges,,,,,53.8,,,,,,,Percent of Total Billed Charges,,,,,228.65,,,,,,,Percent of Total Billed Charges,,,,,56.49,,,,,,,Percent of Total Billed Charges,,,,,242.1,,,,,,,Percent of Total Billed Charges,,,,,242.1,,,,,,,Percent of Total Billed Charges,,,,,53.8,,,,,,,Percent of Total Billed Charges,,,,,75.32,,,,,,,Percent of Total Billed Charges,,,,,215.2,,,,,,,Percent of Total Billed Charges,,,,,53.8,,,,,,,Percent of Total Billed Charges,,,, FILTER ONLY ,88108TC ,CPT,,Outpatient,,,163.5,130.8,122.13,,,,,,,Percent of Total Billed Charges,,122.13,122.13,,163.5,,,,,,,Percent of Total Billed Charges,,,,,156.96,,,,,,,Percent of Total Billed Charges,,,,,155.33,,,,,,,Percent of Total Billed Charges,,,,,32.7,,,,,,,Percent of Total Billed Charges,,,,,138.98,,,,,,,Percent of Total Billed Charges,,,,,34.34,,,,,,,Percent of Total Billed Charges,,,,,147.15,,,,,,,Percent of Total Billed Charges,,,,,147.15,,,,,,,Percent of Total Billed Charges,,,,,32.7,,,,,,,Percent of Total Billed Charges,,,,,45.78,,,,,,,Percent of Total Billed Charges,,,,,130.8,,,,,,,Percent of Total Billed Charges,,,,,32.7,,,,,,,Percent of Total Billed Charges,,,, FILTER & SMEAR ,88107TC ,CPT,,Outpatient,,,229.5,183.6,171.44,,,,,,,Percent of Total Billed Charges,,171.44,171.44,,229.5,,,,,,,Percent of Total Billed Charges,,,,,220.32,,,,,,,Percent of Total Billed Charges,,,,,218.03,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,195.08,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,206.55,,,,,,,Percent of Total Billed Charges,,,,,206.55,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,64.26,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,, ...SPECIAL STAIN I ,88312,CPT,,Outpatient,,,99,79.2,73.95,,,,,,,Percent of Total Billed Charges,,73.95,73.95,,99,,,,,,,Percent of Total Billed Charges,,,,,95.04,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,20.79,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,27.72,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,, IMMUNOPEROXIDASE STAIN ,88342TC ,CPT,,Outpatient,,,226.5,181.2,169.2,,,,,,,Percent of Total Billed Charges,,169.2,169.2,,226.5,,,,,,,Percent of Total Billed Charges,,,,,217.44,,,,,,,Percent of Total Billed Charges,,,,,215.18,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,,,192.53,,,,,,,Percent of Total Billed Charges,,,,,47.57,,,,,,,Percent of Total Billed Charges,,,,,203.85,,,,,,,Percent of Total Billed Charges,,,,,203.85,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,,,63.42,,,,,,,Percent of Total Billed Charges,,,,,181.2,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,, TISSUE 305 ,88305TC ,CPT,,Outpatient,,,226.5,181.2,169.2,,,,,,,Percent of Total Billed Charges,,169.2,169.2,,226.5,,,,,,,Percent of Total Billed Charges,,,,,217.44,,,,,,,Percent of Total Billed Charges,,,,,215.18,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,,,192.53,,,,,,,Percent of Total Billed Charges,,,,,47.57,,,,,,,Percent of Total Billed Charges,,,,,203.85,,,,,,,Percent of Total Billed Charges,,,,,203.85,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,,,63.42,,,,,,,Percent of Total Billed Charges,,,,,181.2,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,, TISSUE 307 ,88307TC ,CPT,,Outpatient,,,353.5,282.8,264.06,,,,,,,Percent of Total Billed Charges,,264.06,264.06,,353.5,,,,,,,Percent of Total Billed Charges,,,,,339.36,,,,,,,Percent of Total Billed Charges,,,,,335.83,,,,,,,Percent of Total Billed Charges,,,,,70.7,,,,,,,Percent of Total Billed Charges,,,,,300.48,,,,,,,Percent of Total Billed Charges,,,,,74.24,,,,,,,Percent of Total Billed Charges,,,,,318.15,,,,,,,Percent of Total Billed Charges,,,,,318.15,,,,,,,Percent of Total Billed Charges,,,,,70.7,,,,,,,Percent of Total Billed Charges,,,,,98.98,,,,,,,Percent of Total Billed Charges,,,,,282.8,,,,,,,Percent of Total Billed Charges,,,,,70.7,,,,,,,Percent of Total Billed Charges,,,, TISSUE 309 ,88309TC ,CPT,,Outpatient,,,562,449.6,419.81,,,,,,,Percent of Total Billed Charges,,419.81,419.81,,562,,,,,,,Percent of Total Billed Charges,,,,,539.52,,,,,,,Percent of Total Billed Charges,,,,,533.9,,,,,,,Percent of Total Billed Charges,,,,,112.4,,,,,,,Percent of Total Billed Charges,,,,,477.7,,,,,,,Percent of Total Billed Charges,,,,,118.02,,,,,,,Percent of Total Billed Charges,,,,,505.8,,,,,,,Percent of Total Billed Charges,,,,,505.8,,,,,,,Percent of Total Billed Charges,,,,,112.4,,,,,,,Percent of Total Billed Charges,,,,,157.36,,,,,,,Percent of Total Billed Charges,,,,,449.6,,,,,,,Percent of Total Billed Charges,,,,,112.4,,,,,,,Percent of Total Billed Charges,,,, CYTO SMEARS ,88161TC ,CPT,,Outpatient,,,175,140,130.73,,,,,,,Percent of Total Billed Charges,,130.73,130.73,,175,,,,,,,Percent of Total Billed Charges,,,,,168,,,,,,,Percent of Total Billed Charges,,,,,166.25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,148.75,,,,,,,Percent of Total Billed Charges,,,,,36.75,,,,,,,Percent of Total Billed Charges,,,,,157.5,,,,,,,Percent of Total Billed Charges,,,,,157.5,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,49,,,,,,,Percent of Total Billed Charges,,,,,140,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,, .PATH CONSULT (AFIP) ,80502TC ,CPT,,Outpatient,,,948.5,758.8,708.53,,,,,,,Percent of Total Billed Charges,,708.53,708.53,,948.5,,,,,,,Percent of Total Billed Charges,,,,,910.56,,,,,,,Percent of Total Billed Charges,,,,,901.08,,,,,,,Percent of Total Billed Charges,,,,,189.7,,,,,,,Percent of Total Billed Charges,,,,,806.23,,,,,,,Percent of Total Billed Charges,,,,,199.19,,,,,,,Percent of Total Billed Charges,,,,,853.65,,,,,,,Percent of Total Billed Charges,,,,,853.65,,,,,,,Percent of Total Billed Charges,,,,,189.7,,,,,,,Percent of Total Billed Charges,,,,,265.58,,,,,,,Percent of Total Billed Charges,,,,,758.8,,,,,,,Percent of Total Billed Charges,,,,,189.7,,,,,,,Percent of Total Billed Charges,,,, VET CBC ,250,RC,,Outpatient,,,44,35.2,32.87,,,,,,,Percent of Total Billed Charges,,32.87,32.87,,44,,,,,,,Percent of Total Billed Charges,,,,,42.24,,,,,,,Percent of Total Billed Charges,,,,,41.8,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,9.24,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,39.6,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,12.32,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,, VET CMP ,250,RC,,Outpatient,,,63,50.4,47.06,,,,,,,Percent of Total Billed Charges,,47.06,47.06,,63,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,53.55,,,,,,,Percent of Total Billed Charges,,,,,13.23,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,17.64,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,, VET URINALYSIS ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, VET BUN ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, VET CREATININE (URINE) ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, VET SGPT (ALT) ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, VET ALK PHOS ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, VET BILI TOTAL & DIRECT ,250,RC,,Outpatient,,,67,53.6,50.05,,,,,,,Percent of Total Billed Charges,,50.05,50.05,,67,,,,,,,Percent of Total Billed Charges,,,,,64.32,,,,,,,Percent of Total Billed Charges,,,,,63.65,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,56.95,,,,,,,Percent of Total Billed Charges,,,,,14.07,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,18.76,,,,,,,Percent of Total Billed Charges,,,,,53.6,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,, VET OCCULT BLOOD ,250,RC,,Outpatient,,,52.5,42,39.22,,,,,,,Percent of Total Billed Charges,,39.22,39.22,,52.5,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,11.03,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,42,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,, VET URINE CULTURE ,250,RC,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, VET STOOL CULTURE ,250,RC,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, VET THROAT CULTURE ,250,RC,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, VET OTHER CULTURE SPECIFY ,250,RC,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, VET SENSITIVITY ,250,RC,,Outpatient,,,66.5,53.2,49.68,,,,,,,Percent of Total Billed Charges,,49.68,49.68,,66.5,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,63.18,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,56.53,,,,,,,Percent of Total Billed Charges,,,,,13.97,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,18.62,,,,,,,Percent of Total Billed Charges,,,,,53.2,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,, VET GLUCOSE ,250,RC,,Outpatient,,,35,28,26.15,,,,,,,Percent of Total Billed Charges,,26.15,26.15,,35,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,33.25,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,29.75,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,, VET GLUCOSE X 2 ,250,RC,,Outpatient,,,52.5,42,39.22,,,,,,,Percent of Total Billed Charges,,39.22,39.22,,52.5,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,11.03,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,42,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,, VET GLUCOSE X 3 ,250,RC,,Outpatient,,,78.5,62.8,58.64,,,,,,,Percent of Total Billed Charges,,58.64,58.64,,78.5,,,,,,,Percent of Total Billed Charges,,,,,75.36,,,,,,,Percent of Total Billed Charges,,,,,74.58,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,66.73,,,,,,,Percent of Total Billed Charges,,,,,16.49,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,21.98,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,, VET GLUCOSE X 4 ,250,RC,,Outpatient,,,98.5,78.8,73.58,,,,,,,Percent of Total Billed Charges,,73.58,73.58,,98.5,,,,,,,Percent of Total Billed Charges,,,,,94.56,,,,,,,Percent of Total Billed Charges,,,,,93.58,,,,,,,Percent of Total Billed Charges,,,,,19.7,,,,,,,Percent of Total Billed Charges,,,,,83.73,,,,,,,Percent of Total Billed Charges,,,,,20.69,,,,,,,Percent of Total Billed Charges,,,,,88.65,,,,,,,Percent of Total Billed Charges,,,,,88.65,,,,,,,Percent of Total Billed Charges,,,,,19.7,,,,,,,Percent of Total Billed Charges,,,,,27.58,,,,,,,Percent of Total Billed Charges,,,,,78.8,,,,,,,Percent of Total Billed Charges,,,,,19.7,,,,,,,Percent of Total Billed Charges,,,, VET GLUCOSE X 5 ,250,RC,,Outpatient,,,128,102.4,95.62,,,,,,,Percent of Total Billed Charges,,95.62,95.62,,128,,,,,,,Percent of Total Billed Charges,,,,,122.88,,,,,,,Percent of Total Billed Charges,,,,,121.6,,,,,,,Percent of Total Billed Charges,,,,,25.6,,,,,,,Percent of Total Billed Charges,,,,,108.8,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,115.2,,,,,,,Percent of Total Billed Charges,,,,,115.2,,,,,,,Percent of Total Billed Charges,,,,,25.6,,,,,,,Percent of Total Billed Charges,,,,,35.84,,,,,,,Percent of Total Billed Charges,,,,,102.4,,,,,,,Percent of Total Billed Charges,,,,,25.6,,,,,,,Percent of Total Billed Charges,,,, VET GLUCOSE X 6 ,250,RC,,Outpatient,,,147,117.6,109.81,,,,,,,Percent of Total Billed Charges,,109.81,109.81,,147,,,,,,,Percent of Total Billed Charges,,,,,141.12,,,,,,,Percent of Total Billed Charges,,,,,139.65,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,124.95,,,,,,,Percent of Total Billed Charges,,,,,30.87,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,117.6,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,, VET OVA & PARASITES ,250,RC,,Outpatient,,,106.5,85.2,79.56,,,,,,,Percent of Total Billed Charges,,79.56,79.56,,106.5,,,,,,,Percent of Total Billed Charges,,,,,102.24,,,,,,,Percent of Total Billed Charges,,,,,101.18,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,90.53,,,,,,,Percent of Total Billed Charges,,,,,22.37,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,95.85,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,21.3,,,,,,,Percent of Total Billed Charges,,,, VET GRAM STAIN ,250,RC,,Outpatient,,,50.5,40.4,37.72,,,,,,,Percent of Total Billed Charges,,37.72,37.72,,50.5,,,,,,,Percent of Total Billed Charges,,,,,48.48,,,,,,,Percent of Total Billed Charges,,,,,47.98,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,42.93,,,,,,,Percent of Total Billed Charges,,,,,10.61,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,14.14,,,,,,,Percent of Total Billed Charges,,,,,40.4,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,, VET ELECTROLYTES ,250,RC,,Outpatient,,,59,47.2,44.07,,,,,,,Percent of Total Billed Charges,,44.07,44.07,,59,,,,,,,Percent of Total Billed Charges,,,,,56.64,,,,,,,Percent of Total Billed Charges,,,,,56.05,,,,,,,Percent of Total Billed Charges,,,,,11.8,,,,,,,Percent of Total Billed Charges,,,,,50.15,,,,,,,Percent of Total Billed Charges,,,,,12.39,,,,,,,Percent of Total Billed Charges,,,,,53.1,,,,,,,Percent of Total Billed Charges,,,,,53.1,,,,,,,Percent of Total Billed Charges,,,,,11.8,,,,,,,Percent of Total Billed Charges,,,,,16.52,,,,,,,Percent of Total Billed Charges,,,,,47.2,,,,,,,Percent of Total Billed Charges,,,,,11.8,,,,,,,Percent of Total Billed Charges,,,, VET CROSSMATCH ,250,RC,,Outpatient,,,129.5,103.6,96.74,,,,,,,Percent of Total Billed Charges,,96.74,96.74,,129.5,,,,,,,Percent of Total Billed Charges,,,,,124.32,,,,,,,Percent of Total Billed Charges,,,,,123.03,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,110.08,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,36.26,,,,,,,Percent of Total Billed Charges,,,,,103.6,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,, VET BLOOD CULTURE ,250,RC,,Outpatient,,,123.5,98.8,92.25,,,,,,,Percent of Total Billed Charges,,92.25,92.25,,123.5,,,,,,,Percent of Total Billed Charges,,,,,118.56,,,,,,,Percent of Total Billed Charges,,,,,117.33,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,104.98,,,,,,,Percent of Total Billed Charges,,,,,25.94,,,,,,,Percent of Total Billed Charges,,,,,111.15,,,,,,,Percent of Total Billed Charges,,,,,111.15,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,34.58,,,,,,,Percent of Total Billed Charges,,,,,98.8,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,, VET AMYLASE ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, VET MAGNESIUM ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, VET HEMOGRAM ,250,RC,,Outpatient,,,35,28,26.15,,,,,,,Percent of Total Billed Charges,,26.15,26.15,,35,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,33.25,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,29.75,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,, VET TOTAL PROTEIN (URINE) ,250,RC,,Outpatient,,,67,53.6,50.05,,,,,,,Percent of Total Billed Charges,,50.05,50.05,,67,,,,,,,Percent of Total Billed Charges,,,,,64.32,,,,,,,Percent of Total Billed Charges,,,,,63.65,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,56.95,,,,,,,Percent of Total Billed Charges,,,,,14.07,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,18.76,,,,,,,Percent of Total Billed Charges,,,,,53.6,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,, VET POTASSIUM ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, VET LIPASE ,250,RC,,Outpatient,,,67,53.6,50.05,,,,,,,Percent of Total Billed Charges,,50.05,50.05,,67,,,,,,,Percent of Total Billed Charges,,,,,64.32,,,,,,,Percent of Total Billed Charges,,,,,63.65,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,56.95,,,,,,,Percent of Total Billed Charges,,,,,14.07,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,18.76,,,,,,,Percent of Total Billed Charges,,,,,53.6,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,, VET SGOT (AST) ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, VET CPK ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, VET PROTIME ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, VET PTT ,250,RC,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, VET CO2 ,250,RC,,Outpatient,,,35,28,26.15,,,,,,,Percent of Total Billed Charges,,26.15,26.15,,35,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,33.25,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,29.75,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,, IMMUNO STAIN - LEVEL I ,88342TC ,CPT,,Outpatient,,,194.5,155.6,145.29,,,,,,,Percent of Total Billed Charges,,145.29,145.29,,194.5,,,,,,,Percent of Total Billed Charges,,,,,186.72,,,,,,,Percent of Total Billed Charges,,,,,184.78,,,,,,,Percent of Total Billed Charges,,,,,38.9,,,,,,,Percent of Total Billed Charges,,,,,165.33,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,175.05,,,,,,,Percent of Total Billed Charges,,,,,175.05,,,,,,,Percent of Total Billed Charges,,,,,38.9,,,,,,,Percent of Total Billed Charges,,,,,54.46,,,,,,,Percent of Total Billed Charges,,,,,155.6,,,,,,,Percent of Total Billed Charges,,,,,38.9,,,,,,,Percent of Total Billed Charges,,,, IMMUNO STAIN - LEVEL II ,88342TC ,CPT,,Outpatient,,,388,310.4,289.84,,,,,,,Percent of Total Billed Charges,,289.84,289.84,,388,,,,,,,Percent of Total Billed Charges,,,,,372.48,,,,,,,Percent of Total Billed Charges,,,,,368.6,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,329.8,,,,,,,Percent of Total Billed Charges,,,,,81.48,,,,,,,Percent of Total Billed Charges,,,,,349.2,,,,,,,Percent of Total Billed Charges,,,,,349.2,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,108.64,,,,,,,Percent of Total Billed Charges,,,,,310.4,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,, IMMUNO STAIN - LEVEL III ,88342TC ,CPT,,Outpatient,,,426,340.8,318.22,,,,,,,Percent of Total Billed Charges,,318.22,318.22,,426,,,,,,,Percent of Total Billed Charges,,,,,408.96,,,,,,,Percent of Total Billed Charges,,,,,404.7,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,362.1,,,,,,,Percent of Total Billed Charges,,,,,89.46,,,,,,,Percent of Total Billed Charges,,,,,383.4,,,,,,,Percent of Total Billed Charges,,,,,383.4,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,,,119.28,,,,,,,Percent of Total Billed Charges,,,,,340.8,,,,,,,Percent of Total Billed Charges,,,,,85.2,,,,,,,Percent of Total Billed Charges,,,, .HEPATITIS A ANTIBODY TOTAL ,86708TC ,CPT,,Outpatient,,,119.5,95.6,89.27,,,,,,,Percent of Total Billed Charges,,89.27,89.27,,119.5,,,,,,,Percent of Total Billed Charges,,,,,114.72,,,,,,,Percent of Total Billed Charges,,,,,113.53,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,101.58,,,,,,,Percent of Total Billed Charges,,,,,25.1,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,33.46,,,,,,,Percent of Total Billed Charges,,,,,95.6,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,, .HEPATITIS B CORE IGG ANTIBODY ,86704TC ,CPT,,Outpatient,,,142,113.6,106.07,,,,,,,Percent of Total Billed Charges,,106.07,106.07,,142,,,,,,,Percent of Total Billed Charges,,,,,136.32,,,,,,,Percent of Total Billed Charges,,,,,134.9,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,,,29.82,,,,,,,Percent of Total Billed Charges,,,,,127.8,,,,,,,Percent of Total Billed Charges,,,,,127.8,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,39.76,,,,,,,Percent of Total Billed Charges,,,,,113.6,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,, .UGT1A1 ,81250TC ,CPT,,Outpatient,,,992.5,794,741.4,,,,,,,Percent of Total Billed Charges,,741.4,741.4,,992.5,,,,,,,Percent of Total Billed Charges,,,,,952.8,,,,,,,Percent of Total Billed Charges,,,,,942.88,,,,,,,Percent of Total Billed Charges,,,,,198.5,,,,,,,Percent of Total Billed Charges,,,,,843.63,,,,,,,Percent of Total Billed Charges,,,,,208.43,,,,,,,Percent of Total Billed Charges,,,,,893.25,,,,,,,Percent of Total Billed Charges,,,,,893.25,,,,,,,Percent of Total Billed Charges,,,,,198.5,,,,,,,Percent of Total Billed Charges,,,,,277.9,,,,,,,Percent of Total Billed Charges,,,,,794,,,,,,,Percent of Total Billed Charges,,,,,198.5,,,,,,,Percent of Total Billed Charges,,,, .BCR ISOLATION ,83891TC ,CPT,,Outpatient,,,221,176.8,165.09,,,,,,,Percent of Total Billed Charges,,165.09,165.09,,221,,,,,,,Percent of Total Billed Charges,,,,,212.16,,,,,,,Percent of Total Billed Charges,,,,,209.95,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,,,187.85,,,,,,,Percent of Total Billed Charges,,,,,46.41,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,,,61.88,,,,,,,Percent of Total Billed Charges,,,,,176.8,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,, .BCR REVERSE TRANSCRIPTION ,83902TC ,CPT,,Outpatient,,,228,182.4,170.32,,,,,,,Percent of Total Billed Charges,,170.32,170.32,,228,,,,,,,Percent of Total Billed Charges,,,,,218.88,,,,,,,Percent of Total Billed Charges,,,,,216.6,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,47.88,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,182.4,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,, .BCR REAMPLIFICATION ,83898TC ,CPT,,Outpatient,,,221,176.8,165.09,,,,,,,Percent of Total Billed Charges,,165.09,165.09,,221,,,,,,,Percent of Total Billed Charges,,,,,212.16,,,,,,,Percent of Total Billed Charges,,,,,209.95,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,,,187.85,,,,,,,Percent of Total Billed Charges,,,,,46.41,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,,,61.88,,,,,,,Percent of Total Billed Charges,,,,,176.8,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,, .BCR NCULEIC ACID PROBE ,83896TC ,CPT,,Outpatient,,,221,176.8,165.09,,,,,,,Percent of Total Billed Charges,,165.09,165.09,,221,,,,,,,Percent of Total Billed Charges,,,,,212.16,,,,,,,Percent of Total Billed Charges,,,,,209.95,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,,,187.85,,,,,,,Percent of Total Billed Charges,,,,,46.41,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,,,61.88,,,,,,,Percent of Total Billed Charges,,,,,176.8,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,, .DEAMIDATED GLIADIN PEPTIDE ,83516TC ,CPT,,Outpatient,,,86.5,69.2,64.62,,,,,,,Percent of Total Billed Charges,,64.62,64.62,,86.5,,,,,,,Percent of Total Billed Charges,,,,,83.04,,,,,,,Percent of Total Billed Charges,,,,,82.18,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,,,73.53,,,,,,,Percent of Total Billed Charges,,,,,18.17,,,,,,,Percent of Total Billed Charges,,,,,77.85,,,,,,,Percent of Total Billed Charges,,,,,77.85,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,,,24.22,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,, PNEUMOCOCCAL ANTIGEN - URINE ,87899TC ,CPT,,Outpatient,,,316,252.8,236.05,,,,,,,Percent of Total Billed Charges,,236.05,236.05,,316,,,,,,,Percent of Total Billed Charges,,,,,303.36,,,,,,,Percent of Total Billed Charges,,,,,300.2,,,,,,,Percent of Total Billed Charges,,,,,63.2,,,,,,,Percent of Total Billed Charges,,,,,268.6,,,,,,,Percent of Total Billed Charges,,,,,66.36,,,,,,,Percent of Total Billed Charges,,,,,284.4,,,,,,,Percent of Total Billed Charges,,,,,284.4,,,,,,,Percent of Total Billed Charges,,,,,63.2,,,,,,,Percent of Total Billed Charges,,,,,88.48,,,,,,,Percent of Total Billed Charges,,,,,252.8,,,,,,,Percent of Total Billed Charges,,,,,63.2,,,,,,,Percent of Total Billed Charges,,,, 88291 SURG PATH FISH ,88291TC ,CPT,,Outpatient,,,342.5,274,255.85,,,,,,,Percent of Total Billed Charges,,255.85,255.85,,342.5,,,,,,,Percent of Total Billed Charges,,,,,328.8,,,,,,,Percent of Total Billed Charges,,,,,325.38,,,,,,,Percent of Total Billed Charges,,,,,68.5,,,,,,,Percent of Total Billed Charges,,,,,291.13,,,,,,,Percent of Total Billed Charges,,,,,71.93,,,,,,,Percent of Total Billed Charges,,,,,308.25,,,,,,,Percent of Total Billed Charges,,,,,308.25,,,,,,,Percent of Total Billed Charges,,,,,68.5,,,,,,,Percent of Total Billed Charges,,,,,95.9,,,,,,,Percent of Total Billed Charges,,,,,274,,,,,,,Percent of Total Billed Charges,,,,,68.5,,,,,,,Percent of Total Billed Charges,,,, 88283 SURG PATH FISH ,88283TC ,CPT,,Outpatient,,,342.5,274,255.85,,,,,,,Percent of Total Billed Charges,,255.85,255.85,,342.5,,,,,,,Percent of Total Billed Charges,,,,,328.8,,,,,,,Percent of Total Billed Charges,,,,,325.38,,,,,,,Percent of Total Billed Charges,,,,,68.5,,,,,,,Percent of Total Billed Charges,,,,,291.13,,,,,,,Percent of Total Billed Charges,,,,,71.93,,,,,,,Percent of Total Billed Charges,,,,,308.25,,,,,,,Percent of Total Billed Charges,,,,,308.25,,,,,,,Percent of Total Billed Charges,,,,,68.5,,,,,,,Percent of Total Billed Charges,,,,,95.9,,,,,,,Percent of Total Billed Charges,,,,,274,,,,,,,Percent of Total Billed Charges,,,,,68.5,,,,,,,Percent of Total Billed Charges,,,, 88367 SURG PATH FISH ,88367TC ,CPT,,Outpatient,,,783.5,626.8,585.27,,,,,,,Percent of Total Billed Charges,,585.27,585.27,,783.5,,,,,,,Percent of Total Billed Charges,,,,,752.16,,,,,,,Percent of Total Billed Charges,,,,,744.33,,,,,,,Percent of Total Billed Charges,,,,,156.7,,,,,,,Percent of Total Billed Charges,,,,,665.98,,,,,,,Percent of Total Billed Charges,,,,,164.54,,,,,,,Percent of Total Billed Charges,,,,,705.15,,,,,,,Percent of Total Billed Charges,,,,,705.15,,,,,,,Percent of Total Billed Charges,,,,,156.7,,,,,,,Percent of Total Billed Charges,,,,,219.38,,,,,,,Percent of Total Billed Charges,,,,,626.8,,,,,,,Percent of Total Billed Charges,,,,,156.7,,,,,,,Percent of Total Billed Charges,,,, ## ,80101,CPT,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, DRUG SCREEN (MDH) ,80306TC ,CPT,,Outpatient,,,469.5,375.6,350.72,,,,,,,Percent of Total Billed Charges,,350.72,350.72,,469.5,,,,,,,Percent of Total Billed Charges,,,,,450.72,,,,,,,Percent of Total Billed Charges,,,,,446.03,,,,,,,Percent of Total Billed Charges,,,,,93.9,,,,,,,Percent of Total Billed Charges,,,,,399.08,,,,,,,Percent of Total Billed Charges,,,,,98.6,,,,,,,Percent of Total Billed Charges,,,,,422.55,,,,,,,Percent of Total Billed Charges,,,,,422.55,,,,,,,Percent of Total Billed Charges,,,,,93.9,,,,,,,Percent of Total Billed Charges,,,,,131.46,,,,,,,Percent of Total Billed Charges,,,,,375.6,,,,,,,Percent of Total Billed Charges,,,,,93.9,,,,,,,Percent of Total Billed Charges,,,, .CHROMOSOME FISH CLL PANEL ,88275TCX4 ,CPT,,Outpatient,,,1075,860,803.03,,,,,,,Percent of Total Billed Charges,,803.03,803.03,,1075,,,,,,,Percent of Total Billed Charges,,,,,1032,,,,,,,Percent of Total Billed Charges,,,,,1021.25,,,,,,,Percent of Total Billed Charges,,,,,215,,,,,,,Percent of Total Billed Charges,,,,,913.75,,,,,,,Percent of Total Billed Charges,,,,,225.75,,,,,,,Percent of Total Billed Charges,,,,,967.5,,,,,,,Percent of Total Billed Charges,,,,,967.5,,,,,,,Percent of Total Billed Charges,,,,,215,,,,,,,Percent of Total Billed Charges,,,,,301,,,,,,,Percent of Total Billed Charges,,,,,860,,,,,,,Percent of Total Billed Charges,,,,,215,,,,,,,Percent of Total Billed Charges,,,, .IMMUNOGLOBIN HC MUTATION BY SEQ ,81263TC ,CPT,,Outpatient,,,545,436,407.12,,,,,,,Percent of Total Billed Charges,,407.12,407.12,,545,,,,,,,Percent of Total Billed Charges,,,,,523.2,,,,,,,Percent of Total Billed Charges,,,,,517.75,,,,,,,Percent of Total Billed Charges,,,,,109,,,,,,,Percent of Total Billed Charges,,,,,463.25,,,,,,,Percent of Total Billed Charges,,,,,114.45,,,,,,,Percent of Total Billed Charges,,,,,490.5,,,,,,,Percent of Total Billed Charges,,,,,490.5,,,,,,,Percent of Total Billed Charges,,,,,109,,,,,,,Percent of Total Billed Charges,,,,,152.6,,,,,,,Percent of Total Billed Charges,,,,,436,,,,,,,Percent of Total Billed Charges,,,,,109,,,,,,,Percent of Total Billed Charges,,,, PTT ,85730TC ,CPT,,Outpatient,,,129.5,103.6,96.74,,,,,,,Percent of Total Billed Charges,,96.74,96.74,,129.5,,,,,,,Percent of Total Billed Charges,,,,,124.32,,,,,,,Percent of Total Billed Charges,,,,,123.03,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,110.08,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,36.26,,,,,,,Percent of Total Billed Charges,,,,,103.6,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,, IMMUNOGLOBULIN FREE LAMBDA ,83883TC ,CPT,,Outpatient,,,148.5,118.8,110.93,,,,,,,Percent of Total Billed Charges,,110.93,110.93,,148.5,,,,,,,Percent of Total Billed Charges,,,,,142.56,,,,,,,Percent of Total Billed Charges,,,,,141.08,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,126.23,,,,,,,Percent of Total Billed Charges,,,,,31.19,,,,,,,Percent of Total Billed Charges,,,,,133.65,,,,,,,Percent of Total Billed Charges,,,,,133.65,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,41.58,,,,,,,Percent of Total Billed Charges,,,,,118.8,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,, IMMUNOGLOBULIN - KAPPA ,83883TC ,CPT,,Outpatient,,,148.5,118.8,110.93,,,,,,,Percent of Total Billed Charges,,110.93,110.93,,148.5,,,,,,,Percent of Total Billed Charges,,,,,142.56,,,,,,,Percent of Total Billed Charges,,,,,141.08,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,126.23,,,,,,,Percent of Total Billed Charges,,,,,31.19,,,,,,,Percent of Total Billed Charges,,,,,133.65,,,,,,,Percent of Total Billed Charges,,,,,133.65,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,41.58,,,,,,,Percent of Total Billed Charges,,,,,118.8,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,, .HUNTINGTONS DISEASE - DNA ,83891TC ,CPT,,Outpatient,,,1474,1179.2,1101.08,,,,,,,Percent of Total Billed Charges,,1101.08,1101.08,,1474,,,,,,,Percent of Total Billed Charges,,,,,1415.04,,,,,,,Percent of Total Billed Charges,,,,,1400.3,,,,,,,Percent of Total Billed Charges,,,,,294.8,,,,,,,Percent of Total Billed Charges,,,,,1252.9,,,,,,,Percent of Total Billed Charges,,,,,309.54,,,,,,,Percent of Total Billed Charges,,,,,1326.6,,,,,,,Percent of Total Billed Charges,,,,,1326.6,,,,,,,Percent of Total Billed Charges,,,,,294.8,,,,,,,Percent of Total Billed Charges,,,,,412.72,,,,,,,Percent of Total Billed Charges,,,,,1179.2,,,,,,,Percent of Total Billed Charges,,,,,294.8,,,,,,,Percent of Total Billed Charges,,,, IMMUNOLOGICAL FECAL OCCULT BLOOD TEST ,82270TC ,CPT,,Outpatient,,,55.5,44.4,41.46,,,,,,,Percent of Total Billed Charges,,41.46,41.46,,55.5,,,,,,,Percent of Total Billed Charges,,,,,53.28,,,,,,,Percent of Total Billed Charges,,,,,52.73,,,,,,,Percent of Total Billed Charges,,,,,11.1,,,,,,,Percent of Total Billed Charges,,,,,47.18,,,,,,,Percent of Total Billed Charges,,,,,11.66,,,,,,,Percent of Total Billed Charges,,,,,49.95,,,,,,,Percent of Total Billed Charges,,,,,49.95,,,,,,,Percent of Total Billed Charges,,,,,11.1,,,,,,,Percent of Total Billed Charges,,,,,15.54,,,,,,,Percent of Total Billed Charges,,,,,44.4,,,,,,,Percent of Total Billed Charges,,,,,11.1,,,,,,,Percent of Total Billed Charges,,,, BETA 2 TRANSFERRIN LEVEL ,86334TC ,CPT,,Outpatient,,,312,249.6,233.06,,,,,,,Percent of Total Billed Charges,,233.06,233.06,,312,,,,,,,Percent of Total Billed Charges,,,,,299.52,,,,,,,Percent of Total Billed Charges,,,,,296.4,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,,,265.2,,,,,,,Percent of Total Billed Charges,,,,,65.52,,,,,,,Percent of Total Billed Charges,,,,,280.8,,,,,,,Percent of Total Billed Charges,,,,,280.8,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,,,87.36,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,, PHOSPHORUS - URINE RANDOM ,84105TC ,CPT,,Outpatient,,,24.5,19.6,18.3,,,,,,,Percent of Total Billed Charges,,18.3,18.3,,24.5,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,23.28,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,20.83,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,6.86,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,, 88160 SURG. PATH ,88160TC ,CPT,,Outpatient,,,140,112,104.58,,,,,,,Percent of Total Billed Charges,,104.58,104.58,,140,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,, LIPASE DAILY ,83690TC ,CPT,,Outpatient,,,165.5,132.4,123.63,,,,,,,Percent of Total Billed Charges,,123.63,123.63,,165.5,,,,,,,Percent of Total Billed Charges,,,,,158.88,,,,,,,Percent of Total Billed Charges,,,,,157.23,,,,,,,Percent of Total Billed Charges,,,,,33.1,,,,,,,Percent of Total Billed Charges,,,,,140.68,,,,,,,Percent of Total Billed Charges,,,,,34.76,,,,,,,Percent of Total Billed Charges,,,,,148.95,,,,,,,Percent of Total Billed Charges,,,,,148.95,,,,,,,Percent of Total Billed Charges,,,,,33.1,,,,,,,Percent of Total Billed Charges,,,,,46.34,,,,,,,Percent of Total Billed Charges,,,,,132.4,,,,,,,Percent of Total Billed Charges,,,,,33.1,,,,,,,Percent of Total Billed Charges,,,, .CALPROTECTIN - FECAL ,83993TC ,CPT,,Outpatient,,,221,176.8,165.09,,,,,,,Percent of Total Billed Charges,,165.09,165.09,,221,,,,,,,Percent of Total Billed Charges,,,,,212.16,,,,,,,Percent of Total Billed Charges,,,,,209.95,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,,,187.85,,,,,,,Percent of Total Billed Charges,,,,,46.41,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,,,61.88,,,,,,,Percent of Total Billed Charges,,,,,176.8,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,, HISTONE AB ,86235TC ,CPT,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, TPPA ,86780TC ,CPT,,Outpatient,,,139.5,111.6,104.21,,,,,,,Percent of Total Billed Charges,,104.21,104.21,,139.5,,,,,,,Percent of Total Billed Charges,,,,,133.92,,,,,,,Percent of Total Billed Charges,,,,,132.53,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,118.58,,,,,,,Percent of Total Billed Charges,,,,,29.3,,,,,,,Percent of Total Billed Charges,,,,,125.55,,,,,,,Percent of Total Billed Charges,,,,,125.55,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,39.06,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,, TYSABRI ANTIBODIES ,83516TC ,CPT,,Outpatient,,,861,688.8,643.17,,,,,,,Percent of Total Billed Charges,,643.17,643.17,,861,,,,,,,Percent of Total Billed Charges,,,,,826.56,,,,,,,Percent of Total Billed Charges,,,,,817.95,,,,,,,Percent of Total Billed Charges,,,,,172.2,,,,,,,Percent of Total Billed Charges,,,,,731.85,,,,,,,Percent of Total Billed Charges,,,,,180.81,,,,,,,Percent of Total Billed Charges,,,,,774.9,,,,,,,Percent of Total Billed Charges,,,,,774.9,,,,,,,Percent of Total Billed Charges,,,,,172.2,,,,,,,Percent of Total Billed Charges,,,,,241.08,,,,,,,Percent of Total Billed Charges,,,,,688.8,,,,,,,Percent of Total Billed Charges,,,,,172.2,,,,,,,Percent of Total Billed Charges,,,, LEXAPRO LEVEL ,80299TC ,CPT,,Outpatient,,,468,374.4,349.6,,,,,,,Percent of Total Billed Charges,,349.6,349.6,,468,,,,,,,Percent of Total Billed Charges,,,,,449.28,,,,,,,Percent of Total Billed Charges,,,,,444.6,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,397.8,,,,,,,Percent of Total Billed Charges,,,,,98.28,,,,,,,Percent of Total Billed Charges,,,,,421.2,,,,,,,Percent of Total Billed Charges,,,,,421.2,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,131.04,,,,,,,Percent of Total Billed Charges,,,,,374.4,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,, .FISH PROBE 88291 ,88291,CPT,,Outpatient,,,603.5,482.8,450.81,,,,,,,Percent of Total Billed Charges,,450.81,450.81,,603.5,,,,,,,Percent of Total Billed Charges,,,,,579.36,,,,,,,Percent of Total Billed Charges,,,,,573.33,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,,,512.98,,,,,,,Percent of Total Billed Charges,,,,,126.74,,,,,,,Percent of Total Billed Charges,,,,,543.15,,,,,,,Percent of Total Billed Charges,,,,,543.15,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,,,168.98,,,,,,,Percent of Total Billed Charges,,,,,482.8,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,, .FISH PROBE 88283 ,88283,CPT,,Outpatient,,,603.5,482.8,450.81,,,,,,,Percent of Total Billed Charges,,450.81,450.81,,603.5,,,,,,,Percent of Total Billed Charges,,,,,579.36,,,,,,,Percent of Total Billed Charges,,,,,573.33,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,,,512.98,,,,,,,Percent of Total Billed Charges,,,,,126.74,,,,,,,Percent of Total Billed Charges,,,,,543.15,,,,,,,Percent of Total Billed Charges,,,,,543.15,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,,,168.98,,,,,,,Percent of Total Billed Charges,,,,,482.8,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,, .FISH PROBE 88367 ,88367,CPT,,Outpatient,,,603.5,482.8,450.81,,,,,,,Percent of Total Billed Charges,,450.81,450.81,,603.5,,,,,,,Percent of Total Billed Charges,,,,,579.36,,,,,,,Percent of Total Billed Charges,,,,,573.33,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,,,512.98,,,,,,,Percent of Total Billed Charges,,,,,126.74,,,,,,,Percent of Total Billed Charges,,,,,543.15,,,,,,,Percent of Total Billed Charges,,,,,543.15,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,,,168.98,,,,,,,Percent of Total Billed Charges,,,,,482.8,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,, MDS PANEL BY FISH ,88367TC ,CPT,,Outpatient,,,603.5,482.8,450.81,,,,,,,Percent of Total Billed Charges,,450.81,450.81,,603.5,,,,,,,Percent of Total Billed Charges,,,,,579.36,,,,,,,Percent of Total Billed Charges,,,,,573.33,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,,,512.98,,,,,,,Percent of Total Billed Charges,,,,,126.74,,,,,,,Percent of Total Billed Charges,,,,,543.15,,,,,,,Percent of Total Billed Charges,,,,,543.15,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,,,168.98,,,,,,,Percent of Total Billed Charges,,,,,482.8,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,, NADOLOL ,83789TC ,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, COBALT ,83018TC ,CPT,,Outpatient,,,152,121.6,113.54,,,,,,,Percent of Total Billed Charges,,113.54,113.54,,152,,,,,,,Percent of Total Billed Charges,,,,,145.92,,,,,,,Percent of Total Billed Charges,,,,,144.4,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,,,31.92,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,,,42.56,,,,,,,Percent of Total Billed Charges,,,,,121.6,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,, ANTI RNA POLYMERASE III ,83516TC ,CPT,,Outpatient,,,344.5,275.6,257.34,,,,,,,Percent of Total Billed Charges,,257.34,257.34,,344.5,,,,,,,Percent of Total Billed Charges,,,,,330.72,,,,,,,Percent of Total Billed Charges,,,,,327.28,,,,,,,Percent of Total Billed Charges,,,,,68.9,,,,,,,Percent of Total Billed Charges,,,,,292.83,,,,,,,Percent of Total Billed Charges,,,,,72.35,,,,,,,Percent of Total Billed Charges,,,,,310.05,,,,,,,Percent of Total Billed Charges,,,,,310.05,,,,,,,Percent of Total Billed Charges,,,,,68.9,,,,,,,Percent of Total Billed Charges,,,,,96.46,,,,,,,Percent of Total Billed Charges,,,,,275.6,,,,,,,Percent of Total Billed Charges,,,,,68.9,,,,,,,Percent of Total Billed Charges,,,, ".CYCLIC CITRUL PEPTIDE AB, IgG ",86200,CPT,,Outpatient,,,284.5,227.6,212.52,,,,,,,Percent of Total Billed Charges,,212.52,212.52,,284.5,,,,,,,Percent of Total Billed Charges,,,,,273.12,,,,,,,Percent of Total Billed Charges,,,,,270.28,,,,,,,Percent of Total Billed Charges,,,,,56.9,,,,,,,Percent of Total Billed Charges,,,,,241.83,,,,,,,Percent of Total Billed Charges,,,,,59.75,,,,,,,Percent of Total Billed Charges,,,,,256.05,,,,,,,Percent of Total Billed Charges,,,,,256.05,,,,,,,Percent of Total Billed Charges,,,,,56.9,,,,,,,Percent of Total Billed Charges,,,,,79.66,,,,,,,Percent of Total Billed Charges,,,,,227.6,,,,,,,Percent of Total Billed Charges,,,,,56.9,,,,,,,Percent of Total Billed Charges,,,, BB ARC DAT EACH ANTISERA ,86880TC ,CPT,,Outpatient,,,55,44,41.09,,,,,,,Percent of Total Billed Charges,,41.09,41.09,,55,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,52.25,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,46.75,,,,,,,Percent of Total Billed Charges,,,,,11.55,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,, BB ARC AB ID/EACH PANEL & MEDIA ,86870TC ,CPT,,Outpatient,,,213.5,170.8,159.48,,,,,,,Percent of Total Billed Charges,,159.48,159.48,,213.5,,,,,,,Percent of Total Billed Charges,,,,,204.96,,,,,,,Percent of Total Billed Charges,,,,,202.83,,,,,,,Percent of Total Billed Charges,,,,,42.7,,,,,,,Percent of Total Billed Charges,,,,,181.48,,,,,,,Percent of Total Billed Charges,,,,,44.84,,,,,,,Percent of Total Billed Charges,,,,,192.15,,,,,,,Percent of Total Billed Charges,,,,,192.15,,,,,,,Percent of Total Billed Charges,,,,,42.7,,,,,,,Percent of Total Billed Charges,,,,,59.78,,,,,,,Percent of Total Billed Charges,,,,,170.8,,,,,,,Percent of Total Billed Charges,,,,,42.7,,,,,,,Percent of Total Billed Charges,,,, "BB ARC RBC Ag, OTHER THAN ABO OR D. EACH",86905TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, BB ARC Rh PHENOTYPING COMPLETE ,86906TC ,CPT,,Outpatient,,,206.5,165.2,154.26,,,,,,,Percent of Total Billed Charges,,154.26,154.26,,206.5,,,,,,,Percent of Total Billed Charges,,,,,198.24,,,,,,,Percent of Total Billed Charges,,,,,196.18,,,,,,,Percent of Total Billed Charges,,,,,41.3,,,,,,,Percent of Total Billed Charges,,,,,175.53,,,,,,,Percent of Total Billed Charges,,,,,43.37,,,,,,,Percent of Total Billed Charges,,,,,185.85,,,,,,,Percent of Total Billed Charges,,,,,185.85,,,,,,,Percent of Total Billed Charges,,,,,41.3,,,,,,,Percent of Total Billed Charges,,,,,57.82,,,,,,,Percent of Total Billed Charges,,,,,165.2,,,,,,,Percent of Total Billed Charges,,,,,41.3,,,,,,,Percent of Total Billed Charges,,,, "BB ARC ELUTION, EACH ",86860TC ,CPT,,Outpatient,,,257.5,206,192.35,,,,,,,Percent of Total Billed Charges,,192.35,192.35,,257.5,,,,,,,Percent of Total Billed Charges,,,,,247.2,,,,,,,Percent of Total Billed Charges,,,,,244.63,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,,,218.88,,,,,,,Percent of Total Billed Charges,,,,,54.08,,,,,,,Percent of Total Billed Charges,,,,,231.75,,,,,,,Percent of Total Billed Charges,,,,,231.75,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,,,72.1,,,,,,,Percent of Total Billed Charges,,,,,206,,,,,,,Percent of Total Billed Charges,,,,,51.5,,,,,,,Percent of Total Billed Charges,,,, BB ARC PRE-RX RBC'S W/CHEMICALS/DRUGS ,86970TC ,CPT,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, BB ARC PRE TRETMENT WITH ENZYMES ,86971TC ,CPT,,Outpatient,,,46,36.8,34.36,,,,,,,Percent of Total Billed Charges,,34.36,34.36,,46,,,,,,,Percent of Total Billed Charges,,,,,44.16,,,,,,,Percent of Total Billed Charges,,,,,43.7,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,39.1,,,,,,,Percent of Total Billed Charges,,,,,9.66,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,41.4,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,12.88,,,,,,,Percent of Total Billed Charges,,,,,36.8,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,, BB ARC COLD AGGLUTININ SCREEN ,86156TC ,CPT,,Outpatient,,,72,57.6,53.78,,,,,,,Percent of Total Billed Charges,,53.78,53.78,,72,,,,,,,Percent of Total Billed Charges,,,,,69.12,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,57.6,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,, BB ARC RED CELL ANTIGEN 1 AG/UNIT ,86902TC ,CPT,,Outpatient,,,121.5,97.2,90.76,,,,,,,Percent of Total Billed Charges,,90.76,90.76,,121.5,,,,,,,Percent of Total Billed Charges,,,,,116.64,,,,,,,Percent of Total Billed Charges,,,,,115.43,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,103.28,,,,,,,Percent of Total Billed Charges,,,,,25.52,,,,,,,Percent of Total Billed Charges,,,,,109.35,,,,,,,Percent of Total Billed Charges,,,,,109.35,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,34.02,,,,,,,Percent of Total Billed Charges,,,,,97.2,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,, BB ARC UNIT SEARCH FEE FOR RED CELLS ,86902TC ,CPT,,Outpatient,,,444.5,355.6,332.04,,,,,,,Percent of Total Billed Charges,,332.04,332.04,,444.5,,,,,,,Percent of Total Billed Charges,,,,,426.72,,,,,,,Percent of Total Billed Charges,,,,,422.28,,,,,,,Percent of Total Billed Charges,,,,,88.9,,,,,,,Percent of Total Billed Charges,,,,,377.83,,,,,,,Percent of Total Billed Charges,,,,,93.35,,,,,,,Percent of Total Billed Charges,,,,,400.05,,,,,,,Percent of Total Billed Charges,,,,,400.05,,,,,,,Percent of Total Billed Charges,,,,,88.9,,,,,,,Percent of Total Billed Charges,,,,,124.46,,,,,,,Percent of Total Billed Charges,,,,,355.6,,,,,,,Percent of Total Billed Charges,,,,,88.9,,,,,,,Percent of Total Billed Charges,,,, BB ARC AGT PHASE OF CROSSMATCH ,86922TC ,CPT,,Outpatient,,,213.5,170.8,159.48,,,,,,,Percent of Total Billed Charges,,159.48,159.48,,213.5,,,,,,,Percent of Total Billed Charges,,,,,204.96,,,,,,,Percent of Total Billed Charges,,,,,202.83,,,,,,,Percent of Total Billed Charges,,,,,42.7,,,,,,,Percent of Total Billed Charges,,,,,181.48,,,,,,,Percent of Total Billed Charges,,,,,44.84,,,,,,,Percent of Total Billed Charges,,,,,192.15,,,,,,,Percent of Total Billed Charges,,,,,192.15,,,,,,,Percent of Total Billed Charges,,,,,42.7,,,,,,,Percent of Total Billed Charges,,,,,59.78,,,,,,,Percent of Total Billed Charges,,,,,170.8,,,,,,,Percent of Total Billed Charges,,,,,42.7,,,,,,,Percent of Total Billed Charges,,,, BB ARC CALL-IN FEE FOR SAMPLE REFERRAL ,250,RC,,Outpatient,,,79.5,63.6,59.39,,,,,,,Percent of Total Billed Charges,,59.39,59.39,,79.5,,,,,,,Percent of Total Billed Charges,,,,,76.32,,,,,,,Percent of Total Billed Charges,,,,,75.53,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,67.58,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,71.55,,,,,,,Percent of Total Billed Charges,,,,,71.55,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,,,22.26,,,,,,,Percent of Total Billed Charges,,,,,63.6,,,,,,,Percent of Total Billed Charges,,,,,15.9,,,,,,,Percent of Total Billed Charges,,,, BB ARC AG SCREEN WITH PT. SERUM - EACH ,86904TC ,CPT,,Outpatient,,,206.5,165.2,154.26,,,,,,,Percent of Total Billed Charges,,154.26,154.26,,206.5,,,,,,,Percent of Total Billed Charges,,,,,198.24,,,,,,,Percent of Total Billed Charges,,,,,196.18,,,,,,,Percent of Total Billed Charges,,,,,41.3,,,,,,,Percent of Total Billed Charges,,,,,175.53,,,,,,,Percent of Total Billed Charges,,,,,43.37,,,,,,,Percent of Total Billed Charges,,,,,185.85,,,,,,,Percent of Total Billed Charges,,,,,185.85,,,,,,,Percent of Total Billed Charges,,,,,41.3,,,,,,,Percent of Total Billed Charges,,,,,57.82,,,,,,,Percent of Total Billed Charges,,,,,165.2,,,,,,,Percent of Total Billed Charges,,,,,41.3,,,,,,,Percent of Total Billed Charges,,,, BB ARC AB ID/EACH SELECTED REAGENT CELL ,86885TC ,CPT,,Outpatient,,,36.5,29.2,27.27,,,,,,,Percent of Total Billed Charges,,27.27,27.27,,36.5,,,,,,,Percent of Total Billed Charges,,,,,35.04,,,,,,,Percent of Total Billed Charges,,,,,34.68,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,31.03,,,,,,,Percent of Total Billed Charges,,,,,7.67,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,, BK VIRUS DNA - BLOOD ,87799TC ,CPT,,Outpatient,,,522,417.6,389.93,,,,,,,Percent of Total Billed Charges,,389.93,389.93,,522,,,,,,,Percent of Total Billed Charges,,,,,501.12,,,,,,,Percent of Total Billed Charges,,,,,495.9,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,443.7,,,,,,,Percent of Total Billed Charges,,,,,109.62,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,146.16,,,,,,,Percent of Total Billed Charges,,,,,417.6,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,, STREPTOMYCIN - PEAK ,80299TC ,CPT,,Outpatient,,,432,345.6,322.7,,,,,,,Percent of Total Billed Charges,,322.7,322.7,,432,,,,,,,Percent of Total Billed Charges,,,,,414.72,,,,,,,Percent of Total Billed Charges,,,,,410.4,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,90.72,,,,,,,Percent of Total Billed Charges,,,,,388.8,,,,,,,Percent of Total Billed Charges,,,,,388.8,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,120.96,,,,,,,Percent of Total Billed Charges,,,,,345.6,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,, STREPTOMYCIN - TROUGH ,80299TC ,CPT,,Outpatient,,,432,345.6,322.7,,,,,,,Percent of Total Billed Charges,,322.7,322.7,,432,,,,,,,Percent of Total Billed Charges,,,,,414.72,,,,,,,Percent of Total Billed Charges,,,,,410.4,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,90.72,,,,,,,Percent of Total Billed Charges,,,,,388.8,,,,,,,Percent of Total Billed Charges,,,,,388.8,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,120.96,,,,,,,Percent of Total Billed Charges,,,,,345.6,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,, "BB ARC ANTIBODY SCREEN, EACH MEDIA ",86850TC ,CPT,,Outpatient,,,147.5,118,110.18,,,,,,,Percent of Total Billed Charges,,110.18,110.18,,147.5,,,,,,,Percent of Total Billed Charges,,,,,141.6,,,,,,,Percent of Total Billed Charges,,,,,140.13,,,,,,,Percent of Total Billed Charges,,,,,29.5,,,,,,,Percent of Total Billed Charges,,,,,125.38,,,,,,,Percent of Total Billed Charges,,,,,30.98,,,,,,,Percent of Total Billed Charges,,,,,132.75,,,,,,,Percent of Total Billed Charges,,,,,132.75,,,,,,,Percent of Total Billed Charges,,,,,29.5,,,,,,,Percent of Total Billed Charges,,,,,41.3,,,,,,,Percent of Total Billed Charges,,,,,118,,,,,,,Percent of Total Billed Charges,,,,,29.5,,,,,,,Percent of Total Billed Charges,,,, BB ARC DIFFERENTIAL/AUTO ADS OF SERUM EA,86850TC ,CPT,,Outpatient,,,241,192.8,180.03,,,,,,,Percent of Total Billed Charges,,180.03,180.03,,241,,,,,,,Percent of Total Billed Charges,,,,,231.36,,,,,,,Percent of Total Billed Charges,,,,,228.95,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,204.85,,,,,,,Percent of Total Billed Charges,,,,,50.61,,,,,,,Percent of Total Billed Charges,,,,,216.9,,,,,,,Percent of Total Billed Charges,,,,,216.9,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,67.48,,,,,,,Percent of Total Billed Charges,,,,,192.8,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,, S. CEREVISIAE AB. IGG ,86671TC ,CPT,,Outpatient,,,241,192.8,180.03,,,,,,,Percent of Total Billed Charges,,180.03,180.03,,241,,,,,,,Percent of Total Billed Charges,,,,,231.36,,,,,,,Percent of Total Billed Charges,,,,,228.95,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,204.85,,,,,,,Percent of Total Billed Charges,,,,,50.61,,,,,,,Percent of Total Billed Charges,,,,,216.9,,,,,,,Percent of Total Billed Charges,,,,,216.9,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,67.48,,,,,,,Percent of Total Billed Charges,,,,,192.8,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,, S. CEREVISIAE AB. IGA ,86671TC ,CPT,,Outpatient,,,241,192.8,180.03,,,,,,,Percent of Total Billed Charges,,180.03,180.03,,241,,,,,,,Percent of Total Billed Charges,,,,,231.36,,,,,,,Percent of Total Billed Charges,,,,,228.95,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,204.85,,,,,,,Percent of Total Billed Charges,,,,,50.61,,,,,,,Percent of Total Billed Charges,,,,,216.9,,,,,,,Percent of Total Billed Charges,,,,,216.9,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,67.48,,,,,,,Percent of Total Billed Charges,,,,,192.8,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,, LEGAL SAMPLE COLLECTION ,250,RC,,Outpatient,,,36.5,29.2,27.27,,,,,,,Percent of Total Billed Charges,,27.27,27.27,,36.5,,,,,,,Percent of Total Billed Charges,,,,,35.04,,,,,,,Percent of Total Billed Charges,,,,,34.68,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,31.03,,,,,,,Percent of Total Billed Charges,,,,,7.67,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,, GC - CHLAMYDIA BY AMPLIFIED PROBE ,87491TC ,CPT,,Outpatient,,,166,132.8,124,,,,,,,Percent of Total Billed Charges,,124,124,,166,,,,,,,Percent of Total Billed Charges,,,,,159.36,,,,,,,Percent of Total Billed Charges,,,,,157.7,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,141.1,,,,,,,Percent of Total Billed Charges,,,,,34.86,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,46.48,,,,,,,Percent of Total Billed Charges,,,,,132.8,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,, .CHLAMYDIA BY AMPLIFIED PROBE ,87490TC ,CPT,,Outpatient,,,166,132.8,124,,,,,,,Percent of Total Billed Charges,,124,124,,166,,,,,,,Percent of Total Billed Charges,,,,,159.36,,,,,,,Percent of Total Billed Charges,,,,,157.7,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,141.1,,,,,,,Percent of Total Billed Charges,,,,,34.86,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,46.48,,,,,,,Percent of Total Billed Charges,,,,,132.8,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,, N-METHYLHISTAMINE - 24 HR URINE ,83789TC ,CPT,,Outpatient,,,916,732.8,684.25,,,,,,,Percent of Total Billed Charges,,684.25,684.25,,916,,,,,,,Percent of Total Billed Charges,,,,,879.36,,,,,,,Percent of Total Billed Charges,,,,,870.2,,,,,,,Percent of Total Billed Charges,,,,,183.2,,,,,,,Percent of Total Billed Charges,,,,,778.6,,,,,,,Percent of Total Billed Charges,,,,,192.36,,,,,,,Percent of Total Billed Charges,,,,,824.4,,,,,,,Percent of Total Billed Charges,,,,,824.4,,,,,,,Percent of Total Billed Charges,,,,,183.2,,,,,,,Percent of Total Billed Charges,,,,,256.48,,,,,,,Percent of Total Billed Charges,,,,,732.8,,,,,,,Percent of Total Billed Charges,,,,,183.2,,,,,,,Percent of Total Billed Charges,,,, ERGOCALCIFEROL (VIT D2&D3) ,82306TC ,CPT,,Outpatient,,,272.5,218,203.56,,,,,,,Percent of Total Billed Charges,,203.56,203.56,,272.5,,,,,,,Percent of Total Billed Charges,,,,,261.6,,,,,,,Percent of Total Billed Charges,,,,,258.88,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,231.63,,,,,,,Percent of Total Billed Charges,,,,,57.23,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,218,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,, 11 BETA PROSTAGLANDIA - 24 HR URINE ,84150TC ,CPT,,Outpatient,,,916,732.8,684.25,,,,,,,Percent of Total Billed Charges,,684.25,684.25,,916,,,,,,,Percent of Total Billed Charges,,,,,879.36,,,,,,,Percent of Total Billed Charges,,,,,870.2,,,,,,,Percent of Total Billed Charges,,,,,183.2,,,,,,,Percent of Total Billed Charges,,,,,778.6,,,,,,,Percent of Total Billed Charges,,,,,192.36,,,,,,,Percent of Total Billed Charges,,,,,824.4,,,,,,,Percent of Total Billed Charges,,,,,824.4,,,,,,,Percent of Total Billed Charges,,,,,183.2,,,,,,,Percent of Total Billed Charges,,,,,256.48,,,,,,,Percent of Total Billed Charges,,,,,732.8,,,,,,,Percent of Total Billed Charges,,,,,183.2,,,,,,,Percent of Total Billed Charges,,,, SICKLE CELL SCREEN ,85660TC ,CPT,,Outpatient,,,145.5,116.4,108.69,,,,,,,Percent of Total Billed Charges,,108.69,108.69,,145.5,,,,,,,Percent of Total Billed Charges,,,,,139.68,,,,,,,Percent of Total Billed Charges,,,,,138.23,,,,,,,Percent of Total Billed Charges,,,,,29.1,,,,,,,Percent of Total Billed Charges,,,,,123.68,,,,,,,Percent of Total Billed Charges,,,,,30.56,,,,,,,Percent of Total Billed Charges,,,,,130.95,,,,,,,Percent of Total Billed Charges,,,,,130.95,,,,,,,Percent of Total Billed Charges,,,,,29.1,,,,,,,Percent of Total Billed Charges,,,,,40.74,,,,,,,Percent of Total Billed Charges,,,,,116.4,,,,,,,Percent of Total Billed Charges,,,,,29.1,,,,,,,Percent of Total Billed Charges,,,, ANTI-MULLERIAN HORMONE ,83520TC ,CPT,,Outpatient,,,614.5,491.6,459.03,,,,,,,Percent of Total Billed Charges,,459.03,459.03,,614.5,,,,,,,Percent of Total Billed Charges,,,,,589.92,,,,,,,Percent of Total Billed Charges,,,,,583.78,,,,,,,Percent of Total Billed Charges,,,,,122.9,,,,,,,Percent of Total Billed Charges,,,,,522.33,,,,,,,Percent of Total Billed Charges,,,,,129.05,,,,,,,Percent of Total Billed Charges,,,,,553.05,,,,,,,Percent of Total Billed Charges,,,,,553.05,,,,,,,Percent of Total Billed Charges,,,,,122.9,,,,,,,Percent of Total Billed Charges,,,,,172.06,,,,,,,Percent of Total Billed Charges,,,,,491.6,,,,,,,Percent of Total Billed Charges,,,,,122.9,,,,,,,Percent of Total Billed Charges,,,, THALLIUM - BLOOD ,83018TC ,CPT,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, GOLD- BLOOD ,83018TC ,CPT,,Outpatient,,,563,450.4,420.56,,,,,,,Percent of Total Billed Charges,,420.56,420.56,,563,,,,,,,Percent of Total Billed Charges,,,,,540.48,,,,,,,Percent of Total Billed Charges,,,,,534.85,,,,,,,Percent of Total Billed Charges,,,,,112.6,,,,,,,Percent of Total Billed Charges,,,,,478.55,,,,,,,Percent of Total Billed Charges,,,,,118.23,,,,,,,Percent of Total Billed Charges,,,,,506.7,,,,,,,Percent of Total Billed Charges,,,,,506.7,,,,,,,Percent of Total Billed Charges,,,,,112.6,,,,,,,Percent of Total Billed Charges,,,,,157.64,,,,,,,Percent of Total Billed Charges,,,,,450.4,,,,,,,Percent of Total Billed Charges,,,,,112.6,,,,,,,Percent of Total Billed Charges,,,, VITAMIN B 1 - PLASMA ,84425TC ,CPT,,Outpatient,,,231,184.8,172.56,,,,,,,Percent of Total Billed Charges,,172.56,172.56,,231,,,,,,,Percent of Total Billed Charges,,,,,221.76,,,,,,,Percent of Total Billed Charges,,,,,219.45,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,196.35,,,,,,,Percent of Total Billed Charges,,,,,48.51,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,, ESCITALOPRAM ,80299TC ,CPT,,Outpatient,,,354,283.2,264.44,,,,,,,Percent of Total Billed Charges,,264.44,264.44,,354,,,,,,,Percent of Total Billed Charges,,,,,339.84,,,,,,,Percent of Total Billed Charges,,,,,336.3,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,,,300.9,,,,,,,Percent of Total Billed Charges,,,,,74.34,,,,,,,Percent of Total Billed Charges,,,,,318.6,,,,,,,Percent of Total Billed Charges,,,,,318.6,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,,,99.12,,,,,,,Percent of Total Billed Charges,,,,,283.2,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,, CYMBALTA ,80299TC ,CPT,,Outpatient,,,595.5,476.4,444.84,,,,,,,Percent of Total Billed Charges,,444.84,444.84,,595.5,,,,,,,Percent of Total Billed Charges,,,,,571.68,,,,,,,Percent of Total Billed Charges,,,,,565.73,,,,,,,Percent of Total Billed Charges,,,,,119.1,,,,,,,Percent of Total Billed Charges,,,,,506.18,,,,,,,Percent of Total Billed Charges,,,,,125.06,,,,,,,Percent of Total Billed Charges,,,,,535.95,,,,,,,Percent of Total Billed Charges,,,,,535.95,,,,,,,Percent of Total Billed Charges,,,,,119.1,,,,,,,Percent of Total Billed Charges,,,,,166.74,,,,,,,Percent of Total Billed Charges,,,,,476.4,,,,,,,Percent of Total Billed Charges,,,,,119.1,,,,,,,Percent of Total Billed Charges,,,, STREP A PROBE ,87880TC ,CPT,,Outpatient,,,176,140.8,131.47,,,,,,,Percent of Total Billed Charges,,131.47,131.47,,176,,,,,,,Percent of Total Billed Charges,,,,,168.96,,,,,,,Percent of Total Billed Charges,,,,,167.2,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,149.6,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,158.4,,,,,,,Percent of Total Billed Charges,,,,,158.4,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,49.28,,,,,,,Percent of Total Billed Charges,,,,,140.8,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,, .HEPATITIS B SURF AB QUAL ,86706TC ,CPT,,Outpatient,,,126,100.8,94.12,,,,,,,Percent of Total Billed Charges,,94.12,94.12,,126,,,,,,,Percent of Total Billed Charges,,,,,120.96,,,,,,,Percent of Total Billed Charges,,,,,119.7,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,107.1,,,,,,,Percent of Total Billed Charges,,,,,26.46,,,,,,,Percent of Total Billed Charges,,,,,113.4,,,,,,,Percent of Total Billed Charges,,,,,113.4,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,, FLUPHENAZINE ,80342TC ,CPT,,Outpatient,,,190.5,152.4,142.3,,,,,,,Percent of Total Billed Charges,,142.3,142.3,,190.5,,,,,,,Percent of Total Billed Charges,,,,,182.88,,,,,,,Percent of Total Billed Charges,,,,,180.98,,,,,,,Percent of Total Billed Charges,,,,,38.1,,,,,,,Percent of Total Billed Charges,,,,,161.93,,,,,,,Percent of Total Billed Charges,,,,,40.01,,,,,,,Percent of Total Billed Charges,,,,,171.45,,,,,,,Percent of Total Billed Charges,,,,,171.45,,,,,,,Percent of Total Billed Charges,,,,,38.1,,,,,,,Percent of Total Billed Charges,,,,,53.34,,,,,,,Percent of Total Billed Charges,,,,,152.4,,,,,,,Percent of Total Billed Charges,,,,,38.1,,,,,,,Percent of Total Billed Charges,,,, VARICELLA ZOSTER IgM ,86787TC ,CPT,,Outpatient,,,231,184.8,172.56,,,,,,,Percent of Total Billed Charges,,172.56,172.56,,231,,,,,,,Percent of Total Billed Charges,,,,,221.76,,,,,,,Percent of Total Billed Charges,,,,,219.45,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,196.35,,,,,,,Percent of Total Billed Charges,,,,,48.51,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,, VORICONAZOLE ,80285TC ,CPT,,Outpatient,,,231,184.8,172.56,,,,,,,Percent of Total Billed Charges,,172.56,172.56,,231,,,,,,,Percent of Total Billed Charges,,,,,221.76,,,,,,,Percent of Total Billed Charges,,,,,219.45,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,196.35,,,,,,,Percent of Total Billed Charges,,,,,48.51,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,, .HPV SCREENING AND INTERPRETATION ,87624TC ,CPT,,Outpatient,,,276.5,221.2,206.55,,,,,,,Percent of Total Billed Charges,,206.55,206.55,,276.5,,,,,,,Percent of Total Billed Charges,,,,,265.44,,,,,,,Percent of Total Billed Charges,,,,,262.68,,,,,,,Percent of Total Billed Charges,,,,,55.3,,,,,,,Percent of Total Billed Charges,,,,,235.03,,,,,,,Percent of Total Billed Charges,,,,,58.07,,,,,,,Percent of Total Billed Charges,,,,,248.85,,,,,,,Percent of Total Billed Charges,,,,,248.85,,,,,,,Percent of Total Billed Charges,,,,,55.3,,,,,,,Percent of Total Billed Charges,,,,,77.42,,,,,,,Percent of Total Billed Charges,,,,,221.2,,,,,,,Percent of Total Billed Charges,,,,,55.3,,,,,,,Percent of Total Billed Charges,,,, *N K RATIO 1 ,86355TC ,CPT,,Outpatient,,,92.5,74,69.1,,,,,,,Percent of Total Billed Charges,,69.1,69.1,,92.5,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,,,87.88,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,,,78.63,,,,,,,Percent of Total Billed Charges,,,,,19.43,,,,,,,Percent of Total Billed Charges,,,,,83.25,,,,,,,Percent of Total Billed Charges,,,,,83.25,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,74,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,, *N K RATIO 2 ,86357TC ,CPT,,Outpatient,,,92.5,74,69.1,,,,,,,Percent of Total Billed Charges,,69.1,69.1,,92.5,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,,,87.88,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,,,78.63,,,,,,,Percent of Total Billed Charges,,,,,19.43,,,,,,,Percent of Total Billed Charges,,,,,83.25,,,,,,,Percent of Total Billed Charges,,,,,83.25,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,74,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,, *N K RATIO 3 ,86359TC ,CPT,,Outpatient,,,92.5,74,69.1,,,,,,,Percent of Total Billed Charges,,69.1,69.1,,92.5,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,,,87.88,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,,,78.63,,,,,,,Percent of Total Billed Charges,,,,,19.43,,,,,,,Percent of Total Billed Charges,,,,,83.25,,,,,,,Percent of Total Billed Charges,,,,,83.25,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,74,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,, *N K RATIO 4 ,86360TC ,CPT,,Outpatient,,,92.5,74,69.1,,,,,,,Percent of Total Billed Charges,,69.1,69.1,,92.5,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,,,87.88,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,,,78.63,,,,,,,Percent of Total Billed Charges,,,,,19.43,,,,,,,Percent of Total Billed Charges,,,,,83.25,,,,,,,Percent of Total Billed Charges,,,,,83.25,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,74,,,,,,,Percent of Total Billed Charges,,,,,18.5,,,,,,,Percent of Total Billed Charges,,,, PARANEOPLASTIC ANTIBODIES ,86255TC ,CPT,,Outpatient,,,3343,2674.4,2497.22,,,,,,,Percent of Total Billed Charges,,2497.22,2497.22,,3343,,,,,,,Percent of Total Billed Charges,,,,,3209.28,,,,,,,Percent of Total Billed Charges,,,,,3175.85,,,,,,,Percent of Total Billed Charges,,,,,668.6,,,,,,,Percent of Total Billed Charges,,,,,2841.55,,,,,,,Percent of Total Billed Charges,,,,,702.03,,,,,,,Percent of Total Billed Charges,,,,,3008.7,,,,,,,Percent of Total Billed Charges,,,,,3008.7,,,,,,,Percent of Total Billed Charges,,,,,668.6,,,,,,,Percent of Total Billed Charges,,,,,936.04,,,,,,,Percent of Total Billed Charges,,,,,2674.4,,,,,,,Percent of Total Billed Charges,,,,,668.6,,,,,,,Percent of Total Billed Charges,,,, PURKINJE CELL ANTIBODY TITER ,86256TC ,CPT,,Outpatient,,,160.5,128.4,119.89,,,,,,,Percent of Total Billed Charges,,119.89,119.89,,160.5,,,,,,,Percent of Total Billed Charges,,,,,154.08,,,,,,,Percent of Total Billed Charges,,,,,152.48,,,,,,,Percent of Total Billed Charges,,,,,32.1,,,,,,,Percent of Total Billed Charges,,,,,136.43,,,,,,,Percent of Total Billed Charges,,,,,33.71,,,,,,,Percent of Total Billed Charges,,,,,144.45,,,,,,,Percent of Total Billed Charges,,,,,144.45,,,,,,,Percent of Total Billed Charges,,,,,32.1,,,,,,,Percent of Total Billed Charges,,,,,44.94,,,,,,,Percent of Total Billed Charges,,,,,128.4,,,,,,,Percent of Total Billed Charges,,,,,32.1,,,,,,,Percent of Total Billed Charges,,,, NEURONAL NUCLEAR ANTIBODIES BY IgG ,83516TC ,CPT,,Outpatient,,,557,445.6,416.08,,,,,,,Percent of Total Billed Charges,,416.08,416.08,,557,,,,,,,Percent of Total Billed Charges,,,,,534.72,,,,,,,Percent of Total Billed Charges,,,,,529.15,,,,,,,Percent of Total Billed Charges,,,,,111.4,,,,,,,Percent of Total Billed Charges,,,,,473.45,,,,,,,Percent of Total Billed Charges,,,,,116.97,,,,,,,Percent of Total Billed Charges,,,,,501.3,,,,,,,Percent of Total Billed Charges,,,,,501.3,,,,,,,Percent of Total Billed Charges,,,,,111.4,,,,,,,Percent of Total Billed Charges,,,,,155.96,,,,,,,Percent of Total Billed Charges,,,,,445.6,,,,,,,Percent of Total Billed Charges,,,,,111.4,,,,,,,Percent of Total Billed Charges,,,, NEURONAL NUCLEAR AB IFA TITER IgG ,86256TC ,CPT,,Outpatient,,,241,192.8,180.03,,,,,,,Percent of Total Billed Charges,,180.03,180.03,,241,,,,,,,Percent of Total Billed Charges,,,,,231.36,,,,,,,Percent of Total Billed Charges,,,,,228.95,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,204.85,,,,,,,Percent of Total Billed Charges,,,,,50.61,,,,,,,Percent of Total Billed Charges,,,,,216.9,,,,,,,Percent of Total Billed Charges,,,,,216.9,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,,,67.48,,,,,,,Percent of Total Billed Charges,,,,,192.8,,,,,,,Percent of Total Billed Charges,,,,,48.2,,,,,,,Percent of Total Billed Charges,,,, JO 1 AB IGG ,86325TC ,CPT,,Outpatient,,,271.5,217.2,202.81,,,,,,,Percent of Total Billed Charges,,202.81,202.81,,271.5,,,,,,,Percent of Total Billed Charges,,,,,260.64,,,,,,,Percent of Total Billed Charges,,,,,257.93,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,,,230.78,,,,,,,Percent of Total Billed Charges,,,,,57.02,,,,,,,Percent of Total Billed Charges,,,,,244.35,,,,,,,Percent of Total Billed Charges,,,,,244.35,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,,,76.02,,,,,,,Percent of Total Billed Charges,,,,,217.2,,,,,,,Percent of Total Billed Charges,,,,,54.3,,,,,,,Percent of Total Billed Charges,,,, ALUMINUM ,82108TC ,CPT,,Outpatient,,,298,238.4,222.61,,,,,,,Percent of Total Billed Charges,,222.61,222.61,,298,,,,,,,Percent of Total Billed Charges,,,,,286.08,,,,,,,Percent of Total Billed Charges,,,,,283.1,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,,,62.58,,,,,,,Percent of Total Billed Charges,,,,,268.2,,,,,,,Percent of Total Billed Charges,,,,,268.2,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,,,83.44,,,,,,,Percent of Total Billed Charges,,,,,238.4,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,, CORTISOL FREE ,82530TC ,CPT,,Outpatient,,,381,304.8,284.61,,,,,,,Percent of Total Billed Charges,,284.61,284.61,,381,,,,,,,Percent of Total Billed Charges,,,,,365.76,,,,,,,Percent of Total Billed Charges,,,,,361.95,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,323.85,,,,,,,Percent of Total Billed Charges,,,,,80.01,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,106.68,,,,,,,Percent of Total Billed Charges,,,,,304.8,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,, TRANSFERRIN ,84466TC ,CPT,,Outpatient,,,134.5,107.6,100.47,,,,,,,Percent of Total Billed Charges,,100.47,100.47,,134.5,,,,,,,Percent of Total Billed Charges,,,,,129.12,,,,,,,Percent of Total Billed Charges,,,,,127.78,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,114.33,,,,,,,Percent of Total Billed Charges,,,,,28.25,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,121.05,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,,,37.66,,,,,,,Percent of Total Billed Charges,,,,,107.6,,,,,,,Percent of Total Billed Charges,,,,,26.9,,,,,,,Percent of Total Billed Charges,,,, .BCR/ABL QUANT B2A2 ,81206TC ,CPT,,Outpatient,,,1502,1201.6,1121.99,,,,,,,Percent of Total Billed Charges,,1121.99,1121.99,,1502,,,,,,,Percent of Total Billed Charges,,,,,1441.92,,,,,,,Percent of Total Billed Charges,,,,,1426.9,,,,,,,Percent of Total Billed Charges,,,,,300.4,,,,,,,Percent of Total Billed Charges,,,,,1276.7,,,,,,,Percent of Total Billed Charges,,,,,315.42,,,,,,,Percent of Total Billed Charges,,,,,1351.8,,,,,,,Percent of Total Billed Charges,,,,,1351.8,,,,,,,Percent of Total Billed Charges,,,,,300.4,,,,,,,Percent of Total Billed Charges,,,,,420.56,,,,,,,Percent of Total Billed Charges,,,,,1201.6,,,,,,,Percent of Total Billed Charges,,,,,300.4,,,,,,,Percent of Total Billed Charges,,,, ENTEROVIRUS QUANT. REAL-TIME PCR ,87799TC ,CPT,,Outpatient,,,1856,1484.8,1386.43,,,,,,,Percent of Total Billed Charges,,1386.43,1386.43,,1856,,,,,,,Percent of Total Billed Charges,,,,,1781.76,,,,,,,Percent of Total Billed Charges,,,,,1763.2,,,,,,,Percent of Total Billed Charges,,,,,371.2,,,,,,,Percent of Total Billed Charges,,,,,1577.6,,,,,,,Percent of Total Billed Charges,,,,,389.76,,,,,,,Percent of Total Billed Charges,,,,,1670.4,,,,,,,Percent of Total Billed Charges,,,,,1670.4,,,,,,,Percent of Total Billed Charges,,,,,371.2,,,,,,,Percent of Total Billed Charges,,,,,519.68,,,,,,,Percent of Total Billed Charges,,,,,1484.8,,,,,,,Percent of Total Billed Charges,,,,,371.2,,,,,,,Percent of Total Billed Charges,,,, HEPARIN ASSOC. (INDUCED) AB ,86022TC ,CPT,,Outpatient,,,347,277.6,259.21,,,,,,,Percent of Total Billed Charges,,259.21,259.21,,347,,,,,,,Percent of Total Billed Charges,,,,,333.12,,,,,,,Percent of Total Billed Charges,,,,,329.65,,,,,,,Percent of Total Billed Charges,,,,,69.4,,,,,,,Percent of Total Billed Charges,,,,,294.95,,,,,,,Percent of Total Billed Charges,,,,,72.87,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,69.4,,,,,,,Percent of Total Billed Charges,,,,,97.16,,,,,,,Percent of Total Billed Charges,,,,,277.6,,,,,,,Percent of Total Billed Charges,,,,,69.4,,,,,,,Percent of Total Billed Charges,,,, .PROTIME M W F ,85610TC ,CPT,,Outpatient,,,93.5,74.8,69.84,,,,,,,Percent of Total Billed Charges,,69.84,69.84,,93.5,,,,,,,Percent of Total Billed Charges,,,,,89.76,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,79.48,,,,,,,Percent of Total Billed Charges,,,,,19.64,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,26.18,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,, .PROTIME M TH ,85610TC ,CPT,,Outpatient,,,93.5,74.8,69.84,,,,,,,Percent of Total Billed Charges,,69.84,69.84,,93.5,,,,,,,Percent of Total Billed Charges,,,,,89.76,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,79.48,,,,,,,Percent of Total Billed Charges,,,,,19.64,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,26.18,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,, ".PNEUMOCOCCAL ABS, IGG 23 ",86317TC ,CPT,,Outpatient,,,517,413.6,386.2,,,,,,,Percent of Total Billed Charges,,386.2,386.2,,517,,,,,,,Percent of Total Billed Charges,,,,,496.32,,,,,,,Percent of Total Billed Charges,,,,,491.15,,,,,,,Percent of Total Billed Charges,,,,,103.4,,,,,,,Percent of Total Billed Charges,,,,,439.45,,,,,,,Percent of Total Billed Charges,,,,,108.57,,,,,,,Percent of Total Billed Charges,,,,,465.3,,,,,,,Percent of Total Billed Charges,,,,,465.3,,,,,,,Percent of Total Billed Charges,,,,,103.4,,,,,,,Percent of Total Billed Charges,,,,,144.76,,,,,,,Percent of Total Billed Charges,,,,,413.6,,,,,,,Percent of Total Billed Charges,,,,,103.4,,,,,,,Percent of Total Billed Charges,,,, MTHFR GENE MUTATION ,81291TC ,CPT,,Outpatient,,,1206,964.8,900.88,,,,,,,Percent of Total Billed Charges,,900.88,900.88,,1206,,,,,,,Percent of Total Billed Charges,,,,,1157.76,,,,,,,Percent of Total Billed Charges,,,,,1145.7,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,1025.1,,,,,,,Percent of Total Billed Charges,,,,,253.26,,,,,,,Percent of Total Billed Charges,,,,,1085.4,,,,,,,Percent of Total Billed Charges,,,,,1085.4,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,337.68,,,,,,,Percent of Total Billed Charges,,,,,964.8,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,, ADIPONECTIN ,83520TC ,CPT,,Outpatient,,,494.5,395.6,369.39,,,,,,,Percent of Total Billed Charges,,369.39,369.39,,494.5,,,,,,,Percent of Total Billed Charges,,,,,474.72,,,,,,,Percent of Total Billed Charges,,,,,469.78,,,,,,,Percent of Total Billed Charges,,,,,98.9,,,,,,,Percent of Total Billed Charges,,,,,420.33,,,,,,,Percent of Total Billed Charges,,,,,103.85,,,,,,,Percent of Total Billed Charges,,,,,445.05,,,,,,,Percent of Total Billed Charges,,,,,445.05,,,,,,,Percent of Total Billed Charges,,,,,98.9,,,,,,,Percent of Total Billed Charges,,,,,138.46,,,,,,,Percent of Total Billed Charges,,,,,395.6,,,,,,,Percent of Total Billed Charges,,,,,98.9,,,,,,,Percent of Total Billed Charges,,,, IGF BINDING PROTEIN-3 ,82397TC ,CPT,,Outpatient,,,197.5,158,147.53,,,,,,,Percent of Total Billed Charges,,147.53,147.53,,197.5,,,,,,,Percent of Total Billed Charges,,,,,189.6,,,,,,,Percent of Total Billed Charges,,,,,187.63,,,,,,,Percent of Total Billed Charges,,,,,39.5,,,,,,,Percent of Total Billed Charges,,,,,167.88,,,,,,,Percent of Total Billed Charges,,,,,41.48,,,,,,,Percent of Total Billed Charges,,,,,177.75,,,,,,,Percent of Total Billed Charges,,,,,177.75,,,,,,,Percent of Total Billed Charges,,,,,39.5,,,,,,,Percent of Total Billed Charges,,,,,55.3,,,,,,,Percent of Total Billed Charges,,,,,158,,,,,,,Percent of Total Billed Charges,,,,,39.5,,,,,,,Percent of Total Billed Charges,,,, ".C-TELOPEPTIDE, B-CROSS-LINKED ",82523TC ,CPT,,Outpatient,,,252.5,202,188.62,,,,,,,Percent of Total Billed Charges,,188.62,188.62,,252.5,,,,,,,Percent of Total Billed Charges,,,,,242.4,,,,,,,Percent of Total Billed Charges,,,,,239.88,,,,,,,Percent of Total Billed Charges,,,,,50.5,,,,,,,Percent of Total Billed Charges,,,,,214.63,,,,,,,Percent of Total Billed Charges,,,,,53.03,,,,,,,Percent of Total Billed Charges,,,,,227.25,,,,,,,Percent of Total Billed Charges,,,,,227.25,,,,,,,Percent of Total Billed Charges,,,,,50.5,,,,,,,Percent of Total Billed Charges,,,,,70.7,,,,,,,Percent of Total Billed Charges,,,,,202,,,,,,,Percent of Total Billed Charges,,,,,50.5,,,,,,,Percent of Total Billed Charges,,,, TUMOR NECROSIS FACTOR - ALPHA ,83520TC ,CPT,,Outpatient,,,262,209.6,195.71,,,,,,,Percent of Total Billed Charges,,195.71,195.71,,262,,,,,,,Percent of Total Billed Charges,,,,,251.52,,,,,,,Percent of Total Billed Charges,,,,,248.9,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,222.7,,,,,,,Percent of Total Billed Charges,,,,,55.02,,,,,,,Percent of Total Billed Charges,,,,,235.8,,,,,,,Percent of Total Billed Charges,,,,,235.8,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,73.36,,,,,,,Percent of Total Billed Charges,,,,,209.6,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,, PREGNENOLONE ,84140TC ,CPT,,Outpatient,,,249,199.2,186,,,,,,,Percent of Total Billed Charges,,186,186,,249,,,,,,,Percent of Total Billed Charges,,,,,239.04,,,,,,,Percent of Total Billed Charges,,,,,236.55,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,211.65,,,,,,,Percent of Total Billed Charges,,,,,52.29,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,199.2,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,, APOLIPOPROTEIN E 2 MUTATIONS ,81401TC ,CPT,,Outpatient,,,349,279.2,260.7,,,,,,,Percent of Total Billed Charges,,260.7,260.7,,349,,,,,,,Percent of Total Billed Charges,,,,,335.04,,,,,,,Percent of Total Billed Charges,,,,,331.55,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,296.65,,,,,,,Percent of Total Billed Charges,,,,,73.29,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,97.72,,,,,,,Percent of Total Billed Charges,,,,,279.2,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,, .BASIC METABOLIC PROFILE M-W-F ,80048TC ,CPT,,Outpatient,,,349,279.2,260.7,,,,,,,Percent of Total Billed Charges,,260.7,260.7,,349,,,,,,,Percent of Total Billed Charges,,,,,335.04,,,,,,,Percent of Total Billed Charges,,,,,331.55,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,296.65,,,,,,,Percent of Total Billed Charges,,,,,73.29,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,97.72,,,,,,,Percent of Total Billed Charges,,,,,279.2,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,, POSACONAZOLE ,80187TC ,CPT,,Outpatient,,,614.5,491.6,459.03,,,,,,,Percent of Total Billed Charges,,459.03,459.03,,614.5,,,,,,,Percent of Total Billed Charges,,,,,589.92,,,,,,,Percent of Total Billed Charges,,,,,583.78,,,,,,,Percent of Total Billed Charges,,,,,122.9,,,,,,,Percent of Total Billed Charges,,,,,522.33,,,,,,,Percent of Total Billed Charges,,,,,129.05,,,,,,,Percent of Total Billed Charges,,,,,553.05,,,,,,,Percent of Total Billed Charges,,,,,553.05,,,,,,,Percent of Total Billed Charges,,,,,122.9,,,,,,,Percent of Total Billed Charges,,,,,172.06,,,,,,,Percent of Total Billed Charges,,,,,491.6,,,,,,,Percent of Total Billed Charges,,,,,122.9,,,,,,,Percent of Total Billed Charges,,,, ITRACONAZOLE ,80189TC ,CPT,,Outpatient,,,286.5,229.2,214.02,,,,,,,Percent of Total Billed Charges,,214.02,214.02,,286.5,,,,,,,Percent of Total Billed Charges,,,,,275.04,,,,,,,Percent of Total Billed Charges,,,,,272.18,,,,,,,Percent of Total Billed Charges,,,,,57.3,,,,,,,Percent of Total Billed Charges,,,,,243.53,,,,,,,Percent of Total Billed Charges,,,,,60.17,,,,,,,Percent of Total Billed Charges,,,,,257.85,,,,,,,Percent of Total Billed Charges,,,,,257.85,,,,,,,Percent of Total Billed Charges,,,,,57.3,,,,,,,Percent of Total Billed Charges,,,,,80.22,,,,,,,Percent of Total Billed Charges,,,,,229.2,,,,,,,Percent of Total Billed Charges,,,,,57.3,,,,,,,Percent of Total Billed Charges,,,, "IRON, 24 HR URINE ",83540TC ,CPT,,Outpatient,,,366,292.8,273.4,,,,,,,Percent of Total Billed Charges,,273.4,273.4,,366,,,,,,,Percent of Total Billed Charges,,,,,351.36,,,,,,,Percent of Total Billed Charges,,,,,347.7,,,,,,,Percent of Total Billed Charges,,,,,73.2,,,,,,,Percent of Total Billed Charges,,,,,311.1,,,,,,,Percent of Total Billed Charges,,,,,76.86,,,,,,,Percent of Total Billed Charges,,,,,329.4,,,,,,,Percent of Total Billed Charges,,,,,329.4,,,,,,,Percent of Total Billed Charges,,,,,73.2,,,,,,,Percent of Total Billed Charges,,,,,102.48,,,,,,,Percent of Total Billed Charges,,,,,292.8,,,,,,,Percent of Total Billed Charges,,,,,73.2,,,,,,,Percent of Total Billed Charges,,,, CULTURE BLOOD FUNGAL/MYCOBATERIA ,87103TC ,CPT,,Outpatient,,,168,134.4,125.5,,,,,,,Percent of Total Billed Charges,,125.5,125.5,,168,,,,,,,Percent of Total Billed Charges,,,,,161.28,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,142.8,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,151.2,,,,,,,Percent of Total Billed Charges,,,,,151.2,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,, LACOSAMIDE ,80235TC ,CPT,,Outpatient,,,356.5,285.2,266.31,,,,,,,Percent of Total Billed Charges,,266.31,266.31,,356.5,,,,,,,Percent of Total Billed Charges,,,,,342.24,,,,,,,Percent of Total Billed Charges,,,,,338.68,,,,,,,Percent of Total Billed Charges,,,,,71.3,,,,,,,Percent of Total Billed Charges,,,,,303.03,,,,,,,Percent of Total Billed Charges,,,,,74.87,,,,,,,Percent of Total Billed Charges,,,,,320.85,,,,,,,Percent of Total Billed Charges,,,,,320.85,,,,,,,Percent of Total Billed Charges,,,,,71.3,,,,,,,Percent of Total Billed Charges,,,,,99.82,,,,,,,Percent of Total Billed Charges,,,,,285.2,,,,,,,Percent of Total Billed Charges,,,,,71.3,,,,,,,Percent of Total Billed Charges,,,, "ANTI RNP, IGG ",86235TC ,CPT,,Outpatient,,,213,170.4,159.11,,,,,,,Percent of Total Billed Charges,,159.11,159.11,,213,,,,,,,Percent of Total Billed Charges,,,,,204.48,,,,,,,Percent of Total Billed Charges,,,,,202.35,,,,,,,Percent of Total Billed Charges,,,,,42.6,,,,,,,Percent of Total Billed Charges,,,,,181.05,,,,,,,Percent of Total Billed Charges,,,,,44.73,,,,,,,Percent of Total Billed Charges,,,,,191.7,,,,,,,Percent of Total Billed Charges,,,,,191.7,,,,,,,Percent of Total Billed Charges,,,,,42.6,,,,,,,Percent of Total Billed Charges,,,,,59.64,,,,,,,Percent of Total Billed Charges,,,,,170.4,,,,,,,Percent of Total Billed Charges,,,,,42.6,,,,,,,Percent of Total Billed Charges,,,, "ANTI SMITH, IGG ",86235TC ,CPT,,Outpatient,,,108,86.4,80.68,,,,,,,Percent of Total Billed Charges,,80.68,80.68,,108,,,,,,,Percent of Total Billed Charges,,,,,103.68,,,,,,,Percent of Total Billed Charges,,,,,102.6,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,91.8,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,97.2,,,,,,,Percent of Total Billed Charges,,,,,97.2,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,, 88341 SURG PATH ,88341TC ,CPT,,Outpatient,,,274.5,219.6,205.05,,,,,,,Percent of Total Billed Charges,,205.05,205.05,,274.5,,,,,,,Percent of Total Billed Charges,,,,,263.52,,,,,,,Percent of Total Billed Charges,,,,,260.78,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,233.33,,,,,,,Percent of Total Billed Charges,,,,,57.65,,,,,,,Percent of Total Billed Charges,,,,,247.05,,,,,,,Percent of Total Billed Charges,,,,,247.05,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,76.86,,,,,,,Percent of Total Billed Charges,,,,,219.6,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,, PTT DAILY ,85730TC ,CPT,,Outpatient,,,129.5,103.6,96.74,,,,,,,Percent of Total Billed Charges,,96.74,96.74,,129.5,,,,,,,Percent of Total Billed Charges,,,,,124.32,,,,,,,Percent of Total Billed Charges,,,,,123.03,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,110.08,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,36.26,,,,,,,Percent of Total Billed Charges,,,,,103.6,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,, DONATH LANDSTEINER AB ,86941TC ,CPT,,Outpatient,,,108,86.4,80.68,,,,,,,Percent of Total Billed Charges,,80.68,80.68,,108,,,,,,,Percent of Total Billed Charges,,,,,103.68,,,,,,,Percent of Total Billed Charges,,,,,102.6,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,91.8,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,97.2,,,,,,,Percent of Total Billed Charges,,,,,97.2,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,, INFLUENZA A&B ,87502TC ,CPT,,Outpatient,,,373,298.4,278.63,,,,,,,Percent of Total Billed Charges,,278.63,278.63,,373,,,,,,,Percent of Total Billed Charges,,,,,358.08,,,,,,,Percent of Total Billed Charges,,,,,354.35,,,,,,,Percent of Total Billed Charges,,,,,74.6,,,,,,,Percent of Total Billed Charges,,,,,317.05,,,,,,,Percent of Total Billed Charges,,,,,78.33,,,,,,,Percent of Total Billed Charges,,,,,335.7,,,,,,,Percent of Total Billed Charges,,,,,335.7,,,,,,,Percent of Total Billed Charges,,,,,74.6,,,,,,,Percent of Total Billed Charges,,,,,104.44,,,,,,,Percent of Total Billed Charges,,,,,298.4,,,,,,,Percent of Total Billed Charges,,,,,74.6,,,,,,,Percent of Total Billed Charges,,,, STOOL LEUKO (WBC) ,83630TC ,CPT,,Outpatient,,,173.5,138.8,129.6,,,,,,,Percent of Total Billed Charges,,129.6,129.6,,173.5,,,,,,,Percent of Total Billed Charges,,,,,166.56,,,,,,,Percent of Total Billed Charges,,,,,164.83,,,,,,,Percent of Total Billed Charges,,,,,34.7,,,,,,,Percent of Total Billed Charges,,,,,147.48,,,,,,,Percent of Total Billed Charges,,,,,36.44,,,,,,,Percent of Total Billed Charges,,,,,156.15,,,,,,,Percent of Total Billed Charges,,,,,156.15,,,,,,,Percent of Total Billed Charges,,,,,34.7,,,,,,,Percent of Total Billed Charges,,,,,48.58,,,,,,,Percent of Total Billed Charges,,,,,138.8,,,,,,,Percent of Total Billed Charges,,,,,34.7,,,,,,,Percent of Total Billed Charges,,,, HIV 1&2 AB & AG ,87806TC ,CPT,,Outpatient,,,292.5,234,218.5,,,,,,,Percent of Total Billed Charges,,218.5,218.5,,292.5,,,,,,,Percent of Total Billed Charges,,,,,280.8,,,,,,,Percent of Total Billed Charges,,,,,277.88,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,248.63,,,,,,,Percent of Total Billed Charges,,,,,61.43,,,,,,,Percent of Total Billed Charges,,,,,263.25,,,,,,,Percent of Total Billed Charges,,,,,263.25,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,234,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,, CARNITINE FREE AND TOTAL ,82379TC ,CPT,,Outpatient,,,320,256,239.04,,,,,,,Percent of Total Billed Charges,,239.04,239.04,,320,,,,,,,Percent of Total Billed Charges,,,,,307.2,,,,,,,Percent of Total Billed Charges,,,,,304,,,,,,,Percent of Total Billed Charges,,,,,64,,,,,,,Percent of Total Billed Charges,,,,,272,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,288,,,,,,,Percent of Total Billed Charges,,,,,288,,,,,,,Percent of Total Billed Charges,,,,,64,,,,,,,Percent of Total Billed Charges,,,,,89.6,,,,,,,Percent of Total Billed Charges,,,,,256,,,,,,,Percent of Total Billed Charges,,,,,64,,,,,,,Percent of Total Billed Charges,,,, FIBROSURE HCV ,81596TC ,CPT,,Outpatient,,,1123,898.4,838.88,,,,,,,Percent of Total Billed Charges,,838.88,838.88,,1123,,,,,,,Percent of Total Billed Charges,,,,,1078.08,,,,,,,Percent of Total Billed Charges,,,,,1066.85,,,,,,,Percent of Total Billed Charges,,,,,224.6,,,,,,,Percent of Total Billed Charges,,,,,954.55,,,,,,,Percent of Total Billed Charges,,,,,235.83,,,,,,,Percent of Total Billed Charges,,,,,1010.7,,,,,,,Percent of Total Billed Charges,,,,,1010.7,,,,,,,Percent of Total Billed Charges,,,,,224.6,,,,,,,Percent of Total Billed Charges,,,,,314.44,,,,,,,Percent of Total Billed Charges,,,,,898.4,,,,,,,Percent of Total Billed Charges,,,,,224.6,,,,,,,Percent of Total Billed Charges,,,, ACETYLCHOL REC BLOCKING ANTIBODY ,83516TC ,CPT,,Outpatient,,,408.5,326.8,305.15,,,,,,,Percent of Total Billed Charges,,305.15,305.15,,408.5,,,,,,,Percent of Total Billed Charges,,,,,392.16,,,,,,,Percent of Total Billed Charges,,,,,388.08,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,,,347.23,,,,,,,Percent of Total Billed Charges,,,,,85.79,,,,,,,Percent of Total Billed Charges,,,,,367.65,,,,,,,Percent of Total Billed Charges,,,,,367.65,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,,,114.38,,,,,,,Percent of Total Billed Charges,,,,,326.8,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,, .T7 FREE THYROXINE INDEX ,84436TC ,CPT,,Outpatient,,,138.5,110.8,103.46,,,,,,,Percent of Total Billed Charges,,103.46,103.46,,138.5,,,,,,,Percent of Total Billed Charges,,,,,132.96,,,,,,,Percent of Total Billed Charges,,,,,131.58,,,,,,,Percent of Total Billed Charges,,,,,27.7,,,,,,,Percent of Total Billed Charges,,,,,117.73,,,,,,,Percent of Total Billed Charges,,,,,29.09,,,,,,,Percent of Total Billed Charges,,,,,124.65,,,,,,,Percent of Total Billed Charges,,,,,124.65,,,,,,,Percent of Total Billed Charges,,,,,27.7,,,,,,,Percent of Total Billed Charges,,,,,38.78,,,,,,,Percent of Total Billed Charges,,,,,110.8,,,,,,,Percent of Total Billed Charges,,,,,27.7,,,,,,,Percent of Total Billed Charges,,,, PARIETAL CELL AB IGG ,83516TC ,CPT,,Outpatient,,,200.5,160.4,149.77,,,,,,,Percent of Total Billed Charges,,149.77,149.77,,200.5,,,,,,,Percent of Total Billed Charges,,,,,192.48,,,,,,,Percent of Total Billed Charges,,,,,190.48,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,,,170.43,,,,,,,Percent of Total Billed Charges,,,,,42.11,,,,,,,Percent of Total Billed Charges,,,,,180.45,,,,,,,Percent of Total Billed Charges,,,,,180.45,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,,,56.14,,,,,,,Percent of Total Billed Charges,,,,,160.4,,,,,,,Percent of Total Billed Charges,,,,,40.1,,,,,,,Percent of Total Billed Charges,,,, ANTI PROTEINASE 3 AB ,83516TC ,CPT,,Outpatient,,,272.5,218,203.56,,,,,,,Percent of Total Billed Charges,,203.56,203.56,,272.5,,,,,,,Percent of Total Billed Charges,,,,,261.6,,,,,,,Percent of Total Billed Charges,,,,,258.88,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,231.63,,,,,,,Percent of Total Billed Charges,,,,,57.23,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,218,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,, .CACNA1A (MOL 033) ,81407TC ,CPT,,Outpatient,,,1522,1217.6,1136.93,,,,,,,Percent of Total Billed Charges,,1136.93,1136.93,,1522,,,,,,,Percent of Total Billed Charges,,,,,1461.12,,,,,,,Percent of Total Billed Charges,,,,,1445.9,,,,,,,Percent of Total Billed Charges,,,,,304.4,,,,,,,Percent of Total Billed Charges,,,,,1293.7,,,,,,,Percent of Total Billed Charges,,,,,319.62,,,,,,,Percent of Total Billed Charges,,,,,1369.8,,,,,,,Percent of Total Billed Charges,,,,,1369.8,,,,,,,Percent of Total Billed Charges,,,,,304.4,,,,,,,Percent of Total Billed Charges,,,,,426.16,,,,,,,Percent of Total Billed Charges,,,,,1217.6,,,,,,,Percent of Total Billed Charges,,,,,304.4,,,,,,,Percent of Total Billed Charges,,,, NMR LIPOPROFILE ,83704TC ,CPT,,Outpatient,,,186,148.8,138.94,,,,,,,Percent of Total Billed Charges,,138.94,138.94,,186,,,,,,,Percent of Total Billed Charges,,,,,178.56,,,,,,,Percent of Total Billed Charges,,,,,176.7,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,158.1,,,,,,,Percent of Total Billed Charges,,,,,39.06,,,,,,,Percent of Total Billed Charges,,,,,167.4,,,,,,,Percent of Total Billed Charges,,,,,167.4,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,52.08,,,,,,,Percent of Total Billed Charges,,,,,148.8,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,, LIVER CYTOSOLIC AG TYPE 1 AB ,86376TC ,CPT,,Outpatient,,,277.5,222,207.29,,,,,,,Percent of Total Billed Charges,,207.29,207.29,,277.5,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,263.63,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,235.88,,,,,,,Percent of Total Billed Charges,,,,,58.28,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,249.75,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,222,,,,,,,Percent of Total Billed Charges,,,,,55.5,,,,,,,Percent of Total Billed Charges,,,, .CPK Q4HR ,82550,CPT,,Outpatient,,,121,96.8,90.39,,,,,,,Percent of Total Billed Charges,,90.39,90.39,,121,,,,,,,Percent of Total Billed Charges,,,,,116.16,,,,,,,Percent of Total Billed Charges,,,,,114.95,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,102.85,,,,,,,Percent of Total Billed Charges,,,,,25.41,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,33.88,,,,,,,Percent of Total Billed Charges,,,,,96.8,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,, .TROPONIN I (Q4HR) ,84484,CPT,,Outpatient,,,121,96.8,90.39,,,,,,,Percent of Total Billed Charges,,90.39,90.39,,121,,,,,,,Percent of Total Billed Charges,,,,,116.16,,,,,,,Percent of Total Billed Charges,,,,,114.95,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,102.85,,,,,,,Percent of Total Billed Charges,,,,,25.41,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,,,33.88,,,,,,,Percent of Total Billed Charges,,,,,96.8,,,,,,,Percent of Total Billed Charges,,,,,24.2,,,,,,,Percent of Total Billed Charges,,,, FIBRINOGEN FUNCTION PANEL ,85384TC ,CPT,,Outpatient,,,186,148.8,138.94,,,,,,,Percent of Total Billed Charges,,138.94,138.94,,186,,,,,,,Percent of Total Billed Charges,,,,,178.56,,,,,,,Percent of Total Billed Charges,,,,,176.7,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,158.1,,,,,,,Percent of Total Billed Charges,,,,,39.06,,,,,,,Percent of Total Billed Charges,,,,,167.4,,,,,,,Percent of Total Billed Charges,,,,,167.4,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,52.08,,,,,,,Percent of Total Billed Charges,,,,,148.8,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,, .FAMILIAL ADENOMATOUS POLYPOSIS ,81201TC ,CPT,,Outpatient,,,1522,1217.6,1136.93,,,,,,,Percent of Total Billed Charges,,1136.93,1136.93,,1522,,,,,,,Percent of Total Billed Charges,,,,,1461.12,,,,,,,Percent of Total Billed Charges,,,,,1445.9,,,,,,,Percent of Total Billed Charges,,,,,304.4,,,,,,,Percent of Total Billed Charges,,,,,1293.7,,,,,,,Percent of Total Billed Charges,,,,,319.62,,,,,,,Percent of Total Billed Charges,,,,,1369.8,,,,,,,Percent of Total Billed Charges,,,,,1369.8,,,,,,,Percent of Total Billed Charges,,,,,304.4,,,,,,,Percent of Total Billed Charges,,,,,426.16,,,,,,,Percent of Total Billed Charges,,,,,1217.6,,,,,,,Percent of Total Billed Charges,,,,,304.4,,,,,,,Percent of Total Billed Charges,,,, HISTOPLASMA AG QUANT EIA ,87385TC ,CPT,,Outpatient,,,607.5,486,453.8,,,,,,,Percent of Total Billed Charges,,453.8,453.8,,607.5,,,,,,,Percent of Total Billed Charges,,,,,583.2,,,,,,,Percent of Total Billed Charges,,,,,577.13,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,,,516.38,,,,,,,Percent of Total Billed Charges,,,,,127.58,,,,,,,Percent of Total Billed Charges,,,,,546.75,,,,,,,Percent of Total Billed Charges,,,,,546.75,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,,,170.1,,,,,,,Percent of Total Billed Charges,,,,,486,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,, UUN (URINE UREA NITROGEN) RANDOM ,84540TC ,CPT,,Outpatient,,,67,53.6,50.05,,,,,,,Percent of Total Billed Charges,,50.05,50.05,,67,,,,,,,Percent of Total Billed Charges,,,,,64.32,,,,,,,Percent of Total Billed Charges,,,,,63.65,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,56.95,,,,,,,Percent of Total Billed Charges,,,,,14.07,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,,,18.76,,,,,,,Percent of Total Billed Charges,,,,,53.6,,,,,,,Percent of Total Billed Charges,,,,,13.4,,,,,,,Percent of Total Billed Charges,,,, BLASTOMYCES BY IMMUNODIFFUSION ,86612TC ,CPT,,Outpatient,,,214,171.2,159.86,,,,,,,Percent of Total Billed Charges,,159.86,159.86,,214,,,,,,,Percent of Total Billed Charges,,,,,205.44,,,,,,,Percent of Total Billed Charges,,,,,203.3,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,,,181.9,,,,,,,Percent of Total Billed Charges,,,,,44.94,,,,,,,Percent of Total Billed Charges,,,,,192.6,,,,,,,Percent of Total Billed Charges,,,,,192.6,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,,,59.92,,,,,,,Percent of Total Billed Charges,,,,,171.2,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,, HLA B5701 ,81381TC ,CPT,,Outpatient,,,591,472.8,441.48,,,,,,,Percent of Total Billed Charges,,441.48,441.48,,591,,,,,,,Percent of Total Billed Charges,,,,,567.36,,,,,,,Percent of Total Billed Charges,,,,,561.45,,,,,,,Percent of Total Billed Charges,,,,,118.2,,,,,,,Percent of Total Billed Charges,,,,,502.35,,,,,,,Percent of Total Billed Charges,,,,,124.11,,,,,,,Percent of Total Billed Charges,,,,,531.9,,,,,,,Percent of Total Billed Charges,,,,,531.9,,,,,,,Percent of Total Billed Charges,,,,,118.2,,,,,,,Percent of Total Billed Charges,,,,,165.48,,,,,,,Percent of Total Billed Charges,,,,,472.8,,,,,,,Percent of Total Billed Charges,,,,,118.2,,,,,,,Percent of Total Billed Charges,,,, COCCIDIOIDES AB BY IMMUNODIFFUSION ,86635TC ,CPT,,Outpatient,,,199.5,159.6,149.03,,,,,,,Percent of Total Billed Charges,,149.03,149.03,,199.5,,,,,,,Percent of Total Billed Charges,,,,,191.52,,,,,,,Percent of Total Billed Charges,,,,,189.53,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,169.58,,,,,,,Percent of Total Billed Charges,,,,,41.9,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,179.55,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,55.86,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,, .AFP ,82105TC ,CPT,,Outpatient,,,178.5,142.8,133.34,,,,,,,Percent of Total Billed Charges,,133.34,133.34,,178.5,,,,,,,Percent of Total Billed Charges,,,,,171.36,,,,,,,Percent of Total Billed Charges,,,,,169.58,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,151.73,,,,,,,Percent of Total Billed Charges,,,,,37.49,,,,,,,Percent of Total Billed Charges,,,,,160.65,,,,,,,Percent of Total Billed Charges,,,,,160.65,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,49.98,,,,,,,Percent of Total Billed Charges,,,,,142.8,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,, .HCG ,84702TC ,CPT,,Outpatient,,,285.5,228.4,213.27,,,,,,,Percent of Total Billed Charges,,213.27,213.27,,285.5,,,,,,,Percent of Total Billed Charges,,,,,274.08,,,,,,,Percent of Total Billed Charges,,,,,271.23,,,,,,,Percent of Total Billed Charges,,,,,57.1,,,,,,,Percent of Total Billed Charges,,,,,242.68,,,,,,,Percent of Total Billed Charges,,,,,59.96,,,,,,,Percent of Total Billed Charges,,,,,256.95,,,,,,,Percent of Total Billed Charges,,,,,256.95,,,,,,,Percent of Total Billed Charges,,,,,57.1,,,,,,,Percent of Total Billed Charges,,,,,79.94,,,,,,,Percent of Total Billed Charges,,,,,228.4,,,,,,,Percent of Total Billed Charges,,,,,57.1,,,,,,,Percent of Total Billed Charges,,,, ASPERGILLUS AB BY CF ,86606TC ,CPT,,Outpatient,,,256,204.8,191.23,,,,,,,Percent of Total Billed Charges,,191.23,191.23,,256,,,,,,,Percent of Total Billed Charges,,,,,245.76,,,,,,,Percent of Total Billed Charges,,,,,243.2,,,,,,,Percent of Total Billed Charges,,,,,51.2,,,,,,,Percent of Total Billed Charges,,,,,217.6,,,,,,,Percent of Total Billed Charges,,,,,53.76,,,,,,,Percent of Total Billed Charges,,,,,230.4,,,,,,,Percent of Total Billed Charges,,,,,230.4,,,,,,,Percent of Total Billed Charges,,,,,51.2,,,,,,,Percent of Total Billed Charges,,,,,71.68,,,,,,,Percent of Total Billed Charges,,,,,204.8,,,,,,,Percent of Total Billed Charges,,,,,51.2,,,,,,,Percent of Total Billed Charges,,,, .ESTRIOL ,82677TC ,CPT,,Outpatient,,,49,39.2,36.6,,,,,,,Percent of Total Billed Charges,,36.6,36.6,,49,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,46.55,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,41.65,,,,,,,Percent of Total Billed Charges,,,,,10.29,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,13.72,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,, 88237 SURG PATH ,88237TC ,CPT,,Outpatient,,,301.5,241.2,225.22,,,,,,,Percent of Total Billed Charges,,225.22,225.22,,301.5,,,,,,,Percent of Total Billed Charges,,,,,289.44,,,,,,,Percent of Total Billed Charges,,,,,286.43,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,256.28,,,,,,,Percent of Total Billed Charges,,,,,63.32,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,84.42,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,, 88280 SURG PATH ,88280TC ,CPT,,Outpatient,,,401,320.8,299.55,,,,,,,Percent of Total Billed Charges,,299.55,299.55,,401,,,,,,,Percent of Total Billed Charges,,,,,384.96,,,,,,,Percent of Total Billed Charges,,,,,380.95,,,,,,,Percent of Total Billed Charges,,,,,80.2,,,,,,,Percent of Total Billed Charges,,,,,340.85,,,,,,,Percent of Total Billed Charges,,,,,84.21,,,,,,,Percent of Total Billed Charges,,,,,360.9,,,,,,,Percent of Total Billed Charges,,,,,360.9,,,,,,,Percent of Total Billed Charges,,,,,80.2,,,,,,,Percent of Total Billed Charges,,,,,112.28,,,,,,,Percent of Total Billed Charges,,,,,320.8,,,,,,,Percent of Total Billed Charges,,,,,80.2,,,,,,,Percent of Total Billed Charges,,,, .INHIBIN-A (DIMER) ,86336TC ,CPT,,Outpatient,,,133.5,106.8,99.72,,,,,,,Percent of Total Billed Charges,,99.72,99.72,,133.5,,,,,,,Percent of Total Billed Charges,,,,,128.16,,,,,,,Percent of Total Billed Charges,,,,,126.83,,,,,,,Percent of Total Billed Charges,,,,,26.7,,,,,,,Percent of Total Billed Charges,,,,,113.48,,,,,,,Percent of Total Billed Charges,,,,,28.04,,,,,,,Percent of Total Billed Charges,,,,,120.15,,,,,,,Percent of Total Billed Charges,,,,,120.15,,,,,,,Percent of Total Billed Charges,,,,,26.7,,,,,,,Percent of Total Billed Charges,,,,,37.38,,,,,,,Percent of Total Billed Charges,,,,,106.8,,,,,,,Percent of Total Billed Charges,,,,,26.7,,,,,,,Percent of Total Billed Charges,,,, INSULIN FASTING ,83525TC ,CPT,,Outpatient,,,88.5,70.8,66.11,,,,,,,Percent of Total Billed Charges,,66.11,66.11,,88.5,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,84.08,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,75.23,,,,,,,Percent of Total Billed Charges,,,,,18.59,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,, VITAMIN B 3 (NIACIN) ,84425TC ,CPT,,Outpatient,,,231,184.8,172.56,,,,,,,Percent of Total Billed Charges,,172.56,172.56,,231,,,,,,,Percent of Total Billed Charges,,,,,221.76,,,,,,,Percent of Total Billed Charges,,,,,219.45,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,196.35,,,,,,,Percent of Total Billed Charges,,,,,48.51,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,, FISH PANEL MM 88377 ,88377TC ,CPT,,Outpatient,,,1894.5,1515.6,1415.19,,,,,,,Percent of Total Billed Charges,,1415.19,1415.19,,1894.5,,,,,,,Percent of Total Billed Charges,,,,,1818.72,,,,,,,Percent of Total Billed Charges,,,,,1799.78,,,,,,,Percent of Total Billed Charges,,,,,378.9,,,,,,,Percent of Total Billed Charges,,,,,1610.33,,,,,,,Percent of Total Billed Charges,,,,,397.85,,,,,,,Percent of Total Billed Charges,,,,,1705.05,,,,,,,Percent of Total Billed Charges,,,,,1705.05,,,,,,,Percent of Total Billed Charges,,,,,378.9,,,,,,,Percent of Total Billed Charges,,,,,530.46,,,,,,,Percent of Total Billed Charges,,,,,1515.6,,,,,,,Percent of Total Billed Charges,,,,,378.9,,,,,,,Percent of Total Billed Charges,,,, FISH PANEL MM 88368 ,88368TC ,CPT,,Outpatient,,,1894.5,1515.6,1415.19,,,,,,,Percent of Total Billed Charges,,1415.19,1415.19,,1894.5,,,,,,,Percent of Total Billed Charges,,,,,1818.72,,,,,,,Percent of Total Billed Charges,,,,,1799.78,,,,,,,Percent of Total Billed Charges,,,,,378.9,,,,,,,Percent of Total Billed Charges,,,,,1610.33,,,,,,,Percent of Total Billed Charges,,,,,397.85,,,,,,,Percent of Total Billed Charges,,,,,1705.05,,,,,,,Percent of Total Billed Charges,,,,,1705.05,,,,,,,Percent of Total Billed Charges,,,,,378.9,,,,,,,Percent of Total Billed Charges,,,,,530.46,,,,,,,Percent of Total Billed Charges,,,,,1515.6,,,,,,,Percent of Total Billed Charges,,,,,378.9,,,,,,,Percent of Total Billed Charges,,,, STOOL FILMARRAY PCR ,87507TC ,CPT,,Outpatient,,,1165.5,932.4,870.63,,,,,,,Percent of Total Billed Charges,,870.63,870.63,,1165.5,,,,,,,Percent of Total Billed Charges,,,,,1118.88,,,,,,,Percent of Total Billed Charges,,,,,1107.23,,,,,,,Percent of Total Billed Charges,,,,,233.1,,,,,,,Percent of Total Billed Charges,,,,,990.68,,,,,,,Percent of Total Billed Charges,,,,,244.76,,,,,,,Percent of Total Billed Charges,,,,,1048.95,,,,,,,Percent of Total Billed Charges,,,,,1048.95,,,,,,,Percent of Total Billed Charges,,,,,233.1,,,,,,,Percent of Total Billed Charges,,,,,326.34,,,,,,,Percent of Total Billed Charges,,,,,932.4,,,,,,,Percent of Total Billed Charges,,,,,233.1,,,,,,,Percent of Total Billed Charges,,,, BETA-HYDROXYBUTYRATE (KETONE) ,82010TC ,CPT,,Outpatient,,,104.5,83.6,78.06,,,,,,,Percent of Total Billed Charges,,78.06,78.06,,104.5,,,,,,,Percent of Total Billed Charges,,,,,100.32,,,,,,,Percent of Total Billed Charges,,,,,99.28,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,21.95,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,29.26,,,,,,,Percent of Total Billed Charges,,,,,83.6,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,, "EHRLICHIA AND ANAPLASMA, PCR ",87468TC ,CPT,,Outpatient,,,817.5,654,610.67,,,,,,,Percent of Total Billed Charges,,610.67,610.67,,817.5,,,,,,,Percent of Total Billed Charges,,,,,784.8,,,,,,,Percent of Total Billed Charges,,,,,776.63,,,,,,,Percent of Total Billed Charges,,,,,163.5,,,,,,,Percent of Total Billed Charges,,,,,694.88,,,,,,,Percent of Total Billed Charges,,,,,171.68,,,,,,,Percent of Total Billed Charges,,,,,735.75,,,,,,,Percent of Total Billed Charges,,,,,735.75,,,,,,,Percent of Total Billed Charges,,,,,163.5,,,,,,,Percent of Total Billed Charges,,,,,228.9,,,,,,,Percent of Total Billed Charges,,,,,654,,,,,,,Percent of Total Billed Charges,,,,,163.5,,,,,,,Percent of Total Billed Charges,,,, MAGNESIUM URINE RANDOM ,83735TC ,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, "RUFINAMIDE (BANZEL), SERUM ",80210TC ,CPT,,Outpatient,,,566.5,453.2,423.18,,,,,,,Percent of Total Billed Charges,,423.18,423.18,,566.5,,,,,,,Percent of Total Billed Charges,,,,,543.84,,,,,,,Percent of Total Billed Charges,,,,,538.18,,,,,,,Percent of Total Billed Charges,,,,,113.3,,,,,,,Percent of Total Billed Charges,,,,,481.53,,,,,,,Percent of Total Billed Charges,,,,,118.97,,,,,,,Percent of Total Billed Charges,,,,,509.85,,,,,,,Percent of Total Billed Charges,,,,,509.85,,,,,,,Percent of Total Billed Charges,,,,,113.3,,,,,,,Percent of Total Billed Charges,,,,,158.62,,,,,,,Percent of Total Billed Charges,,,,,453.2,,,,,,,Percent of Total Billed Charges,,,,,113.3,,,,,,,Percent of Total Billed Charges,,,, .FAMILIAL HYPERCHOLESTEROLEMIA SNAGER SE,81479TC ,CPT,,Outpatient,,,3511,2808.8,2622.72,,,,,,,Percent of Total Billed Charges,,2622.72,2622.72,,3511,,,,,,,Percent of Total Billed Charges,,,,,3370.56,,,,,,,Percent of Total Billed Charges,,,,,3335.45,,,,,,,Percent of Total Billed Charges,,,,,702.2,,,,,,,Percent of Total Billed Charges,,,,,2984.35,,,,,,,Percent of Total Billed Charges,,,,,737.31,,,,,,,Percent of Total Billed Charges,,,,,3159.9,,,,,,,Percent of Total Billed Charges,,,,,3159.9,,,,,,,Percent of Total Billed Charges,,,,,702.2,,,,,,,Percent of Total Billed Charges,,,,,983.08,,,,,,,Percent of Total Billed Charges,,,,,2808.8,,,,,,,Percent of Total Billed Charges,,,,,702.2,,,,,,,Percent of Total Billed Charges,,,, CSF FILMARRAY PCR ,87798TC ,CPT,,Outpatient,,,1081.5,865.2,807.88,,,,,,,Percent of Total Billed Charges,,807.88,807.88,,1081.5,,,,,,,Percent of Total Billed Charges,,,,,1038.24,,,,,,,Percent of Total Billed Charges,,,,,1027.43,,,,,,,Percent of Total Billed Charges,,,,,216.3,,,,,,,Percent of Total Billed Charges,,,,,919.28,,,,,,,Percent of Total Billed Charges,,,,,227.12,,,,,,,Percent of Total Billed Charges,,,,,973.35,,,,,,,Percent of Total Billed Charges,,,,,973.35,,,,,,,Percent of Total Billed Charges,,,,,216.3,,,,,,,Percent of Total Billed Charges,,,,,302.82,,,,,,,Percent of Total Billed Charges,,,,,865.2,,,,,,,Percent of Total Billed Charges,,,,,216.3,,,,,,,Percent of Total Billed Charges,,,, SPECIMEN DEFIN ID ,87077TC ,CPT,,Outpatient,,,39.5,31.6,29.51,,,,,,,Percent of Total Billed Charges,,29.51,29.51,,39.5,,,,,,,Percent of Total Billed Charges,,,,,37.92,,,,,,,Percent of Total Billed Charges,,,,,37.53,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,33.58,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,11.06,,,,,,,Percent of Total Billed Charges,,,,,31.6,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,, SUSCEPT TESTING MIC/INTERP ,87186TC ,CPT,,Outpatient,,,100,80,74.7,,,,,,,Percent of Total Billed Charges,,74.7,74.7,,100,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,95,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,85,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,, 88185 EA ADDITINAL MARKER ,88185TC ,CPT,,Outpatient,,,37,29.6,27.64,,,,,,,Percent of Total Billed Charges,,27.64,27.64,,37,,,,,,,Percent of Total Billed Charges,,,,,35.52,,,,,,,Percent of Total Billed Charges,,,,,35.15,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,,,31.45,,,,,,,Percent of Total Billed Charges,,,,,7.77,,,,,,,Percent of Total Billed Charges,,,,,33.3,,,,,,,Percent of Total Billed Charges,,,,,33.3,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,,,10.36,,,,,,,Percent of Total Billed Charges,,,,,29.6,,,,,,,Percent of Total Billed Charges,,,,,7.4,,,,,,,Percent of Total Billed Charges,,,, DRUG SCREEN K2 (SYNTHETIC THC) ,250,RC,,Outpatient,,,87.5,70,65.36,,,,,,,Percent of Total Billed Charges,,65.36,65.36,,87.5,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,83.13,,,,,,,Percent of Total Billed Charges,,,,,17.5,,,,,,,Percent of Total Billed Charges,,,,,74.38,,,,,,,Percent of Total Billed Charges,,,,,18.38,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,17.5,,,,,,,Percent of Total Billed Charges,,,,,24.5,,,,,,,Percent of Total Billed Charges,,,,,70,,,,,,,Percent of Total Billed Charges,,,,,17.5,,,,,,,Percent of Total Billed Charges,,,, .RESPIRATORY PCR PANEL ,87486TC ,CPT,,Outpatient,,,578,462.4,431.77,,,,,,,Percent of Total Billed Charges,,431.77,431.77,,578,,,,,,,Percent of Total Billed Charges,,,,,554.88,,,,,,,Percent of Total Billed Charges,,,,,549.1,,,,,,,Percent of Total Billed Charges,,,,,115.6,,,,,,,Percent of Total Billed Charges,,,,,491.3,,,,,,,Percent of Total Billed Charges,,,,,121.38,,,,,,,Percent of Total Billed Charges,,,,,520.2,,,,,,,Percent of Total Billed Charges,,,,,520.2,,,,,,,Percent of Total Billed Charges,,,,,115.6,,,,,,,Percent of Total Billed Charges,,,,,161.84,,,,,,,Percent of Total Billed Charges,,,,,462.4,,,,,,,Percent of Total Billed Charges,,,,,115.6,,,,,,,Percent of Total Billed Charges,,,, "BILE ACIDS, TOTAL ",82239TC ,CPT,,Outpatient,,,178.5,142.8,133.34,,,,,,,Percent of Total Billed Charges,,133.34,133.34,,178.5,,,,,,,Percent of Total Billed Charges,,,,,171.36,,,,,,,Percent of Total Billed Charges,,,,,169.58,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,151.73,,,,,,,Percent of Total Billed Charges,,,,,37.49,,,,,,,Percent of Total Billed Charges,,,,,160.65,,,,,,,Percent of Total Billed Charges,,,,,160.65,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,49.98,,,,,,,Percent of Total Billed Charges,,,,,142.8,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,, ANTI IA2 ,86341TC ,CPT,,Outpatient,,,264,211.2,197.21,,,,,,,Percent of Total Billed Charges,,197.21,197.21,,264,,,,,,,Percent of Total Billed Charges,,,,,253.44,,,,,,,Percent of Total Billed Charges,,,,,250.8,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,224.4,,,,,,,Percent of Total Billed Charges,,,,,55.44,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,211.2,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,, INSULIN ANTIBODY ,86337TC ,CPT,,Outpatient,,,214,171.2,159.86,,,,,,,Percent of Total Billed Charges,,159.86,159.86,,214,,,,,,,Percent of Total Billed Charges,,,,,205.44,,,,,,,Percent of Total Billed Charges,,,,,203.3,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,,,181.9,,,,,,,Percent of Total Billed Charges,,,,,44.94,,,,,,,Percent of Total Billed Charges,,,,,192.6,,,,,,,Percent of Total Billed Charges,,,,,192.6,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,,,59.92,,,,,,,Percent of Total Billed Charges,,,,,171.2,,,,,,,Percent of Total Billed Charges,,,,,42.8,,,,,,,Percent of Total Billed Charges,,,, GC - CHLAMYDIA BY AMP PRB RECTAL ,87491TC ,CPT,,Outpatient,,,166,132.8,124,,,,,,,Percent of Total Billed Charges,,124,124,,166,,,,,,,Percent of Total Billed Charges,,,,,159.36,,,,,,,Percent of Total Billed Charges,,,,,157.7,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,141.1,,,,,,,Percent of Total Billed Charges,,,,,34.86,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,46.48,,,,,,,Percent of Total Billed Charges,,,,,132.8,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,, PROTEIN C FUNCTIONAL ,85303TC ,CPT,,Outpatient,,,181,144.8,135.21,,,,,,,Percent of Total Billed Charges,,135.21,135.21,,181,,,,,,,Percent of Total Billed Charges,,,,,173.76,,,,,,,Percent of Total Billed Charges,,,,,171.95,,,,,,,Percent of Total Billed Charges,,,,,36.2,,,,,,,Percent of Total Billed Charges,,,,,153.85,,,,,,,Percent of Total Billed Charges,,,,,38.01,,,,,,,Percent of Total Billed Charges,,,,,162.9,,,,,,,Percent of Total Billed Charges,,,,,162.9,,,,,,,Percent of Total Billed Charges,,,,,36.2,,,,,,,Percent of Total Billed Charges,,,,,50.68,,,,,,,Percent of Total Billed Charges,,,,,144.8,,,,,,,Percent of Total Billed Charges,,,,,36.2,,,,,,,Percent of Total Billed Charges,,,, INTRINSIC FACTOR AB ,86340TC ,CPT,,Outpatient,,,149.5,119.6,111.68,,,,,,,Percent of Total Billed Charges,,111.68,111.68,,149.5,,,,,,,Percent of Total Billed Charges,,,,,143.52,,,,,,,Percent of Total Billed Charges,,,,,142.03,,,,,,,Percent of Total Billed Charges,,,,,29.9,,,,,,,Percent of Total Billed Charges,,,,,127.08,,,,,,,Percent of Total Billed Charges,,,,,31.4,,,,,,,Percent of Total Billed Charges,,,,,134.55,,,,,,,Percent of Total Billed Charges,,,,,134.55,,,,,,,Percent of Total Billed Charges,,,,,29.9,,,,,,,Percent of Total Billed Charges,,,,,41.86,,,,,,,Percent of Total Billed Charges,,,,,119.6,,,,,,,Percent of Total Billed Charges,,,,,29.9,,,,,,,Percent of Total Billed Charges,,,, RAST- RESP DIS PROFILE 8 ,86003TC ,CPT,,Outpatient,,,928,742.4,693.22,,,,,,,Percent of Total Billed Charges,,693.22,693.22,,928,,,,,,,Percent of Total Billed Charges,,,,,890.88,,,,,,,Percent of Total Billed Charges,,,,,881.6,,,,,,,Percent of Total Billed Charges,,,,,185.6,,,,,,,Percent of Total Billed Charges,,,,,788.8,,,,,,,Percent of Total Billed Charges,,,,,194.88,,,,,,,Percent of Total Billed Charges,,,,,835.2,,,,,,,Percent of Total Billed Charges,,,,,835.2,,,,,,,Percent of Total Billed Charges,,,,,185.6,,,,,,,Percent of Total Billed Charges,,,,,259.84,,,,,,,Percent of Total Billed Charges,,,,,742.4,,,,,,,Percent of Total Billed Charges,,,,,185.6,,,,,,,Percent of Total Billed Charges,,,, "SMOOTH MUSCLE AB, REFLEX ",86256TC ,CPT,,Outpatient,,,121.5,97.2,90.76,,,,,,,Percent of Total Billed Charges,,90.76,90.76,,121.5,,,,,,,Percent of Total Billed Charges,,,,,116.64,,,,,,,Percent of Total Billed Charges,,,,,115.43,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,103.28,,,,,,,Percent of Total Billed Charges,,,,,25.52,,,,,,,Percent of Total Billed Charges,,,,,109.35,,,,,,,Percent of Total Billed Charges,,,,,109.35,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,34.02,,,,,,,Percent of Total Billed Charges,,,,,97.2,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,, "ANA, REFLEX ",86039TC ,CPT,,Outpatient,,,152,121.6,113.54,,,,,,,Percent of Total Billed Charges,,113.54,113.54,,152,,,,,,,Percent of Total Billed Charges,,,,,145.92,,,,,,,Percent of Total Billed Charges,,,,,144.4,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,,,129.2,,,,,,,Percent of Total Billed Charges,,,,,31.92,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,,,42.56,,,,,,,Percent of Total Billed Charges,,,,,121.6,,,,,,,Percent of Total Billed Charges,,,,,30.4,,,,,,,Percent of Total Billed Charges,,,, RPR REFLEX ONLY ,86780TC ,CPT,,Outpatient,,,128.5,102.8,95.99,,,,,,,Percent of Total Billed Charges,,95.99,95.99,,128.5,,,,,,,Percent of Total Billed Charges,,,,,123.36,,,,,,,Percent of Total Billed Charges,,,,,122.08,,,,,,,Percent of Total Billed Charges,,,,,25.7,,,,,,,Percent of Total Billed Charges,,,,,109.23,,,,,,,Percent of Total Billed Charges,,,,,26.99,,,,,,,Percent of Total Billed Charges,,,,,115.65,,,,,,,Percent of Total Billed Charges,,,,,115.65,,,,,,,Percent of Total Billed Charges,,,,,25.7,,,,,,,Percent of Total Billed Charges,,,,,35.98,,,,,,,Percent of Total Billed Charges,,,,,102.8,,,,,,,Percent of Total Billed Charges,,,,,25.7,,,,,,,Percent of Total Billed Charges,,,, HPV GENOTYPE BY PCR ,87624TC ,CPT,,Outpatient,,,334,267.2,249.5,,,,,,,Percent of Total Billed Charges,,249.5,249.5,,334,,,,,,,Percent of Total Billed Charges,,,,,320.64,,,,,,,Percent of Total Billed Charges,,,,,317.3,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,283.9,,,,,,,Percent of Total Billed Charges,,,,,70.14,,,,,,,Percent of Total Billed Charges,,,,,300.6,,,,,,,Percent of Total Billed Charges,,,,,300.6,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,93.52,,,,,,,Percent of Total Billed Charges,,,,,267.2,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,, AMIKACIN (STAT) ,80150TC ,CPT,,Outpatient,,,191.5,153.2,143.05,,,,,,,Percent of Total Billed Charges,,143.05,143.05,,191.5,,,,,,,Percent of Total Billed Charges,,,,,183.84,,,,,,,Percent of Total Billed Charges,,,,,181.93,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,162.78,,,,,,,Percent of Total Billed Charges,,,,,40.22,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,53.62,,,,,,,Percent of Total Billed Charges,,,,,153.2,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,, RAST- FORMAT ONLY ,86003TC ,CPT,,Outpatient,,,34.5,27.6,25.77,,,,,,,Percent of Total Billed Charges,,25.77,25.77,,34.5,,,,,,,Percent of Total Billed Charges,,,,,33.12,,,,,,,Percent of Total Billed Charges,,,,,32.78,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,29.33,,,,,,,Percent of Total Billed Charges,,,,,7.25,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,31.05,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,,,9.66,,,,,,,Percent of Total Billed Charges,,,,,27.6,,,,,,,Percent of Total Billed Charges,,,,,6.9,,,,,,,Percent of Total Billed Charges,,,, RAST- PEDIATRIC PROFILE ,86003TC ,CPT,,Outpatient,,,416.5,333.2,311.13,,,,,,,Percent of Total Billed Charges,,311.13,311.13,,416.5,,,,,,,Percent of Total Billed Charges,,,,,399.84,,,,,,,Percent of Total Billed Charges,,,,,395.68,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,354.03,,,,,,,Percent of Total Billed Charges,,,,,87.47,,,,,,,Percent of Total Billed Charges,,,,,374.85,,,,,,,Percent of Total Billed Charges,,,,,374.85,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,116.62,,,,,,,Percent of Total Billed Charges,,,,,333.2,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,, .RAST- UPR RESP DIS PROFILE 9A ,86003TC ,CPT,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, ZINC TRANSPORTER 8 AB ,86341TC ,CPT,,Outpatient,,,237.5,190,177.41,,,,,,,Percent of Total Billed Charges,,177.41,177.41,,237.5,,,,,,,Percent of Total Billed Charges,,,,,228,,,,,,,Percent of Total Billed Charges,,,,,225.63,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,201.88,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,213.75,,,,,,,Percent of Total Billed Charges,,,,,213.75,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,190,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,, PROCALCITONIN ,84145TC ,CPT,,Outpatient,,,326,260.8,243.52,,,,,,,Percent of Total Billed Charges,,243.52,243.52,,326,,,,,,,Percent of Total Billed Charges,,,,,312.96,,,,,,,Percent of Total Billed Charges,,,,,309.7,,,,,,,Percent of Total Billed Charges,,,,,65.2,,,,,,,Percent of Total Billed Charges,,,,,277.1,,,,,,,Percent of Total Billed Charges,,,,,68.46,,,,,,,Percent of Total Billed Charges,,,,,293.4,,,,,,,Percent of Total Billed Charges,,,,,293.4,,,,,,,Percent of Total Billed Charges,,,,,65.2,,,,,,,Percent of Total Billed Charges,,,,,91.28,,,,,,,Percent of Total Billed Charges,,,,,260.8,,,,,,,Percent of Total Billed Charges,,,,,65.2,,,,,,,Percent of Total Billed Charges,,,, ALPHA 1 ANTITRYPSIN GENOTYPE ,82103TC ,CPT,,Outpatient,,,548,438.4,409.36,,,,,,,Percent of Total Billed Charges,,409.36,409.36,,548,,,,,,,Percent of Total Billed Charges,,,,,526.08,,,,,,,Percent of Total Billed Charges,,,,,520.6,,,,,,,Percent of Total Billed Charges,,,,,109.6,,,,,,,Percent of Total Billed Charges,,,,,465.8,,,,,,,Percent of Total Billed Charges,,,,,115.08,,,,,,,Percent of Total Billed Charges,,,,,493.2,,,,,,,Percent of Total Billed Charges,,,,,493.2,,,,,,,Percent of Total Billed Charges,,,,,109.6,,,,,,,Percent of Total Billed Charges,,,,,153.44,,,,,,,Percent of Total Billed Charges,,,,,438.4,,,,,,,Percent of Total Billed Charges,,,,,109.6,,,,,,,Percent of Total Billed Charges,,,, ".CULTURE FUNGUS- URINE,VAG,CERV ",87102TC ,CPT,,Outpatient,,,234,187.2,174.8,,,,,,,Percent of Total Billed Charges,,174.8,174.8,,234,,,,,,,Percent of Total Billed Charges,,,,,224.64,,,,,,,Percent of Total Billed Charges,,,,,222.3,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,49.14,,,,,,,Percent of Total Billed Charges,,,,,210.6,,,,,,,Percent of Total Billed Charges,,,,,210.6,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,65.52,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,, KIDNEY STONE RISK PANEL II - URINE ,82340TC ,CPT,,Outpatient,,,454,363.2,339.14,,,,,,,Percent of Total Billed Charges,,339.14,339.14,,454,,,,,,,Percent of Total Billed Charges,,,,,435.84,,,,,,,Percent of Total Billed Charges,,,,,431.3,,,,,,,Percent of Total Billed Charges,,,,,90.8,,,,,,,Percent of Total Billed Charges,,,,,385.9,,,,,,,Percent of Total Billed Charges,,,,,95.34,,,,,,,Percent of Total Billed Charges,,,,,408.6,,,,,,,Percent of Total Billed Charges,,,,,408.6,,,,,,,Percent of Total Billed Charges,,,,,90.8,,,,,,,Percent of Total Billed Charges,,,,,127.12,,,,,,,Percent of Total Billed Charges,,,,,363.2,,,,,,,Percent of Total Billed Charges,,,,,90.8,,,,,,,Percent of Total Billed Charges,,,, "MUMPS VIRUS RNA QUAL, PCR ",87798TC ,CPT,,Outpatient,,,276.5,221.2,206.55,,,,,,,Percent of Total Billed Charges,,206.55,206.55,,276.5,,,,,,,Percent of Total Billed Charges,,,,,265.44,,,,,,,Percent of Total Billed Charges,,,,,262.68,,,,,,,Percent of Total Billed Charges,,,,,55.3,,,,,,,Percent of Total Billed Charges,,,,,235.03,,,,,,,Percent of Total Billed Charges,,,,,58.07,,,,,,,Percent of Total Billed Charges,,,,,248.85,,,,,,,Percent of Total Billed Charges,,,,,248.85,,,,,,,Percent of Total Billed Charges,,,,,55.3,,,,,,,Percent of Total Billed Charges,,,,,77.42,,,,,,,Percent of Total Billed Charges,,,,,221.2,,,,,,,Percent of Total Billed Charges,,,,,55.3,,,,,,,Percent of Total Billed Charges,,,, VARICELLA ZOSTER QUAL BY PCR ,87798TC ,CPT,,Outpatient,,,408.5,326.8,305.15,,,,,,,Percent of Total Billed Charges,,305.15,305.15,,408.5,,,,,,,Percent of Total Billed Charges,,,,,392.16,,,,,,,Percent of Total Billed Charges,,,,,388.08,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,,,347.23,,,,,,,Percent of Total Billed Charges,,,,,85.79,,,,,,,Percent of Total Billed Charges,,,,,367.65,,,,,,,Percent of Total Billed Charges,,,,,367.65,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,,,114.38,,,,,,,Percent of Total Billed Charges,,,,,326.8,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,, "BACTI ID, AEROBIC (REF LAB) ",87077TC ,CPT,,Outpatient,,,124,99.2,92.63,,,,,,,Percent of Total Billed Charges,,92.63,92.63,,124,,,,,,,Percent of Total Billed Charges,,,,,119.04,,,,,,,Percent of Total Billed Charges,,,,,117.8,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,105.4,,,,,,,Percent of Total Billed Charges,,,,,26.04,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,,,34.72,,,,,,,Percent of Total Billed Charges,,,,,99.2,,,,,,,Percent of Total Billed Charges,,,,,24.8,,,,,,,Percent of Total Billed Charges,,,, "BACTI ID, URINE ONLY ",87088TC ,CPT,,Outpatient,,,175,140,130.73,,,,,,,Percent of Total Billed Charges,,130.73,130.73,,175,,,,,,,Percent of Total Billed Charges,,,,,168,,,,,,,Percent of Total Billed Charges,,,,,166.25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,148.75,,,,,,,Percent of Total Billed Charges,,,,,36.75,,,,,,,Percent of Total Billed Charges,,,,,157.5,,,,,,,Percent of Total Billed Charges,,,,,157.5,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,49,,,,,,,Percent of Total Billed Charges,,,,,140,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,, "BACTI ID, BLOOD ",87103TC ,CPT,,Outpatient,,,175,140,130.73,,,,,,,Percent of Total Billed Charges,,130.73,130.73,,175,,,,,,,Percent of Total Billed Charges,,,,,168,,,,,,,Percent of Total Billed Charges,,,,,166.25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,148.75,,,,,,,Percent of Total Billed Charges,,,,,36.75,,,,,,,Percent of Total Billed Charges,,,,,157.5,,,,,,,Percent of Total Billed Charges,,,,,157.5,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,49,,,,,,,Percent of Total Billed Charges,,,,,140,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,, VON WILLEBRAND MULTIMERIC PANEL ,85247TC ,CPT,,Outpatient,,,826,660.8,617.02,,,,,,,Percent of Total Billed Charges,,617.02,617.02,,826,,,,,,,Percent of Total Billed Charges,,,,,792.96,,,,,,,Percent of Total Billed Charges,,,,,784.7,,,,,,,Percent of Total Billed Charges,,,,,165.2,,,,,,,Percent of Total Billed Charges,,,,,702.1,,,,,,,Percent of Total Billed Charges,,,,,173.46,,,,,,,Percent of Total Billed Charges,,,,,743.4,,,,,,,Percent of Total Billed Charges,,,,,743.4,,,,,,,Percent of Total Billed Charges,,,,,165.2,,,,,,,Percent of Total Billed Charges,,,,,231.28,,,,,,,Percent of Total Billed Charges,,,,,660.8,,,,,,,Percent of Total Billed Charges,,,,,165.2,,,,,,,Percent of Total Billed Charges,,,, IODINE URINE ,83018TC ,CPT,,Outpatient,,,587.5,470,438.86,,,,,,,Percent of Total Billed Charges,,438.86,438.86,,587.5,,,,,,,Percent of Total Billed Charges,,,,,564,,,,,,,Percent of Total Billed Charges,,,,,558.13,,,,,,,Percent of Total Billed Charges,,,,,117.5,,,,,,,Percent of Total Billed Charges,,,,,499.38,,,,,,,Percent of Total Billed Charges,,,,,123.38,,,,,,,Percent of Total Billed Charges,,,,,528.75,,,,,,,Percent of Total Billed Charges,,,,,528.75,,,,,,,Percent of Total Billed Charges,,,,,117.5,,,,,,,Percent of Total Billed Charges,,,,,164.5,,,,,,,Percent of Total Billed Charges,,,,,470,,,,,,,Percent of Total Billed Charges,,,,,117.5,,,,,,,Percent of Total Billed Charges,,,, PH OTHER UIC ,83986TC ,CPT,,Outpatient,,,42.5,34,31.75,,,,,,,Percent of Total Billed Charges,,31.75,31.75,,42.5,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,40.38,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,36.13,,,,,,,Percent of Total Billed Charges,,,,,8.93,,,,,,,Percent of Total Billed Charges,,,,,38.25,,,,,,,Percent of Total Billed Charges,,,,,38.25,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.5,,,,,,,Percent of Total Billed Charges,,,, NEISSERIA MENINGITIDIS AB PANEL ,86741TC ,CPT,,Outpatient,,,501,400.8,374.25,,,,,,,Percent of Total Billed Charges,,374.25,374.25,,501,,,,,,,Percent of Total Billed Charges,,,,,480.96,,,,,,,Percent of Total Billed Charges,,,,,475.95,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,425.85,,,,,,,Percent of Total Billed Charges,,,,,105.21,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,400.8,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS Be ANTIBODY ,86707TC ,CPT,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, ".CULTURE FUNGUS - SKIN,HAIR,NAIL ",87102TC ,CPT,,Outpatient,,,234,187.2,174.8,,,,,,,Percent of Total Billed Charges,,174.8,174.8,,234,,,,,,,Percent of Total Billed Charges,,,,,224.64,,,,,,,Percent of Total Billed Charges,,,,,222.3,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,49.14,,,,,,,Percent of Total Billed Charges,,,,,210.6,,,,,,,Percent of Total Billed Charges,,,,,210.6,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,65.52,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,, "LEAD, CAPILLARY WHOLE BLOOD ONLY ",83655TC ,CPT,,Outpatient,,,170,136,126.99,,,,,,,Percent of Total Billed Charges,,126.99,126.99,,170,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,161.5,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,144.5,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,153,,,,,,,Percent of Total Billed Charges,,,,,153,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,47.6,,,,,,,Percent of Total Billed Charges,,,,,136,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,, TULAREMIA ANTIBODIES ,86668TC ,CPT,,Outpatient,,,268,214.4,200.2,,,,,,,Percent of Total Billed Charges,,200.2,200.2,,268,,,,,,,Percent of Total Billed Charges,,,,,257.28,,,,,,,Percent of Total Billed Charges,,,,,254.6,,,,,,,Percent of Total Billed Charges,,,,,53.6,,,,,,,Percent of Total Billed Charges,,,,,227.8,,,,,,,Percent of Total Billed Charges,,,,,56.28,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,53.6,,,,,,,Percent of Total Billed Charges,,,,,75.04,,,,,,,Percent of Total Billed Charges,,,,,214.4,,,,,,,Percent of Total Billed Charges,,,,,53.6,,,,,,,Percent of Total Billed Charges,,,, 88104 CYTOPATH ,88173TC ,CPT,,Outpatient,,,205.5,164.4,153.51,,,,,,,Percent of Total Billed Charges,,153.51,153.51,,205.5,,,,,,,Percent of Total Billed Charges,,,,,197.28,,,,,,,Percent of Total Billed Charges,,,,,195.23,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,174.68,,,,,,,Percent of Total Billed Charges,,,,,43.16,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,57.54,,,,,,,Percent of Total Billed Charges,,,,,164.4,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,, T4 FREE BY EQUIL DIALYSIS ,84439TC ,CPT,,Outpatient,,,215,172,160.61,,,,,,,Percent of Total Billed Charges,,160.61,160.61,,215,,,,,,,Percent of Total Billed Charges,,,,,206.4,,,,,,,Percent of Total Billed Charges,,,,,204.25,,,,,,,Percent of Total Billed Charges,,,,,43,,,,,,,Percent of Total Billed Charges,,,,,182.75,,,,,,,Percent of Total Billed Charges,,,,,45.15,,,,,,,Percent of Total Billed Charges,,,,,193.5,,,,,,,Percent of Total Billed Charges,,,,,193.5,,,,,,,Percent of Total Billed Charges,,,,,43,,,,,,,Percent of Total Billed Charges,,,,,60.2,,,,,,,Percent of Total Billed Charges,,,,,172,,,,,,,Percent of Total Billed Charges,,,,,43,,,,,,,Percent of Total Billed Charges,,,, RAST- LATEX ,86003TC ,CPT,,Outpatient,,,69,55.2,51.54,,,,,,,Percent of Total Billed Charges,,51.54,51.54,,69,,,,,,,Percent of Total Billed Charges,,,,,66.24,,,,,,,Percent of Total Billed Charges,,,,,65.55,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,58.65,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,, RAST- FOOD W KENTUCKY ,86003TC ,CPT,,Outpatient,,,385.5,308.4,287.97,,,,,,,Percent of Total Billed Charges,,287.97,287.97,,385.5,,,,,,,Percent of Total Billed Charges,,,,,370.08,,,,,,,Percent of Total Billed Charges,,,,,366.23,,,,,,,Percent of Total Billed Charges,,,,,77.1,,,,,,,Percent of Total Billed Charges,,,,,327.68,,,,,,,Percent of Total Billed Charges,,,,,80.96,,,,,,,Percent of Total Billed Charges,,,,,346.95,,,,,,,Percent of Total Billed Charges,,,,,346.95,,,,,,,Percent of Total Billed Charges,,,,,77.1,,,,,,,Percent of Total Billed Charges,,,,,107.94,,,,,,,Percent of Total Billed Charges,,,,,308.4,,,,,,,Percent of Total Billed Charges,,,,,77.1,,,,,,,Percent of Total Billed Charges,,,, .BRCA1 AND BRCA2 ,81162TC ,CPT,,Outpatient,,,6025.5,4820.4,4501.05,,,,,,,Percent of Total Billed Charges,,4501.05,4501.05,,6025.5,,,,,,,Percent of Total Billed Charges,,,,,5784.48,,,,,,,Percent of Total Billed Charges,,,,,5724.23,,,,,,,Percent of Total Billed Charges,,,,,1205.1,,,,,,,Percent of Total Billed Charges,,,,,5121.68,,,,,,,Percent of Total Billed Charges,,,,,1265.36,,,,,,,Percent of Total Billed Charges,,,,,5422.95,,,,,,,Percent of Total Billed Charges,,,,,5422.95,,,,,,,Percent of Total Billed Charges,,,,,1205.1,,,,,,,Percent of Total Billed Charges,,,,,1687.14,,,,,,,Percent of Total Billed Charges,,,,,4820.4,,,,,,,Percent of Total Billed Charges,,,,,1205.1,,,,,,,Percent of Total Billed Charges,,,, BLASTOMYCES ANTIGEN QUANT ,86612TC ,CPT,,Outpatient,,,176.5,141.2,131.85,,,,,,,Percent of Total Billed Charges,,131.85,131.85,,176.5,,,,,,,Percent of Total Billed Charges,,,,,169.44,,,,,,,Percent of Total Billed Charges,,,,,167.68,,,,,,,Percent of Total Billed Charges,,,,,35.3,,,,,,,Percent of Total Billed Charges,,,,,150.03,,,,,,,Percent of Total Billed Charges,,,,,37.07,,,,,,,Percent of Total Billed Charges,,,,,158.85,,,,,,,Percent of Total Billed Charges,,,,,158.85,,,,,,,Percent of Total Billed Charges,,,,,35.3,,,,,,,Percent of Total Billed Charges,,,,,49.42,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,,,35.3,,,,,,,Percent of Total Billed Charges,,,, RISPERIDONE ,80342TC ,CPT,,Outpatient,,,221,176.8,165.09,,,,,,,Percent of Total Billed Charges,,165.09,165.09,,221,,,,,,,Percent of Total Billed Charges,,,,,212.16,,,,,,,Percent of Total Billed Charges,,,,,209.95,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,,,187.85,,,,,,,Percent of Total Billed Charges,,,,,46.41,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,198.9,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,,,61.88,,,,,,,Percent of Total Billed Charges,,,,,176.8,,,,,,,Percent of Total Billed Charges,,,,,44.2,,,,,,,Percent of Total Billed Charges,,,, ANTI CHROMATIN AB IGG ,83516TC ,CPT,,Outpatient,,,168.5,134.8,125.87,,,,,,,Percent of Total Billed Charges,,125.87,125.87,,168.5,,,,,,,Percent of Total Billed Charges,,,,,161.76,,,,,,,Percent of Total Billed Charges,,,,,160.08,,,,,,,Percent of Total Billed Charges,,,,,33.7,,,,,,,Percent of Total Billed Charges,,,,,143.23,,,,,,,Percent of Total Billed Charges,,,,,35.39,,,,,,,Percent of Total Billed Charges,,,,,151.65,,,,,,,Percent of Total Billed Charges,,,,,151.65,,,,,,,Percent of Total Billed Charges,,,,,33.7,,,,,,,Percent of Total Billed Charges,,,,,47.18,,,,,,,Percent of Total Billed Charges,,,,,134.8,,,,,,,Percent of Total Billed Charges,,,,,33.7,,,,,,,Percent of Total Billed Charges,,,, "VITAMIN K1, SERUM ",84597TC ,CPT,,Outpatient,,,423,338.4,315.98,,,,,,,Percent of Total Billed Charges,,315.98,315.98,,423,,,,,,,Percent of Total Billed Charges,,,,,406.08,,,,,,,Percent of Total Billed Charges,,,,,401.85,,,,,,,Percent of Total Billed Charges,,,,,84.6,,,,,,,Percent of Total Billed Charges,,,,,359.55,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,380.7,,,,,,,Percent of Total Billed Charges,,,,,380.7,,,,,,,Percent of Total Billed Charges,,,,,84.6,,,,,,,Percent of Total Billed Charges,,,,,118.44,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,84.6,,,,,,,Percent of Total Billed Charges,,,, RAST- FOOD COMMON ,86003TC ,CPT,,Outpatient,,,354,283.2,264.44,,,,,,,Percent of Total Billed Charges,,264.44,264.44,,354,,,,,,,Percent of Total Billed Charges,,,,,339.84,,,,,,,Percent of Total Billed Charges,,,,,336.3,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,,,300.9,,,,,,,Percent of Total Billed Charges,,,,,74.34,,,,,,,Percent of Total Billed Charges,,,,,318.6,,,,,,,Percent of Total Billed Charges,,,,,318.6,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,,,99.12,,,,,,,Percent of Total Billed Charges,,,,,283.2,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,, 88350 EA ADDL SGL STAIN ,88350TC ,CPT,,Outpatient,,,274.5,219.6,205.05,,,,,,,Percent of Total Billed Charges,,205.05,205.05,,274.5,,,,,,,Percent of Total Billed Charges,,,,,263.52,,,,,,,Percent of Total Billed Charges,,,,,260.78,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,233.33,,,,,,,Percent of Total Billed Charges,,,,,57.65,,,,,,,Percent of Total Billed Charges,,,,,247.05,,,,,,,Percent of Total Billed Charges,,,,,247.05,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,,,76.86,,,,,,,Percent of Total Billed Charges,,,,,219.6,,,,,,,Percent of Total Billed Charges,,,,,54.9,,,,,,,Percent of Total Billed Charges,,,, CULTURE FUNGAL - METHODIST ,87102TC ,CPT,,Outpatient,,,284,227.2,212.15,,,,,,,Percent of Total Billed Charges,,212.15,212.15,,284,,,,,,,Percent of Total Billed Charges,,,,,272.64,,,,,,,Percent of Total Billed Charges,,,,,269.8,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,,,241.4,,,,,,,Percent of Total Billed Charges,,,,,59.64,,,,,,,Percent of Total Billed Charges,,,,,255.6,,,,,,,Percent of Total Billed Charges,,,,,255.6,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,,,79.52,,,,,,,Percent of Total Billed Charges,,,,,227.2,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,, MAGNESIUM STOOL ,83735TC ,CPT,,Outpatient,,,161,128.8,120.27,,,,,,,Percent of Total Billed Charges,,120.27,120.27,,161,,,,,,,Percent of Total Billed Charges,,,,,154.56,,,,,,,Percent of Total Billed Charges,,,,,152.95,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,136.85,,,,,,,Percent of Total Billed Charges,,,,,33.81,,,,,,,Percent of Total Billed Charges,,,,,144.9,,,,,,,Percent of Total Billed Charges,,,,,144.9,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,45.08,,,,,,,Percent of Total Billed Charges,,,,,128.8,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,, SOMATOSTATIN ,84307TC ,CPT,,Outpatient,,,699.5,559.6,522.53,,,,,,,Percent of Total Billed Charges,,522.53,522.53,,699.5,,,,,,,Percent of Total Billed Charges,,,,,671.52,,,,,,,Percent of Total Billed Charges,,,,,664.53,,,,,,,Percent of Total Billed Charges,,,,,139.9,,,,,,,Percent of Total Billed Charges,,,,,594.58,,,,,,,Percent of Total Billed Charges,,,,,146.9,,,,,,,Percent of Total Billed Charges,,,,,629.55,,,,,,,Percent of Total Billed Charges,,,,,629.55,,,,,,,Percent of Total Billed Charges,,,,,139.9,,,,,,,Percent of Total Billed Charges,,,,,195.86,,,,,,,Percent of Total Billed Charges,,,,,559.6,,,,,,,Percent of Total Billed Charges,,,,,139.9,,,,,,,Percent of Total Billed Charges,,,, ..TRICHOMONAS VAG BY TMA ,87661TC ,CPT,,Outpatient,,,334,267.2,249.5,,,,,,,Percent of Total Billed Charges,,249.5,249.5,,334,,,,,,,Percent of Total Billed Charges,,,,,320.64,,,,,,,Percent of Total Billed Charges,,,,,317.3,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,283.9,,,,,,,Percent of Total Billed Charges,,,,,70.14,,,,,,,Percent of Total Billed Charges,,,,,300.6,,,,,,,Percent of Total Billed Charges,,,,,300.6,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,93.52,,,,,,,Percent of Total Billed Charges,,,,,267.2,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,, "HISTAMINE, URINE ",83088TC ,CPT,,Outpatient,,,334,267.2,249.5,,,,,,,Percent of Total Billed Charges,,249.5,249.5,,334,,,,,,,Percent of Total Billed Charges,,,,,320.64,,,,,,,Percent of Total Billed Charges,,,,,317.3,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,283.9,,,,,,,Percent of Total Billed Charges,,,,,70.14,,,,,,,Percent of Total Billed Charges,,,,,300.6,,,,,,,Percent of Total Billed Charges,,,,,300.6,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,93.52,,,,,,,Percent of Total Billed Charges,,,,,267.2,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,, BETA 2 GLYCOPROTEIN 1 AB IGG AND IGM ,86146TC ,CPT,,Outpatient,,,501,400.8,374.25,,,,,,,Percent of Total Billed Charges,,374.25,374.25,,501,,,,,,,Percent of Total Billed Charges,,,,,480.96,,,,,,,Percent of Total Billed Charges,,,,,475.95,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,425.85,,,,,,,Percent of Total Billed Charges,,,,,105.21,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,400.8,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,, .FIBROSURE ,83883TC ,CPT,,Outpatient,,,486.5,389.2,363.42,,,,,,,Percent of Total Billed Charges,,363.42,363.42,,486.5,,,,,,,Percent of Total Billed Charges,,,,,467.04,,,,,,,Percent of Total Billed Charges,,,,,462.18,,,,,,,Percent of Total Billed Charges,,,,,97.3,,,,,,,Percent of Total Billed Charges,,,,,413.53,,,,,,,Percent of Total Billed Charges,,,,,102.17,,,,,,,Percent of Total Billed Charges,,,,,437.85,,,,,,,Percent of Total Billed Charges,,,,,437.85,,,,,,,Percent of Total Billed Charges,,,,,97.3,,,,,,,Percent of Total Billed Charges,,,,,136.22,,,,,,,Percent of Total Billed Charges,,,,,389.2,,,,,,,Percent of Total Billed Charges,,,,,97.3,,,,,,,Percent of Total Billed Charges,,,, HGB AND HCT CAPILLARY ,85014TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, ASPERGILLUS GALACTOMANNAN AG ,87305TC ,CPT,,Outpatient,,,501,400.8,374.25,,,,,,,Percent of Total Billed Charges,,374.25,374.25,,501,,,,,,,Percent of Total Billed Charges,,,,,480.96,,,,,,,Percent of Total Billed Charges,,,,,475.95,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,425.85,,,,,,,Percent of Total Billed Charges,,,,,105.21,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,400.8,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,, GALACTOSEMIA ENZYME ACTIVITY W/9 MUT ,82775TC ,CPT,,Outpatient,,,631.5,505.2,471.73,,,,,,,Percent of Total Billed Charges,,471.73,471.73,,631.5,,,,,,,Percent of Total Billed Charges,,,,,606.24,,,,,,,Percent of Total Billed Charges,,,,,599.93,,,,,,,Percent of Total Billed Charges,,,,,126.3,,,,,,,Percent of Total Billed Charges,,,,,536.78,,,,,,,Percent of Total Billed Charges,,,,,132.62,,,,,,,Percent of Total Billed Charges,,,,,568.35,,,,,,,Percent of Total Billed Charges,,,,,568.35,,,,,,,Percent of Total Billed Charges,,,,,126.3,,,,,,,Percent of Total Billed Charges,,,,,176.82,,,,,,,Percent of Total Billed Charges,,,,,505.2,,,,,,,Percent of Total Billed Charges,,,,,126.3,,,,,,,Percent of Total Billed Charges,,,, SACCHAROMYCES CEREVISIAE ABS ,86671TC ,CPT,,Outpatient,,,334,267.2,249.5,,,,,,,Percent of Total Billed Charges,,249.5,249.5,,334,,,,,,,Percent of Total Billed Charges,,,,,320.64,,,,,,,Percent of Total Billed Charges,,,,,317.3,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,283.9,,,,,,,Percent of Total Billed Charges,,,,,70.14,,,,,,,Percent of Total Billed Charges,,,,,300.6,,,,,,,Percent of Total Billed Charges,,,,,300.6,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,93.52,,,,,,,Percent of Total Billed Charges,,,,,267.2,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,, 88261 CHROM ANALYS 5 CELL ,88261,CPT,,Outpatient,,,1566,1252.8,1169.8,,,,,,,Percent of Total Billed Charges,,1169.8,1169.8,,1566,,,,,,,Percent of Total Billed Charges,,,,,1503.36,,,,,,,Percent of Total Billed Charges,,,,,1487.7,,,,,,,Percent of Total Billed Charges,,,,,313.2,,,,,,,Percent of Total Billed Charges,,,,,1331.1,,,,,,,Percent of Total Billed Charges,,,,,328.86,,,,,,,Percent of Total Billed Charges,,,,,1409.4,,,,,,,Percent of Total Billed Charges,,,,,1409.4,,,,,,,Percent of Total Billed Charges,,,,,313.2,,,,,,,Percent of Total Billed Charges,,,,,438.48,,,,,,,Percent of Total Billed Charges,,,,,1252.8,,,,,,,Percent of Total Billed Charges,,,,,313.2,,,,,,,Percent of Total Billed Charges,,,, 88263 CHROM COUNT 45 CELLS ,88263,CPT,,Outpatient,,,1371,1096.8,1024.14,,,,,,,Percent of Total Billed Charges,,1024.14,1024.14,,1371,,,,,,,Percent of Total Billed Charges,,,,,1316.16,,,,,,,Percent of Total Billed Charges,,,,,1302.45,,,,,,,Percent of Total Billed Charges,,,,,274.2,,,,,,,Percent of Total Billed Charges,,,,,1165.35,,,,,,,Percent of Total Billed Charges,,,,,287.91,,,,,,,Percent of Total Billed Charges,,,,,1233.9,,,,,,,Percent of Total Billed Charges,,,,,1233.9,,,,,,,Percent of Total Billed Charges,,,,,274.2,,,,,,,Percent of Total Billed Charges,,,,,383.88,,,,,,,Percent of Total Billed Charges,,,,,1096.8,,,,,,,Percent of Total Billed Charges,,,,,274.2,,,,,,,Percent of Total Billed Charges,,,, 88264 CHROM 20-25 CELLS ,88264TC ,CPT,,Outpatient,,,1163,930.4,868.76,,,,,,,Percent of Total Billed Charges,,868.76,868.76,,1163,,,,,,,Percent of Total Billed Charges,,,,,1116.48,,,,,,,Percent of Total Billed Charges,,,,,1104.85,,,,,,,Percent of Total Billed Charges,,,,,232.6,,,,,,,Percent of Total Billed Charges,,,,,988.55,,,,,,,Percent of Total Billed Charges,,,,,244.23,,,,,,,Percent of Total Billed Charges,,,,,1046.7,,,,,,,Percent of Total Billed Charges,,,,,1046.7,,,,,,,Percent of Total Billed Charges,,,,,232.6,,,,,,,Percent of Total Billed Charges,,,,,325.64,,,,,,,Percent of Total Billed Charges,,,,,930.4,,,,,,,Percent of Total Billed Charges,,,,,232.6,,,,,,,Percent of Total Billed Charges,,,, "HANTAVIRUS AB, IGG AND IGM ",86790TC ,CPT,,Outpatient,,,315.5,252.4,235.68,,,,,,,Percent of Total Billed Charges,,235.68,235.68,,315.5,,,,,,,Percent of Total Billed Charges,,,,,302.88,,,,,,,Percent of Total Billed Charges,,,,,299.73,,,,,,,Percent of Total Billed Charges,,,,,63.1,,,,,,,Percent of Total Billed Charges,,,,,268.18,,,,,,,Percent of Total Billed Charges,,,,,66.26,,,,,,,Percent of Total Billed Charges,,,,,283.95,,,,,,,Percent of Total Billed Charges,,,,,283.95,,,,,,,Percent of Total Billed Charges,,,,,63.1,,,,,,,Percent of Total Billed Charges,,,,,88.34,,,,,,,Percent of Total Billed Charges,,,,,252.4,,,,,,,Percent of Total Billed Charges,,,,,63.1,,,,,,,Percent of Total Billed Charges,,,, .CYSTIC FIBROSIS (CFTR) 165 PATH VAR ,81220,CPT,,Outpatient,,,661,528.8,493.77,,,,,,,Percent of Total Billed Charges,,493.77,493.77,,661,,,,,,,Percent of Total Billed Charges,,,,,634.56,,,,,,,Percent of Total Billed Charges,,,,,627.95,,,,,,,Percent of Total Billed Charges,,,,,132.2,,,,,,,Percent of Total Billed Charges,,,,,561.85,,,,,,,Percent of Total Billed Charges,,,,,138.81,,,,,,,Percent of Total Billed Charges,,,,,594.9,,,,,,,Percent of Total Billed Charges,,,,,594.9,,,,,,,Percent of Total Billed Charges,,,,,132.2,,,,,,,Percent of Total Billed Charges,,,,,185.08,,,,,,,Percent of Total Billed Charges,,,,,528.8,,,,,,,Percent of Total Billed Charges,,,,,132.2,,,,,,,Percent of Total Billed Charges,,,, "N-TELOPEPTIDE, URINE ",82523TC ,CPT,,Outpatient,,,427,341.6,318.97,,,,,,,Percent of Total Billed Charges,,318.97,318.97,,427,,,,,,,Percent of Total Billed Charges,,,,,409.92,,,,,,,Percent of Total Billed Charges,,,,,405.65,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,362.95,,,,,,,Percent of Total Billed Charges,,,,,89.67,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,119.56,,,,,,,Percent of Total Billed Charges,,,,,341.6,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,, GALACTOSE 1 PHOSPHATE IN RBC ,84378,CPT,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, HMG COENZYME REDUCTASE AB ,83516TC ,CPT,,Outpatient,,,268,214.4,200.2,,,,,,,Percent of Total Billed Charges,,200.2,200.2,,268,,,,,,,Percent of Total Billed Charges,,,,,257.28,,,,,,,Percent of Total Billed Charges,,,,,254.6,,,,,,,Percent of Total Billed Charges,,,,,53.6,,,,,,,Percent of Total Billed Charges,,,,,227.8,,,,,,,Percent of Total Billed Charges,,,,,56.28,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,53.6,,,,,,,Percent of Total Billed Charges,,,,,75.04,,,,,,,Percent of Total Billed Charges,,,,,214.4,,,,,,,Percent of Total Billed Charges,,,,,53.6,,,,,,,Percent of Total Billed Charges,,,, HIV-1 INTEGRASE INHIBITOR RESISTANCE ,87906TC ,CPT,,Outpatient,,,1240.5,992.4,926.65,,,,,,,Percent of Total Billed Charges,,926.65,926.65,,1240.5,,,,,,,Percent of Total Billed Charges,,,,,1190.88,,,,,,,Percent of Total Billed Charges,,,,,1178.48,,,,,,,Percent of Total Billed Charges,,,,,248.1,,,,,,,Percent of Total Billed Charges,,,,,1054.43,,,,,,,Percent of Total Billed Charges,,,,,260.51,,,,,,,Percent of Total Billed Charges,,,,,1116.45,,,,,,,Percent of Total Billed Charges,,,,,1116.45,,,,,,,Percent of Total Billed Charges,,,,,248.1,,,,,,,Percent of Total Billed Charges,,,,,347.34,,,,,,,Percent of Total Billed Charges,,,,,992.4,,,,,,,Percent of Total Billed Charges,,,,,248.1,,,,,,,Percent of Total Billed Charges,,,, HIV PHENOTYPE COMPREHENSIVE ,87903TC ,CPT,,Outpatient,,,1957.5,1566,1462.25,,,,,,,Percent of Total Billed Charges,,1462.25,1462.25,,1957.5,,,,,,,Percent of Total Billed Charges,,,,,1879.2,,,,,,,Percent of Total Billed Charges,,,,,1859.63,,,,,,,Percent of Total Billed Charges,,,,,391.5,,,,,,,Percent of Total Billed Charges,,,,,1663.88,,,,,,,Percent of Total Billed Charges,,,,,411.08,,,,,,,Percent of Total Billed Charges,,,,,1761.75,,,,,,,Percent of Total Billed Charges,,,,,1761.75,,,,,,,Percent of Total Billed Charges,,,,,391.5,,,,,,,Percent of Total Billed Charges,,,,,548.1,,,,,,,Percent of Total Billed Charges,,,,,1566,,,,,,,Percent of Total Billed Charges,,,,,391.5,,,,,,,Percent of Total Billed Charges,,,, MYOSITIS EXTENDED PANEL ,83516TC ,CPT,,Outpatient,,,1623.5,1298.8,1212.75,,,,,,,Percent of Total Billed Charges,,1212.75,1212.75,,1623.5,,,,,,,Percent of Total Billed Charges,,,,,1558.56,,,,,,,Percent of Total Billed Charges,,,,,1542.33,,,,,,,Percent of Total Billed Charges,,,,,324.7,,,,,,,Percent of Total Billed Charges,,,,,1379.98,,,,,,,Percent of Total Billed Charges,,,,,340.94,,,,,,,Percent of Total Billed Charges,,,,,1461.15,,,,,,,Percent of Total Billed Charges,,,,,1461.15,,,,,,,Percent of Total Billed Charges,,,,,324.7,,,,,,,Percent of Total Billed Charges,,,,,454.58,,,,,,,Percent of Total Billed Charges,,,,,1298.8,,,,,,,Percent of Total Billed Charges,,,,,324.7,,,,,,,Percent of Total Billed Charges,,,, CAT SCRATCH AB BY PCR ,87471TC ,CPT,,Outpatient,,,326,260.8,243.52,,,,,,,Percent of Total Billed Charges,,243.52,243.52,,326,,,,,,,Percent of Total Billed Charges,,,,,312.96,,,,,,,Percent of Total Billed Charges,,,,,309.7,,,,,,,Percent of Total Billed Charges,,,,,65.2,,,,,,,Percent of Total Billed Charges,,,,,277.1,,,,,,,Percent of Total Billed Charges,,,,,68.46,,,,,,,Percent of Total Billed Charges,,,,,293.4,,,,,,,Percent of Total Billed Charges,,,,,293.4,,,,,,,Percent of Total Billed Charges,,,,,65.2,,,,,,,Percent of Total Billed Charges,,,,,91.28,,,,,,,Percent of Total Billed Charges,,,,,260.8,,,,,,,Percent of Total Billed Charges,,,,,65.2,,,,,,,Percent of Total Billed Charges,,,, HIGH-SPECIFICITY ANTIPHOSPHOLIPID IGG&M ,83516TC ,CPT,,Outpatient,,,381.5,305.2,284.98,,,,,,,Percent of Total Billed Charges,,284.98,284.98,,381.5,,,,,,,Percent of Total Billed Charges,,,,,366.24,,,,,,,Percent of Total Billed Charges,,,,,362.43,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,324.28,,,,,,,Percent of Total Billed Charges,,,,,80.12,,,,,,,Percent of Total Billed Charges,,,,,343.35,,,,,,,Percent of Total Billed Charges,,,,,343.35,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,106.82,,,,,,,Percent of Total Billed Charges,,,,,305.2,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS A IGG ANTIBODY ,86708TC ,CPT,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, GC - CHLAMYDIA BY AMP PRB THROAT ,87491TC ,CPT,,Outpatient,,,166,132.8,124,,,,,,,Percent of Total Billed Charges,,124,124,,166,,,,,,,Percent of Total Billed Charges,,,,,159.36,,,,,,,Percent of Total Billed Charges,,,,,157.7,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,141.1,,,,,,,Percent of Total Billed Charges,,,,,34.86,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,46.48,,,,,,,Percent of Total Billed Charges,,,,,132.8,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,, HERPES I/II IGG ,86695TC ,CPT,,Outpatient,,,317,253.6,236.8,,,,,,,Percent of Total Billed Charges,,236.8,236.8,,317,,,,,,,Percent of Total Billed Charges,,,,,304.32,,,,,,,Percent of Total Billed Charges,,,,,301.15,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,,,269.45,,,,,,,Percent of Total Billed Charges,,,,,66.57,,,,,,,Percent of Total Billed Charges,,,,,285.3,,,,,,,Percent of Total Billed Charges,,,,,285.3,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,,,88.76,,,,,,,Percent of Total Billed Charges,,,,,253.6,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,, CMV - PCR OTHER ,87497TC ,CPT,,Outpatient,,,706,564.8,527.38,,,,,,,Percent of Total Billed Charges,,527.38,527.38,,706,,,,,,,Percent of Total Billed Charges,,,,,677.76,,,,,,,Percent of Total Billed Charges,,,,,670.7,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,,,600.1,,,,,,,Percent of Total Billed Charges,,,,,148.26,,,,,,,Percent of Total Billed Charges,,,,,635.4,,,,,,,Percent of Total Billed Charges,,,,,635.4,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,,,197.68,,,,,,,Percent of Total Billed Charges,,,,,564.8,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,, "CALPROTECTIN, FECAL ",83993TC ,CPT,,Outpatient,,,317,253.6,236.8,,,,,,,Percent of Total Billed Charges,,236.8,236.8,,317,,,,,,,Percent of Total Billed Charges,,,,,304.32,,,,,,,Percent of Total Billed Charges,,,,,301.15,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,,,269.45,,,,,,,Percent of Total Billed Charges,,,,,66.57,,,,,,,Percent of Total Billed Charges,,,,,285.3,,,,,,,Percent of Total Billed Charges,,,,,285.3,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,,,88.76,,,,,,,Percent of Total Billed Charges,,,,,253.6,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,, MANGANESE SERUM ,83785TC ,CPT,,Outpatient,,,204,163.2,152.39,,,,,,,Percent of Total Billed Charges,,152.39,152.39,,204,,,,,,,Percent of Total Billed Charges,,,,,195.84,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,173.4,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,, ANCA REFLEX (MPO/PRT3) ,86037TC ,CPT,,Outpatient,,,445.5,356.4,332.79,,,,,,,Percent of Total Billed Charges,,332.79,332.79,,445.5,,,,,,,Percent of Total Billed Charges,,,,,427.68,,,,,,,Percent of Total Billed Charges,,,,,423.23,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,378.68,,,,,,,Percent of Total Billed Charges,,,,,93.56,,,,,,,Percent of Total Billed Charges,,,,,400.95,,,,,,,Percent of Total Billed Charges,,,,,400.95,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,124.74,,,,,,,Percent of Total Billed Charges,,,,,356.4,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,, .CELIAC DISEASE HLA SCREEN ,81383TC ,CPT,,Outpatient,,,1809,1447.2,1351.32,,,,,,,Percent of Total Billed Charges,,1351.32,1351.32,,1809,,,,,,,Percent of Total Billed Charges,,,,,1736.64,,,,,,,Percent of Total Billed Charges,,,,,1718.55,,,,,,,Percent of Total Billed Charges,,,,,361.8,,,,,,,Percent of Total Billed Charges,,,,,1537.65,,,,,,,Percent of Total Billed Charges,,,,,379.89,,,,,,,Percent of Total Billed Charges,,,,,1628.1,,,,,,,Percent of Total Billed Charges,,,,,1628.1,,,,,,,Percent of Total Billed Charges,,,,,361.8,,,,,,,Percent of Total Billed Charges,,,,,506.52,,,,,,,Percent of Total Billed Charges,,,,,1447.2,,,,,,,Percent of Total Billed Charges,,,,,361.8,,,,,,,Percent of Total Billed Charges,,,, TSH WITH REFLEX TO FT4 ,84443TC ,CPT,,Outpatient,,,298,238.4,222.61,,,,,,,Percent of Total Billed Charges,,222.61,222.61,,298,,,,,,,Percent of Total Billed Charges,,,,,286.08,,,,,,,Percent of Total Billed Charges,,,,,283.1,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,,,253.3,,,,,,,Percent of Total Billed Charges,,,,,62.58,,,,,,,Percent of Total Billed Charges,,,,,268.2,,,,,,,Percent of Total Billed Charges,,,,,268.2,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,,,83.44,,,,,,,Percent of Total Billed Charges,,,,,238.4,,,,,,,Percent of Total Billed Charges,,,,,59.6,,,,,,,Percent of Total Billed Charges,,,, "PANCREATIC ELASTASE, STOOL ",82653TC ,CPT,,Outpatient,,,317,253.6,236.8,,,,,,,Percent of Total Billed Charges,,236.8,236.8,,317,,,,,,,Percent of Total Billed Charges,,,,,304.32,,,,,,,Percent of Total Billed Charges,,,,,301.15,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,,,269.45,,,,,,,Percent of Total Billed Charges,,,,,66.57,,,,,,,Percent of Total Billed Charges,,,,,285.3,,,,,,,Percent of Total Billed Charges,,,,,285.3,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,,,88.76,,,,,,,Percent of Total Billed Charges,,,,,253.6,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,, .AML NGS 4 MARKER PANEL ,81408TC ,CPT,,Outpatient,,,1894.5,1515.6,1415.19,,,,,,,Percent of Total Billed Charges,,1415.19,1415.19,,1894.5,,,,,,,Percent of Total Billed Charges,,,,,1818.72,,,,,,,Percent of Total Billed Charges,,,,,1799.78,,,,,,,Percent of Total Billed Charges,,,,,378.9,,,,,,,Percent of Total Billed Charges,,,,,1610.33,,,,,,,Percent of Total Billed Charges,,,,,397.85,,,,,,,Percent of Total Billed Charges,,,,,1705.05,,,,,,,Percent of Total Billed Charges,,,,,1705.05,,,,,,,Percent of Total Billed Charges,,,,,378.9,,,,,,,Percent of Total Billed Charges,,,,,530.46,,,,,,,Percent of Total Billed Charges,,,,,1515.6,,,,,,,Percent of Total Billed Charges,,,,,378.9,,,,,,,Percent of Total Billed Charges,,,, CYSTATIN C ,82610TC ,CPT,,Outpatient,,,328.5,262.8,245.39,,,,,,,Percent of Total Billed Charges,,245.39,245.39,,328.5,,,,,,,Percent of Total Billed Charges,,,,,315.36,,,,,,,Percent of Total Billed Charges,,,,,312.08,,,,,,,Percent of Total Billed Charges,,,,,65.7,,,,,,,Percent of Total Billed Charges,,,,,279.23,,,,,,,Percent of Total Billed Charges,,,,,68.99,,,,,,,Percent of Total Billed Charges,,,,,295.65,,,,,,,Percent of Total Billed Charges,,,,,295.65,,,,,,,Percent of Total Billed Charges,,,,,65.7,,,,,,,Percent of Total Billed Charges,,,,,91.98,,,,,,,Percent of Total Billed Charges,,,,,262.8,,,,,,,Percent of Total Billed Charges,,,,,65.7,,,,,,,Percent of Total Billed Charges,,,, OLANZAPINE ,80299TC ,CPT,,Outpatient,,,326,260.8,243.52,,,,,,,Percent of Total Billed Charges,,243.52,243.52,,326,,,,,,,Percent of Total Billed Charges,,,,,312.96,,,,,,,Percent of Total Billed Charges,,,,,309.7,,,,,,,Percent of Total Billed Charges,,,,,65.2,,,,,,,Percent of Total Billed Charges,,,,,277.1,,,,,,,Percent of Total Billed Charges,,,,,68.46,,,,,,,Percent of Total Billed Charges,,,,,293.4,,,,,,,Percent of Total Billed Charges,,,,,293.4,,,,,,,Percent of Total Billed Charges,,,,,65.2,,,,,,,Percent of Total Billed Charges,,,,,91.28,,,,,,,Percent of Total Billed Charges,,,,,260.8,,,,,,,Percent of Total Billed Charges,,,,,65.2,,,,,,,Percent of Total Billed Charges,,,, ALCOHOL URINE ,80320TC ,CPT,,Outpatient,,,279,223.2,208.41,,,,,,,Percent of Total Billed Charges,,208.41,208.41,,279,,,,,,,Percent of Total Billed Charges,,,,,267.84,,,,,,,Percent of Total Billed Charges,,,,,265.05,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,58.59,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,78.12,,,,,,,Percent of Total Billed Charges,,,,,223.2,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,, "ORGANIC ACID SCREEN, URINE ",83918TC ,CPT,,Outpatient,,,677.5,542,506.09,,,,,,,Percent of Total Billed Charges,,506.09,506.09,,677.5,,,,,,,Percent of Total Billed Charges,,,,,650.4,,,,,,,Percent of Total Billed Charges,,,,,643.63,,,,,,,Percent of Total Billed Charges,,,,,135.5,,,,,,,Percent of Total Billed Charges,,,,,575.88,,,,,,,Percent of Total Billed Charges,,,,,142.28,,,,,,,Percent of Total Billed Charges,,,,,609.75,,,,,,,Percent of Total Billed Charges,,,,,609.75,,,,,,,Percent of Total Billed Charges,,,,,135.5,,,,,,,Percent of Total Billed Charges,,,,,189.7,,,,,,,Percent of Total Billed Charges,,,,,542,,,,,,,Percent of Total Billed Charges,,,,,135.5,,,,,,,Percent of Total Billed Charges,,,, "ACYLCARNITINE, QUANT ",82017TC ,CPT,,Outpatient,,,409,327.2,305.52,,,,,,,Percent of Total Billed Charges,,305.52,305.52,,409,,,,,,,Percent of Total Billed Charges,,,,,392.64,,,,,,,Percent of Total Billed Charges,,,,,388.55,,,,,,,Percent of Total Billed Charges,,,,,81.8,,,,,,,Percent of Total Billed Charges,,,,,347.65,,,,,,,Percent of Total Billed Charges,,,,,85.89,,,,,,,Percent of Total Billed Charges,,,,,368.1,,,,,,,Percent of Total Billed Charges,,,,,368.1,,,,,,,Percent of Total Billed Charges,,,,,81.8,,,,,,,Percent of Total Billed Charges,,,,,114.52,,,,,,,Percent of Total Billed Charges,,,,,327.2,,,,,,,Percent of Total Billed Charges,,,,,81.8,,,,,,,Percent of Total Billed Charges,,,, "AMINO ACIDS QUANT BY LC-MS, PLASMA ",82139TC ,CPT,,Outpatient,,,312,249.6,233.06,,,,,,,Percent of Total Billed Charges,,233.06,233.06,,312,,,,,,,Percent of Total Billed Charges,,,,,299.52,,,,,,,Percent of Total Billed Charges,,,,,296.4,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,,,265.2,,,,,,,Percent of Total Billed Charges,,,,,65.52,,,,,,,Percent of Total Billed Charges,,,,,280.8,,,,,,,Percent of Total Billed Charges,,,,,280.8,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,,,87.36,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,, PROCOLLAGEN TYPE 1 PROPEPTIDE ,83519TC ,CPT,,Outpatient,,,683.5,546.8,510.57,,,,,,,Percent of Total Billed Charges,,510.57,510.57,,683.5,,,,,,,Percent of Total Billed Charges,,,,,656.16,,,,,,,Percent of Total Billed Charges,,,,,649.33,,,,,,,Percent of Total Billed Charges,,,,,136.7,,,,,,,Percent of Total Billed Charges,,,,,580.98,,,,,,,Percent of Total Billed Charges,,,,,143.54,,,,,,,Percent of Total Billed Charges,,,,,615.15,,,,,,,Percent of Total Billed Charges,,,,,615.15,,,,,,,Percent of Total Billed Charges,,,,,136.7,,,,,,,Percent of Total Billed Charges,,,,,191.38,,,,,,,Percent of Total Billed Charges,,,,,546.8,,,,,,,Percent of Total Billed Charges,,,,,136.7,,,,,,,Percent of Total Billed Charges,,,, RAST- SESAME SEED ,86003TC ,CPT,,Outpatient,,,69,55.2,51.54,,,,,,,Percent of Total Billed Charges,,51.54,51.54,,69,,,,,,,Percent of Total Billed Charges,,,,,66.24,,,,,,,Percent of Total Billed Charges,,,,,65.55,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,58.65,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS B SURF AG - SCREENING ,G0499TC ,CPT,,Outpatient,,,153,122.4,114.29,,,,,,,Percent of Total Billed Charges,,114.29,114.29,,153,,,,,,,Percent of Total Billed Charges,,,,,146.88,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,32.13,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,122.4,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS C ANTIBODY - SCREENING ,G0472TC ,CPT,,Outpatient,,,301.5,241.2,225.22,,,,,,,Percent of Total Billed Charges,,225.22,225.22,,301.5,,,,,,,Percent of Total Billed Charges,,,,,289.44,,,,,,,Percent of Total Billed Charges,,,,,286.43,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,256.28,,,,,,,Percent of Total Billed Charges,,,,,63.32,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,84.42,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,, HIV 1&2 AB & AG - SCREENING ,G0475TC ,CPT,,Outpatient,,,292.5,234,218.5,,,,,,,Percent of Total Billed Charges,,218.5,218.5,,292.5,,,,,,,Percent of Total Billed Charges,,,,,280.8,,,,,,,Percent of Total Billed Charges,,,,,277.88,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,248.63,,,,,,,Percent of Total Billed Charges,,,,,61.43,,,,,,,Percent of Total Billed Charges,,,,,263.25,,,,,,,Percent of Total Billed Charges,,,,,263.25,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,81.9,,,,,,,Percent of Total Billed Charges,,,,,234,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,, FACTOR V ACTIVITY ,85220TC ,CPT,,Outpatient,,,328.5,262.8,245.39,,,,,,,Percent of Total Billed Charges,,245.39,245.39,,328.5,,,,,,,Percent of Total Billed Charges,,,,,315.36,,,,,,,Percent of Total Billed Charges,,,,,312.08,,,,,,,Percent of Total Billed Charges,,,,,65.7,,,,,,,Percent of Total Billed Charges,,,,,279.23,,,,,,,Percent of Total Billed Charges,,,,,68.99,,,,,,,Percent of Total Billed Charges,,,,,295.65,,,,,,,Percent of Total Billed Charges,,,,,295.65,,,,,,,Percent of Total Billed Charges,,,,,65.7,,,,,,,Percent of Total Billed Charges,,,,,91.98,,,,,,,Percent of Total Billed Charges,,,,,262.8,,,,,,,Percent of Total Billed Charges,,,,,65.7,,,,,,,Percent of Total Billed Charges,,,, VAGINITIS SCREEN DNA PROBE ,81513TC ,CPT,,Outpatient,,,427,341.6,318.97,,,,,,,Percent of Total Billed Charges,,318.97,318.97,,427,,,,,,,Percent of Total Billed Charges,,,,,409.92,,,,,,,Percent of Total Billed Charges,,,,,405.65,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,362.95,,,,,,,Percent of Total Billed Charges,,,,,89.67,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,119.56,,,,,,,Percent of Total Billed Charges,,,,,341.6,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,, STOOL OSMOLALITY GAP ,84999TC ,CPT,,Outpatient,,,314,251.2,234.56,,,,,,,Percent of Total Billed Charges,,234.56,234.56,,314,,,,,,,Percent of Total Billed Charges,,,,,301.44,,,,,,,Percent of Total Billed Charges,,,,,298.3,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,266.9,,,,,,,Percent of Total Billed Charges,,,,,65.94,,,,,,,Percent of Total Billed Charges,,,,,282.6,,,,,,,Percent of Total Billed Charges,,,,,282.6,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,87.92,,,,,,,Percent of Total Billed Charges,,,,,251.2,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,, "VISCOSITY, SERUM ",85810TC ,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, "MMR/VZV ANTIBODY PANEL, IGG ",86765TC ,CPT,,Outpatient,,,381.5,305.2,284.98,,,,,,,Percent of Total Billed Charges,,284.98,284.98,,381.5,,,,,,,Percent of Total Billed Charges,,,,,366.24,,,,,,,Percent of Total Billed Charges,,,,,362.43,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,324.28,,,,,,,Percent of Total Billed Charges,,,,,80.12,,,,,,,Percent of Total Billed Charges,,,,,343.35,,,,,,,Percent of Total Billed Charges,,,,,343.35,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,106.82,,,,,,,Percent of Total Billed Charges,,,,,305.2,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,, "STOOL LAXATIVE STUDY, CATHARTIC ",83735TC ,CPT,,Outpatient,,,334,267.2,249.5,,,,,,,Percent of Total Billed Charges,,249.5,249.5,,334,,,,,,,Percent of Total Billed Charges,,,,,320.64,,,,,,,Percent of Total Billed Charges,,,,,317.3,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,283.9,,,,,,,Percent of Total Billed Charges,,,,,70.14,,,,,,,Percent of Total Billed Charges,,,,,300.6,,,,,,,Percent of Total Billed Charges,,,,,300.6,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,93.52,,,,,,,Percent of Total Billed Charges,,,,,267.2,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,, RAST- TREE PROFILE 55115 ,86003TC ,CPT,,Outpatient,,,440,352,328.68,,,,,,,Percent of Total Billed Charges,,328.68,328.68,,440,,,,,,,Percent of Total Billed Charges,,,,,422.4,,,,,,,Percent of Total Billed Charges,,,,,418,,,,,,,Percent of Total Billed Charges,,,,,88,,,,,,,Percent of Total Billed Charges,,,,,374,,,,,,,Percent of Total Billed Charges,,,,,92.4,,,,,,,Percent of Total Billed Charges,,,,,396,,,,,,,Percent of Total Billed Charges,,,,,396,,,,,,,Percent of Total Billed Charges,,,,,88,,,,,,,Percent of Total Billed Charges,,,,,123.2,,,,,,,Percent of Total Billed Charges,,,,,352,,,,,,,Percent of Total Billed Charges,,,,,88,,,,,,,Percent of Total Billed Charges,,,, "ELECTROLYTES, STOOL ",82438TC ,CPT,,Outpatient,,,168,134.4,125.5,,,,,,,Percent of Total Billed Charges,,125.5,125.5,,168,,,,,,,Percent of Total Billed Charges,,,,,161.28,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,142.8,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,151.2,,,,,,,Percent of Total Billed Charges,,,,,151.2,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,, RAST- MISCELLANEOUS PROFILE ,86003TC ,CPT,,Outpatient,,,45,36,33.62,,,,,,,Percent of Total Billed Charges,,33.62,33.62,,45,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,42.75,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,38.25,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,, INHIBIN LEVEL ,83520,CPT,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, RUBELLA IGM ,86762TC ,CPT,,Outpatient,,,204,163.2,152.39,,,,,,,Percent of Total Billed Charges,,152.39,152.39,,204,,,,,,,Percent of Total Billed Charges,,,,,195.84,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,173.4,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,, HUMAN EPIDIDYMIS PROTEIN 4 ,86305TC ,CPT,,Outpatient,,,501,400.8,374.25,,,,,,,Percent of Total Billed Charges,,374.25,374.25,,501,,,,,,,Percent of Total Billed Charges,,,,,480.96,,,,,,,Percent of Total Billed Charges,,,,,475.95,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,425.85,,,,,,,Percent of Total Billed Charges,,,,,105.21,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,400.8,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,, URIC ACID RANDOM URINE ,84560TC ,CPT,,Outpatient,,,140,112,104.58,,,,,,,Percent of Total Billed Charges,,104.58,104.58,,140,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,, FIBROSURE NASH ,84450TC ,CPT,,Outpatient,,,1123,898.4,838.88,,,,,,,Percent of Total Billed Charges,,838.88,838.88,,1123,,,,,,,Percent of Total Billed Charges,,,,,1078.08,,,,,,,Percent of Total Billed Charges,,,,,1066.85,,,,,,,Percent of Total Billed Charges,,,,,224.6,,,,,,,Percent of Total Billed Charges,,,,,954.55,,,,,,,Percent of Total Billed Charges,,,,,235.83,,,,,,,Percent of Total Billed Charges,,,,,1010.7,,,,,,,Percent of Total Billed Charges,,,,,1010.7,,,,,,,Percent of Total Billed Charges,,,,,224.6,,,,,,,Percent of Total Billed Charges,,,,,314.44,,,,,,,Percent of Total Billed Charges,,,,,898.4,,,,,,,Percent of Total Billed Charges,,,,,224.6,,,,,,,Percent of Total Billed Charges,,,, "ANA, REFLEX HEP-2 ",86039TC ,CPT,,Outpatient,,,121.5,97.2,90.76,,,,,,,Percent of Total Billed Charges,,90.76,90.76,,121.5,,,,,,,Percent of Total Billed Charges,,,,,116.64,,,,,,,Percent of Total Billed Charges,,,,,115.43,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,103.28,,,,,,,Percent of Total Billed Charges,,,,,25.52,,,,,,,Percent of Total Billed Charges,,,,,109.35,,,,,,,Percent of Total Billed Charges,,,,,109.35,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,34.02,,,,,,,Percent of Total Billed Charges,,,,,97.2,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,, .HEPATITIS C ANTIBODY W/RFLX HCV PCR ,86803TC ,CPT,,Outpatient,,,301.5,241.2,225.22,,,,,,,Percent of Total Billed Charges,,225.22,225.22,,301.5,,,,,,,Percent of Total Billed Charges,,,,,289.44,,,,,,,Percent of Total Billed Charges,,,,,286.43,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,256.28,,,,,,,Percent of Total Billed Charges,,,,,63.32,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,271.35,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,,,84.42,,,,,,,Percent of Total Billed Charges,,,,,241.2,,,,,,,Percent of Total Billed Charges,,,,,60.3,,,,,,,Percent of Total Billed Charges,,,, TPMT AND NUDT15 GENOTYPE ,81335TC ,CPT,,Outpatient,,,706,564.8,527.38,,,,,,,Percent of Total Billed Charges,,527.38,527.38,,706,,,,,,,Percent of Total Billed Charges,,,,,677.76,,,,,,,Percent of Total Billed Charges,,,,,670.7,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,,,600.1,,,,,,,Percent of Total Billed Charges,,,,,148.26,,,,,,,Percent of Total Billed Charges,,,,,635.4,,,,,,,Percent of Total Billed Charges,,,,,635.4,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,,,197.68,,,,,,,Percent of Total Billed Charges,,,,,564.8,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,, STOOL FILMARRAY - 0097U ONLY ,0097UTC ,CPT,,Outpatient,,,1165.5,932.4,870.63,,,,,,,Percent of Total Billed Charges,,870.63,870.63,,1165.5,,,,,,,Percent of Total Billed Charges,,,,,1118.88,,,,,,,Percent of Total Billed Charges,,,,,1107.23,,,,,,,Percent of Total Billed Charges,,,,,233.1,,,,,,,Percent of Total Billed Charges,,,,,990.68,,,,,,,Percent of Total Billed Charges,,,,,244.76,,,,,,,Percent of Total Billed Charges,,,,,1048.95,,,,,,,Percent of Total Billed Charges,,,,,1048.95,,,,,,,Percent of Total Billed Charges,,,,,233.1,,,,,,,Percent of Total Billed Charges,,,,,326.34,,,,,,,Percent of Total Billed Charges,,,,,932.4,,,,,,,Percent of Total Billed Charges,,,,,233.1,,,,,,,Percent of Total Billed Charges,,,, "HAEMOPHILUS INFLU AB, IGG ",86317TC ,CPT,,Outpatient,,,140,112,104.58,,,,,,,Percent of Total Billed Charges,,104.58,104.58,,140,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,, PHOSPHOLIPASE A2 RECPTR AB IGG ,86255TC ,CPT,,Outpatient,,,334,267.2,249.5,,,,,,,Percent of Total Billed Charges,,249.5,249.5,,334,,,,,,,Percent of Total Billed Charges,,,,,320.64,,,,,,,Percent of Total Billed Charges,,,,,317.3,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,283.9,,,,,,,Percent of Total Billed Charges,,,,,70.14,,,,,,,Percent of Total Billed Charges,,,,,300.6,,,,,,,Percent of Total Billed Charges,,,,,300.6,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,93.52,,,,,,,Percent of Total Billed Charges,,,,,267.2,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,, PHOSPHOLIPASE A2 RECPTR AB REFLEX TITER ,86256TC ,CPT,,Outpatient,,,501,400.8,374.25,,,,,,,Percent of Total Billed Charges,,374.25,374.25,,501,,,,,,,Percent of Total Billed Charges,,,,,480.96,,,,,,,Percent of Total Billed Charges,,,,,475.95,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,425.85,,,,,,,Percent of Total Billed Charges,,,,,105.21,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,400.8,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,, CHROMOSOME (GENOMIC) MICROARRY ,81229TC ,CPT,,Outpatient,,,1957.5,1566,1462.25,,,,,,,Percent of Total Billed Charges,,1462.25,1462.25,,1957.5,,,,,,,Percent of Total Billed Charges,,,,,1879.2,,,,,,,Percent of Total Billed Charges,,,,,1859.63,,,,,,,Percent of Total Billed Charges,,,,,391.5,,,,,,,Percent of Total Billed Charges,,,,,1663.88,,,,,,,Percent of Total Billed Charges,,,,,411.08,,,,,,,Percent of Total Billed Charges,,,,,1761.75,,,,,,,Percent of Total Billed Charges,,,,,1761.75,,,,,,,Percent of Total Billed Charges,,,,,391.5,,,,,,,Percent of Total Billed Charges,,,,,548.1,,,,,,,Percent of Total Billed Charges,,,,,1566,,,,,,,Percent of Total Billed Charges,,,,,391.5,,,,,,,Percent of Total Billed Charges,,,, TROPONIN I HIGH SENSITIVITY ,84484TC ,CPT,,Outpatient,,,249.5,199.6,186.38,,,,,,,Percent of Total Billed Charges,,186.38,186.38,,249.5,,,,,,,Percent of Total Billed Charges,,,,,239.52,,,,,,,Percent of Total Billed Charges,,,,,237.03,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,,,212.08,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,224.55,,,,,,,Percent of Total Billed Charges,,,,,224.55,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,,,69.86,,,,,,,Percent of Total Billed Charges,,,,,199.6,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,, STONE CHEMICAL ANALYSIS - 82365 ,82365TC ,CPT,,Outpatient,,,249.5,199.6,186.38,,,,,,,Percent of Total Billed Charges,,186.38,186.38,,249.5,,,,,,,Percent of Total Billed Charges,,,,,239.52,,,,,,,Percent of Total Billed Charges,,,,,237.03,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,,,212.08,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,224.55,,,,,,,Percent of Total Billed Charges,,,,,224.55,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,,,69.86,,,,,,,Percent of Total Billed Charges,,,,,199.6,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,, HELICOBACTER PYLORI BREATH TEST ,83013TC ,CPT,,Outpatient,,,501,400.8,374.25,,,,,,,Percent of Total Billed Charges,,374.25,374.25,,501,,,,,,,Percent of Total Billed Charges,,,,,480.96,,,,,,,Percent of Total Billed Charges,,,,,475.95,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,425.85,,,,,,,Percent of Total Billed Charges,,,,,105.21,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,400.8,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,, HERPES SIMPLEX VIRUS (QUAL) BY PCR ,87529TC ,CPT,,Outpatient,,,501,400.8,374.25,,,,,,,Percent of Total Billed Charges,,374.25,374.25,,501,,,,,,,Percent of Total Billed Charges,,,,,480.96,,,,,,,Percent of Total Billed Charges,,,,,475.95,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,425.85,,,,,,,Percent of Total Billed Charges,,,,,105.21,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,400.8,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,, FUROSEMIDE (LASIX) ,80375TC ,CPT,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, "COVID-19, IDPH ",87635TC ,CPT,,Outpatient,,,191.5,153.2,143.05,,,,,,,Percent of Total Billed Charges,,143.05,143.05,,191.5,,,,,,,Percent of Total Billed Charges,,,,,183.84,,,,,,,Percent of Total Billed Charges,,,,,181.93,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,162.78,,,,,,,Percent of Total Billed Charges,,,,,40.22,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,53.62,,,,,,,Percent of Total Billed Charges,,,,,153.2,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,, ".COVID-19, PRIVATE LAB ",87635TC ,CPT,,Outpatient,,,191.5,153.2,143.05,,,,,,,Percent of Total Billed Charges,,143.05,143.05,,191.5,,,,,,,Percent of Total Billed Charges,,,,,183.84,,,,,,,Percent of Total Billed Charges,,,,,181.93,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,162.78,,,,,,,Percent of Total Billed Charges,,,,,40.22,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,53.62,,,,,,,Percent of Total Billed Charges,,,,,153.2,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,, INDICAN URINE ,81005TC ,CPT,,Outpatient,,,140,112,104.58,,,,,,,Percent of Total Billed Charges,,104.58,104.58,,140,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,119,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,112,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,, CULTURE AER / ANAER / GS - METHODIST ,87070TC ,CPT,,Outpatient,,,501,400.8,374.25,,,,,,,Percent of Total Billed Charges,,374.25,374.25,,501,,,,,,,Percent of Total Billed Charges,,,,,480.96,,,,,,,Percent of Total Billed Charges,,,,,475.95,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,425.85,,,,,,,Percent of Total Billed Charges,,,,,105.21,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,400.8,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,, SARS-COV-2 (COVID-19) AB IGG ,86769TC ,CPT,,Outpatient,,,281,224.8,209.91,,,,,,,Percent of Total Billed Charges,,209.91,209.91,,281,,,,,,,Percent of Total Billed Charges,,,,,269.76,,,,,,,Percent of Total Billed Charges,,,,,266.95,,,,,,,Percent of Total Billed Charges,,,,,56.2,,,,,,,Percent of Total Billed Charges,,,,,238.85,,,,,,,Percent of Total Billed Charges,,,,,59.01,,,,,,,Percent of Total Billed Charges,,,,,252.9,,,,,,,Percent of Total Billed Charges,,,,,252.9,,,,,,,Percent of Total Billed Charges,,,,,56.2,,,,,,,Percent of Total Billed Charges,,,,,78.68,,,,,,,Percent of Total Billed Charges,,,,,224.8,,,,,,,Percent of Total Billed Charges,,,,,56.2,,,,,,,Percent of Total Billed Charges,,,, GC - CHLAMYDIA BY AMP PRB PEDIATRIC ,87491TC ,CPT,,Outpatient,,,166,132.8,124,,,,,,,Percent of Total Billed Charges,,124,124,,166,,,,,,,Percent of Total Billed Charges,,,,,159.36,,,,,,,Percent of Total Billed Charges,,,,,157.7,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,141.1,,,,,,,Percent of Total Billed Charges,,,,,34.86,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,46.48,,,,,,,Percent of Total Billed Charges,,,,,132.8,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,, HEMOGLOBIN ONLY ,85018TC ,CPT,,Outpatient,,,70,56,52.29,,,,,,,Percent of Total Billed Charges,,52.29,52.29,,70,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,59.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,56,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,, RESPIRATORY PCR PANEL WITH COVID-19 ,87486TC ,CPT,,Outpatient,,,656.5,525.2,490.41,,,,,,,Percent of Total Billed Charges,,490.41,490.41,,656.5,,,,,,,Percent of Total Billed Charges,,,,,630.24,,,,,,,Percent of Total Billed Charges,,,,,623.68,,,,,,,Percent of Total Billed Charges,,,,,131.3,,,,,,,Percent of Total Billed Charges,,,,,558.03,,,,,,,Percent of Total Billed Charges,,,,,137.87,,,,,,,Percent of Total Billed Charges,,,,,590.85,,,,,,,Percent of Total Billed Charges,,,,,590.85,,,,,,,Percent of Total Billed Charges,,,,,131.3,,,,,,,Percent of Total Billed Charges,,,,,183.82,,,,,,,Percent of Total Billed Charges,,,,,525.2,,,,,,,Percent of Total Billed Charges,,,,,131.3,,,,,,,Percent of Total Billed Charges,,,, "CULTURE FUNGUS-HAIR,SKIN,NAIL-UIC ONLY ",87101TC ,CPT,,Outpatient,,,284,227.2,212.15,,,,,,,Percent of Total Billed Charges,,212.15,212.15,,284,,,,,,,Percent of Total Billed Charges,,,,,272.64,,,,,,,Percent of Total Billed Charges,,,,,269.8,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,,,241.4,,,,,,,Percent of Total Billed Charges,,,,,59.64,,,,,,,Percent of Total Billed Charges,,,,,255.6,,,,,,,Percent of Total Billed Charges,,,,,255.6,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,,,79.52,,,,,,,Percent of Total Billed Charges,,,,,227.2,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,, ACETYLCHOL REC AB PANEL ,83516TC ,CPT,,Outpatient,,,1025.5,820.4,766.05,,,,,,,Percent of Total Billed Charges,,766.05,766.05,,1025.5,,,,,,,Percent of Total Billed Charges,,,,,984.48,,,,,,,Percent of Total Billed Charges,,,,,974.23,,,,,,,Percent of Total Billed Charges,,,,,205.1,,,,,,,Percent of Total Billed Charges,,,,,871.68,,,,,,,Percent of Total Billed Charges,,,,,215.36,,,,,,,Percent of Total Billed Charges,,,,,922.95,,,,,,,Percent of Total Billed Charges,,,,,922.95,,,,,,,Percent of Total Billed Charges,,,,,205.1,,,,,,,Percent of Total Billed Charges,,,,,287.14,,,,,,,Percent of Total Billed Charges,,,,,820.4,,,,,,,Percent of Total Billed Charges,,,,,205.1,,,,,,,Percent of Total Billed Charges,,,, "HISTAMINE, BLOOD ",83088TC ,CPT,,Outpatient,,,204,163.2,152.39,,,,,,,Percent of Total Billed Charges,,152.39,152.39,,204,,,,,,,Percent of Total Billed Charges,,,,,195.84,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,173.4,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,, ELECTROLYTES STOOL ,84999TC ,CPT,,Outpatient,,,279,223.2,208.41,,,,,,,Percent of Total Billed Charges,,208.41,208.41,,279,,,,,,,Percent of Total Billed Charges,,,,,267.84,,,,,,,Percent of Total Billed Charges,,,,,265.05,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,58.59,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,78.12,,,,,,,Percent of Total Billed Charges,,,,,223.2,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,, SARS-COV-2 (COVID-19) AB IGM ,86769TC ,CPT,,Outpatient,,,281,224.8,209.91,,,,,,,Percent of Total Billed Charges,,209.91,209.91,,281,,,,,,,Percent of Total Billed Charges,,,,,269.76,,,,,,,Percent of Total Billed Charges,,,,,266.95,,,,,,,Percent of Total Billed Charges,,,,,56.2,,,,,,,Percent of Total Billed Charges,,,,,238.85,,,,,,,Percent of Total Billed Charges,,,,,59.01,,,,,,,Percent of Total Billed Charges,,,,,252.9,,,,,,,Percent of Total Billed Charges,,,,,252.9,,,,,,,Percent of Total Billed Charges,,,,,56.2,,,,,,,Percent of Total Billed Charges,,,,,78.68,,,,,,,Percent of Total Billed Charges,,,,,224.8,,,,,,,Percent of Total Billed Charges,,,,,56.2,,,,,,,Percent of Total Billed Charges,,,, JAK-2 WITH REFLEX TO EXON 12 ,81279TC ,CPT,,Outpatient,,,1027.5,822,767.54,,,,,,,Percent of Total Billed Charges,,767.54,767.54,,1027.5,,,,,,,Percent of Total Billed Charges,,,,,986.4,,,,,,,Percent of Total Billed Charges,,,,,976.13,,,,,,,Percent of Total Billed Charges,,,,,205.5,,,,,,,Percent of Total Billed Charges,,,,,873.38,,,,,,,Percent of Total Billed Charges,,,,,215.78,,,,,,,Percent of Total Billed Charges,,,,,924.75,,,,,,,Percent of Total Billed Charges,,,,,924.75,,,,,,,Percent of Total Billed Charges,,,,,205.5,,,,,,,Percent of Total Billed Charges,,,,,287.7,,,,,,,Percent of Total Billed Charges,,,,,822,,,,,,,Percent of Total Billed Charges,,,,,205.5,,,,,,,Percent of Total Billed Charges,,,, STRATIFY JCV AB WITH INDEX/REFLEX ,86711TC ,CPT,,Outpatient,,,2284,1827.2,1706.15,,,,,,,Percent of Total Billed Charges,,1706.15,1706.15,,2284,,,,,,,Percent of Total Billed Charges,,,,,2192.64,,,,,,,Percent of Total Billed Charges,,,,,2169.8,,,,,,,Percent of Total Billed Charges,,,,,456.8,,,,,,,Percent of Total Billed Charges,,,,,1941.4,,,,,,,Percent of Total Billed Charges,,,,,479.64,,,,,,,Percent of Total Billed Charges,,,,,2055.6,,,,,,,Percent of Total Billed Charges,,,,,2055.6,,,,,,,Percent of Total Billed Charges,,,,,456.8,,,,,,,Percent of Total Billed Charges,,,,,639.52,,,,,,,Percent of Total Billed Charges,,,,,1827.2,,,,,,,Percent of Total Billed Charges,,,,,456.8,,,,,,,Percent of Total Billed Charges,,,, "CADMIUM, BLOOD ",82300TC ,CPT,,Outpatient,,,104.5,83.6,78.06,,,,,,,Percent of Total Billed Charges,,78.06,78.06,,104.5,,,,,,,Percent of Total Billed Charges,,,,,100.32,,,,,,,Percent of Total Billed Charges,,,,,99.28,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,88.83,,,,,,,Percent of Total Billed Charges,,,,,21.95,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,29.26,,,,,,,Percent of Total Billed Charges,,,,,83.6,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,, FACTOR XIII ASSAY ,85291TC ,CPT,,Outpatient,,,501,400.8,374.25,,,,,,,Percent of Total Billed Charges,,374.25,374.25,,501,,,,,,,Percent of Total Billed Charges,,,,,480.96,,,,,,,Percent of Total Billed Charges,,,,,475.95,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,425.85,,,,,,,Percent of Total Billed Charges,,,,,105.21,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,400.8,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,, EPSTEIN-BARR VIRUS QNT BY PCR ,87799TC ,CPT,,Outpatient,,,501,400.8,374.25,,,,,,,Percent of Total Billed Charges,,374.25,374.25,,501,,,,,,,Percent of Total Billed Charges,,,,,480.96,,,,,,,Percent of Total Billed Charges,,,,,475.95,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,425.85,,,,,,,Percent of Total Billed Charges,,,,,105.21,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,400.8,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,, "81210 BRAF, GENE ANALYSIS ",81210TC ,CPT,,Outpatient,,,1566,1252.8,1169.8,,,,,,,Percent of Total Billed Charges,,1169.8,1169.8,,1566,,,,,,,Percent of Total Billed Charges,,,,,1503.36,,,,,,,Percent of Total Billed Charges,,,,,1487.7,,,,,,,Percent of Total Billed Charges,,,,,313.2,,,,,,,Percent of Total Billed Charges,,,,,1331.1,,,,,,,Percent of Total Billed Charges,,,,,328.86,,,,,,,Percent of Total Billed Charges,,,,,1409.4,,,,,,,Percent of Total Billed Charges,,,,,1409.4,,,,,,,Percent of Total Billed Charges,,,,,313.2,,,,,,,Percent of Total Billed Charges,,,,,438.48,,,,,,,Percent of Total Billed Charges,,,,,1252.8,,,,,,,Percent of Total Billed Charges,,,,,313.2,,,,,,,Percent of Total Billed Charges,,,, .COVID-19 (SARS-COV-2) ANTIGEN NOT ACTIV,87811TC ,CPT,,Outpatient,,,191.5,153.2,143.05,,,,,,,Percent of Total Billed Charges,,143.05,143.05,,191.5,,,,,,,Percent of Total Billed Charges,,,,,183.84,,,,,,,Percent of Total Billed Charges,,,,,181.93,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,162.78,,,,,,,Percent of Total Billed Charges,,,,,40.22,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,53.62,,,,,,,Percent of Total Billed Charges,,,,,153.2,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,, RAST- MILK PROFILE ,86003TC ,CPT,,Outpatient,,,281,224.8,209.91,,,,,,,Percent of Total Billed Charges,,209.91,209.91,,281,,,,,,,Percent of Total Billed Charges,,,,,269.76,,,,,,,Percent of Total Billed Charges,,,,,266.95,,,,,,,Percent of Total Billed Charges,,,,,56.2,,,,,,,Percent of Total Billed Charges,,,,,238.85,,,,,,,Percent of Total Billed Charges,,,,,59.01,,,,,,,Percent of Total Billed Charges,,,,,252.9,,,,,,,Percent of Total Billed Charges,,,,,252.9,,,,,,,Percent of Total Billed Charges,,,,,56.2,,,,,,,Percent of Total Billed Charges,,,,,78.68,,,,,,,Percent of Total Billed Charges,,,,,224.8,,,,,,,Percent of Total Billed Charges,,,,,56.2,,,,,,,Percent of Total Billed Charges,,,, RAST- FOOD COMPREHENSIVE ,86003TC ,CPT,,Outpatient,,,928,742.4,693.22,,,,,,,Percent of Total Billed Charges,,693.22,693.22,,928,,,,,,,Percent of Total Billed Charges,,,,,890.88,,,,,,,Percent of Total Billed Charges,,,,,881.6,,,,,,,Percent of Total Billed Charges,,,,,185.6,,,,,,,Percent of Total Billed Charges,,,,,788.8,,,,,,,Percent of Total Billed Charges,,,,,194.88,,,,,,,Percent of Total Billed Charges,,,,,835.2,,,,,,,Percent of Total Billed Charges,,,,,835.2,,,,,,,Percent of Total Billed Charges,,,,,185.6,,,,,,,Percent of Total Billed Charges,,,,,259.84,,,,,,,Percent of Total Billed Charges,,,,,742.4,,,,,,,Percent of Total Billed Charges,,,,,185.6,,,,,,,Percent of Total Billed Charges,,,, TESTOSTERONE FREE & TOTAL FEMALE/CHILD ,84402TC ,CPT,,Outpatient,,,656.5,525.2,490.41,,,,,,,Percent of Total Billed Charges,,490.41,490.41,,656.5,,,,,,,Percent of Total Billed Charges,,,,,630.24,,,,,,,Percent of Total Billed Charges,,,,,623.68,,,,,,,Percent of Total Billed Charges,,,,,131.3,,,,,,,Percent of Total Billed Charges,,,,,558.03,,,,,,,Percent of Total Billed Charges,,,,,137.87,,,,,,,Percent of Total Billed Charges,,,,,590.85,,,,,,,Percent of Total Billed Charges,,,,,590.85,,,,,,,Percent of Total Billed Charges,,,,,131.3,,,,,,,Percent of Total Billed Charges,,,,,183.82,,,,,,,Percent of Total Billed Charges,,,,,525.2,,,,,,,Percent of Total Billed Charges,,,,,131.3,,,,,,,Percent of Total Billed Charges,,,, "DIURETIC SCREEN, URINE ",80377TC ,CPT,,Outpatient,,,334,267.2,249.5,,,,,,,Percent of Total Billed Charges,,249.5,249.5,,334,,,,,,,Percent of Total Billed Charges,,,,,320.64,,,,,,,Percent of Total Billed Charges,,,,,317.3,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,283.9,,,,,,,Percent of Total Billed Charges,,,,,70.14,,,,,,,Percent of Total Billed Charges,,,,,300.6,,,,,,,Percent of Total Billed Charges,,,,,300.6,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,93.52,,,,,,,Percent of Total Billed Charges,,,,,267.2,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,, 81301 MIS ANALYSIS OF MARHERS ,81301,CPT,,Outpatient,,,1566,1252.8,1169.8,,,,,,,Percent of Total Billed Charges,,1169.8,1169.8,,1566,,,,,,,Percent of Total Billed Charges,,,,,1503.36,,,,,,,Percent of Total Billed Charges,,,,,1487.7,,,,,,,Percent of Total Billed Charges,,,,,313.2,,,,,,,Percent of Total Billed Charges,,,,,1331.1,,,,,,,Percent of Total Billed Charges,,,,,328.86,,,,,,,Percent of Total Billed Charges,,,,,1409.4,,,,,,,Percent of Total Billed Charges,,,,,1409.4,,,,,,,Percent of Total Billed Charges,,,,,313.2,,,,,,,Percent of Total Billed Charges,,,,,438.48,,,,,,,Percent of Total Billed Charges,,,,,1252.8,,,,,,,Percent of Total Billed Charges,,,,,313.2,,,,,,,Percent of Total Billed Charges,,,, "1,3 BETA-D-GLUCAN (FUNGITELL) ",87449TC ,CPT,,Outpatient,,,706,564.8,527.38,,,,,,,Percent of Total Billed Charges,,527.38,527.38,,706,,,,,,,Percent of Total Billed Charges,,,,,677.76,,,,,,,Percent of Total Billed Charges,,,,,670.7,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,,,600.1,,,,,,,Percent of Total Billed Charges,,,,,148.26,,,,,,,Percent of Total Billed Charges,,,,,635.4,,,,,,,Percent of Total Billed Charges,,,,,635.4,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,,,197.68,,,,,,,Percent of Total Billed Charges,,,,,564.8,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,, IMMUNOGLOBULIN D ,82784TC ,CPT,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, "D-LACTATE, PLASMA ",83605TC ,CPT,,Outpatient,,,501,400.8,374.25,,,,,,,Percent of Total Billed Charges,,374.25,374.25,,501,,,,,,,Percent of Total Billed Charges,,,,,480.96,,,,,,,Percent of Total Billed Charges,,,,,475.95,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,425.85,,,,,,,Percent of Total Billed Charges,,,,,105.21,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,400.8,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,, "D-LACTATE, URINE ",83605TC ,CPT,,Outpatient,,,501,400.8,374.25,,,,,,,Percent of Total Billed Charges,,374.25,374.25,,501,,,,,,,Percent of Total Billed Charges,,,,,480.96,,,,,,,Percent of Total Billed Charges,,,,,475.95,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,425.85,,,,,,,Percent of Total Billed Charges,,,,,105.21,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,400.8,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,, "COVID-19, MOLECULAR ",87635TC ,CPT,,Outpatient,,,191.5,153.2,143.05,,,,,,,Percent of Total Billed Charges,,143.05,143.05,,191.5,,,,,,,Percent of Total Billed Charges,,,,,183.84,,,,,,,Percent of Total Billed Charges,,,,,181.93,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,162.78,,,,,,,Percent of Total Billed Charges,,,,,40.22,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,172.35,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,,,53.62,,,,,,,Percent of Total Billed Charges,,,,,153.2,,,,,,,Percent of Total Billed Charges,,,,,38.3,,,,,,,Percent of Total Billed Charges,,,, ADENOSINE DEAMINASE ,84311TC ,CPT,,Outpatient,,,501,400.8,374.25,,,,,,,Percent of Total Billed Charges,,374.25,374.25,,501,,,,,,,Percent of Total Billed Charges,,,,,480.96,,,,,,,Percent of Total Billed Charges,,,,,475.95,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,425.85,,,,,,,Percent of Total Billed Charges,,,,,105.21,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,400.8,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,, INFLIXIMAB ACTIVITY WITH REFLEX ,80230TC ,CPT,,Outpatient,,,526,420.8,392.92,,,,,,,Percent of Total Billed Charges,,392.92,392.92,,526,,,,,,,Percent of Total Billed Charges,,,,,504.96,,,,,,,Percent of Total Billed Charges,,,,,499.7,,,,,,,Percent of Total Billed Charges,,,,,105.2,,,,,,,Percent of Total Billed Charges,,,,,447.1,,,,,,,Percent of Total Billed Charges,,,,,110.46,,,,,,,Percent of Total Billed Charges,,,,,473.4,,,,,,,Percent of Total Billed Charges,,,,,473.4,,,,,,,Percent of Total Billed Charges,,,,,105.2,,,,,,,Percent of Total Billed Charges,,,,,147.28,,,,,,,Percent of Total Billed Charges,,,,,420.8,,,,,,,Percent of Total Billed Charges,,,,,105.2,,,,,,,Percent of Total Billed Charges,,,, "ALPHA SUBUNIT, PITUITARY GLYCOPROTEINS ",83520TC ,CPT,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, "RHEUMATOID FACTOR, IGG IGM IGA ",83516TC ,CPT,,Outpatient,,,501,400.8,374.25,,,,,,,Percent of Total Billed Charges,,374.25,374.25,,501,,,,,,,Percent of Total Billed Charges,,,,,480.96,,,,,,,Percent of Total Billed Charges,,,,,475.95,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,425.85,,,,,,,Percent of Total Billed Charges,,,,,105.21,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,400.8,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,, VARICELA ZOSTER QUANT BY PCR ,87799TC ,CPT,,Outpatient,,,522,417.6,389.93,,,,,,,Percent of Total Billed Charges,,389.93,389.93,,522,,,,,,,Percent of Total Billed Charges,,,,,501.12,,,,,,,Percent of Total Billed Charges,,,,,495.9,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,443.7,,,,,,,Percent of Total Billed Charges,,,,,109.62,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,146.16,,,,,,,Percent of Total Billed Charges,,,,,417.6,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,, PROTHROMBIN FRAGMENT 1&2 ,83520TC ,CPT,,Outpatient,,,332.5,266,248.38,,,,,,,Percent of Total Billed Charges,,248.38,248.38,,332.5,,,,,,,Percent of Total Billed Charges,,,,,319.2,,,,,,,Percent of Total Billed Charges,,,,,315.88,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,282.63,,,,,,,Percent of Total Billed Charges,,,,,69.83,,,,,,,Percent of Total Billed Charges,,,,,299.25,,,,,,,Percent of Total Billed Charges,,,,,299.25,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,266,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,, THROMBIN ANTITHROMBIN COMPLEX ,83520TC ,CPT,,Outpatient,,,278,222.4,207.67,,,,,,,Percent of Total Billed Charges,,207.67,207.67,,278,,,,,,,Percent of Total Billed Charges,,,,,266.88,,,,,,,Percent of Total Billed Charges,,,,,264.1,,,,,,,Percent of Total Billed Charges,,,,,55.6,,,,,,,Percent of Total Billed Charges,,,,,236.3,,,,,,,Percent of Total Billed Charges,,,,,58.38,,,,,,,Percent of Total Billed Charges,,,,,250.2,,,,,,,Percent of Total Billed Charges,,,,,250.2,,,,,,,Percent of Total Billed Charges,,,,,55.6,,,,,,,Percent of Total Billed Charges,,,,,77.84,,,,,,,Percent of Total Billed Charges,,,,,222.4,,,,,,,Percent of Total Billed Charges,,,,,55.6,,,,,,,Percent of Total Billed Charges,,,, COPEPTIN ,86255TC ,CPT,,Outpatient,,,393.5,314.8,293.94,,,,,,,Percent of Total Billed Charges,,293.94,293.94,,393.5,,,,,,,Percent of Total Billed Charges,,,,,377.76,,,,,,,Percent of Total Billed Charges,,,,,373.83,,,,,,,Percent of Total Billed Charges,,,,,78.7,,,,,,,Percent of Total Billed Charges,,,,,334.48,,,,,,,Percent of Total Billed Charges,,,,,82.64,,,,,,,Percent of Total Billed Charges,,,,,354.15,,,,,,,Percent of Total Billed Charges,,,,,354.15,,,,,,,Percent of Total Billed Charges,,,,,78.7,,,,,,,Percent of Total Billed Charges,,,,,110.18,,,,,,,Percent of Total Billed Charges,,,,,314.8,,,,,,,Percent of Total Billed Charges,,,,,78.7,,,,,,,Percent of Total Billed Charges,,,, MACROPROLACTIN ,84146TC ,CPT,,Outpatient,,,194,155.2,144.92,,,,,,,Percent of Total Billed Charges,,144.92,144.92,,194,,,,,,,Percent of Total Billed Charges,,,,,186.24,,,,,,,Percent of Total Billed Charges,,,,,184.3,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,164.9,,,,,,,Percent of Total Billed Charges,,,,,40.74,,,,,,,Percent of Total Billed Charges,,,,,174.6,,,,,,,Percent of Total Billed Charges,,,,,174.6,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,54.32,,,,,,,Percent of Total Billed Charges,,,,,155.2,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,, "CANDIDA ALBICANS AB IGA, IGG, AND IGM ",86628TC ,CPT,,Outpatient,,,200,160,149.4,,,,,,,Percent of Total Billed Charges,,149.4,149.4,,200,,,,,,,Percent of Total Billed Charges,,,,,192,,,,,,,Percent of Total Billed Charges,,,,,190,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,,,170,,,,,,,Percent of Total Billed Charges,,,,,42,,,,,,,Percent of Total Billed Charges,,,,,180,,,,,,,Percent of Total Billed Charges,,,,,180,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,,,56,,,,,,,Percent of Total Billed Charges,,,,,160,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,, "HERPES VIRUS 6 AB, IGG ",86790TC ,CPT,,Outpatient,,,272.5,218,203.56,,,,,,,Percent of Total Billed Charges,,203.56,203.56,,272.5,,,,,,,Percent of Total Billed Charges,,,,,261.6,,,,,,,Percent of Total Billed Charges,,,,,258.88,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,231.63,,,,,,,Percent of Total Billed Charges,,,,,57.23,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,218,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,, IODINE SERUM ,83018TC ,CPT,,Outpatient,,,212.5,170,158.74,,,,,,,Percent of Total Billed Charges,,158.74,158.74,,212.5,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,,,201.88,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,180.63,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,191.25,,,,,,,Percent of Total Billed Charges,,,,,191.25,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,59.5,,,,,,,Percent of Total Billed Charges,,,,,170,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,, EOSINOPHIL CATIONIC PROTEIN ,83520TC ,CPT,,Outpatient,,,212.5,170,158.74,,,,,,,Percent of Total Billed Charges,,158.74,158.74,,212.5,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,,,201.88,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,180.63,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,191.25,,,,,,,Percent of Total Billed Charges,,,,,191.25,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,59.5,,,,,,,Percent of Total Billed Charges,,,,,170,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,, CULTURE TISSUE - METHODIST ,87070TC ,CPT,,Outpatient,,,501,400.8,374.25,,,,,,,Percent of Total Billed Charges,,374.25,374.25,,501,,,,,,,Percent of Total Billed Charges,,,,,480.96,,,,,,,Percent of Total Billed Charges,,,,,475.95,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,425.85,,,,,,,Percent of Total Billed Charges,,,,,105.21,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,450.9,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,,,140.28,,,,,,,Percent of Total Billed Charges,,,,,400.8,,,,,,,Percent of Total Billed Charges,,,,,100.2,,,,,,,Percent of Total Billed Charges,,,, MMP-9 (MATRIX METALLOPROTEINASE-9) ,83520TC ,CPT,,Outpatient,,,332.5,266,248.38,,,,,,,Percent of Total Billed Charges,,248.38,248.38,,332.5,,,,,,,Percent of Total Billed Charges,,,,,319.2,,,,,,,Percent of Total Billed Charges,,,,,315.88,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,282.63,,,,,,,Percent of Total Billed Charges,,,,,69.83,,,,,,,Percent of Total Billed Charges,,,,,299.25,,,,,,,Percent of Total Billed Charges,,,,,299.25,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,266,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,, FACTOR VIII ACTIVITY W/ REFLEX BETHESDA ,85240TC ,CPT,,Outpatient,,,146,116.8,109.06,,,,,,,Percent of Total Billed Charges,,109.06,109.06,,146,,,,,,,Percent of Total Billed Charges,,,,,140.16,,,,,,,Percent of Total Billed Charges,,,,,138.7,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,124.1,,,,,,,Percent of Total Billed Charges,,,,,30.66,,,,,,,Percent of Total Billed Charges,,,,,131.4,,,,,,,Percent of Total Billed Charges,,,,,131.4,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,40.88,,,,,,,Percent of Total Billed Charges,,,,,116.8,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,, BETHESDA QUANT ,85335TC ,CPT,,Outpatient,,,212.5,170,158.74,,,,,,,Percent of Total Billed Charges,,158.74,158.74,,212.5,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,,,201.88,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,180.63,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,191.25,,,,,,,Percent of Total Billed Charges,,,,,191.25,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,59.5,,,,,,,Percent of Total Billed Charges,,,,,170,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,, ACTIVATED PTT INHIBITOR SCREEN ,85730TC ,CPT,,Outpatient,,,290.5,232.4,217,,,,,,,Percent of Total Billed Charges,,217,217,,290.5,,,,,,,Percent of Total Billed Charges,,,,,278.88,,,,,,,Percent of Total Billed Charges,,,,,275.98,,,,,,,Percent of Total Billed Charges,,,,,58.1,,,,,,,Percent of Total Billed Charges,,,,,246.93,,,,,,,Percent of Total Billed Charges,,,,,61.01,,,,,,,Percent of Total Billed Charges,,,,,261.45,,,,,,,Percent of Total Billed Charges,,,,,261.45,,,,,,,Percent of Total Billed Charges,,,,,58.1,,,,,,,Percent of Total Billed Charges,,,,,81.34,,,,,,,Percent of Total Billed Charges,,,,,232.4,,,,,,,Percent of Total Billed Charges,,,,,58.1,,,,,,,Percent of Total Billed Charges,,,, MYOMARKER 3 PLUS PROFILE ,83516TC ,CPT,,Outpatient,,,290.5,232.4,217,,,,,,,Percent of Total Billed Charges,,217,217,,290.5,,,,,,,Percent of Total Billed Charges,,,,,278.88,,,,,,,Percent of Total Billed Charges,,,,,275.98,,,,,,,Percent of Total Billed Charges,,,,,58.1,,,,,,,Percent of Total Billed Charges,,,,,246.93,,,,,,,Percent of Total Billed Charges,,,,,61.01,,,,,,,Percent of Total Billed Charges,,,,,261.45,,,,,,,Percent of Total Billed Charges,,,,,261.45,,,,,,,Percent of Total Billed Charges,,,,,58.1,,,,,,,Percent of Total Billed Charges,,,,,81.34,,,,,,,Percent of Total Billed Charges,,,,,232.4,,,,,,,Percent of Total Billed Charges,,,,,58.1,,,,,,,Percent of Total Billed Charges,,,, MELANOCYTE STIMULATION HORMONE ALPHA ,83519TC ,CPT,,Outpatient,,,339.5,271.6,253.61,,,,,,,Percent of Total Billed Charges,,253.61,253.61,,339.5,,,,,,,Percent of Total Billed Charges,,,,,325.92,,,,,,,Percent of Total Billed Charges,,,,,322.53,,,,,,,Percent of Total Billed Charges,,,,,67.9,,,,,,,Percent of Total Billed Charges,,,,,288.58,,,,,,,Percent of Total Billed Charges,,,,,71.3,,,,,,,Percent of Total Billed Charges,,,,,305.55,,,,,,,Percent of Total Billed Charges,,,,,305.55,,,,,,,Percent of Total Billed Charges,,,,,67.9,,,,,,,Percent of Total Billed Charges,,,,,95.06,,,,,,,Percent of Total Billed Charges,,,,,271.6,,,,,,,Percent of Total Billed Charges,,,,,67.9,,,,,,,Percent of Total Billed Charges,,,, HLA CLASS I PANEL ,81379TC ,CPT,,Outpatient,,,966,772.8,721.6,,,,,,,Percent of Total Billed Charges,,721.6,721.6,,966,,,,,,,Percent of Total Billed Charges,,,,,927.36,,,,,,,Percent of Total Billed Charges,,,,,917.7,,,,,,,Percent of Total Billed Charges,,,,,193.2,,,,,,,Percent of Total Billed Charges,,,,,821.1,,,,,,,Percent of Total Billed Charges,,,,,202.86,,,,,,,Percent of Total Billed Charges,,,,,869.4,,,,,,,Percent of Total Billed Charges,,,,,869.4,,,,,,,Percent of Total Billed Charges,,,,,193.2,,,,,,,Percent of Total Billed Charges,,,,,270.48,,,,,,,Percent of Total Billed Charges,,,,,772.8,,,,,,,Percent of Total Billed Charges,,,,,193.2,,,,,,,Percent of Total Billed Charges,,,, TRANSFORMING GROWTH FACTOR BETA ,83520TC ,CPT,,Outpatient,,,252.5,202,188.62,,,,,,,Percent of Total Billed Charges,,188.62,188.62,,252.5,,,,,,,Percent of Total Billed Charges,,,,,242.4,,,,,,,Percent of Total Billed Charges,,,,,239.88,,,,,,,Percent of Total Billed Charges,,,,,50.5,,,,,,,Percent of Total Billed Charges,,,,,214.63,,,,,,,Percent of Total Billed Charges,,,,,53.03,,,,,,,Percent of Total Billed Charges,,,,,227.25,,,,,,,Percent of Total Billed Charges,,,,,227.25,,,,,,,Percent of Total Billed Charges,,,,,50.5,,,,,,,Percent of Total Billed Charges,,,,,70.7,,,,,,,Percent of Total Billed Charges,,,,,202,,,,,,,Percent of Total Billed Charges,,,,,50.5,,,,,,,Percent of Total Billed Charges,,,, CARDIOLIPIN AB IGM ,86147TC ,CPT,,Outpatient,,,455,364,339.89,,,,,,,Percent of Total Billed Charges,,339.89,339.89,,455,,,,,,,Percent of Total Billed Charges,,,,,436.8,,,,,,,Percent of Total Billed Charges,,,,,432.25,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,386.75,,,,,,,Percent of Total Billed Charges,,,,,95.55,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,364,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,, BLASTOMYCES QUANT AG ,87449TC ,CPT,,Outpatient,,,460,368,343.62,,,,,,,Percent of Total Billed Charges,,343.62,343.62,,460,,,,,,,Percent of Total Billed Charges,,,,,441.6,,,,,,,Percent of Total Billed Charges,,,,,437,,,,,,,Percent of Total Billed Charges,,,,,92,,,,,,,Percent of Total Billed Charges,,,,,391,,,,,,,Percent of Total Billed Charges,,,,,96.6,,,,,,,Percent of Total Billed Charges,,,,,414,,,,,,,Percent of Total Billed Charges,,,,,414,,,,,,,Percent of Total Billed Charges,,,,,92,,,,,,,Percent of Total Billed Charges,,,,,128.8,,,,,,,Percent of Total Billed Charges,,,,,368,,,,,,,Percent of Total Billed Charges,,,,,92,,,,,,,Percent of Total Billed Charges,,,, C4A BY RIA ,86160TC ,CPT,,Outpatient,,,159,127.2,118.77,,,,,,,Percent of Total Billed Charges,,118.77,118.77,,159,,,,,,,Percent of Total Billed Charges,,,,,152.64,,,,,,,Percent of Total Billed Charges,,,,,151.05,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,135.15,,,,,,,Percent of Total Billed Charges,,,,,33.39,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,127.2,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,, MSH/HNK1 (CD57) PROFILE ,86356TC ,CPT,,Outpatient,,,311.5,249.2,232.69,,,,,,,Percent of Total Billed Charges,,232.69,232.69,,311.5,,,,,,,Percent of Total Billed Charges,,,,,299.04,,,,,,,Percent of Total Billed Charges,,,,,295.93,,,,,,,Percent of Total Billed Charges,,,,,62.3,,,,,,,Percent of Total Billed Charges,,,,,264.78,,,,,,,Percent of Total Billed Charges,,,,,65.42,,,,,,,Percent of Total Billed Charges,,,,,280.35,,,,,,,Percent of Total Billed Charges,,,,,280.35,,,,,,,Percent of Total Billed Charges,,,,,62.3,,,,,,,Percent of Total Billed Charges,,,,,87.22,,,,,,,Percent of Total Billed Charges,,,,,249.2,,,,,,,Percent of Total Billed Charges,,,,,62.3,,,,,,,Percent of Total Billed Charges,,,, FUNGAL ANTIBODIES BY IMMUNODIFFUSION ,86606TC ,CPT,,Outpatient,,,139,111.2,103.83,,,,,,,Percent of Total Billed Charges,,103.83,103.83,,139,,,,,,,Percent of Total Billed Charges,,,,,133.44,,,,,,,Percent of Total Billed Charges,,,,,132.05,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,,,118.15,,,,,,,Percent of Total Billed Charges,,,,,29.19,,,,,,,Percent of Total Billed Charges,,,,,125.1,,,,,,,Percent of Total Billed Charges,,,,,125.1,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,,,38.92,,,,,,,Percent of Total Billed Charges,,,,,111.2,,,,,,,Percent of Total Billed Charges,,,,,27.8,,,,,,,Percent of Total Billed Charges,,,, TACROLIMUS LEVEL ,80197TC ,CPT,,Outpatient,,,212.5,170,158.74,,,,,,,Percent of Total Billed Charges,,158.74,158.74,,212.5,,,,,,,Percent of Total Billed Charges,,,,,204,,,,,,,Percent of Total Billed Charges,,,,,201.88,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,180.63,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,191.25,,,,,,,Percent of Total Billed Charges,,,,,191.25,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,59.5,,,,,,,Percent of Total Billed Charges,,,,,170,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,, CAH PEDIATRIC PROFILE 6 ,82633TC ,CPT,,Outpatient,,,907.5,726,677.9,,,,,,,Percent of Total Billed Charges,,677.9,677.9,,907.5,,,,,,,Percent of Total Billed Charges,,,,,871.2,,,,,,,Percent of Total Billed Charges,,,,,862.13,,,,,,,Percent of Total Billed Charges,,,,,181.5,,,,,,,Percent of Total Billed Charges,,,,,771.38,,,,,,,Percent of Total Billed Charges,,,,,190.58,,,,,,,Percent of Total Billed Charges,,,,,816.75,,,,,,,Percent of Total Billed Charges,,,,,816.75,,,,,,,Percent of Total Billed Charges,,,,,181.5,,,,,,,Percent of Total Billed Charges,,,,,254.1,,,,,,,Percent of Total Billed Charges,,,,,726,,,,,,,Percent of Total Billed Charges,,,,,181.5,,,,,,,Percent of Total Billed Charges,,,, HCV GENOSURE NS3 AND NS4A ,87900TC ,CPT,,Outpatient,,,995.5,796.4,743.64,,,,,,,Percent of Total Billed Charges,,743.64,743.64,,995.5,,,,,,,Percent of Total Billed Charges,,,,,955.68,,,,,,,Percent of Total Billed Charges,,,,,945.73,,,,,,,Percent of Total Billed Charges,,,,,199.1,,,,,,,Percent of Total Billed Charges,,,,,846.18,,,,,,,Percent of Total Billed Charges,,,,,209.06,,,,,,,Percent of Total Billed Charges,,,,,895.95,,,,,,,Percent of Total Billed Charges,,,,,895.95,,,,,,,Percent of Total Billed Charges,,,,,199.1,,,,,,,Percent of Total Billed Charges,,,,,278.74,,,,,,,Percent of Total Billed Charges,,,,,796.4,,,,,,,Percent of Total Billed Charges,,,,,199.1,,,,,,,Percent of Total Billed Charges,,,, CLOBAZAM QUANTITATIVE ,80339TC ,CPT,,Outpatient,,,446,356.8,333.16,,,,,,,Percent of Total Billed Charges,,333.16,333.16,,446,,,,,,,Percent of Total Billed Charges,,,,,428.16,,,,,,,Percent of Total Billed Charges,,,,,423.7,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,379.1,,,,,,,Percent of Total Billed Charges,,,,,93.66,,,,,,,Percent of Total Billed Charges,,,,,401.4,,,,,,,Percent of Total Billed Charges,,,,,401.4,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,,,124.88,,,,,,,Percent of Total Billed Charges,,,,,356.8,,,,,,,Percent of Total Billed Charges,,,,,89.2,,,,,,,Percent of Total Billed Charges,,,, "AMINO ACIDS 1,2-5,6 OR MORE QUANT ",82139TC ,CPT,,Outpatient,,,234.5,187.6,175.17,,,,,,,Percent of Total Billed Charges,,175.17,175.17,,234.5,,,,,,,Percent of Total Billed Charges,,,,,225.12,,,,,,,Percent of Total Billed Charges,,,,,222.78,,,,,,,Percent of Total Billed Charges,,,,,46.9,,,,,,,Percent of Total Billed Charges,,,,,199.33,,,,,,,Percent of Total Billed Charges,,,,,49.25,,,,,,,Percent of Total Billed Charges,,,,,211.05,,,,,,,Percent of Total Billed Charges,,,,,211.05,,,,,,,Percent of Total Billed Charges,,,,,46.9,,,,,,,Percent of Total Billed Charges,,,,,65.66,,,,,,,Percent of Total Billed Charges,,,,,187.6,,,,,,,Percent of Total Billed Charges,,,,,46.9,,,,,,,Percent of Total Billed Charges,,,, "HISTOPLASMA GALACTOMANNAN AG QUANT, URN ",87385TC ,CPT,,Outpatient,,,276,220.8,206.17,,,,,,,Percent of Total Billed Charges,,206.17,206.17,,276,,,,,,,Percent of Total Billed Charges,,,,,264.96,,,,,,,Percent of Total Billed Charges,,,,,262.2,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,234.6,,,,,,,Percent of Total Billed Charges,,,,,57.96,,,,,,,Percent of Total Billed Charges,,,,,248.4,,,,,,,Percent of Total Billed Charges,,,,,248.4,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,220.8,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,, CRYOFIBRINOGEN ,82585TC ,CPT,,Outpatient,,,129.5,103.6,96.74,,,,,,,Percent of Total Billed Charges,,96.74,96.74,,129.5,,,,,,,Percent of Total Billed Charges,,,,,124.32,,,,,,,Percent of Total Billed Charges,,,,,123.03,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,110.08,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,36.26,,,,,,,Percent of Total Billed Charges,,,,,103.6,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,, "SOLUBLE LIVER AG AB, IGG ",83516TC ,CPT,,Outpatient,,,94.5,75.6,70.59,,,,,,,Percent of Total Billed Charges,,70.59,70.59,,94.5,,,,,,,Percent of Total Billed Charges,,,,,90.72,,,,,,,Percent of Total Billed Charges,,,,,89.78,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,80.33,,,,,,,Percent of Total Billed Charges,,,,,19.85,,,,,,,Percent of Total Billed Charges,,,,,85.05,,,,,,,Percent of Total Billed Charges,,,,,85.05,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,,,26.46,,,,,,,Percent of Total Billed Charges,,,,,75.6,,,,,,,Percent of Total Billed Charges,,,,,18.9,,,,,,,Percent of Total Billed Charges,,,, GANGLIOSIDE ANTIBODIES IGG/IGM ,83516TC ,CPT,,Outpatient,,,527.5,422,394.04,,,,,,,Percent of Total Billed Charges,,394.04,394.04,,527.5,,,,,,,Percent of Total Billed Charges,,,,,506.4,,,,,,,Percent of Total Billed Charges,,,,,501.13,,,,,,,Percent of Total Billed Charges,,,,,105.5,,,,,,,Percent of Total Billed Charges,,,,,448.38,,,,,,,Percent of Total Billed Charges,,,,,110.78,,,,,,,Percent of Total Billed Charges,,,,,474.75,,,,,,,Percent of Total Billed Charges,,,,,474.75,,,,,,,Percent of Total Billed Charges,,,,,105.5,,,,,,,Percent of Total Billed Charges,,,,,147.7,,,,,,,Percent of Total Billed Charges,,,,,422,,,,,,,Percent of Total Billed Charges,,,,,105.5,,,,,,,Percent of Total Billed Charges,,,, HANTAVIRUS IGG/IGM ,86790TC ,CPT,,Outpatient,,,487,389.6,363.79,,,,,,,Percent of Total Billed Charges,,363.79,363.79,,487,,,,,,,Percent of Total Billed Charges,,,,,467.52,,,,,,,Percent of Total Billed Charges,,,,,462.65,,,,,,,Percent of Total Billed Charges,,,,,97.4,,,,,,,Percent of Total Billed Charges,,,,,413.95,,,,,,,Percent of Total Billed Charges,,,,,102.27,,,,,,,Percent of Total Billed Charges,,,,,438.3,,,,,,,Percent of Total Billed Charges,,,,,438.3,,,,,,,Percent of Total Billed Charges,,,,,97.4,,,,,,,Percent of Total Billed Charges,,,,,136.36,,,,,,,Percent of Total Billed Charges,,,,,389.6,,,,,,,Percent of Total Billed Charges,,,,,97.4,,,,,,,Percent of Total Billed Charges,,,, TRICHINELLA AB SERUM ,86784TC ,CPT,,Outpatient,,,70.5,56.4,52.66,,,,,,,Percent of Total Billed Charges,,52.66,52.66,,70.5,,,,,,,Percent of Total Billed Charges,,,,,67.68,,,,,,,Percent of Total Billed Charges,,,,,66.98,,,,,,,Percent of Total Billed Charges,,,,,14.1,,,,,,,Percent of Total Billed Charges,,,,,59.93,,,,,,,Percent of Total Billed Charges,,,,,14.81,,,,,,,Percent of Total Billed Charges,,,,,63.45,,,,,,,Percent of Total Billed Charges,,,,,63.45,,,,,,,Percent of Total Billed Charges,,,,,14.1,,,,,,,Percent of Total Billed Charges,,,,,19.74,,,,,,,Percent of Total Billed Charges,,,,,56.4,,,,,,,Percent of Total Billed Charges,,,,,14.1,,,,,,,Percent of Total Billed Charges,,,, ...TOXOPLASMA IGG/IGM ,86777TC ,CPT,,Outpatient,,,39.5,31.6,29.51,,,,,,,Percent of Total Billed Charges,,29.51,29.51,,39.5,,,,,,,Percent of Total Billed Charges,,,,,37.92,,,,,,,Percent of Total Billed Charges,,,,,37.53,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,33.58,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,11.06,,,,,,,Percent of Total Billed Charges,,,,,31.6,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,, BRUCELLA TOTAL AB BY AGGL ,86622TC ,CPT,,Outpatient,,,23,18.4,17.18,,,,,,,Percent of Total Billed Charges,,17.18,17.18,,23,,,,,,,Percent of Total Billed Charges,,,,,22.08,,,,,,,Percent of Total Billed Charges,,,,,21.85,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,19.55,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,, Q FEVER IGG/IGM PHASE I/II ,86638TC ,CPT,,Outpatient,,,370.5,296.4,276.76,,,,,,,Percent of Total Billed Charges,,276.76,276.76,,370.5,,,,,,,Percent of Total Billed Charges,,,,,355.68,,,,,,,Percent of Total Billed Charges,,,,,351.98,,,,,,,Percent of Total Billed Charges,,,,,74.1,,,,,,,Percent of Total Billed Charges,,,,,314.93,,,,,,,Percent of Total Billed Charges,,,,,77.81,,,,,,,Percent of Total Billed Charges,,,,,333.45,,,,,,,Percent of Total Billed Charges,,,,,333.45,,,,,,,Percent of Total Billed Charges,,,,,74.1,,,,,,,Percent of Total Billed Charges,,,,,103.74,,,,,,,Percent of Total Billed Charges,,,,,296.4,,,,,,,Percent of Total Billed Charges,,,,,74.1,,,,,,,Percent of Total Billed Charges,,,, BABESIA SPECIES/MICROTI BY PCR ,87798TC ,CPT,,Outpatient,,,508.5,406.8,379.85,,,,,,,Percent of Total Billed Charges,,379.85,379.85,,508.5,,,,,,,Percent of Total Billed Charges,,,,,488.16,,,,,,,Percent of Total Billed Charges,,,,,483.08,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,432.23,,,,,,,Percent of Total Billed Charges,,,,,106.79,,,,,,,Percent of Total Billed Charges,,,,,457.65,,,,,,,Percent of Total Billed Charges,,,,,457.65,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,142.38,,,,,,,Percent of Total Billed Charges,,,,,406.8,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,, BARTONELLA QUINTANA IGG/IGM ,86611TC ,CPT,,Outpatient,,,242,193.6,180.77,,,,,,,Percent of Total Billed Charges,,180.77,180.77,,242,,,,,,,Percent of Total Billed Charges,,,,,232.32,,,,,,,Percent of Total Billed Charges,,,,,229.9,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,205.7,,,,,,,Percent of Total Billed Charges,,,,,50.82,,,,,,,Percent of Total Billed Charges,,,,,217.8,,,,,,,Percent of Total Billed Charges,,,,,217.8,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,67.76,,,,,,,Percent of Total Billed Charges,,,,,193.6,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,, BARTONELLA HENSELAE IGG/IGM ,86611TC ,CPT,,Outpatient,,,85,68,63.5,,,,,,,Percent of Total Billed Charges,,63.5,63.5,,85,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,80.75,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,72.25,,,,,,,Percent of Total Billed Charges,,,,,17.85,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,76.5,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,, HEPATITIS E IGM ,86790TC ,CPT,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, DERMAL VIRUS ISOLATION LESION ,87254TC ,CPT,,Outpatient,,,234.5,187.6,175.17,,,,,,,Percent of Total Billed Charges,,175.17,175.17,,234.5,,,,,,,Percent of Total Billed Charges,,,,,225.12,,,,,,,Percent of Total Billed Charges,,,,,222.78,,,,,,,Percent of Total Billed Charges,,,,,46.9,,,,,,,Percent of Total Billed Charges,,,,,199.33,,,,,,,Percent of Total Billed Charges,,,,,49.25,,,,,,,Percent of Total Billed Charges,,,,,211.05,,,,,,,Percent of Total Billed Charges,,,,,211.05,,,,,,,Percent of Total Billed Charges,,,,,46.9,,,,,,,Percent of Total Billed Charges,,,,,65.66,,,,,,,Percent of Total Billed Charges,,,,,187.6,,,,,,,Percent of Total Billed Charges,,,,,46.9,,,,,,,Percent of Total Billed Charges,,,, PORPHOBILINOGEN QUANT RANDOM URINE ,84110TC ,CPT,,Outpatient,,,121.5,97.2,90.76,,,,,,,Percent of Total Billed Charges,,90.76,90.76,,121.5,,,,,,,Percent of Total Billed Charges,,,,,116.64,,,,,,,Percent of Total Billed Charges,,,,,115.43,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,103.28,,,,,,,Percent of Total Billed Charges,,,,,25.52,,,,,,,Percent of Total Billed Charges,,,,,109.35,,,,,,,Percent of Total Billed Charges,,,,,109.35,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,,,34.02,,,,,,,Percent of Total Billed Charges,,,,,97.2,,,,,,,Percent of Total Billed Charges,,,,,24.3,,,,,,,Percent of Total Billed Charges,,,, PORPHYRIN QUANT URINE ,84120TC ,CPT,,Outpatient,,,113,90.4,84.41,,,,,,,Percent of Total Billed Charges,,84.41,84.41,,113,,,,,,,Percent of Total Billed Charges,,,,,108.48,,,,,,,Percent of Total Billed Charges,,,,,107.35,,,,,,,Percent of Total Billed Charges,,,,,22.6,,,,,,,Percent of Total Billed Charges,,,,,96.05,,,,,,,Percent of Total Billed Charges,,,,,23.73,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,22.6,,,,,,,Percent of Total Billed Charges,,,,,31.64,,,,,,,Percent of Total Billed Charges,,,,,90.4,,,,,,,Percent of Total Billed Charges,,,,,22.6,,,,,,,Percent of Total Billed Charges,,,, CALRETICULIN EXON 9 MUTATION ANALYSIS ,81219TC ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, "QUETIAPINE, SERUM OR PLASMA ",80342TC ,CPT,,Outpatient,,,180,144,134.46,,,,,,,Percent of Total Billed Charges,,134.46,134.46,,180,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,171,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,153,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,162,,,,,,,Percent of Total Billed Charges,,,,,162,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,144,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,, PENICILLIN IGE PROFILE 2 ,86003TC ,CPT,,Outpatient,,,11.5,9.2,8.59,,,,,,,Percent of Total Billed Charges,,8.59,8.59,,11.5,,,,,,,Percent of Total Billed Charges,,,,,11.04,,,,,,,Percent of Total Billed Charges,,,,,10.93,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,9.78,,,,,,,Percent of Total Billed Charges,,,,,2.42,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,10.35,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,,,3.22,,,,,,,Percent of Total Billed Charges,,,,,9.2,,,,,,,Percent of Total Billed Charges,,,,,2.3,,,,,,,Percent of Total Billed Charges,,,, LYMPHOCYTE SUBSET PANEL 1 ,86361TC ,CPT,,Outpatient,,,99.5,79.6,74.33,,,,,,,Percent of Total Billed Charges,,74.33,74.33,,99.5,,,,,,,Percent of Total Billed Charges,,,,,95.52,,,,,,,Percent of Total Billed Charges,,,,,94.53,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,84.58,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,27.86,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,, VITAMIN B 5 ,84591TC ,CPT,,Outpatient,,,314,251.2,234.56,,,,,,,Percent of Total Billed Charges,,234.56,234.56,,314,,,,,,,Percent of Total Billed Charges,,,,,301.44,,,,,,,Percent of Total Billed Charges,,,,,298.3,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,266.9,,,,,,,Percent of Total Billed Charges,,,,,65.94,,,,,,,Percent of Total Billed Charges,,,,,282.6,,,,,,,Percent of Total Billed Charges,,,,,282.6,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,87.92,,,,,,,Percent of Total Billed Charges,,,,,251.2,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,, PRO BRAIN BNP NATRIURETIC PEP ,83880TC ,CPT,,Outpatient,,,303,242.4,226.34,,,,,,,Percent of Total Billed Charges,,226.34,226.34,,303,,,,,,,Percent of Total Billed Charges,,,,,290.88,,,,,,,Percent of Total Billed Charges,,,,,287.85,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,257.55,,,,,,,Percent of Total Billed Charges,,,,,63.63,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,84.84,,,,,,,Percent of Total Billed Charges,,,,,242.4,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,, ..HIGH SENSITIVITY TROPONIN-I ,84484TC ,CPT,,Outpatient,,,86.5,69.2,64.62,,,,,,,Percent of Total Billed Charges,,64.62,64.62,,86.5,,,,,,,Percent of Total Billed Charges,,,,,83.04,,,,,,,Percent of Total Billed Charges,,,,,82.18,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,,,73.53,,,,,,,Percent of Total Billed Charges,,,,,18.17,,,,,,,Percent of Total Billed Charges,,,,,77.85,,,,,,,Percent of Total Billed Charges,,,,,77.85,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,,,24.22,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,, THYROGLOBULIN ANTIBODY ,86800TC ,CPT,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, "ALLERGENS, FOOD, SHELL FISH PROFILE ",86003TC ,CPT,,Outpatient,,,170.5,136.4,127.36,,,,,,,Percent of Total Billed Charges,,127.36,127.36,,170.5,,,,,,,Percent of Total Billed Charges,,,,,163.68,,,,,,,Percent of Total Billed Charges,,,,,161.98,,,,,,,Percent of Total Billed Charges,,,,,34.1,,,,,,,Percent of Total Billed Charges,,,,,144.93,,,,,,,Percent of Total Billed Charges,,,,,35.81,,,,,,,Percent of Total Billed Charges,,,,,153.45,,,,,,,Percent of Total Billed Charges,,,,,153.45,,,,,,,Percent of Total Billed Charges,,,,,34.1,,,,,,,Percent of Total Billed Charges,,,,,47.74,,,,,,,Percent of Total Billed Charges,,,,,136.4,,,,,,,Percent of Total Billed Charges,,,,,34.1,,,,,,,Percent of Total Billed Charges,,,, THYROGLOBULIN ANTIBODY ,86800TC ,CPT,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, "PSA, ULTRASENSITIVE ",84153TC ,CPT,,Outpatient,,,455,364,339.89,,,,,,,Percent of Total Billed Charges,,339.89,339.89,,455,,,,,,,Percent of Total Billed Charges,,,,,436.8,,,,,,,Percent of Total Billed Charges,,,,,432.25,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,386.75,,,,,,,Percent of Total Billed Charges,,,,,95.55,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,409.5,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,364,,,,,,,Percent of Total Billed Charges,,,,,91,,,,,,,Percent of Total Billed Charges,,,, BORDETELLA PERTUSSIS AB IGG & IGA ,86615TC ,CPT,,Outpatient,,,392,313.6,292.82,,,,,,,Percent of Total Billed Charges,,292.82,292.82,,392,,,,,,,Percent of Total Billed Charges,,,,,376.32,,,,,,,Percent of Total Billed Charges,,,,,372.4,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,333.2,,,,,,,Percent of Total Billed Charges,,,,,82.32,,,,,,,Percent of Total Billed Charges,,,,,352.8,,,,,,,Percent of Total Billed Charges,,,,,352.8,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,109.76,,,,,,,Percent of Total Billed Charges,,,,,313.6,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,, CULTURE - CATHETER TIP - AEROBIC ,87070TC ,CPT,,Outpatient,,,323,258.4,241.28,,,,,,,Percent of Total Billed Charges,,241.28,241.28,,323,,,,,,,Percent of Total Billed Charges,,,,,310.08,,,,,,,Percent of Total Billed Charges,,,,,306.85,,,,,,,Percent of Total Billed Charges,,,,,64.6,,,,,,,Percent of Total Billed Charges,,,,,274.55,,,,,,,Percent of Total Billed Charges,,,,,67.83,,,,,,,Percent of Total Billed Charges,,,,,290.7,,,,,,,Percent of Total Billed Charges,,,,,290.7,,,,,,,Percent of Total Billed Charges,,,,,64.6,,,,,,,Percent of Total Billed Charges,,,,,90.44,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,64.6,,,,,,,Percent of Total Billed Charges,,,, "BRIVARACETAM QUANTITATIVE, SERUM ",80375TC ,CPT,,Outpatient,,,377,301.6,281.62,,,,,,,Percent of Total Billed Charges,,281.62,281.62,,377,,,,,,,Percent of Total Billed Charges,,,,,361.92,,,,,,,Percent of Total Billed Charges,,,,,358.15,,,,,,,Percent of Total Billed Charges,,,,,75.4,,,,,,,Percent of Total Billed Charges,,,,,320.45,,,,,,,Percent of Total Billed Charges,,,,,79.17,,,,,,,Percent of Total Billed Charges,,,,,339.3,,,,,,,Percent of Total Billed Charges,,,,,339.3,,,,,,,Percent of Total Billed Charges,,,,,75.4,,,,,,,Percent of Total Billed Charges,,,,,105.56,,,,,,,Percent of Total Billed Charges,,,,,301.6,,,,,,,Percent of Total Billed Charges,,,,,75.4,,,,,,,Percent of Total Billed Charges,,,, INSULIN ,83525TC ,CPT,,Outpatient,,,204,163.2,152.39,,,,,,,Percent of Total Billed Charges,,152.39,152.39,,204,,,,,,,Percent of Total Billed Charges,,,,,195.84,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,173.4,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,57.12,,,,,,,Percent of Total Billed Charges,,,,,163.2,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,, "BB ARC SEP BY DENSITY GRADIENT, RETICS ",86972TC ,CPT,,Outpatient,,,168,134.4,125.5,,,,,,,Percent of Total Billed Charges,,125.5,125.5,,168,,,,,,,Percent of Total Billed Charges,,,,,161.28,,,,,,,Percent of Total Billed Charges,,,,,159.6,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,142.8,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,151.2,,,,,,,Percent of Total Billed Charges,,,,,151.2,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,, DEXAMETHASONE SERUM/PLASMA BY LC-MS/MS ,80299TC ,CPT,,Outpatient,,,65,52,48.56,,,,,,,Percent of Total Billed Charges,,48.56,48.56,,65,,,,,,,Percent of Total Billed Charges,,,,,62.4,,,,,,,Percent of Total Billed Charges,,,,,61.75,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,55.25,,,,,,,Percent of Total Billed Charges,,,,,13.65,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,58.5,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,,,18.2,,,,,,,Percent of Total Billed Charges,,,,,52,,,,,,,Percent of Total Billed Charges,,,,,13,,,,,,,Percent of Total Billed Charges,,,, 88344 SURG. PATH ,88344TC ,CPT,,Outpatient,,,558,446.4,416.83,,,,,,,Percent of Total Billed Charges,,416.83,416.83,,558,,,,,,,Percent of Total Billed Charges,,,,,535.68,,,,,,,Percent of Total Billed Charges,,,,,530.1,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,474.3,,,,,,,Percent of Total Billed Charges,,,,,117.18,,,,,,,Percent of Total Billed Charges,,,,,502.2,,,,,,,Percent of Total Billed Charges,,,,,502.2,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,156.24,,,,,,,Percent of Total Billed Charges,,,,,446.4,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,, METHYLMALONIC ACID QUANT - URINE ,83921TC ,CPT,,Outpatient,,,208.5,166.8,155.75,,,,,,,Percent of Total Billed Charges,,155.75,155.75,,208.5,,,,,,,Percent of Total Billed Charges,,,,,200.16,,,,,,,Percent of Total Billed Charges,,,,,198.08,,,,,,,Percent of Total Billed Charges,,,,,41.7,,,,,,,Percent of Total Billed Charges,,,,,177.23,,,,,,,Percent of Total Billed Charges,,,,,43.79,,,,,,,Percent of Total Billed Charges,,,,,187.65,,,,,,,Percent of Total Billed Charges,,,,,187.65,,,,,,,Percent of Total Billed Charges,,,,,41.7,,,,,,,Percent of Total Billed Charges,,,,,58.38,,,,,,,Percent of Total Billed Charges,,,,,166.8,,,,,,,Percent of Total Billed Charges,,,,,41.7,,,,,,,Percent of Total Billed Charges,,,, ..PLATELET FUNCTION ASSAY ,85576TC ,CPT,,Outpatient,,,56.5,45.2,42.21,,,,,,,Percent of Total Billed Charges,,42.21,42.21,,56.5,,,,,,,Percent of Total Billed Charges,,,,,54.24,,,,,,,Percent of Total Billed Charges,,,,,53.68,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,48.03,,,,,,,Percent of Total Billed Charges,,,,,11.87,,,,,,,Percent of Total Billed Charges,,,,,50.85,,,,,,,Percent of Total Billed Charges,,,,,50.85,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,15.82,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,, MUSK AB IGG CBA IFA SCREEN ,86366TC ,CPT,,Outpatient,,,57,45.6,42.58,,,,,,,Percent of Total Billed Charges,,42.58,42.58,,57,,,,,,,Percent of Total Billed Charges,,,,,54.72,,,,,,,Percent of Total Billed Charges,,,,,54.15,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,11.97,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,15.96,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,, PROTEIN C TOTAL ANTIGEN ,85302TC ,CPT,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, PROTEIN S ANTIGEN TOTAL ,85305TC ,CPT,,Outpatient,,,36.5,29.2,27.27,,,,,,,Percent of Total Billed Charges,,27.27,27.27,,36.5,,,,,,,Percent of Total Billed Charges,,,,,35.04,,,,,,,Percent of Total Billed Charges,,,,,34.68,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,31.03,,,,,,,Percent of Total Billed Charges,,,,,7.67,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,, "S-100B PROTEIN, SERUM ",86316TC ,CPT,,Outpatient,,,64.5,51.6,48.18,,,,,,,Percent of Total Billed Charges,,48.18,48.18,,64.5,,,,,,,Percent of Total Billed Charges,,,,,61.92,,,,,,,Percent of Total Billed Charges,,,,,61.28,,,,,,,Percent of Total Billed Charges,,,,,12.9,,,,,,,Percent of Total Billed Charges,,,,,54.83,,,,,,,Percent of Total Billed Charges,,,,,13.55,,,,,,,Percent of Total Billed Charges,,,,,58.05,,,,,,,Percent of Total Billed Charges,,,,,58.05,,,,,,,Percent of Total Billed Charges,,,,,12.9,,,,,,,Percent of Total Billed Charges,,,,,18.06,,,,,,,Percent of Total Billed Charges,,,,,51.6,,,,,,,Percent of Total Billed Charges,,,,,12.9,,,,,,,Percent of Total Billed Charges,,,, "CHYMOTRYPSIN, FECAL ",84311TC ,CPT,,Outpatient,,,25,20,18.68,,,,,,,Percent of Total Billed Charges,,18.68,18.68,,25,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,23.75,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,21.25,,,,,,,Percent of Total Billed Charges,,,,,5.25,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,5,,,,,,,Percent of Total Billed Charges,,,, LYMPHOCYTE SUBSET PANEL ,86355TC ,CPT,,Outpatient,,,497.5,398,371.63,,,,,,,Percent of Total Billed Charges,,371.63,371.63,,497.5,,,,,,,Percent of Total Billed Charges,,,,,477.6,,,,,,,Percent of Total Billed Charges,,,,,472.63,,,,,,,Percent of Total Billed Charges,,,,,99.5,,,,,,,Percent of Total Billed Charges,,,,,422.88,,,,,,,Percent of Total Billed Charges,,,,,104.48,,,,,,,Percent of Total Billed Charges,,,,,447.75,,,,,,,Percent of Total Billed Charges,,,,,447.75,,,,,,,Percent of Total Billed Charges,,,,,99.5,,,,,,,Percent of Total Billed Charges,,,,,139.3,,,,,,,Percent of Total Billed Charges,,,,,398,,,,,,,Percent of Total Billed Charges,,,,,99.5,,,,,,,Percent of Total Billed Charges,,,, "ETHYL GLUCURONIDE & SULFATE, URINE QUANT",80321TC ,CPT,,Outpatient,,,279,223.2,208.41,,,,,,,Percent of Total Billed Charges,,208.41,208.41,,279,,,,,,,Percent of Total Billed Charges,,,,,267.84,,,,,,,Percent of Total Billed Charges,,,,,265.05,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,58.59,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,78.12,,,,,,,Percent of Total Billed Charges,,,,,223.2,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,, IGHV MUTATION ANALYSIS ,81263TC ,CPT,,Outpatient,,,915,732,683.51,,,,,,,Percent of Total Billed Charges,,683.51,683.51,,915,,,,,,,Percent of Total Billed Charges,,,,,878.4,,,,,,,Percent of Total Billed Charges,,,,,869.25,,,,,,,Percent of Total Billed Charges,,,,,183,,,,,,,Percent of Total Billed Charges,,,,,777.75,,,,,,,Percent of Total Billed Charges,,,,,192.15,,,,,,,Percent of Total Billed Charges,,,,,823.5,,,,,,,Percent of Total Billed Charges,,,,,823.5,,,,,,,Percent of Total Billed Charges,,,,,183,,,,,,,Percent of Total Billed Charges,,,,,256.2,,,,,,,Percent of Total Billed Charges,,,,,732,,,,,,,Percent of Total Billed Charges,,,,,183,,,,,,,Percent of Total Billed Charges,,,, CHROMOSOME FISH CLL PANEL ,88271TCX4 ,CPT,,Outpatient,,,66.5,53.2,49.68,,,,,,,Percent of Total Billed Charges,,49.68,49.68,,66.5,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,63.18,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,56.53,,,,,,,Percent of Total Billed Charges,,,,,13.97,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,18.62,,,,,,,Percent of Total Billed Charges,,,,,53.2,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,, FLOW CYTOMETRY IMMUNOPHENOTYPING QUAL ,88184TC ,CPT,,Outpatient,,,235,188,175.55,,,,,,,Percent of Total Billed Charges,,175.55,175.55,,235,,,,,,,Percent of Total Billed Charges,,,,,225.6,,,,,,,Percent of Total Billed Charges,,,,,223.25,,,,,,,Percent of Total Billed Charges,,,,,47,,,,,,,Percent of Total Billed Charges,,,,,199.75,,,,,,,Percent of Total Billed Charges,,,,,49.35,,,,,,,Percent of Total Billed Charges,,,,,211.5,,,,,,,Percent of Total Billed Charges,,,,,211.5,,,,,,,Percent of Total Billed Charges,,,,,47,,,,,,,Percent of Total Billed Charges,,,,,65.8,,,,,,,Percent of Total Billed Charges,,,,,188,,,,,,,Percent of Total Billed Charges,,,,,47,,,,,,,Percent of Total Billed Charges,,,, TRICHOMONAS VAGINALIS AMPLIFIED PROBE ,87661TC ,CPT,,Outpatient,,,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, UROGENITAL UREA/MYCO SPECIES PCR ,87798TC ,CPT,,Outpatient,,,109,87.2,81.42,,,,,,,Percent of Total Billed Charges,,81.42,81.42,,109,,,,,,,Percent of Total Billed Charges,,,,,104.64,,,,,,,Percent of Total Billed Charges,,,,,103.55,,,,,,,Percent of Total Billed Charges,,,,,21.8,,,,,,,Percent of Total Billed Charges,,,,,92.65,,,,,,,Percent of Total Billed Charges,,,,,22.89,,,,,,,Percent of Total Billed Charges,,,,,98.1,,,,,,,Percent of Total Billed Charges,,,,,98.1,,,,,,,Percent of Total Billed Charges,,,,,21.8,,,,,,,Percent of Total Billed Charges,,,,,30.52,,,,,,,Percent of Total Billed Charges,,,,,87.2,,,,,,,Percent of Total Billed Charges,,,,,21.8,,,,,,,Percent of Total Billed Charges,,,, PHARMACOGENETICS PANEL: PYSCHOTROPICS ,81225TC ,CPT,,Outpatient,,,905,724,676.04,,,,,,,Percent of Total Billed Charges,,676.04,676.04,,905,,,,,,,Percent of Total Billed Charges,,,,,868.8,,,,,,,Percent of Total Billed Charges,,,,,859.75,,,,,,,Percent of Total Billed Charges,,,,,181,,,,,,,Percent of Total Billed Charges,,,,,769.25,,,,,,,Percent of Total Billed Charges,,,,,190.05,,,,,,,Percent of Total Billed Charges,,,,,814.5,,,,,,,Percent of Total Billed Charges,,,,,814.5,,,,,,,Percent of Total Billed Charges,,,,,181,,,,,,,Percent of Total Billed Charges,,,,,253.4,,,,,,,Percent of Total Billed Charges,,,,,724,,,,,,,Percent of Total Billed Charges,,,,,181,,,,,,,Percent of Total Billed Charges,,,, "SEROTONIN, SERUM ",84260TC ,CPT,,Outpatient,,,212,169.6,158.36,,,,,,,Percent of Total Billed Charges,,158.36,158.36,,212,,,,,,,Percent of Total Billed Charges,,,,,203.52,,,,,,,Percent of Total Billed Charges,,,,,201.4,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,180.2,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,59.36,,,,,,,Percent of Total Billed Charges,,,,,169.6,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,, EVEROLIMUS ,80169TC ,CPT,,Outpatient,,,212,169.6,158.36,,,,,,,Percent of Total Billed Charges,,158.36,158.36,,212,,,,,,,Percent of Total Billed Charges,,,,,203.52,,,,,,,Percent of Total Billed Charges,,,,,201.4,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,180.2,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,59.36,,,,,,,Percent of Total Billed Charges,,,,,169.6,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,, JC VIRUS REAL TIME PCR ,87799TC ,CPT,,Outpatient,,,212,169.6,158.36,,,,,,,Percent of Total Billed Charges,,158.36,158.36,,212,,,,,,,Percent of Total Billed Charges,,,,,203.52,,,,,,,Percent of Total Billed Charges,,,,,201.4,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,180.2,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,59.36,,,,,,,Percent of Total Billed Charges,,,,,169.6,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,, "VITAMIN B7, SERUM OR PLASMA ",84591TC ,CPT,,Outpatient,,,212,169.6,158.36,,,,,,,Percent of Total Billed Charges,,158.36,158.36,,212,,,,,,,Percent of Total Billed Charges,,,,,203.52,,,,,,,Percent of Total Billed Charges,,,,,201.4,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,180.2,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,59.36,,,,,,,Percent of Total Billed Charges,,,,,169.6,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,, CYSTICERCOSIS AB IGG ,86682TC ,CPT,,Outpatient,,,212,169.6,158.36,,,,,,,Percent of Total Billed Charges,,158.36,158.36,,212,,,,,,,Percent of Total Billed Charges,,,,,203.52,,,,,,,Percent of Total Billed Charges,,,,,201.4,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,180.2,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,190.8,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,,,59.36,,,,,,,Percent of Total Billed Charges,,,,,169.6,,,,,,,Percent of Total Billed Charges,,,,,42.4,,,,,,,Percent of Total Billed Charges,,,, PHOSPHATIDYLETHANOL QUANT ,80321TC ,CPT,,Outpatient,,,388.5,310.8,290.21,,,,,,,Percent of Total Billed Charges,,290.21,290.21,,388.5,,,,,,,Percent of Total Billed Charges,,,,,372.96,,,,,,,Percent of Total Billed Charges,,,,,369.08,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,330.23,,,,,,,Percent of Total Billed Charges,,,,,81.59,,,,,,,Percent of Total Billed Charges,,,,,349.65,,,,,,,Percent of Total Billed Charges,,,,,349.65,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,108.78,,,,,,,Percent of Total Billed Charges,,,,,310.8,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,, PROLACTIN DILUTION STUDY ,84146TC ,CPT,,Outpatient,,,109,87.2,81.42,,,,,,,Percent of Total Billed Charges,,81.42,81.42,,109,,,,,,,Percent of Total Billed Charges,,,,,104.64,,,,,,,Percent of Total Billed Charges,,,,,103.55,,,,,,,Percent of Total Billed Charges,,,,,21.8,,,,,,,Percent of Total Billed Charges,,,,,92.65,,,,,,,Percent of Total Billed Charges,,,,,22.89,,,,,,,Percent of Total Billed Charges,,,,,98.1,,,,,,,Percent of Total Billed Charges,,,,,98.1,,,,,,,Percent of Total Billed Charges,,,,,21.8,,,,,,,Percent of Total Billed Charges,,,,,30.52,,,,,,,Percent of Total Billed Charges,,,,,87.2,,,,,,,Percent of Total Billed Charges,,,,,21.8,,,,,,,Percent of Total Billed Charges,,,, CENOBAMATE SERUM OR PLASMA ,80339TC ,CPT,,Outpatient,,,803.5,642.8,600.21,,,,,,,Percent of Total Billed Charges,,600.21,600.21,,803.5,,,,,,,Percent of Total Billed Charges,,,,,771.36,,,,,,,Percent of Total Billed Charges,,,,,763.33,,,,,,,Percent of Total Billed Charges,,,,,160.7,,,,,,,Percent of Total Billed Charges,,,,,682.98,,,,,,,Percent of Total Billed Charges,,,,,168.74,,,,,,,Percent of Total Billed Charges,,,,,723.15,,,,,,,Percent of Total Billed Charges,,,,,723.15,,,,,,,Percent of Total Billed Charges,,,,,160.7,,,,,,,Percent of Total Billed Charges,,,,,224.98,,,,,,,Percent of Total Billed Charges,,,,,642.8,,,,,,,Percent of Total Billed Charges,,,,,160.7,,,,,,,Percent of Total Billed Charges,,,, Encephalopathy/Dementia Panel ,86341TC ,CPT,,Outpatient,,,2474,1979.2,1848.08,,,,,,,Percent of Total Billed Charges,,1848.08,1848.08,,2474,,,,,,,Percent of Total Billed Charges,,,,,2375.04,,,,,,,Percent of Total Billed Charges,,,,,2350.3,,,,,,,Percent of Total Billed Charges,,,,,494.8,,,,,,,Percent of Total Billed Charges,,,,,2102.9,,,,,,,Percent of Total Billed Charges,,,,,519.54,,,,,,,Percent of Total Billed Charges,,,,,2226.6,,,,,,,Percent of Total Billed Charges,,,,,2226.6,,,,,,,Percent of Total Billed Charges,,,,,494.8,,,,,,,Percent of Total Billed Charges,,,,,692.72,,,,,,,Percent of Total Billed Charges,,,,,1979.2,,,,,,,Percent of Total Billed Charges,,,,,494.8,,,,,,,Percent of Total Billed Charges,,,, ZINC TRANSPORTER 8 AB ,86341TC ,CPT,,Outpatient,,,828,662.4,618.52,,,,,,,Percent of Total Billed Charges,,618.52,618.52,,828,,,,,,,Percent of Total Billed Charges,,,,,794.88,,,,,,,Percent of Total Billed Charges,,,,,786.6,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,703.8,,,,,,,Percent of Total Billed Charges,,,,,173.88,,,,,,,Percent of Total Billed Charges,,,,,745.2,,,,,,,Percent of Total Billed Charges,,,,,745.2,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,231.84,,,,,,,Percent of Total Billed Charges,,,,,662.4,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,, test procedure ,250,RC,,Outpatient,,,241.5,193.2,180.4,,,,,,,Percent of Total Billed Charges,,180.4,180.4,,241.5,,,,,,,Percent of Total Billed Charges,,,,,231.84,,,,,,,Percent of Total Billed Charges,,,,,229.43,,,,,,,Percent of Total Billed Charges,,,,,48.3,,,,,,,Percent of Total Billed Charges,,,,,205.28,,,,,,,Percent of Total Billed Charges,,,,,50.72,,,,,,,Percent of Total Billed Charges,,,,,217.35,,,,,,,Percent of Total Billed Charges,,,,,217.35,,,,,,,Percent of Total Billed Charges,,,,,48.3,,,,,,,Percent of Total Billed Charges,,,,,67.62,,,,,,,Percent of Total Billed Charges,,,,,193.2,,,,,,,Percent of Total Billed Charges,,,,,48.3,,,,,,,Percent of Total Billed Charges,,,, FREE TESTOSTERONE ,84402TC ,CPT,,Outpatient,,,292,233.6,218.12,,,,,,,Percent of Total Billed Charges,,218.12,218.12,,292,,,,,,,Percent of Total Billed Charges,,,,,280.32,,,,,,,Percent of Total Billed Charges,,,,,277.4,,,,,,,Percent of Total Billed Charges,,,,,58.4,,,,,,,Percent of Total Billed Charges,,,,,248.2,,,,,,,Percent of Total Billed Charges,,,,,61.32,,,,,,,Percent of Total Billed Charges,,,,,262.8,,,,,,,Percent of Total Billed Charges,,,,,262.8,,,,,,,Percent of Total Billed Charges,,,,,58.4,,,,,,,Percent of Total Billed Charges,,,,,81.76,,,,,,,Percent of Total Billed Charges,,,,,233.6,,,,,,,Percent of Total Billed Charges,,,,,58.4,,,,,,,Percent of Total Billed Charges,,,, MUSK QUANT ANTIBODY TITER ,83519TC ,CPT,,Outpatient,,,2308.5,1846.8,1724.45,,,,,,,Percent of Total Billed Charges,,1724.45,1724.45,,2308.5,,,,,,,Percent of Total Billed Charges,,,,,2216.16,,,,,,,Percent of Total Billed Charges,,,,,2193.08,,,,,,,Percent of Total Billed Charges,,,,,461.7,,,,,,,Percent of Total Billed Charges,,,,,1962.23,,,,,,,Percent of Total Billed Charges,,,,,484.79,,,,,,,Percent of Total Billed Charges,,,,,2077.65,,,,,,,Percent of Total Billed Charges,,,,,2077.65,,,,,,,Percent of Total Billed Charges,,,,,461.7,,,,,,,Percent of Total Billed Charges,,,,,646.38,,,,,,,Percent of Total Billed Charges,,,,,1846.8,,,,,,,Percent of Total Billed Charges,,,,,461.7,,,,,,,Percent of Total Billed Charges,,,, EXPOSURE HIV ,86703,CPT,,Outpatient,,,228.5,182.8,170.69,,,,,,,Percent of Total Billed Charges,,170.69,170.69,,228.5,,,,,,,Percent of Total Billed Charges,,,,,219.36,,,,,,,Percent of Total Billed Charges,,,,,217.08,,,,,,,Percent of Total Billed Charges,,,,,45.7,,,,,,,Percent of Total Billed Charges,,,,,194.23,,,,,,,Percent of Total Billed Charges,,,,,47.99,,,,,,,Percent of Total Billed Charges,,,,,205.65,,,,,,,Percent of Total Billed Charges,,,,,205.65,,,,,,,Percent of Total Billed Charges,,,,,45.7,,,,,,,Percent of Total Billed Charges,,,,,63.98,,,,,,,Percent of Total Billed Charges,,,,,182.8,,,,,,,Percent of Total Billed Charges,,,,,45.7,,,,,,,Percent of Total Billed Charges,,,, EXPOSURE HEPATITIS C ANTIBODY ,86803,CPT,,Outpatient,,,168.5,134.8,125.87,,,,,,,Percent of Total Billed Charges,,125.87,125.87,,168.5,,,,,,,Percent of Total Billed Charges,,,,,161.76,,,,,,,Percent of Total Billed Charges,,,,,160.08,,,,,,,Percent of Total Billed Charges,,,,,33.7,,,,,,,Percent of Total Billed Charges,,,,,143.23,,,,,,,Percent of Total Billed Charges,,,,,35.39,,,,,,,Percent of Total Billed Charges,,,,,151.65,,,,,,,Percent of Total Billed Charges,,,,,151.65,,,,,,,Percent of Total Billed Charges,,,,,33.7,,,,,,,Percent of Total Billed Charges,,,,,47.18,,,,,,,Percent of Total Billed Charges,,,,,134.8,,,,,,,Percent of Total Billed Charges,,,,,33.7,,,,,,,Percent of Total Billed Charges,,,, EXPOSURE HEPATITIS B SURF AB ,86706,CPT,,Outpatient,,,112,89.6,83.66,,,,,,,Percent of Total Billed Charges,,83.66,83.66,,112,,,,,,,Percent of Total Billed Charges,,,,,107.52,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,95.2,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,31.36,,,,,,,Percent of Total Billed Charges,,,,,89.6,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,, "EXPOSURE PREGNANCY TEST, URINE ",81025,CPT,,Outpatient,,,129.5,103.6,96.74,,,,,,,Percent of Total Billed Charges,,96.74,96.74,,129.5,,,,,,,Percent of Total Billed Charges,,,,,124.32,,,,,,,Percent of Total Billed Charges,,,,,123.03,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,110.08,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,36.26,,,,,,,Percent of Total Billed Charges,,,,,103.6,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,, EXPOSURE DRUG SCREEN (NON-DOT) ,80307TC ,CPT,,Outpatient,,,86.5,69.2,64.62,,,,,,,Percent of Total Billed Charges,,64.62,64.62,,86.5,,,,,,,Percent of Total Billed Charges,,,,,83.04,,,,,,,Percent of Total Billed Charges,,,,,82.18,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,,,73.53,,,,,,,Percent of Total Billed Charges,,,,,18.17,,,,,,,Percent of Total Billed Charges,,,,,77.85,,,,,,,Percent of Total Billed Charges,,,,,77.85,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,,,24.22,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,, EXPOSURE HEPATITIS B SURF AG (HBsAg) ,87340,CPT,,Outpatient,,,153,122.4,114.29,,,,,,,Percent of Total Billed Charges,,114.29,114.29,,153,,,,,,,Percent of Total Billed Charges,,,,,146.88,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,32.13,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,122.4,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,, .EMPLOYEE HEALTH ALCOHOL BLOOD ,80320,CPT,,Outpatient,,,231,184.8,172.56,,,,,,,Percent of Total Billed Charges,,172.56,172.56,,231,,,,,,,Percent of Total Billed Charges,,,,,221.76,,,,,,,Percent of Total Billed Charges,,,,,219.45,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,196.35,,,,,,,Percent of Total Billed Charges,,,,,48.51,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,, .TPMT - RBC ,82657,CPT,,Outpatient,,,530,424,395.91,,,,,,,Percent of Total Billed Charges,,395.91,395.91,,530,,,,,,,Percent of Total Billed Charges,,,,,508.8,,,,,,,Percent of Total Billed Charges,,,,,503.5,,,,,,,Percent of Total Billed Charges,,,,,106,,,,,,,Percent of Total Billed Charges,,,,,450.5,,,,,,,Percent of Total Billed Charges,,,,,111.3,,,,,,,Percent of Total Billed Charges,,,,,477,,,,,,,Percent of Total Billed Charges,,,,,477,,,,,,,Percent of Total Billed Charges,,,,,106,,,,,,,Percent of Total Billed Charges,,,,,148.4,,,,,,,Percent of Total Billed Charges,,,,,424,,,,,,,Percent of Total Billed Charges,,,,,106,,,,,,,Percent of Total Billed Charges,,,, MIRTAZAPINE ,80299TC ,CPT,,Outpatient,,,359,287.2,268.17,,,,,,,Percent of Total Billed Charges,,268.17,268.17,,359,,,,,,,Percent of Total Billed Charges,,,,,344.64,,,,,,,Percent of Total Billed Charges,,,,,341.05,,,,,,,Percent of Total Billed Charges,,,,,71.8,,,,,,,Percent of Total Billed Charges,,,,,305.15,,,,,,,Percent of Total Billed Charges,,,,,75.39,,,,,,,Percent of Total Billed Charges,,,,,323.1,,,,,,,Percent of Total Billed Charges,,,,,323.1,,,,,,,Percent of Total Billed Charges,,,,,71.8,,,,,,,Percent of Total Billed Charges,,,,,100.52,,,,,,,Percent of Total Billed Charges,,,,,287.2,,,,,,,Percent of Total Billed Charges,,,,,71.8,,,,,,,Percent of Total Billed Charges,,,, ALKALINE PHOSPHATASE - BONE SPECIFIC ,84080TC ,CPT,,Outpatient,,,359,287.2,268.17,,,,,,,Percent of Total Billed Charges,,268.17,268.17,,359,,,,,,,Percent of Total Billed Charges,,,,,344.64,,,,,,,Percent of Total Billed Charges,,,,,341.05,,,,,,,Percent of Total Billed Charges,,,,,71.8,,,,,,,Percent of Total Billed Charges,,,,,305.15,,,,,,,Percent of Total Billed Charges,,,,,75.39,,,,,,,Percent of Total Billed Charges,,,,,323.1,,,,,,,Percent of Total Billed Charges,,,,,323.1,,,,,,,Percent of Total Billed Charges,,,,,71.8,,,,,,,Percent of Total Billed Charges,,,,,100.52,,,,,,,Percent of Total Billed Charges,,,,,287.2,,,,,,,Percent of Total Billed Charges,,,,,71.8,,,,,,,Percent of Total Billed Charges,,,, LEFLUNOMIDE ,80193TC ,CPT,,Outpatient,,,200,160,149.4,,,,,,,Percent of Total Billed Charges,,149.4,149.4,,200,,,,,,,Percent of Total Billed Charges,,,,,192,,,,,,,Percent of Total Billed Charges,,,,,190,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,,,170,,,,,,,Percent of Total Billed Charges,,,,,42,,,,,,,Percent of Total Billed Charges,,,,,180,,,,,,,Percent of Total Billed Charges,,,,,180,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,,,56,,,,,,,Percent of Total Billed Charges,,,,,160,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,, LIVER FUNCTION - DAILY ,80076TC ,CPT,,Outpatient,,,294,235.2,219.62,,,,,,,Percent of Total Billed Charges,,219.62,219.62,,294,,,,,,,Percent of Total Billed Charges,,,,,282.24,,,,,,,Percent of Total Billed Charges,,,,,279.3,,,,,,,Percent of Total Billed Charges,,,,,58.8,,,,,,,Percent of Total Billed Charges,,,,,249.9,,,,,,,Percent of Total Billed Charges,,,,,61.74,,,,,,,Percent of Total Billed Charges,,,,,264.6,,,,,,,Percent of Total Billed Charges,,,,,264.6,,,,,,,Percent of Total Billed Charges,,,,,58.8,,,,,,,Percent of Total Billed Charges,,,,,82.32,,,,,,,Percent of Total Billed Charges,,,,,235.2,,,,,,,Percent of Total Billed Charges,,,,,58.8,,,,,,,Percent of Total Billed Charges,,,, DRUG SCREEN (CITY OF HAVANA) MEDTOX ,80307TC ,CPT,,Outpatient,,,77,61.6,57.52,,,,,,,Percent of Total Billed Charges,,57.52,57.52,,77,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,73.15,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,65.45,,,,,,,Percent of Total Billed Charges,,,,,16.17,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,21.56,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,, 88300 SURG. PATH ,88300TC ,CPT,,Outpatient,,,139.5,111.6,104.21,,,,,,,Percent of Total Billed Charges,,104.21,104.21,,139.5,,,,,,,Percent of Total Billed Charges,,,,,133.92,,,,,,,Percent of Total Billed Charges,,,,,132.53,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,118.58,,,,,,,Percent of Total Billed Charges,,,,,29.3,,,,,,,Percent of Total Billed Charges,,,,,125.55,,,,,,,Percent of Total Billed Charges,,,,,125.55,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,,,39.06,,,,,,,Percent of Total Billed Charges,,,,,111.6,,,,,,,Percent of Total Billed Charges,,,,,27.9,,,,,,,Percent of Total Billed Charges,,,, 88302 SURG PATH ,88302TC ,CPT,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, 88304 SURG PATH ,88304TC ,CPT,,Outpatient,,,196.5,157.2,146.79,,,,,,,Percent of Total Billed Charges,,146.79,146.79,,196.5,,,,,,,Percent of Total Billed Charges,,,,,188.64,,,,,,,Percent of Total Billed Charges,,,,,186.68,,,,,,,Percent of Total Billed Charges,,,,,39.3,,,,,,,Percent of Total Billed Charges,,,,,167.03,,,,,,,Percent of Total Billed Charges,,,,,41.27,,,,,,,Percent of Total Billed Charges,,,,,176.85,,,,,,,Percent of Total Billed Charges,,,,,176.85,,,,,,,Percent of Total Billed Charges,,,,,39.3,,,,,,,Percent of Total Billed Charges,,,,,55.02,,,,,,,Percent of Total Billed Charges,,,,,157.2,,,,,,,Percent of Total Billed Charges,,,,,39.3,,,,,,,Percent of Total Billed Charges,,,, 88305 SURG. PATH. ,88305TC ,CPT,,Outpatient,,,375,300,280.13,,,,,,,Percent of Total Billed Charges,,280.13,280.13,,375,,,,,,,Percent of Total Billed Charges,,,,,360,,,,,,,Percent of Total Billed Charges,,,,,356.25,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,318.75,,,,,,,Percent of Total Billed Charges,,,,,78.75,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,,,105,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,75,,,,,,,Percent of Total Billed Charges,,,, 88307 SURG. PATH ,88307TC ,CPT,,Outpatient,,,536,428.8,400.39,,,,,,,Percent of Total Billed Charges,,400.39,400.39,,536,,,,,,,Percent of Total Billed Charges,,,,,514.56,,,,,,,Percent of Total Billed Charges,,,,,509.2,,,,,,,Percent of Total Billed Charges,,,,,107.2,,,,,,,Percent of Total Billed Charges,,,,,455.6,,,,,,,Percent of Total Billed Charges,,,,,112.56,,,,,,,Percent of Total Billed Charges,,,,,482.4,,,,,,,Percent of Total Billed Charges,,,,,482.4,,,,,,,Percent of Total Billed Charges,,,,,107.2,,,,,,,Percent of Total Billed Charges,,,,,150.08,,,,,,,Percent of Total Billed Charges,,,,,428.8,,,,,,,Percent of Total Billed Charges,,,,,107.2,,,,,,,Percent of Total Billed Charges,,,, 88309 SURG. PATH. ,88309TC ,CPT,,Outpatient,,,919,735.2,686.49,,,,,,,Percent of Total Billed Charges,,686.49,686.49,,919,,,,,,,Percent of Total Billed Charges,,,,,882.24,,,,,,,Percent of Total Billed Charges,,,,,873.05,,,,,,,Percent of Total Billed Charges,,,,,183.8,,,,,,,Percent of Total Billed Charges,,,,,781.15,,,,,,,Percent of Total Billed Charges,,,,,192.99,,,,,,,Percent of Total Billed Charges,,,,,827.1,,,,,,,Percent of Total Billed Charges,,,,,827.1,,,,,,,Percent of Total Billed Charges,,,,,183.8,,,,,,,Percent of Total Billed Charges,,,,,257.32,,,,,,,Percent of Total Billed Charges,,,,,735.2,,,,,,,Percent of Total Billed Charges,,,,,183.8,,,,,,,Percent of Total Billed Charges,,,, 88331 SURG. PATH ,88331TC ,CPT,,Outpatient,,,368,294.4,274.9,,,,,,,Percent of Total Billed Charges,,274.9,274.9,,368,,,,,,,Percent of Total Billed Charges,,,,,353.28,,,,,,,Percent of Total Billed Charges,,,,,349.6,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,,,312.8,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,,,103.04,,,,,,,Percent of Total Billed Charges,,,,,294.4,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,, 88332 SURG.PATH. ,88332TC ,CPT,,Outpatient,,,206,164.8,153.88,,,,,,,Percent of Total Billed Charges,,153.88,153.88,,206,,,,,,,Percent of Total Billed Charges,,,,,197.76,,,,,,,Percent of Total Billed Charges,,,,,195.7,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,175.1,,,,,,,Percent of Total Billed Charges,,,,,43.26,,,,,,,Percent of Total Billed Charges,,,,,185.4,,,,,,,Percent of Total Billed Charges,,,,,185.4,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,57.68,,,,,,,Percent of Total Billed Charges,,,,,164.8,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,, 88348 SURG. PATH ,88348TC ,CPT,,Outpatient,,,1979.5,1583.6,1478.69,,,,,,,Percent of Total Billed Charges,,1478.69,1478.69,,1979.5,,,,,,,Percent of Total Billed Charges,,,,,1900.32,,,,,,,Percent of Total Billed Charges,,,,,1880.53,,,,,,,Percent of Total Billed Charges,,,,,395.9,,,,,,,Percent of Total Billed Charges,,,,,1682.58,,,,,,,Percent of Total Billed Charges,,,,,415.7,,,,,,,Percent of Total Billed Charges,,,,,1781.55,,,,,,,Percent of Total Billed Charges,,,,,1781.55,,,,,,,Percent of Total Billed Charges,,,,,395.9,,,,,,,Percent of Total Billed Charges,,,,,554.26,,,,,,,Percent of Total Billed Charges,,,,,1583.6,,,,,,,Percent of Total Billed Charges,,,,,395.9,,,,,,,Percent of Total Billed Charges,,,, 88312 SURG. PATH ,88312TC ,CPT,,Outpatient,,,276.5,221.2,206.55,,,,,,,Percent of Total Billed Charges,,206.55,206.55,,276.5,,,,,,,Percent of Total Billed Charges,,,,,265.44,,,,,,,Percent of Total Billed Charges,,,,,262.68,,,,,,,Percent of Total Billed Charges,,,,,55.3,,,,,,,Percent of Total Billed Charges,,,,,235.03,,,,,,,Percent of Total Billed Charges,,,,,58.07,,,,,,,Percent of Total Billed Charges,,,,,248.85,,,,,,,Percent of Total Billed Charges,,,,,248.85,,,,,,,Percent of Total Billed Charges,,,,,55.3,,,,,,,Percent of Total Billed Charges,,,,,77.42,,,,,,,Percent of Total Billed Charges,,,,,221.2,,,,,,,Percent of Total Billed Charges,,,,,55.3,,,,,,,Percent of Total Billed Charges,,,, 88313 SURG. PATH ,88313TC ,CPT,,Outpatient,,,231,184.8,172.56,,,,,,,Percent of Total Billed Charges,,172.56,172.56,,231,,,,,,,Percent of Total Billed Charges,,,,,221.76,,,,,,,Percent of Total Billed Charges,,,,,219.45,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,196.35,,,,,,,Percent of Total Billed Charges,,,,,48.51,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,207.9,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,64.68,,,,,,,Percent of Total Billed Charges,,,,,184.8,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,, 88342 SURG. PATH ,88342TC ,CPT,,Outpatient,,,333,266.4,248.75,,,,,,,Percent of Total Billed Charges,,248.75,248.75,,333,,,,,,,Percent of Total Billed Charges,,,,,319.68,,,,,,,Percent of Total Billed Charges,,,,,316.35,,,,,,,Percent of Total Billed Charges,,,,,66.6,,,,,,,Percent of Total Billed Charges,,,,,283.05,,,,,,,Percent of Total Billed Charges,,,,,69.93,,,,,,,Percent of Total Billed Charges,,,,,299.7,,,,,,,Percent of Total Billed Charges,,,,,299.7,,,,,,,Percent of Total Billed Charges,,,,,66.6,,,,,,,Percent of Total Billed Charges,,,,,93.24,,,,,,,Percent of Total Billed Charges,,,,,266.4,,,,,,,Percent of Total Billed Charges,,,,,66.6,,,,,,,Percent of Total Billed Charges,,,, 88346 SURG. PATH ,88346TC ,CPT,,Outpatient,,,381,304.8,284.61,,,,,,,Percent of Total Billed Charges,,284.61,284.61,,381,,,,,,,Percent of Total Billed Charges,,,,,365.76,,,,,,,Percent of Total Billed Charges,,,,,361.95,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,323.85,,,,,,,Percent of Total Billed Charges,,,,,80.01,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,342.9,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,,,106.68,,,,,,,Percent of Total Billed Charges,,,,,304.8,,,,,,,Percent of Total Billed Charges,,,,,76.2,,,,,,,Percent of Total Billed Charges,,,, 88321 SURG. PATH ,88321TC ,CPT,,Outpatient,,,356,284.8,265.93,,,,,,,Percent of Total Billed Charges,,265.93,265.93,,356,,,,,,,Percent of Total Billed Charges,,,,,341.76,,,,,,,Percent of Total Billed Charges,,,,,338.2,,,,,,,Percent of Total Billed Charges,,,,,71.2,,,,,,,Percent of Total Billed Charges,,,,,302.6,,,,,,,Percent of Total Billed Charges,,,,,74.76,,,,,,,Percent of Total Billed Charges,,,,,320.4,,,,,,,Percent of Total Billed Charges,,,,,320.4,,,,,,,Percent of Total Billed Charges,,,,,71.2,,,,,,,Percent of Total Billed Charges,,,,,99.68,,,,,,,Percent of Total Billed Charges,,,,,284.8,,,,,,,Percent of Total Billed Charges,,,,,71.2,,,,,,,Percent of Total Billed Charges,,,, 88323 SURG. PATH ,88323TC ,CPT,,Outpatient,,,359,287.2,268.17,,,,,,,Percent of Total Billed Charges,,268.17,268.17,,359,,,,,,,Percent of Total Billed Charges,,,,,344.64,,,,,,,Percent of Total Billed Charges,,,,,341.05,,,,,,,Percent of Total Billed Charges,,,,,71.8,,,,,,,Percent of Total Billed Charges,,,,,305.15,,,,,,,Percent of Total Billed Charges,,,,,75.39,,,,,,,Percent of Total Billed Charges,,,,,323.1,,,,,,,Percent of Total Billed Charges,,,,,323.1,,,,,,,Percent of Total Billed Charges,,,,,71.8,,,,,,,Percent of Total Billed Charges,,,,,100.52,,,,,,,Percent of Total Billed Charges,,,,,287.2,,,,,,,Percent of Total Billed Charges,,,,,71.8,,,,,,,Percent of Total Billed Charges,,,, 88325 SURG. PATH ,88325TC ,CPT,,Outpatient,,,475,380,354.83,,,,,,,Percent of Total Billed Charges,,354.83,354.83,,475,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,451.25,,,,,,,Percent of Total Billed Charges,,,,,95,,,,,,,Percent of Total Billed Charges,,,,,403.75,,,,,,,Percent of Total Billed Charges,,,,,99.75,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,427.5,,,,,,,Percent of Total Billed Charges,,,,,95,,,,,,,Percent of Total Billed Charges,,,,,133,,,,,,,Percent of Total Billed Charges,,,,,380,,,,,,,Percent of Total Billed Charges,,,,,95,,,,,,,Percent of Total Billed Charges,,,, SURGICAL PATH 23 ,88365TC ,CPT,,Outpatient,,,136.5,109.2,101.97,,,,,,,Percent of Total Billed Charges,,101.97,101.97,,136.5,,,,,,,Percent of Total Billed Charges,,,,,131.04,,,,,,,Percent of Total Billed Charges,,,,,129.68,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,116.03,,,,,,,Percent of Total Billed Charges,,,,,28.67,,,,,,,Percent of Total Billed Charges,,,,,122.85,,,,,,,Percent of Total Billed Charges,,,,,122.85,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,38.22,,,,,,,Percent of Total Billed Charges,,,,,109.2,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,, SURGICAL PATH 24 ,88182TC ,CPT,,Outpatient,,,532,425.6,397.4,,,,,,,Percent of Total Billed Charges,,397.4,397.4,,532,,,,,,,Percent of Total Billed Charges,,,,,510.72,,,,,,,Percent of Total Billed Charges,,,,,505.4,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,452.2,,,,,,,Percent of Total Billed Charges,,,,,111.72,,,,,,,Percent of Total Billed Charges,,,,,478.8,,,,,,,Percent of Total Billed Charges,,,,,478.8,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,148.96,,,,,,,Percent of Total Billed Charges,,,,,425.6,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,, TREPHINE BIOPSY SECTION ,88305TC ,CPT,,Outpatient,,,123.5,98.8,92.25,,,,,,,Percent of Total Billed Charges,,92.25,92.25,,123.5,,,,,,,Percent of Total Billed Charges,,,,,118.56,,,,,,,Percent of Total Billed Charges,,,,,117.33,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,104.98,,,,,,,Percent of Total Billed Charges,,,,,25.94,,,,,,,Percent of Total Billed Charges,,,,,111.15,,,,,,,Percent of Total Billed Charges,,,,,111.15,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,34.58,,,,,,,Percent of Total Billed Charges,,,,,98.8,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,, SURGICAL PATH 21 (ERA) ,88360TC ,CPT,,Outpatient,,,360,288,268.92,,,,,,,Percent of Total Billed Charges,,268.92,268.92,,360,,,,,,,Percent of Total Billed Charges,,,,,345.6,,,,,,,Percent of Total Billed Charges,,,,,342,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,306,,,,,,,Percent of Total Billed Charges,,,,,75.6,,,,,,,Percent of Total Billed Charges,,,,,324,,,,,,,Percent of Total Billed Charges,,,,,324,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,288,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,, SURGICAL PATH 22 (PRA) ,88360TC ,CPT,,Outpatient,,,360,288,268.92,,,,,,,Percent of Total Billed Charges,,268.92,268.92,,360,,,,,,,Percent of Total Billed Charges,,,,,345.6,,,,,,,Percent of Total Billed Charges,,,,,342,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,306,,,,,,,Percent of Total Billed Charges,,,,,75.6,,,,,,,Percent of Total Billed Charges,,,,,324,,,,,,,Percent of Total Billed Charges,,,,,324,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,288,,,,,,,Percent of Total Billed Charges,,,,,72,,,,,,,Percent of Total Billed Charges,,,, HER 2-NEU ,88361TC ,CPT,,Outpatient,,,495.5,396.4,370.14,,,,,,,Percent of Total Billed Charges,,370.14,370.14,,495.5,,,,,,,Percent of Total Billed Charges,,,,,475.68,,,,,,,Percent of Total Billed Charges,,,,,470.73,,,,,,,Percent of Total Billed Charges,,,,,99.1,,,,,,,Percent of Total Billed Charges,,,,,421.18,,,,,,,Percent of Total Billed Charges,,,,,104.06,,,,,,,Percent of Total Billed Charges,,,,,445.95,,,,,,,Percent of Total Billed Charges,,,,,445.95,,,,,,,Percent of Total Billed Charges,,,,,99.1,,,,,,,Percent of Total Billed Charges,,,,,138.74,,,,,,,Percent of Total Billed Charges,,,,,396.4,,,,,,,Percent of Total Billed Charges,,,,,99.1,,,,,,,Percent of Total Billed Charges,,,, 88365 SURGICAL PATH. ,88365TC ,CPT,,Outpatient,,,623.5,498.8,465.75,,,,,,,Percent of Total Billed Charges,,465.75,465.75,,623.5,,,,,,,Percent of Total Billed Charges,,,,,598.56,,,,,,,Percent of Total Billed Charges,,,,,592.33,,,,,,,Percent of Total Billed Charges,,,,,124.7,,,,,,,Percent of Total Billed Charges,,,,,529.98,,,,,,,Percent of Total Billed Charges,,,,,130.94,,,,,,,Percent of Total Billed Charges,,,,,561.15,,,,,,,Percent of Total Billed Charges,,,,,561.15,,,,,,,Percent of Total Billed Charges,,,,,124.7,,,,,,,Percent of Total Billed Charges,,,,,174.58,,,,,,,Percent of Total Billed Charges,,,,,498.8,,,,,,,Percent of Total Billed Charges,,,,,124.7,,,,,,,Percent of Total Billed Charges,,,, 85097 MARROW INTERP ,85097,CPT,,Outpatient,,,395.5,316.4,295.44,,,,,,,Percent of Total Billed Charges,,295.44,295.44,,395.5,,,,,,,Percent of Total Billed Charges,,,,,379.68,,,,,,,Percent of Total Billed Charges,,,,,375.73,,,,,,,Percent of Total Billed Charges,,,,,79.1,,,,,,,Percent of Total Billed Charges,,,,,336.18,,,,,,,Percent of Total Billed Charges,,,,,83.06,,,,,,,Percent of Total Billed Charges,,,,,355.95,,,,,,,Percent of Total Billed Charges,,,,,355.95,,,,,,,Percent of Total Billed Charges,,,,,79.1,,,,,,,Percent of Total Billed Charges,,,,,110.74,,,,,,,Percent of Total Billed Charges,,,,,316.4,,,,,,,Percent of Total Billed Charges,,,,,79.1,,,,,,,Percent of Total Billed Charges,,,, ..ALLERGEN - COMPREHENSIVE FOOD #1 ,86003,CPT,,Outpatient,,,408,326.4,304.78,,,,,,,Percent of Total Billed Charges,,304.78,304.78,,408,,,,,,,Percent of Total Billed Charges,,,,,391.68,,,,,,,Percent of Total Billed Charges,,,,,387.6,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,346.8,,,,,,,Percent of Total Billed Charges,,,,,85.68,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,114.24,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,, ..ALLERGEN PROFILE - REGION EIGHT ,250,RC,,Outpatient,,,408,326.4,304.78,,,,,,,Percent of Total Billed Charges,,304.78,304.78,,408,,,,,,,Percent of Total Billed Charges,,,,,391.68,,,,,,,Percent of Total Billed Charges,,,,,387.6,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,346.8,,,,,,,Percent of Total Billed Charges,,,,,85.68,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,114.24,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,, .ALLERGEN PROF - FOOD #1 ,86003,CPT,,Outpatient,,,11,8.8,8.22,,,,,,,Percent of Total Billed Charges,,8.22,8.22,,11,,,,,,,Percent of Total Billed Charges,,,,,10.56,,,,,,,Percent of Total Billed Charges,,,,,10.45,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,9.35,,,,,,,Percent of Total Billed Charges,,,,,2.31,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,3.08,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,, ALLERGEN PROFILE - REGION 8 ,86003,CPT,,Outpatient,,,11,8.8,8.22,,,,,,,Percent of Total Billed Charges,,8.22,8.22,,11,,,,,,,Percent of Total Billed Charges,,,,,10.56,,,,,,,Percent of Total Billed Charges,,,,,10.45,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,9.35,,,,,,,Percent of Total Billed Charges,,,,,2.31,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,9.9,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,,,3.08,,,,,,,Percent of Total Billed Charges,,,,,8.8,,,,,,,Percent of Total Billed Charges,,,,,2.2,,,,,,,Percent of Total Billed Charges,,,, NIPPLE DISCHARGE ,88160TC ,CPT,,Outpatient,,,75.5,60.4,56.4,,,,,,,Percent of Total Billed Charges,,56.4,56.4,,75.5,,,,,,,Percent of Total Billed Charges,,,,,72.48,,,,,,,Percent of Total Billed Charges,,,,,71.73,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,64.18,,,,,,,Percent of Total Billed Charges,,,,,15.86,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,60.4,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,, .HEPATITIS C RNA Q bDNA ,87522,CPT,,Outpatient,,,336,268.8,250.99,,,,,,,Percent of Total Billed Charges,,250.99,250.99,,336,,,,,,,Percent of Total Billed Charges,,,,,322.56,,,,,,,Percent of Total Billed Charges,,,,,319.2,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,285.6,,,,,,,Percent of Total Billed Charges,,,,,70.56,,,,,,,Percent of Total Billed Charges,,,,,302.4,,,,,,,Percent of Total Billed Charges,,,,,302.4,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,268.8,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,, ..BONE MARROW LEVEL I ,80299,CPT,,Outpatient,,,442,353.6,330.17,,,,,,,Percent of Total Billed Charges,,330.17,330.17,,442,,,,,,,Percent of Total Billed Charges,,,,,424.32,,,,,,,Percent of Total Billed Charges,,,,,419.9,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,375.7,,,,,,,Percent of Total Billed Charges,,,,,92.82,,,,,,,Percent of Total Billed Charges,,,,,397.8,,,,,,,Percent of Total Billed Charges,,,,,397.8,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,123.76,,,,,,,Percent of Total Billed Charges,,,,,353.6,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,, ..BONE MARROW PARTICLE SECTIONS ,88305,CPT,,Outpatient,,,236.5,189.2,176.67,,,,,,,Percent of Total Billed Charges,,176.67,176.67,,236.5,,,,,,,Percent of Total Billed Charges,,,,,227.04,,,,,,,Percent of Total Billed Charges,,,,,224.68,,,,,,,Percent of Total Billed Charges,,,,,47.3,,,,,,,Percent of Total Billed Charges,,,,,201.03,,,,,,,Percent of Total Billed Charges,,,,,49.67,,,,,,,Percent of Total Billed Charges,,,,,212.85,,,,,,,Percent of Total Billed Charges,,,,,212.85,,,,,,,Percent of Total Billed Charges,,,,,47.3,,,,,,,Percent of Total Billed Charges,,,,,66.22,,,,,,,Percent of Total Billed Charges,,,,,189.2,,,,,,,Percent of Total Billed Charges,,,,,47.3,,,,,,,Percent of Total Billed Charges,,,, ..BONE MARROW TREPHINE BIOPSY ,88305,CPT,,Outpatient,,,123.5,98.8,92.25,,,,,,,Percent of Total Billed Charges,,92.25,92.25,,123.5,,,,,,,Percent of Total Billed Charges,,,,,118.56,,,,,,,Percent of Total Billed Charges,,,,,117.33,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,104.98,,,,,,,Percent of Total Billed Charges,,,,,25.94,,,,,,,Percent of Total Billed Charges,,,,,111.15,,,,,,,Percent of Total Billed Charges,,,,,111.15,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,34.58,,,,,,,Percent of Total Billed Charges,,,,,98.8,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,, ..BONE MARROW STAIN GROUP 2 ,88313,CPT,,Outpatient,,,81,64.8,60.51,,,,,,,Percent of Total Billed Charges,,60.51,60.51,,81,,,,,,,Percent of Total Billed Charges,,,,,77.76,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,17.01,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,, ..BONE MARROW INTERPRETATION ,85097,CPT,,Outpatient,,,151.5,121.2,113.17,,,,,,,Percent of Total Billed Charges,,113.17,113.17,,151.5,,,,,,,Percent of Total Billed Charges,,,,,145.44,,,,,,,Percent of Total Billed Charges,,,,,143.93,,,,,,,Percent of Total Billed Charges,,,,,30.3,,,,,,,Percent of Total Billed Charges,,,,,128.78,,,,,,,Percent of Total Billed Charges,,,,,31.82,,,,,,,Percent of Total Billed Charges,,,,,136.35,,,,,,,Percent of Total Billed Charges,,,,,136.35,,,,,,,Percent of Total Billed Charges,,,,,30.3,,,,,,,Percent of Total Billed Charges,,,,,42.42,,,,,,,Percent of Total Billed Charges,,,,,121.2,,,,,,,Percent of Total Billed Charges,,,,,30.3,,,,,,,Percent of Total Billed Charges,,,, ROHYPNOL ,82491TC ,CPT,,Outpatient,,,906,724.8,676.78,,,,,,,Percent of Total Billed Charges,,676.78,676.78,,906,,,,,,,Percent of Total Billed Charges,,,,,869.76,,,,,,,Percent of Total Billed Charges,,,,,860.7,,,,,,,Percent of Total Billed Charges,,,,,181.2,,,,,,,Percent of Total Billed Charges,,,,,770.1,,,,,,,Percent of Total Billed Charges,,,,,190.26,,,,,,,Percent of Total Billed Charges,,,,,815.4,,,,,,,Percent of Total Billed Charges,,,,,815.4,,,,,,,Percent of Total Billed Charges,,,,,181.2,,,,,,,Percent of Total Billed Charges,,,,,253.68,,,,,,,Percent of Total Billed Charges,,,,,724.8,,,,,,,Percent of Total Billed Charges,,,,,181.2,,,,,,,Percent of Total Billed Charges,,,, GAMMA-HYDROBUTYRIC ACID ,80100TC ,CPT,,Outpatient,,,617.5,494,461.27,,,,,,,Percent of Total Billed Charges,,461.27,461.27,,617.5,,,,,,,Percent of Total Billed Charges,,,,,592.8,,,,,,,Percent of Total Billed Charges,,,,,586.63,,,,,,,Percent of Total Billed Charges,,,,,123.5,,,,,,,Percent of Total Billed Charges,,,,,524.88,,,,,,,Percent of Total Billed Charges,,,,,129.68,,,,,,,Percent of Total Billed Charges,,,,,555.75,,,,,,,Percent of Total Billed Charges,,,,,555.75,,,,,,,Percent of Total Billed Charges,,,,,123.5,,,,,,,Percent of Total Billed Charges,,,,,172.9,,,,,,,Percent of Total Billed Charges,,,,,494,,,,,,,Percent of Total Billed Charges,,,,,123.5,,,,,,,Percent of Total Billed Charges,,,, ...DHEA-S ,82626,CPT,,Outpatient,,,362.5,290,270.79,,,,,,,Percent of Total Billed Charges,,270.79,270.79,,362.5,,,,,,,Percent of Total Billed Charges,,,,,348,,,,,,,Percent of Total Billed Charges,,,,,344.38,,,,,,,Percent of Total Billed Charges,,,,,72.5,,,,,,,Percent of Total Billed Charges,,,,,308.13,,,,,,,Percent of Total Billed Charges,,,,,76.13,,,,,,,Percent of Total Billed Charges,,,,,326.25,,,,,,,Percent of Total Billed Charges,,,,,326.25,,,,,,,Percent of Total Billed Charges,,,,,72.5,,,,,,,Percent of Total Billed Charges,,,,,101.5,,,,,,,Percent of Total Billed Charges,,,,,290,,,,,,,Percent of Total Billed Charges,,,,,72.5,,,,,,,Percent of Total Billed Charges,,,, ..GROUP & TYPE (WITH CROSSMATCH) ,86900TC ,CPT,,Outpatient,,,123.5,98.8,92.25,,,,,,,Percent of Total Billed Charges,,92.25,92.25,,123.5,,,,,,,Percent of Total Billed Charges,,,,,118.56,,,,,,,Percent of Total Billed Charges,,,,,117.33,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,104.98,,,,,,,Percent of Total Billed Charges,,,,,25.94,,,,,,,Percent of Total Billed Charges,,,,,111.15,,,,,,,Percent of Total Billed Charges,,,,,111.15,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,34.58,,,,,,,Percent of Total Billed Charges,,,,,98.8,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,, ..ANTIBODY SCREEN (WITH CROSSMATCH) ,86850TC ,CPT,,Outpatient,,,86.5,69.2,64.62,,,,,,,Percent of Total Billed Charges,,64.62,64.62,,86.5,,,,,,,Percent of Total Billed Charges,,,,,83.04,,,,,,,Percent of Total Billed Charges,,,,,82.18,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,,,73.53,,,,,,,Percent of Total Billed Charges,,,,,18.17,,,,,,,Percent of Total Billed Charges,,,,,77.85,,,,,,,Percent of Total Billed Charges,,,,,77.85,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,,,24.22,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,, ..ARTERIAL PUNCTURE ,36415,CPT,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, BB ANTIBODY TITER ,84143TC ,CPT,,Outpatient,,,424,339.2,316.73,,,,,,,Percent of Total Billed Charges,,316.73,316.73,,424,,,,,,,Percent of Total Billed Charges,,,,,407.04,,,,,,,Percent of Total Billed Charges,,,,,402.8,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,360.4,,,,,,,Percent of Total Billed Charges,,,,,89.04,,,,,,,Percent of Total Billed Charges,,,,,381.6,,,,,,,Percent of Total Billed Charges,,,,,381.6,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,,,118.72,,,,,,,Percent of Total Billed Charges,,,,,339.2,,,,,,,Percent of Total Billed Charges,,,,,84.8,,,,,,,Percent of Total Billed Charges,,,, LYSOZYME ,85549TC ,CPT,,Outpatient,,,330.5,264.4,246.88,,,,,,,Percent of Total Billed Charges,,246.88,246.88,,330.5,,,,,,,Percent of Total Billed Charges,,,,,317.28,,,,,,,Percent of Total Billed Charges,,,,,313.98,,,,,,,Percent of Total Billed Charges,,,,,66.1,,,,,,,Percent of Total Billed Charges,,,,,280.93,,,,,,,Percent of Total Billed Charges,,,,,69.41,,,,,,,Percent of Total Billed Charges,,,,,297.45,,,,,,,Percent of Total Billed Charges,,,,,297.45,,,,,,,Percent of Total Billed Charges,,,,,66.1,,,,,,,Percent of Total Billed Charges,,,,,92.54,,,,,,,Percent of Total Billed Charges,,,,,264.4,,,,,,,Percent of Total Billed Charges,,,,,66.1,,,,,,,Percent of Total Billed Charges,,,, GC - CHLAMYDIA BY AMP PRB URINE ONLY ,87491TC ,CPT,,Outpatient,,,166,132.8,124,,,,,,,Percent of Total Billed Charges,,124,124,,166,,,,,,,Percent of Total Billed Charges,,,,,159.36,,,,,,,Percent of Total Billed Charges,,,,,157.7,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,141.1,,,,,,,Percent of Total Billed Charges,,,,,34.86,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,46.48,,,,,,,Percent of Total Billed Charges,,,,,132.8,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,, OR ALBUMIN ,82042,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, OR ALKALINE PHOSPHATASE ,84075,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, OR AMYLASE ,82150,CPT,,Outpatient,,,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, OR AMYLASE URINE ,82150,CPT,,Outpatient,,,24.5,19.6,18.3,,,,,,,Percent of Total Billed Charges,,18.3,18.3,,24.5,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,23.28,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,20.83,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,6.86,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,, OR BILIRUBIN DIRECT ,82248,CPT,,Outpatient,,,14,11.2,10.46,,,,,,,Percent of Total Billed Charges,,10.46,10.46,,14,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,, OR BUN ,84520,CPT,,Outpatient,,,14,11.2,10.46,,,,,,,Percent of Total Billed Charges,,10.46,10.46,,14,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,, OR CALCIUM ,82310,CPT,,Outpatient,,,17,13.6,12.7,,,,,,,Percent of Total Billed Charges,,12.7,12.7,,17,,,,,,,Percent of Total Billed Charges,,,,,16.32,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,14.45,,,,,,,Percent of Total Billed Charges,,,,,3.57,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,,,4.76,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.4,,,,,,,Percent of Total Billed Charges,,,, OR CHLORIDE ,82435,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, OR CHOLESTEROL ,82465,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, OR CPK ,82550,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, OR CKMB ,82553,CPT,,Outpatient,,,78.5,62.8,58.64,,,,,,,Percent of Total Billed Charges,,58.64,58.64,,78.5,,,,,,,Percent of Total Billed Charges,,,,,75.36,,,,,,,Percent of Total Billed Charges,,,,,74.58,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,66.73,,,,,,,Percent of Total Billed Charges,,,,,16.49,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,21.98,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,, OR CREATININE ,82565,CPT,,Outpatient,,,14,11.2,10.46,,,,,,,Percent of Total Billed Charges,,10.46,10.46,,14,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,, OR CREATININE 24HR URINE ,82570,CPT,,Outpatient,,,23,18.4,17.18,,,,,,,Percent of Total Billed Charges,,17.18,17.18,,23,,,,,,,Percent of Total Billed Charges,,,,,22.08,,,,,,,Percent of Total Billed Charges,,,,,21.85,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,19.55,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,, OR GLUCOSE ,82947,CPT,,Outpatient,,,14,11.2,10.46,,,,,,,Percent of Total Billed Charges,,10.46,10.46,,14,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,, OR GLUCOSE 2HR PP ,82947,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, OR GLUCOSE RANDOM ,82947,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, OR GENTAMICIN PEAK ,80170,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR GENTAMICIN TROUGH ,80170,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR IRON AND TIBC ,83540,CPT,,Outpatient,,,20,16,14.94,,,,,,,Percent of Total Billed Charges,,14.94,14.94,,20,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,19,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,17,,,,,,,Percent of Total Billed Charges,,,,,4.2,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,18,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,16,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,, OR DIGOXIN ,80162,CPT,,Outpatient,,,39.5,31.6,29.51,,,,,,,Percent of Total Billed Charges,,29.51,29.51,,39.5,,,,,,,Percent of Total Billed Charges,,,,,37.92,,,,,,,Percent of Total Billed Charges,,,,,37.53,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,33.58,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,11.06,,,,,,,Percent of Total Billed Charges,,,,,31.6,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,, OR THEOPHYLLINE ,80198,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, .OR LDH ,83615,CPT,,Outpatient,,,45,36,33.62,,,,,,,Percent of Total Billed Charges,,33.62,33.62,,45,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,42.75,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,38.25,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,, .OR LIPASE ,83690,CPT,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, OR MAGNESIUM ,83735,CPT,,Outpatient,,,23,18.4,17.18,,,,,,,Percent of Total Billed Charges,,17.18,17.18,,23,,,,,,,Percent of Total Billed Charges,,,,,22.08,,,,,,,Percent of Total Billed Charges,,,,,21.85,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,19.55,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,, OR PHOSPHORUS ,84100,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, .OR PHOSPHORUS 24HR URINE ,84105,CPT,,Outpatient,,,24.5,19.6,18.3,,,,,,,Percent of Total Billed Charges,,18.3,18.3,,24.5,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,23.28,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,20.83,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,6.86,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,, .OR POTASSIUM ,84132,CPT,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, .OR POTASSIUM 24HR URINE ,84133,CPT,,Outpatient,,,38.5,30.8,28.76,,,,,,,Percent of Total Billed Charges,,28.76,28.76,,38.5,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,36.58,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,32.73,,,,,,,Percent of Total Billed Charges,,,,,8.09,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,10.78,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,, OR TOTAL PROTEIN SERUM ,84155,CPT,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, .OR TOTAL PROTEIN URINE 24HR ,84155,CPT,,Outpatient,,,34,27.2,25.4,,,,,,,Percent of Total Billed Charges,,25.4,25.4,,34,,,,,,,Percent of Total Billed Charges,,,,,32.64,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,9.52,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,, OR TOTAL PROTEIN OTHER FLUID ,84155,CPT,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, OR ACETONE SERUM ,82150,CPT,,Outpatient,,,32.5,26,24.28,,,,,,,Percent of Total Billed Charges,,24.28,24.28,,32.5,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,30.88,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,27.63,,,,,,,Percent of Total Billed Charges,,,,,6.83,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,29.25,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,,,9.1,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,6.5,,,,,,,Percent of Total Billed Charges,,,, OR SGOT ,84450,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, OR SGPT ,84460,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, OR SODIUM ,84295,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, OR SODIUM 24HR URINE ,84300,CPT,,Outpatient,,,23,18.4,17.18,,,,,,,Percent of Total Billed Charges,,17.18,17.18,,23,,,,,,,Percent of Total Billed Charges,,,,,22.08,,,,,,,Percent of Total Billed Charges,,,,,21.85,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,19.55,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,, OR URIC ACID ,84550,CPT,,Outpatient,,,15.5,12.4,11.58,,,,,,,Percent of Total Billed Charges,,11.58,11.58,,15.5,,,,,,,Percent of Total Billed Charges,,,,,14.88,,,,,,,Percent of Total Billed Charges,,,,,14.73,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,13.18,,,,,,,Percent of Total Billed Charges,,,,,3.26,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,13.95,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,,,4.34,,,,,,,Percent of Total Billed Charges,,,,,12.4,,,,,,,Percent of Total Billed Charges,,,,,3.1,,,,,,,Percent of Total Billed Charges,,,, OR URIC ACID 24HR URINE ,84560,CPT,,Outpatient,,,23.5,18.8,17.55,,,,,,,Percent of Total Billed Charges,,17.55,17.55,,23.5,,,,,,,Percent of Total Billed Charges,,,,,22.56,,,,,,,Percent of Total Billed Charges,,,,,22.33,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,19.98,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,, .OR LACTIC ACID ,83605,CPT,,Outpatient,,,45,36,33.62,,,,,,,Percent of Total Billed Charges,,33.62,33.62,,45,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,42.75,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,38.25,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,, OR TRIGLYCERIDES ,84478,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, OR HDL ,83718,CPT,,Outpatient,,,54.5,43.6,40.71,,,,,,,Percent of Total Billed Charges,,40.71,40.71,,54.5,,,,,,,Percent of Total Billed Charges,,,,,52.32,,,,,,,Percent of Total Billed Charges,,,,,51.78,,,,,,,Percent of Total Billed Charges,,,,,10.9,,,,,,,Percent of Total Billed Charges,,,,,46.33,,,,,,,Percent of Total Billed Charges,,,,,11.45,,,,,,,Percent of Total Billed Charges,,,,,49.05,,,,,,,Percent of Total Billed Charges,,,,,49.05,,,,,,,Percent of Total Billed Charges,,,,,10.9,,,,,,,Percent of Total Billed Charges,,,,,15.26,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,10.9,,,,,,,Percent of Total Billed Charges,,,, OR GAMMA GT ,82977,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, .OR PROCAINAMIDE AND NAPA ,80192,CPT,,Outpatient,,,105,84,78.44,,,,,,,Percent of Total Billed Charges,,78.44,78.44,,105,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,99.75,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,89.25,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,, .OR PHENOBARBITAL ,80184,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR DILANTIN (PHENYTOIN) ,80185,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR CORTISOL 8 AM ,82533,CPT,,Outpatient,,,50,40,37.35,,,,,,,Percent of Total Billed Charges,,37.35,37.35,,50,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,, OR CORTISOL 4 PM ,82533,CPT,,Outpatient,,,50,40,37.35,,,,,,,Percent of Total Billed Charges,,37.35,37.35,,50,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,, .OR SALICYLATE ,80196,CPT,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, OR T4 ,84436,CPT,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, OR ALDOLASE ,82085,CPT,,Outpatient,,,63,50.4,47.06,,,,,,,Percent of Total Billed Charges,,47.06,47.06,,63,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,53.55,,,,,,,Percent of Total Billed Charges,,,,,13.23,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,17.64,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,, OR ALDOSTERONE SERUM ,82088,CPT,,Outpatient,,,258.5,206.8,193.1,,,,,,,Percent of Total Billed Charges,,193.1,193.1,,258.5,,,,,,,Percent of Total Billed Charges,,,,,248.16,,,,,,,Percent of Total Billed Charges,,,,,245.58,,,,,,,Percent of Total Billed Charges,,,,,51.7,,,,,,,Percent of Total Billed Charges,,,,,219.73,,,,,,,Percent of Total Billed Charges,,,,,54.29,,,,,,,Percent of Total Billed Charges,,,,,232.65,,,,,,,Percent of Total Billed Charges,,,,,232.65,,,,,,,Percent of Total Billed Charges,,,,,51.7,,,,,,,Percent of Total Billed Charges,,,,,72.38,,,,,,,Percent of Total Billed Charges,,,,,206.8,,,,,,,Percent of Total Billed Charges,,,,,51.7,,,,,,,Percent of Total Billed Charges,,,, OR ALPHA 1 ANTITRYPSIN ,86329,CPT,,Outpatient,,,99.5,79.6,74.33,,,,,,,Percent of Total Billed Charges,,74.33,74.33,,99.5,,,,,,,Percent of Total Billed Charges,,,,,95.52,,,,,,,Percent of Total Billed Charges,,,,,94.53,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,84.58,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,89.55,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,,,27.86,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,19.9,,,,,,,Percent of Total Billed Charges,,,, OR AMMONIA BLOOD ,82140,CPT,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, OR ANA ,86255,CPT,,Outpatient,,,70.5,56.4,52.66,,,,,,,Percent of Total Billed Charges,,52.66,52.66,,70.5,,,,,,,Percent of Total Billed Charges,,,,,67.68,,,,,,,Percent of Total Billed Charges,,,,,66.98,,,,,,,Percent of Total Billed Charges,,,,,14.1,,,,,,,Percent of Total Billed Charges,,,,,59.93,,,,,,,Percent of Total Billed Charges,,,,,14.81,,,,,,,Percent of Total Billed Charges,,,,,63.45,,,,,,,Percent of Total Billed Charges,,,,,63.45,,,,,,,Percent of Total Billed Charges,,,,,14.1,,,,,,,Percent of Total Billed Charges,,,,,19.74,,,,,,,Percent of Total Billed Charges,,,,,56.4,,,,,,,Percent of Total Billed Charges,,,,,14.1,,,,,,,Percent of Total Billed Charges,,,, OR CARBEMAZEPINE (TEGRETOL) ,80156,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR CEA (EIA) ,82378,CPT,,Outpatient,,,77.5,62,57.89,,,,,,,Percent of Total Billed Charges,,57.89,57.89,,77.5,,,,,,,Percent of Total Billed Charges,,,,,74.4,,,,,,,Percent of Total Billed Charges,,,,,73.63,,,,,,,Percent of Total Billed Charges,,,,,15.5,,,,,,,Percent of Total Billed Charges,,,,,65.88,,,,,,,Percent of Total Billed Charges,,,,,16.28,,,,,,,Percent of Total Billed Charges,,,,,69.75,,,,,,,Percent of Total Billed Charges,,,,,69.75,,,,,,,Percent of Total Billed Charges,,,,,15.5,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,,,15.5,,,,,,,Percent of Total Billed Charges,,,, OR DOXEPIN (SINEQUAN) ,80166,CPT,,Outpatient,,,76.5,61.2,57.15,,,,,,,Percent of Total Billed Charges,,57.15,57.15,,76.5,,,,,,,Percent of Total Billed Charges,,,,,73.44,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,65.03,,,,,,,Percent of Total Billed Charges,,,,,16.07,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,21.42,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,, OR FOLATE SERUM ,82746,CPT,,Outpatient,,,119.5,95.6,89.27,,,,,,,Percent of Total Billed Charges,,89.27,89.27,,119.5,,,,,,,Percent of Total Billed Charges,,,,,114.72,,,,,,,Percent of Total Billed Charges,,,,,113.53,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,101.58,,,,,,,Percent of Total Billed Charges,,,,,25.1,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,33.46,,,,,,,Percent of Total Billed Charges,,,,,95.6,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,, OR FSH SERUM ,83001,CPT,,Outpatient,,,51,40.8,38.1,,,,,,,Percent of Total Billed Charges,,38.1,38.1,,51,,,,,,,Percent of Total Billed Charges,,,,,48.96,,,,,,,Percent of Total Billed Charges,,,,,48.45,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,43.35,,,,,,,Percent of Total Billed Charges,,,,,10.71,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,14.28,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,, OR HAPTOGLOBIN ,83010,CPT,,Outpatient,,,80.5,64.4,60.13,,,,,,,Percent of Total Billed Charges,,60.13,60.13,,80.5,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,76.48,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,68.43,,,,,,,Percent of Total Billed Charges,,,,,16.91,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,22.54,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,, .OR IMMUNOGLOBULIN G ,82784,CPT,,Outpatient,,,47,37.6,35.11,,,,,,,Percent of Total Billed Charges,,35.11,35.11,,47,,,,,,,Percent of Total Billed Charges,,,,,45.12,,,,,,,Percent of Total Billed Charges,,,,,44.65,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,39.95,,,,,,,Percent of Total Billed Charges,,,,,9.87,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,13.16,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,, .OR IMMUNOGLOBULIN A ,82784,CPT,,Outpatient,,,47,37.6,35.11,,,,,,,Percent of Total Billed Charges,,35.11,35.11,,47,,,,,,,Percent of Total Billed Charges,,,,,45.12,,,,,,,Percent of Total Billed Charges,,,,,44.65,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,39.95,,,,,,,Percent of Total Billed Charges,,,,,9.87,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,42.3,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,,,13.16,,,,,,,Percent of Total Billed Charges,,,,,37.6,,,,,,,Percent of Total Billed Charges,,,,,9.4,,,,,,,Percent of Total Billed Charges,,,, .OR IMMUNOGLOBULIN D ,82784,CPT,,Outpatient,,,54,43.2,40.34,,,,,,,Percent of Total Billed Charges,,40.34,40.34,,54,,,,,,,Percent of Total Billed Charges,,,,,51.84,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,, .OR IMMUNOGLOBULIN E ,82785,CPT,,Outpatient,,,54,43.2,40.34,,,,,,,Percent of Total Billed Charges,,40.34,40.34,,54,,,,,,,Percent of Total Billed Charges,,,,,51.84,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,, .OR LH ,83002,CPT,,Outpatient,,,247.5,198,184.88,,,,,,,Percent of Total Billed Charges,,184.88,184.88,,247.5,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,235.13,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,210.38,,,,,,,Percent of Total Billed Charges,,,,,51.98,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,222.75,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,, OR CAROTENE ,82380,CPT,,Outpatient,,,80.5,64.4,60.13,,,,,,,Percent of Total Billed Charges,,60.13,60.13,,80.5,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,76.48,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,68.43,,,,,,,Percent of Total Billed Charges,,,,,16.91,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,22.54,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,, OR CATECHOLAMINE URINE 24HR ,82382,CPT,,Outpatient,,,144.5,115.6,107.94,,,,,,,Percent of Total Billed Charges,,107.94,107.94,,144.5,,,,,,,Percent of Total Billed Charges,,,,,138.72,,,,,,,Percent of Total Billed Charges,,,,,137.28,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,122.83,,,,,,,Percent of Total Billed Charges,,,,,30.35,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,40.46,,,,,,,Percent of Total Billed Charges,,,,,115.6,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,, OR CERULOPLASMIN ,82390,CPT,,Outpatient,,,80.5,64.4,60.13,,,,,,,Percent of Total Billed Charges,,60.13,60.13,,80.5,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,76.48,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,68.43,,,,,,,Percent of Total Billed Charges,,,,,16.91,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,22.54,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,, OR COMPLEMENT TOTAL ,86162,CPT,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, OR EOSINOPHIL COUNT ,250,RC,,Outpatient,,,38.5,30.8,28.76,,,,,,,Percent of Total Billed Charges,,28.76,28.76,,38.5,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,36.58,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,32.73,,,,,,,Percent of Total Billed Charges,,,,,8.09,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,10.78,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,, OR ETHOSUXIMIDE (ZARONTIN) ,80168,CPT,,Outpatient,,,130,104,97.11,,,,,,,Percent of Total Billed Charges,,97.11,97.11,,130,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,123.5,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,110.5,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,117,,,,,,,Percent of Total Billed Charges,,,,,117,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,,,36.4,,,,,,,Percent of Total Billed Charges,,,,,104,,,,,,,Percent of Total Billed Charges,,,,,26,,,,,,,Percent of Total Billed Charges,,,, OR FERRITIN ,82728,CPT,,Outpatient,,,24.5,19.6,18.3,,,,,,,Percent of Total Billed Charges,,18.3,18.3,,24.5,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,23.28,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,20.83,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,6.86,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,, OR FIBRIN DEGREDATION PRODUCTS ,85362,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR FIBRINOGEN ,85384,CPT,,Outpatient,,,28,22.4,20.92,,,,,,,Percent of Total Billed Charges,,20.92,20.92,,28,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,, OR GASTRIN ,82941,CPT,,Outpatient,,,153,122.4,114.29,,,,,,,Percent of Total Billed Charges,,114.29,114.29,,153,,,,,,,Percent of Total Billed Charges,,,,,146.88,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,32.13,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,122.4,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,, OR 5 HIAA URINE ,83497,CPT,,Outpatient,,,107,85.6,79.93,,,,,,,Percent of Total Billed Charges,,79.93,79.93,,107,,,,,,,Percent of Total Billed Charges,,,,,102.72,,,,,,,Percent of Total Billed Charges,,,,,101.65,,,,,,,Percent of Total Billed Charges,,,,,21.4,,,,,,,Percent of Total Billed Charges,,,,,90.95,,,,,,,Percent of Total Billed Charges,,,,,22.47,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,21.4,,,,,,,Percent of Total Billed Charges,,,,,29.96,,,,,,,Percent of Total Billed Charges,,,,,85.6,,,,,,,Percent of Total Billed Charges,,,,,21.4,,,,,,,Percent of Total Billed Charges,,,, OR 17 OH CORTICOSTEROIDS URINE ,83491,CPT,,Outpatient,,,107,85.6,79.93,,,,,,,Percent of Total Billed Charges,,79.93,79.93,,107,,,,,,,Percent of Total Billed Charges,,,,,102.72,,,,,,,Percent of Total Billed Charges,,,,,101.65,,,,,,,Percent of Total Billed Charges,,,,,21.4,,,,,,,Percent of Total Billed Charges,,,,,90.95,,,,,,,Percent of Total Billed Charges,,,,,22.47,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,21.4,,,,,,,Percent of Total Billed Charges,,,,,29.96,,,,,,,Percent of Total Billed Charges,,,,,85.6,,,,,,,Percent of Total Billed Charges,,,,,21.4,,,,,,,Percent of Total Billed Charges,,,, .OR IMMUNOELECTROPHORESIS SERUM ,86320,CPT,,Outpatient,,,202.5,162,151.27,,,,,,,Percent of Total Billed Charges,,151.27,151.27,,202.5,,,,,,,Percent of Total Billed Charges,,,,,194.4,,,,,,,Percent of Total Billed Charges,,,,,192.38,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,172.13,,,,,,,Percent of Total Billed Charges,,,,,42.53,,,,,,,Percent of Total Billed Charges,,,,,182.25,,,,,,,Percent of Total Billed Charges,,,,,182.25,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,162,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,, .OR INSULIN LEVEL ,83525,CPT,,Outpatient,,,99,79.2,73.95,,,,,,,Percent of Total Billed Charges,,73.95,73.95,,99,,,,,,,Percent of Total Billed Charges,,,,,95.04,,,,,,,Percent of Total Billed Charges,,,,,94.05,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,84.15,,,,,,,Percent of Total Billed Charges,,,,,20.79,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,27.72,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,, OR 17 KETOSTEROIDS TOTAL ,83586,CPT,,Outpatient,,,107,85.6,79.93,,,,,,,Percent of Total Billed Charges,,79.93,79.93,,107,,,,,,,Percent of Total Billed Charges,,,,,102.72,,,,,,,Percent of Total Billed Charges,,,,,101.65,,,,,,,Percent of Total Billed Charges,,,,,21.4,,,,,,,Percent of Total Billed Charges,,,,,90.95,,,,,,,Percent of Total Billed Charges,,,,,22.47,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,21.4,,,,,,,Percent of Total Billed Charges,,,,,29.96,,,,,,,Percent of Total Billed Charges,,,,,85.6,,,,,,,Percent of Total Billed Charges,,,,,21.4,,,,,,,Percent of Total Billed Charges,,,, .OR LEAD BLOOD ,83655,CPT,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, .OR LIDOCAINE ,80176,CPT,,Outpatient,,,54,43.2,40.34,,,,,,,Percent of Total Billed Charges,,40.34,40.34,,54,,,,,,,Percent of Total Billed Charges,,,,,51.84,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,, .OR LITHIUM ,80178,CPT,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, .OR METANEPHRINES URINE 24HR ,82145,CPT,,Outpatient,,,123.5,98.8,92.25,,,,,,,Percent of Total Billed Charges,,92.25,92.25,,123.5,,,,,,,Percent of Total Billed Charges,,,,,118.56,,,,,,,Percent of Total Billed Charges,,,,,117.33,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,104.98,,,,,,,Percent of Total Billed Charges,,,,,25.94,,,,,,,Percent of Total Billed Charges,,,,,111.15,,,,,,,Percent of Total Billed Charges,,,,,111.15,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,34.58,,,,,,,Percent of Total Billed Charges,,,,,98.8,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,, .OR OSMOLALITY SERUM ,83930,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, .OR OSMOLALITY URINE ,83935,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, .OR OXALATE URINE 24HR ,83945,CPT,,Outpatient,,,80.5,64.4,60.13,,,,,,,Percent of Total Billed Charges,,60.13,60.13,,80.5,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,76.48,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,68.43,,,,,,,Percent of Total Billed Charges,,,,,16.91,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,22.54,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,, .OR PARATHYROID HORMONE C TERMINAL ,83970,CPT,,Outpatient,,,196,156.8,146.41,,,,,,,Percent of Total Billed Charges,,146.41,146.41,,196,,,,,,,Percent of Total Billed Charges,,,,,188.16,,,,,,,Percent of Total Billed Charges,,,,,186.2,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,166.6,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,54.88,,,,,,,Percent of Total Billed Charges,,,,,156.8,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,, .OR PARATHYROID HORMONE N TERMINAL ,83970,CPT,,Outpatient,,,196,156.8,146.41,,,,,,,Percent of Total Billed Charges,,146.41,146.41,,196,,,,,,,Percent of Total Billed Charges,,,,,188.16,,,,,,,Percent of Total Billed Charges,,,,,186.2,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,166.6,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,54.88,,,,,,,Percent of Total Billed Charges,,,,,156.8,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,, .OR PROGESTERONE ,84144,CPT,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, .OR PROLACTIN ,84146,CPT,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, .OR PROTEIN ELECTROPHORESIS SERUM ,84165,CPT,,Outpatient,,,48.5,38.8,36.23,,,,,,,Percent of Total Billed Charges,,36.23,36.23,,48.5,,,,,,,Percent of Total Billed Charges,,,,,46.56,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,41.23,,,,,,,Percent of Total Billed Charges,,,,,10.19,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,13.58,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,, .OR QUINIDINE ,80194,CPT,,Outpatient,,,80.5,64.4,60.13,,,,,,,Percent of Total Billed Charges,,60.13,60.13,,80.5,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,76.48,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,68.43,,,,,,,Percent of Total Billed Charges,,,,,16.91,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,22.54,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,, OR TESTOSTERONE TOTAL ,84403,CPT,,Outpatient,,,54,43.2,40.34,,,,,,,Percent of Total Billed Charges,,40.34,40.34,,54,,,,,,,Percent of Total Billed Charges,,,,,51.84,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,, OR TSH ,84443,CPT,,Outpatient,,,49,39.2,36.6,,,,,,,Percent of Total Billed Charges,,36.6,36.6,,49,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,46.55,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,41.65,,,,,,,Percent of Total Billed Charges,,,,,10.29,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,13.72,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,, OR UUN UREA NITROGEN URINE 24HR ,84540,CPT,,Outpatient,,,34,27.2,25.4,,,,,,,Percent of Total Billed Charges,,25.4,25.4,,34,,,,,,,Percent of Total Billed Charges,,,,,32.64,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,9.52,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,, OR VITAMIN B12 ,82607,CPT,,Outpatient,,,86.5,69.2,64.62,,,,,,,Percent of Total Billed Charges,,64.62,64.62,,86.5,,,,,,,Percent of Total Billed Charges,,,,,83.04,,,,,,,Percent of Total Billed Charges,,,,,82.18,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,,,73.53,,,,,,,Percent of Total Billed Charges,,,,,18.17,,,,,,,Percent of Total Billed Charges,,,,,77.85,,,,,,,Percent of Total Billed Charges,,,,,77.85,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,,,24.22,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,, OR VMA ,84585,CPT,,Outpatient,,,119.5,95.6,89.27,,,,,,,Percent of Total Billed Charges,,89.27,89.27,,119.5,,,,,,,Percent of Total Billed Charges,,,,,114.72,,,,,,,Percent of Total Billed Charges,,,,,113.53,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,101.58,,,,,,,Percent of Total Billed Charges,,,,,25.1,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,33.46,,,,,,,Percent of Total Billed Charges,,,,,95.6,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,, OR HGB AND HCT (HEMOGRAM) ,85027,CPT,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, .OR PLATELET COUNT ,85032,CPT,,Outpatient,,,26.5,21.2,19.8,,,,,,,Percent of Total Billed Charges,,19.8,19.8,,26.5,,,,,,,Percent of Total Billed Charges,,,,,25.44,,,,,,,Percent of Total Billed Charges,,,,,25.18,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,22.53,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,7.42,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,, OR SEDRATE WESTEGREN ,85651,CPT,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, OR RETIC COUNT ,85044,CPT,,Outpatient,,,34,27.2,25.4,,,,,,,Percent of Total Billed Charges,,25.4,25.4,,34,,,,,,,Percent of Total Billed Charges,,,,,32.64,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,9.52,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE BODY FLUID SPECIFY ,87070,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE NOSE ,87070,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE SPUTUM ,87070,CPT,,Outpatient,,,41,32.8,30.63,,,,,,,Percent of Total Billed Charges,,30.63,30.63,,41,,,,,,,Percent of Total Billed Charges,,,,,39.36,,,,,,,Percent of Total Billed Charges,,,,,38.95,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,34.85,,,,,,,Percent of Total Billed Charges,,,,,8.61,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE STOOL ,87045,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE THROAT ,87070,CPT,,Outpatient,,,41,32.8,30.63,,,,,,,Percent of Total Billed Charges,,30.63,30.63,,41,,,,,,,Percent of Total Billed Charges,,,,,39.36,,,,,,,Percent of Total Billed Charges,,,,,38.95,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,34.85,,,,,,,Percent of Total Billed Charges,,,,,8.61,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE URINE ,87086,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE VAGINAL ,87070,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE ABSCESS/WOUND SPECIFY ,87070,CPT,,Outpatient,,,38.5,30.8,28.76,,,,,,,Percent of Total Billed Charges,,28.76,28.76,,38.5,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,36.58,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,32.73,,,,,,,Percent of Total Billed Charges,,,,,8.09,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,10.78,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE EAR ,87070,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE EYE ,87070,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR GRAM STAIN ,87205,CPT,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, OR SENSITIVITY GRAM NEGATIVE URINE ,87184,CPT,,Outpatient,,,36.5,29.2,27.27,,,,,,,Percent of Total Billed Charges,,27.27,27.27,,36.5,,,,,,,Percent of Total Billed Charges,,,,,35.04,,,,,,,Percent of Total Billed Charges,,,,,34.68,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,31.03,,,,,,,Percent of Total Billed Charges,,,,,7.67,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE URETHRAL ,87070,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR SENSITIVITY GRAM NEGATIVE ,87184,CPT,,Outpatient,,,36.5,29.2,27.27,,,,,,,Percent of Total Billed Charges,,27.27,27.27,,36.5,,,,,,,Percent of Total Billed Charges,,,,,35.04,,,,,,,Percent of Total Billed Charges,,,,,34.68,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,31.03,,,,,,,Percent of Total Billed Charges,,,,,7.67,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,, OR SENSITIVITY GRAM POSITIVE ,87184,CPT,,Outpatient,,,36.5,29.2,27.27,,,,,,,Percent of Total Billed Charges,,27.27,27.27,,36.5,,,,,,,Percent of Total Billed Charges,,,,,35.04,,,,,,,Percent of Total Billed Charges,,,,,34.68,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,31.03,,,,,,,Percent of Total Billed Charges,,,,,7.67,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,, OR SENSITIVITY ENTEROCOCCUS ,87184,CPT,,Outpatient,,,36.5,29.2,27.27,,,,,,,Percent of Total Billed Charges,,27.27,27.27,,36.5,,,,,,,Percent of Total Billed Charges,,,,,35.04,,,,,,,Percent of Total Billed Charges,,,,,34.68,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,31.03,,,,,,,Percent of Total Billed Charges,,,,,7.67,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,32.85,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,,,10.22,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,7.3,,,,,,,Percent of Total Billed Charges,,,, OR PROTIME ,85610,CPT,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, OR PTT ,85730,CPT,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, .OR RPR QUALITATIVE ,86592,CPT,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, .OR MONOSPOT ,86310,CPT,,Outpatient,,,41,32.8,30.63,,,,,,,Percent of Total Billed Charges,,30.63,30.63,,41,,,,,,,Percent of Total Billed Charges,,,,,39.36,,,,,,,Percent of Total Billed Charges,,,,,38.95,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,34.85,,,,,,,Percent of Total Billed Charges,,,,,8.61,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,, OR URINALYSIS ,81002,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, ...OR URINALYSIS MICROSCOPIC ,81015,CPT,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE FUNGUS ,87102,CPT,,Outpatient,,,55,44,41.09,,,,,,,Percent of Total Billed Charges,,41.09,41.09,,55,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,52.25,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,46.75,,,,,,,Percent of Total Billed Charges,,,,,11.55,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,, OR EXECUTIVE SCREEN WITH CBC ,80050,CPT,,Outpatient,,,60.5,48.4,45.19,,,,,,,Percent of Total Billed Charges,,45.19,45.19,,60.5,,,,,,,Percent of Total Billed Charges,,,,,58.08,,,,,,,Percent of Total Billed Charges,,,,,57.48,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,51.43,,,,,,,Percent of Total Billed Charges,,,,,12.71,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,16.94,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,, OR LIVER PANEL ,80076,CPT,,Outpatient,,,26,20.8,19.42,,,,,,,Percent of Total Billed Charges,,19.42,19.42,,26,,,,,,,Percent of Total Billed Charges,,,,,24.96,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,7.28,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,, OR LIPID PROFILE ,80061,CPT,,Outpatient,,,39.5,31.6,29.51,,,,,,,Percent of Total Billed Charges,,29.51,29.51,,39.5,,,,,,,Percent of Total Billed Charges,,,,,37.92,,,,,,,Percent of Total Billed Charges,,,,,37.53,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,33.58,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,35.55,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,,,11.06,,,,,,,Percent of Total Billed Charges,,,,,31.6,,,,,,,Percent of Total Billed Charges,,,,,7.9,,,,,,,Percent of Total Billed Charges,,,, .OR PREGNANCY TEST SERUM ,84703,CPT,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, ...OR BASIC METABOLIC PROFILE ,80048,CPT,,Outpatient,,,28,22.4,20.92,,,,,,,Percent of Total Billed Charges,,20.92,20.92,,28,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,, OR HEPATITIS B SURFACE ANTIGEN ,87340,CPT,,Outpatient,,,45,36,33.62,,,,,,,Percent of Total Billed Charges,,33.62,33.62,,45,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,42.75,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,38.25,,,,,,,Percent of Total Billed Charges,,,,,9.45,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,40.5,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,9,,,,,,,Percent of Total Billed Charges,,,, .OR LYME DISEASE ,86689,CPT,,Outpatient,,,142.5,114,106.45,,,,,,,Percent of Total Billed Charges,,106.45,106.45,,142.5,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,135.38,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,121.13,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,128.25,,,,,,,Percent of Total Billed Charges,,,,,128.25,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,114,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,, OR CITRIC ACID URINE 24HR ,82507,CPT,,Outpatient,,,193,154.4,144.17,,,,,,,Percent of Total Billed Charges,,144.17,144.17,,193,,,,,,,Percent of Total Billed Charges,,,,,185.28,,,,,,,Percent of Total Billed Charges,,,,,183.35,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,,,164.05,,,,,,,Percent of Total Billed Charges,,,,,40.53,,,,,,,Percent of Total Billed Charges,,,,,173.7,,,,,,,Percent of Total Billed Charges,,,,,173.7,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,,,54.04,,,,,,,Percent of Total Billed Charges,,,,,154.4,,,,,,,Percent of Total Billed Charges,,,,,38.6,,,,,,,Percent of Total Billed Charges,,,, OR HIV ,86687,CPT,,Outpatient,,,71,56.8,53.04,,,,,,,Percent of Total Billed Charges,,53.04,53.04,,71,,,,,,,Percent of Total Billed Charges,,,,,68.16,,,,,,,Percent of Total Billed Charges,,,,,67.45,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,60.35,,,,,,,Percent of Total Billed Charges,,,,,14.91,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,19.88,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,, OR ALPHA FETOPROTEIN TUMOR MARKER ,82105,CPT,,Outpatient,,,112.5,90,84.04,,,,,,,Percent of Total Billed Charges,,84.04,84.04,,112.5,,,,,,,Percent of Total Billed Charges,,,,,108,,,,,,,Percent of Total Billed Charges,,,,,106.88,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,95.63,,,,,,,Percent of Total Billed Charges,,,,,23.63,,,,,,,Percent of Total Billed Charges,,,,,101.25,,,,,,,Percent of Total Billed Charges,,,,,101.25,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,22.5,,,,,,,Percent of Total Billed Charges,,,, OR PSA PROSTATIC SPECIFIC ANTIGEN ,84153,CPT,,Outpatient,,,50,40,37.35,,,,,,,Percent of Total Billed Charges,,37.35,37.35,,50,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,, DELETED ,250,RC,,Outpatient,,,55,44,41.09,,,,,,,Percent of Total Billed Charges,,41.09,41.09,,55,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,52.25,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,46.75,,,,,,,Percent of Total Billed Charges,,,,,11.55,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,, .OR QUICK STREP ,87430,CPT,,Outpatient,,,41,32.8,30.63,,,,,,,Percent of Total Billed Charges,,30.63,30.63,,41,,,,,,,Percent of Total Billed Charges,,,,,39.36,,,,,,,Percent of Total Billed Charges,,,,,38.95,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,34.85,,,,,,,Percent of Total Billed Charges,,,,,8.61,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE CHLAMYDIA ,87110,CPT,,Outpatient,,,85.5,68.4,63.87,,,,,,,Percent of Total Billed Charges,,63.87,63.87,,85.5,,,,,,,Percent of Total Billed Charges,,,,,82.08,,,,,,,Percent of Total Billed Charges,,,,,81.23,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,23.94,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,, OR C DIFFICILE ANTIGEN ,87230,CPT,,Outpatient,,,54.5,43.6,40.71,,,,,,,Percent of Total Billed Charges,,40.71,40.71,,54.5,,,,,,,Percent of Total Billed Charges,,,,,52.32,,,,,,,Percent of Total Billed Charges,,,,,51.78,,,,,,,Percent of Total Billed Charges,,,,,10.9,,,,,,,Percent of Total Billed Charges,,,,,46.33,,,,,,,Percent of Total Billed Charges,,,,,11.45,,,,,,,Percent of Total Billed Charges,,,,,49.05,,,,,,,Percent of Total Billed Charges,,,,,49.05,,,,,,,Percent of Total Billed Charges,,,,,10.9,,,,,,,Percent of Total Billed Charges,,,,,15.26,,,,,,,Percent of Total Billed Charges,,,,,43.6,,,,,,,Percent of Total Billed Charges,,,,,10.9,,,,,,,Percent of Total Billed Charges,,,, OR ANTI MITOCHONDRIAL ANTIBODY ,86255,CPT,,Outpatient,,,87,69.6,64.99,,,,,,,Percent of Total Billed Charges,,64.99,64.99,,87,,,,,,,Percent of Total Billed Charges,,,,,83.52,,,,,,,Percent of Total Billed Charges,,,,,82.65,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,73.95,,,,,,,Percent of Total Billed Charges,,,,,18.27,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,,,24.36,,,,,,,Percent of Total Billed Charges,,,,,69.6,,,,,,,Percent of Total Billed Charges,,,,,17.4,,,,,,,Percent of Total Billed Charges,,,, OR CA125 ,86316,CPT,,Outpatient,,,86.5,69.2,64.62,,,,,,,Percent of Total Billed Charges,,64.62,64.62,,86.5,,,,,,,Percent of Total Billed Charges,,,,,83.04,,,,,,,Percent of Total Billed Charges,,,,,82.18,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,,,73.53,,,,,,,Percent of Total Billed Charges,,,,,18.17,,,,,,,Percent of Total Billed Charges,,,,,77.85,,,,,,,Percent of Total Billed Charges,,,,,77.85,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,,,24.22,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,17.3,,,,,,,Percent of Total Billed Charges,,,, .OR TAMBOCOR (FLECAINIDE) ,80150,CPT,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, OR HBsAg HEPATITIS B SURFACE ANTIGEN ,87340,CPT,,Outpatient,,,71,56.8,53.04,,,,,,,Percent of Total Billed Charges,,53.04,53.04,,71,,,,,,,Percent of Total Billed Charges,,,,,68.16,,,,,,,Percent of Total Billed Charges,,,,,67.45,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,60.35,,,,,,,Percent of Total Billed Charges,,,,,14.91,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,19.88,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,, OR HEPATITIS PROFILE ,250,RC,,Outpatient,,,164.5,131.6,122.88,,,,,,,Percent of Total Billed Charges,,122.88,122.88,,164.5,,,,,,,Percent of Total Billed Charges,,,,,157.92,,,,,,,Percent of Total Billed Charges,,,,,156.28,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,139.83,,,,,,,Percent of Total Billed Charges,,,,,34.55,,,,,,,Percent of Total Billed Charges,,,,,148.05,,,,,,,Percent of Total Billed Charges,,,,,148.05,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,46.06,,,,,,,Percent of Total Billed Charges,,,,,131.6,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,, .OR PARATHYROID HORMONE INTACT ,83970,CPT,,Outpatient,,,81,64.8,60.51,,,,,,,Percent of Total Billed Charges,,60.51,60.51,,81,,,,,,,Percent of Total Billed Charges,,,,,77.76,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,68.85,,,,,,,Percent of Total Billed Charges,,,,,17.01,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,72.9,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,22.68,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,, OR HEPATITIS C ANTIBODY ,86803,CPT,,Outpatient,,,71,56.8,53.04,,,,,,,Percent of Total Billed Charges,,53.04,53.04,,71,,,,,,,Percent of Total Billed Charges,,,,,68.16,,,,,,,Percent of Total Billed Charges,,,,,67.45,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,60.35,,,,,,,Percent of Total Billed Charges,,,,,14.91,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,19.88,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,, OR WET PREP ,87210,CPT,,Outpatient,,,23.5,18.8,17.55,,,,,,,Percent of Total Billed Charges,,17.55,17.55,,23.5,,,,,,,Percent of Total Billed Charges,,,,,22.56,,,,,,,Percent of Total Billed Charges,,,,,22.33,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,19.98,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,, OR BETA HCG QUANTITATIVE ,84702,CPT,,Outpatient,,,136.5,109.2,101.97,,,,,,,Percent of Total Billed Charges,,101.97,101.97,,136.5,,,,,,,Percent of Total Billed Charges,,,,,131.04,,,,,,,Percent of Total Billed Charges,,,,,129.68,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,116.03,,,,,,,Percent of Total Billed Charges,,,,,28.67,,,,,,,Percent of Total Billed Charges,,,,,122.85,,,,,,,Percent of Total Billed Charges,,,,,122.85,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,,,38.22,,,,,,,Percent of Total Billed Charges,,,,,109.2,,,,,,,Percent of Total Billed Charges,,,,,27.3,,,,,,,Percent of Total Billed Charges,,,, OR HEPATITIS B SURFACE ANTIBODY ,86706,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, .OR RUBELLA ,86762,CPT,,Outpatient,,,38.5,30.8,28.76,,,,,,,Percent of Total Billed Charges,,28.76,28.76,,38.5,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,36.58,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,32.73,,,,,,,Percent of Total Billed Charges,,,,,8.09,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,34.65,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,10.78,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,, OR FOLATE RBC ,82747,CPT,,Outpatient,,,98,78.4,73.21,,,,,,,Percent of Total Billed Charges,,73.21,73.21,,98,,,,,,,Percent of Total Billed Charges,,,,,94.08,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,83.3,,,,,,,Percent of Total Billed Charges,,,,,20.58,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,27.44,,,,,,,Percent of Total Billed Charges,,,,,78.4,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,, OR FTA-ABS ,86781,CPT,,Outpatient,,,23,18.4,17.18,,,,,,,Percent of Total Billed Charges,,17.18,17.18,,23,,,,,,,Percent of Total Billed Charges,,,,,22.08,,,,,,,Percent of Total Billed Charges,,,,,21.85,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,19.55,,,,,,,Percent of Total Billed Charges,,,,,4.83,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,20.7,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,,,6.44,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,4.6,,,,,,,Percent of Total Billed Charges,,,, OR HEMOGLOBIN AIC ,83036,CPT,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, .OR MEASLES IgG & IgM ANTIBODIES ,86765,CPT,,Outpatient,,,196,156.8,146.41,,,,,,,Percent of Total Billed Charges,,146.41,146.41,,196,,,,,,,Percent of Total Billed Charges,,,,,188.16,,,,,,,Percent of Total Billed Charges,,,,,186.2,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,166.6,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,54.88,,,,,,,Percent of Total Billed Charges,,,,,156.8,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,, OR HEPATITIS A IgM ANTIBODY ,86709,CPT,,Outpatient,,,54,43.2,40.34,,,,,,,Percent of Total Billed Charges,,40.34,40.34,,54,,,,,,,Percent of Total Billed Charges,,,,,51.84,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,, OR BILIRUBIN TOTAL ,82247,CPT,,Outpatient,,,14,11.2,10.46,,,,,,,Percent of Total Billed Charges,,10.46,10.46,,14,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,, OR DEPAKENE (VALPROIC ACID) ,80164,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR OCCULT BLOOD FECES ,82270,CPT,,Outpatient,,,19,15.2,14.19,,,,,,,Percent of Total Billed Charges,,14.19,14.19,,19,,,,,,,Percent of Total Billed Charges,,,,,18.24,,,,,,,Percent of Total Billed Charges,,,,,18.05,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,16.15,,,,,,,Percent of Total Billed Charges,,,,,3.99,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,,,5.32,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.8,,,,,,,Percent of Total Billed Charges,,,, .OR PINWORM EXAM ,87207,CPT,,Outpatient,,,26.5,21.2,19.8,,,,,,,Percent of Total Billed Charges,,19.8,19.8,,26.5,,,,,,,Percent of Total Billed Charges,,,,,25.44,,,,,,,Percent of Total Billed Charges,,,,,25.18,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,22.53,,,,,,,Percent of Total Billed Charges,,,,,5.57,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,23.85,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,,,7.42,,,,,,,Percent of Total Billed Charges,,,,,21.2,,,,,,,Percent of Total Billed Charges,,,,,5.3,,,,,,,Percent of Total Billed Charges,,,, .OR T3 UPTAKE ,84479,CPT,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, .OR LDL ,83721,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, OR GLOBULIN ,250,RC,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, OR H PYLORI AB ,86677,CPT,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, OR COLD AGGLUTININS ,86156,CPT,,Outpatient,,,75.5,60.4,56.4,,,,,,,Percent of Total Billed Charges,,56.4,56.4,,75.5,,,,,,,Percent of Total Billed Charges,,,,,72.48,,,,,,,Percent of Total Billed Charges,,,,,71.73,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,64.18,,,,,,,Percent of Total Billed Charges,,,,,15.86,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,67.95,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,,,21.14,,,,,,,Percent of Total Billed Charges,,,,,60.4,,,,,,,Percent of Total Billed Charges,,,,,15.1,,,,,,,Percent of Total Billed Charges,,,, .OR PAP SMEAR (GYN) ,88150,CPT,,Outpatient,,,63,50.4,47.06,,,,,,,Percent of Total Billed Charges,,47.06,47.06,,63,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,53.55,,,,,,,Percent of Total Billed Charges,,,,,13.23,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,17.64,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,, OR CO2 ,82374,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, OR CALCIUM IONIZED ,82330,CPT,,Outpatient,,,18.5,14.8,13.82,,,,,,,Percent of Total Billed Charges,,13.82,13.82,,18.5,,,,,,,Percent of Total Billed Charges,,,,,17.76,,,,,,,Percent of Total Billed Charges,,,,,17.58,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,15.73,,,,,,,Percent of Total Billed Charges,,,,,3.89,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,16.65,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,,,5.18,,,,,,,Percent of Total Billed Charges,,,,,14.8,,,,,,,Percent of Total Billed Charges,,,,,3.7,,,,,,,Percent of Total Billed Charges,,,, OR THYROID ANTITHYROGLOBULIN AB ,86800,CPT,,Outpatient,,,125,100,93.38,,,,,,,Percent of Total Billed Charges,,93.38,93.38,,125,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,118.75,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,106.25,,,,,,,Percent of Total Billed Charges,,,,,26.25,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,112.5,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,,,35,,,,,,,Percent of Total Billed Charges,,,,,100,,,,,,,Percent of Total Billed Charges,,,,,25,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE ANAEROBE ,87075,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, OR C REACTIVE PROTEIN QUANT ,86140,CPT,,Outpatient,,,110.5,88.4,82.54,,,,,,,Percent of Total Billed Charges,,82.54,82.54,,110.5,,,,,,,Percent of Total Billed Charges,,,,,106.08,,,,,,,Percent of Total Billed Charges,,,,,104.98,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,93.93,,,,,,,Percent of Total Billed Charges,,,,,23.21,,,,,,,Percent of Total Billed Charges,,,,,99.45,,,,,,,Percent of Total Billed Charges,,,,,99.45,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,30.94,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,, OR COMPREHENSIVE METABOLIC PROFILE ,80053,CPT,,Outpatient,,,33.5,26.8,25.02,,,,,,,Percent of Total Billed Charges,,25.02,25.02,,33.5,,,,,,,Percent of Total Billed Charges,,,,,32.16,,,,,,,Percent of Total Billed Charges,,,,,31.83,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,28.48,,,,,,,Percent of Total Billed Charges,,,,,7.04,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,30.15,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,,,9.38,,,,,,,Percent of Total Billed Charges,,,,,26.8,,,,,,,Percent of Total Billed Charges,,,,,6.7,,,,,,,Percent of Total Billed Charges,,,, OR FUNGAL ANTIBODY PANEL ,86171,CPT,,Outpatient,,,261,208.8,194.97,,,,,,,Percent of Total Billed Charges,,194.97,194.97,,261,,,,,,,Percent of Total Billed Charges,,,,,250.56,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,54.81,,,,,,,Percent of Total Billed Charges,,,,,234.9,,,,,,,Percent of Total Billed Charges,,,,,234.9,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,,,73.08,,,,,,,Percent of Total Billed Charges,,,,,208.8,,,,,,,Percent of Total Billed Charges,,,,,52.2,,,,,,,Percent of Total Billed Charges,,,, .OR LEPTOSPIRA ANTIBODY ,86720,CPT,,Outpatient,,,205.5,164.4,153.51,,,,,,,Percent of Total Billed Charges,,153.51,153.51,,205.5,,,,,,,Percent of Total Billed Charges,,,,,197.28,,,,,,,Percent of Total Billed Charges,,,,,195.23,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,174.68,,,,,,,Percent of Total Billed Charges,,,,,43.16,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,184.95,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,,,57.54,,,,,,,Percent of Total Billed Charges,,,,,164.4,,,,,,,Percent of Total Billed Charges,,,,,41.1,,,,,,,Percent of Total Billed Charges,,,, OR CARBOXYHEMOGLOBIN ,82375,CPT,,Outpatient,,,24.5,19.6,18.3,,,,,,,Percent of Total Billed Charges,,18.3,18.3,,24.5,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,23.28,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,20.83,,,,,,,Percent of Total Billed Charges,,,,,5.15,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,,,6.86,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,4.9,,,,,,,Percent of Total Billed Charges,,,, OR ELECTROLYTES ,80051,CPT,,Outpatient,,,23.5,18.8,17.55,,,,,,,Percent of Total Billed Charges,,17.55,17.55,,23.5,,,,,,,Percent of Total Billed Charges,,,,,22.56,,,,,,,Percent of Total Billed Charges,,,,,22.33,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,19.98,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,, OR TRANSFERRIN ,86329,CPT,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, .OR sTfR ,85999,CPT,,Outpatient,,,427,341.6,318.97,,,,,,,Percent of Total Billed Charges,,318.97,318.97,,427,,,,,,,Percent of Total Billed Charges,,,,,409.92,,,,,,,Percent of Total Billed Charges,,,,,405.65,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,362.95,,,,,,,Percent of Total Billed Charges,,,,,89.67,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,119.56,,,,,,,Percent of Total Billed Charges,,,,,341.6,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,, OR T4 FREE ,84439,CPT,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, .OR RABIES AB TITER ,86382,CPT,,Outpatient,,,159.5,127.6,119.15,,,,,,,Percent of Total Billed Charges,,119.15,119.15,,159.5,,,,,,,Percent of Total Billed Charges,,,,,153.12,,,,,,,Percent of Total Billed Charges,,,,,151.53,,,,,,,Percent of Total Billed Charges,,,,,31.9,,,,,,,Percent of Total Billed Charges,,,,,135.58,,,,,,,Percent of Total Billed Charges,,,,,33.5,,,,,,,Percent of Total Billed Charges,,,,,143.55,,,,,,,Percent of Total Billed Charges,,,,,143.55,,,,,,,Percent of Total Billed Charges,,,,,31.9,,,,,,,Percent of Total Billed Charges,,,,,44.66,,,,,,,Percent of Total Billed Charges,,,,,127.6,,,,,,,Percent of Total Billed Charges,,,,,31.9,,,,,,,Percent of Total Billed Charges,,,, OR SMOOTH MUSCLE AB ,86256,CPT,,Outpatient,,,97,77.6,72.46,,,,,,,Percent of Total Billed Charges,,72.46,72.46,,97,,,,,,,Percent of Total Billed Charges,,,,,93.12,,,,,,,Percent of Total Billed Charges,,,,,92.15,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,82.45,,,,,,,Percent of Total Billed Charges,,,,,20.37,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,,,27.16,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,19.4,,,,,,,Percent of Total Billed Charges,,,, .OR KOH PREP ,87210,CPT,,Outpatient,,,23.5,18.8,17.55,,,,,,,Percent of Total Billed Charges,,17.55,17.55,,23.5,,,,,,,Percent of Total Billed Charges,,,,,22.56,,,,,,,Percent of Total Billed Charges,,,,,22.33,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,19.98,,,,,,,Percent of Total Billed Charges,,,,,4.94,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,21.15,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,,,6.58,,,,,,,Percent of Total Billed Charges,,,,,18.8,,,,,,,Percent of Total Billed Charges,,,,,4.7,,,,,,,Percent of Total Billed Charges,,,, OR ZINC PROTOPORPHYRIN ,84202,CPT,,Outpatient,,,48,38.4,35.86,,,,,,,Percent of Total Billed Charges,,35.86,35.86,,48,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,40.8,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,, OR ESTRADIOL ,82670,CPT,,Outpatient,,,119.5,95.6,89.27,,,,,,,Percent of Total Billed Charges,,89.27,89.27,,119.5,,,,,,,Percent of Total Billed Charges,,,,,114.72,,,,,,,Percent of Total Billed Charges,,,,,113.53,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,101.58,,,,,,,Percent of Total Billed Charges,,,,,25.1,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,107.55,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,,,33.46,,,,,,,Percent of Total Billed Charges,,,,,95.6,,,,,,,Percent of Total Billed Charges,,,,,23.9,,,,,,,Percent of Total Billed Charges,,,, OR DHEA SULFATE ,82627,CPT,,Outpatient,,,48.5,38.8,36.23,,,,,,,Percent of Total Billed Charges,,36.23,36.23,,48.5,,,,,,,Percent of Total Billed Charges,,,,,46.56,,,,,,,Percent of Total Billed Charges,,,,,46.08,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,41.23,,,,,,,Percent of Total Billed Charges,,,,,10.19,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,43.65,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,,,13.58,,,,,,,Percent of Total Billed Charges,,,,,38.8,,,,,,,Percent of Total Billed Charges,,,,,9.7,,,,,,,Percent of Total Billed Charges,,,, .OR MICROSOMAL ANTIBODY ,86376,CPT,,Outpatient,,,194.5,155.6,145.29,,,,,,,Percent of Total Billed Charges,,145.29,145.29,,194.5,,,,,,,Percent of Total Billed Charges,,,,,186.72,,,,,,,Percent of Total Billed Charges,,,,,184.78,,,,,,,Percent of Total Billed Charges,,,,,38.9,,,,,,,Percent of Total Billed Charges,,,,,165.33,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,175.05,,,,,,,Percent of Total Billed Charges,,,,,175.05,,,,,,,Percent of Total Billed Charges,,,,,38.9,,,,,,,Percent of Total Billed Charges,,,,,54.46,,,,,,,Percent of Total Billed Charges,,,,,155.6,,,,,,,Percent of Total Billed Charges,,,,,38.9,,,,,,,Percent of Total Billed Charges,,,, OR URINE MICROSCOPIC ONLY ,81015,CPT,,Outpatient,,,16,12.8,11.95,,,,,,,Percent of Total Billed Charges,,11.95,11.95,,16,,,,,,,Percent of Total Billed Charges,,,,,15.36,,,,,,,Percent of Total Billed Charges,,,,,15.2,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,13.6,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,,,4.48,,,,,,,Percent of Total Billed Charges,,,,,12.8,,,,,,,Percent of Total Billed Charges,,,,,3.2,,,,,,,Percent of Total Billed Charges,,,, OR HOMOCYSTEINE ,82131,CPT,,Outpatient,,,403,322.4,301.04,,,,,,,Percent of Total Billed Charges,,301.04,301.04,,403,,,,,,,Percent of Total Billed Charges,,,,,386.88,,,,,,,Percent of Total Billed Charges,,,,,382.85,,,,,,,Percent of Total Billed Charges,,,,,80.6,,,,,,,Percent of Total Billed Charges,,,,,342.55,,,,,,,Percent of Total Billed Charges,,,,,84.63,,,,,,,Percent of Total Billed Charges,,,,,362.7,,,,,,,Percent of Total Billed Charges,,,,,362.7,,,,,,,Percent of Total Billed Charges,,,,,80.6,,,,,,,Percent of Total Billed Charges,,,,,112.84,,,,,,,Percent of Total Billed Charges,,,,,322.4,,,,,,,Percent of Total Billed Charges,,,,,80.6,,,,,,,Percent of Total Billed Charges,,,, OR CAT SCRATCH AB ,86609,CPT,,Outpatient,,,188.5,150.8,140.81,,,,,,,Percent of Total Billed Charges,,140.81,140.81,,188.5,,,,,,,Percent of Total Billed Charges,,,,,180.96,,,,,,,Percent of Total Billed Charges,,,,,179.08,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,160.23,,,,,,,Percent of Total Billed Charges,,,,,39.59,,,,,,,Percent of Total Billed Charges,,,,,169.65,,,,,,,Percent of Total Billed Charges,,,,,169.65,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,,,52.78,,,,,,,Percent of Total Billed Charges,,,,,150.8,,,,,,,Percent of Total Billed Charges,,,,,37.7,,,,,,,Percent of Total Billed Charges,,,, OR EPSTEIN-BARR VIRUS ANTIBODIES ,86663,CPT,,Outpatient,,,156,124.8,116.53,,,,,,,Percent of Total Billed Charges,,116.53,116.53,,156,,,,,,,Percent of Total Billed Charges,,,,,149.76,,,,,,,Percent of Total Billed Charges,,,,,148.2,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,132.6,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,140.4,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,124.8,,,,,,,Percent of Total Billed Charges,,,,,31.2,,,,,,,Percent of Total Billed Charges,,,, OR CMV IgG ANTIBODY ,86644,CPT,,Outpatient,,,54,43.2,40.34,,,,,,,Percent of Total Billed Charges,,40.34,40.34,,54,,,,,,,Percent of Total Billed Charges,,,,,51.84,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,, OR CMV IgM ANTIBODY ,86645,CPT,,Outpatient,,,54,43.2,40.34,,,,,,,Percent of Total Billed Charges,,40.34,40.34,,54,,,,,,,Percent of Total Billed Charges,,,,,51.84,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,, OR COXSACKIE A VIRUS ANTIBODY ,86658,CPT,,Outpatient,,,246,196.8,183.76,,,,,,,Percent of Total Billed Charges,,183.76,183.76,,246,,,,,,,Percent of Total Billed Charges,,,,,236.16,,,,,,,Percent of Total Billed Charges,,,,,233.7,,,,,,,Percent of Total Billed Charges,,,,,49.2,,,,,,,Percent of Total Billed Charges,,,,,209.1,,,,,,,Percent of Total Billed Charges,,,,,51.66,,,,,,,Percent of Total Billed Charges,,,,,221.4,,,,,,,Percent of Total Billed Charges,,,,,221.4,,,,,,,Percent of Total Billed Charges,,,,,49.2,,,,,,,Percent of Total Billed Charges,,,,,68.88,,,,,,,Percent of Total Billed Charges,,,,,196.8,,,,,,,Percent of Total Billed Charges,,,,,49.2,,,,,,,Percent of Total Billed Charges,,,, OR COXSACKIE B VIRUS ANTIBODY ,86658,CPT,,Outpatient,,,246,196.8,183.76,,,,,,,Percent of Total Billed Charges,,183.76,183.76,,246,,,,,,,Percent of Total Billed Charges,,,,,236.16,,,,,,,Percent of Total Billed Charges,,,,,233.7,,,,,,,Percent of Total Billed Charges,,,,,49.2,,,,,,,Percent of Total Billed Charges,,,,,209.1,,,,,,,Percent of Total Billed Charges,,,,,51.66,,,,,,,Percent of Total Billed Charges,,,,,221.4,,,,,,,Percent of Total Billed Charges,,,,,221.4,,,,,,,Percent of Total Billed Charges,,,,,49.2,,,,,,,Percent of Total Billed Charges,,,,,68.88,,,,,,,Percent of Total Billed Charges,,,,,196.8,,,,,,,Percent of Total Billed Charges,,,,,49.2,,,,,,,Percent of Total Billed Charges,,,, OR CULTURE HERPES SIMPLEX ,87252,CPT,,Outpatient,,,105,84,78.44,,,,,,,Percent of Total Billed Charges,,78.44,78.44,,105,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,99.75,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,89.25,,,,,,,Percent of Total Billed Charges,,,,,22.05,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,94.5,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,29.4,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,, OR TROPONIN ,84484,CPT,,Outpatient,,,71,56.8,53.04,,,,,,,Percent of Total Billed Charges,,53.04,53.04,,71,,,,,,,Percent of Total Billed Charges,,,,,68.16,,,,,,,Percent of Total Billed Charges,,,,,67.45,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,60.35,,,,,,,Percent of Total Billed Charges,,,,,14.91,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,63.9,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,,,19.88,,,,,,,Percent of Total Billed Charges,,,,,56.8,,,,,,,Percent of Total Billed Charges,,,,,14.2,,,,,,,Percent of Total Billed Charges,,,, .OR INFLUENZAE A & B ,87276 * ,CPT,,Outpatient,,,153,122.4,114.29,,,,,,,Percent of Total Billed Charges,,114.29,114.29,,153,,,,,,,Percent of Total Billed Charges,,,,,146.88,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,130.05,,,,,,,Percent of Total Billed Charges,,,,,32.13,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,137.7,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,42.84,,,,,,,Percent of Total Billed Charges,,,,,122.4,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,, OXCARBAZEPINE METABOLITE ,80183TC ,CPT,,Outpatient,,,273,218.4,203.93,,,,,,,Percent of Total Billed Charges,,203.93,203.93,,273,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,259.35,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,232.05,,,,,,,Percent of Total Billed Charges,,,,,57.33,,,,,,,Percent of Total Billed Charges,,,,,245.7,,,,,,,Percent of Total Billed Charges,,,,,245.7,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,76.44,,,,,,,Percent of Total Billed Charges,,,,,218.4,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,, OCCULT BLOOD FECES (DIAGNOSTIC) ,82272TC ,CPT,,Outpatient,,,80.5,64.4,60.13,,,,,,,Percent of Total Billed Charges,,60.13,60.13,,80.5,,,,,,,Percent of Total Billed Charges,,,,,77.28,,,,,,,Percent of Total Billed Charges,,,,,76.48,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,68.43,,,,,,,Percent of Total Billed Charges,,,,,16.91,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,,,22.54,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,16.1,,,,,,,Percent of Total Billed Charges,,,, HIGH FLOW CANNULA ,250,RC,,Outpatient,,,78.5,62.8,58.64,,,,,,,Percent of Total Billed Charges,,58.64,58.64,,78.5,,,,,,,Percent of Total Billed Charges,,,,,75.36,,,,,,,Percent of Total Billed Charges,,,,,74.58,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,66.73,,,,,,,Percent of Total Billed Charges,,,,,16.49,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,70.65,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,,,21.98,,,,,,,Percent of Total Billed Charges,,,,,62.8,,,,,,,Percent of Total Billed Charges,,,,,15.7,,,,,,,Percent of Total Billed Charges,,,, HIGH FLOW HUMIDIFICATION ,250,RC,,Outpatient,,,58.5,46.8,43.7,,,,,,,Percent of Total Billed Charges,,43.7,43.7,,58.5,,,,,,,Percent of Total Billed Charges,,,,,56.16,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,49.73,,,,,,,Percent of Total Billed Charges,,,,,12.29,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,, O2 SET UP ,250,RC,,Outpatient,,,56.5,45.2,42.21,,,,,,,Percent of Total Billed Charges,,42.21,42.21,,56.5,,,,,,,Percent of Total Billed Charges,,,,,54.24,,,,,,,Percent of Total Billed Charges,,,,,53.68,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,48.03,,,,,,,Percent of Total Billed Charges,,,,,11.87,,,,,,,Percent of Total Billed Charges,,,,,50.85,,,,,,,Percent of Total Billed Charges,,,,,50.85,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,15.82,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,, AQUA PACK ,250,RC,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, AQUA PACK ER/RECOVERY ,250,RC,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, CANNULA REPLACEMENT ,250,RC,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, O2 MASK REPLACEMENT ,250,RC,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, VENTURI MASK REPLACEMENT ,250,RC,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, O2 TUBING ,250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, REBREATHER MASK ,250,RC,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, OXYGEN PER HOUR ,250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, O2 TRANSPORT ,94799,CPT,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, WALK WITH 02 ,94799,CPT,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, O2 STANDBY ,94799,CPT,,Outpatient,,,18,14.4,13.45,,,,,,,Percent of Total Billed Charges,,13.45,13.45,,18,,,,,,,Percent of Total Billed Charges,,,,,17.28,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,15.3,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,16.2,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,14.4,,,,,,,Percent of Total Billed Charges,,,,,3.6,,,,,,,Percent of Total Billed Charges,,,, SPUTUM INDUCTION ,250,RC,,Outpatient,,,158.5,126.8,118.4,,,,,,,Percent of Total Billed Charges,,118.4,118.4,,158.5,,,,,,,Percent of Total Billed Charges,,,,,152.16,,,,,,,Percent of Total Billed Charges,,,,,150.58,,,,,,,Percent of Total Billed Charges,,,,,31.7,,,,,,,Percent of Total Billed Charges,,,,,134.73,,,,,,,Percent of Total Billed Charges,,,,,33.29,,,,,,,Percent of Total Billed Charges,,,,,142.65,,,,,,,Percent of Total Billed Charges,,,,,142.65,,,,,,,Percent of Total Billed Charges,,,,,31.7,,,,,,,Percent of Total Billed Charges,,,,,44.38,,,,,,,Percent of Total Billed Charges,,,,,126.8,,,,,,,Percent of Total Billed Charges,,,,,31.7,,,,,,,Percent of Total Billed Charges,,,, CROUPETTE SET UP ,250,RC,,Outpatient,,,262.5,210,196.09,,,,,,,Percent of Total Billed Charges,,196.09,196.09,,262.5,,,,,,,Percent of Total Billed Charges,,,,,252,,,,,,,Percent of Total Billed Charges,,,,,249.38,,,,,,,Percent of Total Billed Charges,,,,,52.5,,,,,,,Percent of Total Billed Charges,,,,,223.13,,,,,,,Percent of Total Billed Charges,,,,,55.13,,,,,,,Percent of Total Billed Charges,,,,,236.25,,,,,,,Percent of Total Billed Charges,,,,,236.25,,,,,,,Percent of Total Billed Charges,,,,,52.5,,,,,,,Percent of Total Billed Charges,,,,,73.5,,,,,,,Percent of Total Billed Charges,,,,,210,,,,,,,Percent of Total Billed Charges,,,,,52.5,,,,,,,Percent of Total Billed Charges,,,, ROOM HUMIDIFIER SET UP ,250,RC,,Outpatient,,,158.5,126.8,118.4,,,,,,,Percent of Total Billed Charges,,118.4,118.4,,158.5,,,,,,,Percent of Total Billed Charges,,,,,152.16,,,,,,,Percent of Total Billed Charges,,,,,150.58,,,,,,,Percent of Total Billed Charges,,,,,31.7,,,,,,,Percent of Total Billed Charges,,,,,134.73,,,,,,,Percent of Total Billed Charges,,,,,33.29,,,,,,,Percent of Total Billed Charges,,,,,142.65,,,,,,,Percent of Total Billed Charges,,,,,142.65,,,,,,,Percent of Total Billed Charges,,,,,31.7,,,,,,,Percent of Total Billed Charges,,,,,44.38,,,,,,,Percent of Total Billed Charges,,,,,126.8,,,,,,,Percent of Total Billed Charges,,,,,31.7,,,,,,,Percent of Total Billed Charges,,,, ROOM HUMIDIFIER DAILY ,250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, TAG INITIAL SET UP ,94799,CPT,,Outpatient,,,112,89.6,83.66,,,,,,,Percent of Total Billed Charges,,83.66,83.66,,112,,,,,,,Percent of Total Billed Charges,,,,,107.52,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,95.2,,,,,,,Percent of Total Billed Charges,,,,,23.52,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,31.36,,,,,,,Percent of Total Billed Charges,,,,,89.6,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,, TAG HOURLY 02 ,94799,CPT,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, AIR COMPRESSOR ,250,RC,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, AEROSOL MASK ,250,RC,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, PFT FLOW SENSOR ,250,RC,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, PULMONARY MECHANICS ,94375,CPT,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, AIRWAY ,250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, NEBULIZER THERAPY ,94640,CPT,,Outpatient,,,120,96,89.64,,,,,,,Percent of Total Billed Charges,,89.64,89.64,,120,,,,,,,Percent of Total Billed Charges,,,,,115.2,,,,,,,Percent of Total Billed Charges,,,,,114,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,102,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,108,,,,,,,Percent of Total Billed Charges,,,,,108,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,, SPUTUM COLLECTION ,89220,CPT,,Outpatient,,,27.5,22,20.54,,,,,,,Percent of Total Billed Charges,,20.54,20.54,,27.5,,,,,,,Percent of Total Billed Charges,,,,,26.4,,,,,,,Percent of Total Billed Charges,,,,,26.13,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,5.78,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,24.75,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,,,7.7,,,,,,,Percent of Total Billed Charges,,,,,22,,,,,,,Percent of Total Billed Charges,,,,,5.5,,,,,,,Percent of Total Billed Charges,,,, INHALER THERAPY ,94640,CPT,,Outpatient,,,120,96,89.64,,,,,,,Percent of Total Billed Charges,,89.64,89.64,,120,,,,,,,Percent of Total Billed Charges,,,,,115.2,,,,,,,Percent of Total Billed Charges,,,,,114,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,102,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,108,,,,,,,Percent of Total Billed Charges,,,,,108,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,, CONTINUOUS NEBULIZER THERAPY- FIRST HR. ,94644,CPT,,Outpatient,,,708,566.4,528.88,,,,,,,Percent of Total Billed Charges,,528.88,528.88,,708,,,,,,,Percent of Total Billed Charges,,,,,679.68,,,,,,,Percent of Total Billed Charges,,,,,672.6,,,,,,,Percent of Total Billed Charges,,,,,141.6,,,,,,,Percent of Total Billed Charges,,,,,601.8,,,,,,,Percent of Total Billed Charges,,,,,148.68,,,,,,,Percent of Total Billed Charges,,,,,637.2,,,,,,,Percent of Total Billed Charges,,,,,637.2,,,,,,,Percent of Total Billed Charges,,,,,141.6,,,,,,,Percent of Total Billed Charges,,,,,198.24,,,,,,,Percent of Total Billed Charges,,,,,566.4,,,,,,,Percent of Total Billed Charges,,,,,141.6,,,,,,,Percent of Total Billed Charges,,,, CONT. NEB. THERAPY EACH ADDITIONAL HR. ,94645,CPT,,Outpatient,,,52.5,42,39.22,,,,,,,Percent of Total Billed Charges,,39.22,39.22,,52.5,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,11.03,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,42,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,, BRONCHIAL HYGIENE INITIAL ,250,RC,,Outpatient,,,85.5,68.4,63.87,,,,,,,Percent of Total Billed Charges,,63.87,63.87,,85.5,,,,,,,Percent of Total Billed Charges,,,,,82.08,,,,,,,Percent of Total Billed Charges,,,,,81.23,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,23.94,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,, BRONCHIAL HYGIENE SUBSEQUENT ,250,RC,,Outpatient,,,60.5,48.4,45.19,,,,,,,Percent of Total Billed Charges,,45.19,45.19,,60.5,,,,,,,Percent of Total Billed Charges,,,,,58.08,,,,,,,Percent of Total Billed Charges,,,,,57.48,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,51.43,,,,,,,Percent of Total Billed Charges,,,,,12.71,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,16.94,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,, VOLUME VENTILATOR SET UP ,94002,CPT,,Outpatient,,,542.5,434,405.25,,,,,,,Percent of Total Billed Charges,,405.25,405.25,,542.5,,,,,,,Percent of Total Billed Charges,,,,,520.8,,,,,,,Percent of Total Billed Charges,,,,,515.38,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,461.13,,,,,,,Percent of Total Billed Charges,,,,,113.93,,,,,,,Percent of Total Billed Charges,,,,,488.25,,,,,,,Percent of Total Billed Charges,,,,,488.25,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,,,151.9,,,,,,,Percent of Total Billed Charges,,,,,434,,,,,,,Percent of Total Billed Charges,,,,,108.5,,,,,,,Percent of Total Billed Charges,,,, VENT MANAGEMENT SUBSEQUENT DAY ,94003,CPT,,Outpatient,,,406.5,325.2,303.66,,,,,,,Percent of Total Billed Charges,,303.66,303.66,,406.5,,,,,,,Percent of Total Billed Charges,,,,,390.24,,,,,,,Percent of Total Billed Charges,,,,,386.18,,,,,,,Percent of Total Billed Charges,,,,,81.3,,,,,,,Percent of Total Billed Charges,,,,,345.53,,,,,,,Percent of Total Billed Charges,,,,,85.37,,,,,,,Percent of Total Billed Charges,,,,,365.85,,,,,,,Percent of Total Billed Charges,,,,,365.85,,,,,,,Percent of Total Billed Charges,,,,,81.3,,,,,,,Percent of Total Billed Charges,,,,,113.82,,,,,,,Percent of Total Billed Charges,,,,,325.2,,,,,,,Percent of Total Billed Charges,,,,,81.3,,,,,,,Percent of Total Billed Charges,,,, INCENTIVE SPIROMETER INTIAL ,94010,CPT,,Outpatient,,,169.5,135.6,126.62,,,,,,,Percent of Total Billed Charges,,126.62,126.62,,169.5,,,,,,,Percent of Total Billed Charges,,,,,162.72,,,,,,,Percent of Total Billed Charges,,,,,161.03,,,,,,,Percent of Total Billed Charges,,,,,33.9,,,,,,,Percent of Total Billed Charges,,,,,144.08,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,152.55,,,,,,,Percent of Total Billed Charges,,,,,152.55,,,,,,,Percent of Total Billed Charges,,,,,33.9,,,,,,,Percent of Total Billed Charges,,,,,47.46,,,,,,,Percent of Total Billed Charges,,,,,135.6,,,,,,,Percent of Total Billed Charges,,,,,33.9,,,,,,,Percent of Total Billed Charges,,,, INCENTIVE SPIROMETER TREATM -F/U ,94799,CPT,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, REHAB INITIAL TREATMENT ,250,RC,,Outpatient,,,88.5,70.8,66.11,,,,,,,Percent of Total Billed Charges,,66.11,66.11,,88.5,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,84.08,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,75.23,,,,,,,Percent of Total Billed Charges,,,,,18.59,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,, NEBULIZER/MDI EDUCATION ,250,RC,,Outpatient,,,56.5,45.2,42.21,,,,,,,Percent of Total Billed Charges,,42.21,42.21,,56.5,,,,,,,Percent of Total Billed Charges,,,,,54.24,,,,,,,Percent of Total Billed Charges,,,,,53.68,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,48.03,,,,,,,Percent of Total Billed Charges,,,,,11.87,,,,,,,Percent of Total Billed Charges,,,,,50.85,,,,,,,Percent of Total Billed Charges,,,,,50.85,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,15.82,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,, DB-H-CC ,250,RC,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, SUCTIONING PROCEDURE ,250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, RESUSCITATION EACH 15 MIN ,92950,CPT,,Outpatient,,,88.5,70.8,66.11,,,,,,,Percent of Total Billed Charges,,66.11,66.11,,88.5,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,84.08,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,75.23,,,,,,,Percent of Total Billed Charges,,,,,18.59,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,, PFT DIFFUSING CAPACTIY ,94729TC ,CPT,,Outpatient,,,208.5,166.8,155.75,,,,,,,Percent of Total Billed Charges,,155.75,155.75,,208.5,,,,,,,Percent of Total Billed Charges,,,,,200.16,,,,,,,Percent of Total Billed Charges,,,,,198.08,,,,,,,Percent of Total Billed Charges,,,,,41.7,,,,,,,Percent of Total Billed Charges,,,,,177.23,,,,,,,Percent of Total Billed Charges,,,,,43.79,,,,,,,Percent of Total Billed Charges,,,,,187.65,,,,,,,Percent of Total Billed Charges,,,,,187.65,,,,,,,Percent of Total Billed Charges,,,,,41.7,,,,,,,Percent of Total Billed Charges,,,,,58.38,,,,,,,Percent of Total Billed Charges,,,,,166.8,,,,,,,Percent of Total Billed Charges,,,,,41.7,,,,,,,Percent of Total Billed Charges,,,, CPAP WITH 02 ,94660,CPT,,Outpatient,,,158.5,126.8,118.4,,,,,,,Percent of Total Billed Charges,,118.4,118.4,,158.5,,,,,,,Percent of Total Billed Charges,,,,,152.16,,,,,,,Percent of Total Billed Charges,,,,,150.58,,,,,,,Percent of Total Billed Charges,,,,,31.7,,,,,,,Percent of Total Billed Charges,,,,,134.73,,,,,,,Percent of Total Billed Charges,,,,,33.29,,,,,,,Percent of Total Billed Charges,,,,,142.65,,,,,,,Percent of Total Billed Charges,,,,,142.65,,,,,,,Percent of Total Billed Charges,,,,,31.7,,,,,,,Percent of Total Billed Charges,,,,,44.38,,,,,,,Percent of Total Billed Charges,,,,,126.8,,,,,,,Percent of Total Billed Charges,,,,,31.7,,,,,,,Percent of Total Billed Charges,,,, BRONCHODILATION RESPONSIVENESS ,94060TC ,CPT,,Outpatient,,,905.5,724.4,676.41,,,,,,,Percent of Total Billed Charges,,676.41,676.41,,905.5,,,,,,,Percent of Total Billed Charges,,,,,869.28,,,,,,,Percent of Total Billed Charges,,,,,860.23,,,,,,,Percent of Total Billed Charges,,,,,181.1,,,,,,,Percent of Total Billed Charges,,,,,769.68,,,,,,,Percent of Total Billed Charges,,,,,190.16,,,,,,,Percent of Total Billed Charges,,,,,814.95,,,,,,,Percent of Total Billed Charges,,,,,814.95,,,,,,,Percent of Total Billed Charges,,,,,181.1,,,,,,,Percent of Total Billed Charges,,,,,253.54,,,,,,,Percent of Total Billed Charges,,,,,724.4,,,,,,,Percent of Total Billed Charges,,,,,181.1,,,,,,,Percent of Total Billed Charges,,,, SPIROMETRY ,94010,CPT,,Outpatient,,,306,244.8,228.58,,,,,,,Percent of Total Billed Charges,,228.58,228.58,,306,,,,,,,Percent of Total Billed Charges,,,,,293.76,,,,,,,Percent of Total Billed Charges,,,,,290.7,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,260.1,,,,,,,Percent of Total Billed Charges,,,,,64.26,,,,,,,Percent of Total Billed Charges,,,,,275.4,,,,,,,Percent of Total Billed Charges,,,,,275.4,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,,,85.68,,,,,,,Percent of Total Billed Charges,,,,,244.8,,,,,,,Percent of Total Billed Charges,,,,,61.2,,,,,,,Percent of Total Billed Charges,,,, APNEA MONITOR ,250,RC,,Outpatient,,,220,176,164.34,,,,,,,Percent of Total Billed Charges,,164.34,164.34,,220,,,,,,,Percent of Total Billed Charges,,,,,211.2,,,,,,,Percent of Total Billed Charges,,,,,209,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,187,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,176,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,, METER DOSE INHALER ,94664,CPT,,Outpatient,,,60.5,48.4,45.19,,,,,,,Percent of Total Billed Charges,,45.19,45.19,,60.5,,,,,,,Percent of Total Billed Charges,,,,,58.08,,,,,,,Percent of Total Billed Charges,,,,,57.48,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,51.43,,,,,,,Percent of Total Billed Charges,,,,,12.71,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,16.94,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,, RESP STANDBY-EA 15 MIN ,250,RC,,Outpatient,,,88.5,70.8,66.11,,,,,,,Percent of Total Billed Charges,,66.11,66.11,,88.5,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,84.08,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,75.23,,,,,,,Percent of Total Billed Charges,,,,,18.59,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,, PULSE OXIMETRY ON ROOM AIR ,94760,CPT,,Outpatient,,,198.5,158.8,148.28,,,,,,,Percent of Total Billed Charges,,148.28,148.28,,198.5,,,,,,,Percent of Total Billed Charges,,,,,190.56,,,,,,,Percent of Total Billed Charges,,,,,188.58,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,168.73,,,,,,,Percent of Total Billed Charges,,,,,41.69,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,158.8,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,, SPIROMETRY SCREENING ,94010,CPT,,Outpatient,,,220,176,164.34,,,,,,,Percent of Total Billed Charges,,164.34,164.34,,220,,,,,,,Percent of Total Billed Charges,,,,,211.2,,,,,,,Percent of Total Billed Charges,,,,,209,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,187,,,,,,,Percent of Total Billed Charges,,,,,46.2,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,198,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,61.6,,,,,,,Percent of Total Billed Charges,,,,,176,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,, BI-PAP SETUP ,94660,CPT,,Outpatient,,,373,298.4,278.63,,,,,,,Percent of Total Billed Charges,,278.63,278.63,,373,,,,,,,Percent of Total Billed Charges,,,,,358.08,,,,,,,Percent of Total Billed Charges,,,,,354.35,,,,,,,Percent of Total Billed Charges,,,,,74.6,,,,,,,Percent of Total Billed Charges,,,,,317.05,,,,,,,Percent of Total Billed Charges,,,,,78.33,,,,,,,Percent of Total Billed Charges,,,,,335.7,,,,,,,Percent of Total Billed Charges,,,,,335.7,,,,,,,Percent of Total Billed Charges,,,,,74.6,,,,,,,Percent of Total Billed Charges,,,,,104.44,,,,,,,Percent of Total Billed Charges,,,,,298.4,,,,,,,Percent of Total Billed Charges,,,,,74.6,,,,,,,Percent of Total Billed Charges,,,, CHEST PHYSIOTHERAPY-CP PD (INITIAL) ,94667,CPT,,Outpatient,,,60.5,48.4,45.19,,,,,,,Percent of Total Billed Charges,,45.19,45.19,,60.5,,,,,,,Percent of Total Billed Charges,,,,,58.08,,,,,,,Percent of Total Billed Charges,,,,,57.48,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,51.43,,,,,,,Percent of Total Billed Charges,,,,,12.71,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,16.94,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,, CHEST PHYSIOTHERAPY-CP PD (SUBSEQUENT) ,94668,CPT,,Outpatient,,,119,95.2,88.89,,,,,,,Percent of Total Billed Charges,,88.89,88.89,,119,,,,,,,Percent of Total Billed Charges,,,,,114.24,,,,,,,Percent of Total Billed Charges,,,,,113.05,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,101.15,,,,,,,Percent of Total Billed Charges,,,,,24.99,,,,,,,Percent of Total Billed Charges,,,,,107.1,,,,,,,Percent of Total Billed Charges,,,,,107.1,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,33.32,,,,,,,Percent of Total Billed Charges,,,,,95.2,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,, PULSE OXIMETRY OVERNIGHT ,94762,CPT,,Outpatient,,,292,233.6,218.12,,,,,,,Percent of Total Billed Charges,,218.12,218.12,,292,,,,,,,Percent of Total Billed Charges,,,,,280.32,,,,,,,Percent of Total Billed Charges,,,,,277.4,,,,,,,Percent of Total Billed Charges,,,,,58.4,,,,,,,Percent of Total Billed Charges,,,,,248.2,,,,,,,Percent of Total Billed Charges,,,,,61.32,,,,,,,Percent of Total Billed Charges,,,,,262.8,,,,,,,Percent of Total Billed Charges,,,,,262.8,,,,,,,Percent of Total Billed Charges,,,,,58.4,,,,,,,Percent of Total Billed Charges,,,,,81.76,,,,,,,Percent of Total Billed Charges,,,,,233.6,,,,,,,Percent of Total Billed Charges,,,,,58.4,,,,,,,Percent of Total Billed Charges,,,, PULSE OXIMETRY-SINGLE ,94760,CPT,,Outpatient,,,217.5,174,162.47,,,,,,,Percent of Total Billed Charges,,162.47,162.47,,217.5,,,,,,,Percent of Total Billed Charges,,,,,208.8,,,,,,,Percent of Total Billed Charges,,,,,206.63,,,,,,,Percent of Total Billed Charges,,,,,43.5,,,,,,,Percent of Total Billed Charges,,,,,184.88,,,,,,,Percent of Total Billed Charges,,,,,45.68,,,,,,,Percent of Total Billed Charges,,,,,195.75,,,,,,,Percent of Total Billed Charges,,,,,195.75,,,,,,,Percent of Total Billed Charges,,,,,43.5,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,174,,,,,,,Percent of Total Billed Charges,,,,,43.5,,,,,,,Percent of Total Billed Charges,,,, PULSE OXIMETRY CONTINUOUS ,94762,CPT,,Outpatient,,,678,542.4,506.47,,,,,,,Percent of Total Billed Charges,,506.47,506.47,,678,,,,,,,Percent of Total Billed Charges,,,,,650.88,,,,,,,Percent of Total Billed Charges,,,,,644.1,,,,,,,Percent of Total Billed Charges,,,,,135.6,,,,,,,Percent of Total Billed Charges,,,,,576.3,,,,,,,Percent of Total Billed Charges,,,,,142.38,,,,,,,Percent of Total Billed Charges,,,,,610.2,,,,,,,Percent of Total Billed Charges,,,,,610.2,,,,,,,Percent of Total Billed Charges,,,,,135.6,,,,,,,Percent of Total Billed Charges,,,,,189.84,,,,,,,Percent of Total Billed Charges,,,,,542.4,,,,,,,Percent of Total Billed Charges,,,,,135.6,,,,,,,Percent of Total Billed Charges,,,, CONTINUOUS NEB ,94644,CPT,,Outpatient,,,433,346.4,323.45,,,,,,,Percent of Total Billed Charges,,323.45,323.45,,433,,,,,,,Percent of Total Billed Charges,,,,,415.68,,,,,,,Percent of Total Billed Charges,,,,,411.35,,,,,,,Percent of Total Billed Charges,,,,,86.6,,,,,,,Percent of Total Billed Charges,,,,,368.05,,,,,,,Percent of Total Billed Charges,,,,,90.93,,,,,,,Percent of Total Billed Charges,,,,,389.7,,,,,,,Percent of Total Billed Charges,,,,,389.7,,,,,,,Percent of Total Billed Charges,,,,,86.6,,,,,,,Percent of Total Billed Charges,,,,,121.24,,,,,,,Percent of Total Billed Charges,,,,,346.4,,,,,,,Percent of Total Billed Charges,,,,,86.6,,,,,,,Percent of Total Billed Charges,,,, PSG/SPLIT NIGHT ,95810,CPT,,Outpatient,,,5890.5,4712.4,4400.2,,,,,,,Percent of Total Billed Charges,,4400.2,4400.2,,5890.5,,,,,,,Percent of Total Billed Charges,,,,,5654.88,,,,,,,Percent of Total Billed Charges,,,,,5595.98,,,,,,,Percent of Total Billed Charges,,,,,1178.1,,,,,,,Percent of Total Billed Charges,,,,,5006.93,,,,,,,Percent of Total Billed Charges,,,,,1237.01,,,,,,,Percent of Total Billed Charges,,,,,5301.45,,,,,,,Percent of Total Billed Charges,,,,,5301.45,,,,,,,Percent of Total Billed Charges,,,,,1178.1,,,,,,,Percent of Total Billed Charges,,,,,1649.34,,,,,,,Percent of Total Billed Charges,,,,,4712.4,,,,,,,Percent of Total Billed Charges,,,,,1178.1,,,,,,,Percent of Total Billed Charges,,,, CPAP/BIPAP TITRATION ,95811,CPT,,Outpatient,,,6512,5209.6,4864.46,,,,,,,Percent of Total Billed Charges,,4864.46,4864.46,,6512,,,,,,,Percent of Total Billed Charges,,,,,6251.52,,,,,,,Percent of Total Billed Charges,,,,,6186.4,,,,,,,Percent of Total Billed Charges,,,,,1302.4,,,,,,,Percent of Total Billed Charges,,,,,5535.2,,,,,,,Percent of Total Billed Charges,,,,,1367.52,,,,,,,Percent of Total Billed Charges,,,,,5860.8,,,,,,,Percent of Total Billed Charges,,,,,5860.8,,,,,,,Percent of Total Billed Charges,,,,,1302.4,,,,,,,Percent of Total Billed Charges,,,,,1823.36,,,,,,,Percent of Total Billed Charges,,,,,5209.6,,,,,,,Percent of Total Billed Charges,,,,,1302.4,,,,,,,Percent of Total Billed Charges,,,, PSG ONLY ,95808TC ,CPT,,Outpatient,,,5743.5,4594.8,4290.39,,,,,,,Percent of Total Billed Charges,,4290.39,4290.39,,5743.5,,,,,,,Percent of Total Billed Charges,,,,,5513.76,,,,,,,Percent of Total Billed Charges,,,,,5456.33,,,,,,,Percent of Total Billed Charges,,,,,1148.7,,,,,,,Percent of Total Billed Charges,,,,,4881.98,,,,,,,Percent of Total Billed Charges,,,,,1206.14,,,,,,,Percent of Total Billed Charges,,,,,5169.15,,,,,,,Percent of Total Billed Charges,,,,,5169.15,,,,,,,Percent of Total Billed Charges,,,,,1148.7,,,,,,,Percent of Total Billed Charges,,,,,1608.18,,,,,,,Percent of Total Billed Charges,,,,,4594.8,,,,,,,Percent of Total Billed Charges,,,,,1148.7,,,,,,,Percent of Total Billed Charges,,,, PSG/HOME STUDY ,G0400 ,CPT,,Outpatient,,,630,504,470.61,,,,,,,Percent of Total Billed Charges,,470.61,470.61,,630,,,,,,,Percent of Total Billed Charges,,,,,604.8,,,,,,,Percent of Total Billed Charges,,,,,598.5,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,535.5,,,,,,,Percent of Total Billed Charges,,,,,132.3,,,,,,,Percent of Total Billed Charges,,,,,567,,,,,,,Percent of Total Billed Charges,,,,,567,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,504,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,, COMPLETE PFT PROF FEE ,94016,CPT,,Outpatient,,,253.5,202.8,189.36,,,,,,,Percent of Total Billed Charges,,189.36,189.36,,253.5,,,,,,,Percent of Total Billed Charges,,,,,243.36,,,,,,,Percent of Total Billed Charges,,,,,240.83,,,,,,,Percent of Total Billed Charges,,,,,50.7,,,,,,,Percent of Total Billed Charges,,,,,215.48,,,,,,,Percent of Total Billed Charges,,,,,53.24,,,,,,,Percent of Total Billed Charges,,,,,228.15,,,,,,,Percent of Total Billed Charges,,,,,228.15,,,,,,,Percent of Total Billed Charges,,,,,50.7,,,,,,,Percent of Total Billed Charges,,,,,70.98,,,,,,,Percent of Total Billed Charges,,,,,202.8,,,,,,,Percent of Total Billed Charges,,,,,50.7,,,,,,,Percent of Total Billed Charges,,,, MVV PROF FEE ,94060,CPT,,Outpatient,,,52.5,42,39.22,,,,,,,Percent of Total Billed Charges,,39.22,39.22,,52.5,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,11.03,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,42,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,, FLOW VOLUME PROF FEE ,94060,CPT,,Outpatient,,,65.5,52.4,48.93,,,,,,,Percent of Total Billed Charges,,48.93,48.93,,65.5,,,,,,,Percent of Total Billed Charges,,,,,62.88,,,,,,,Percent of Total Billed Charges,,,,,62.23,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,,,55.68,,,,,,,Percent of Total Billed Charges,,,,,13.76,,,,,,,Percent of Total Billed Charges,,,,,58.95,,,,,,,Percent of Total Billed Charges,,,,,58.95,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,,,18.34,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,, SPIROMETRY PROF FEE ,94010,CPT,,Outpatient,,,56.5,45.2,42.21,,,,,,,Percent of Total Billed Charges,,42.21,42.21,,56.5,,,,,,,Percent of Total Billed Charges,,,,,54.24,,,,,,,Percent of Total Billed Charges,,,,,53.68,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,48.03,,,,,,,Percent of Total Billed Charges,,,,,11.87,,,,,,,Percent of Total Billed Charges,,,,,50.85,,,,,,,Percent of Total Billed Charges,,,,,50.85,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,,,15.82,,,,,,,Percent of Total Billed Charges,,,,,45.2,,,,,,,Percent of Total Billed Charges,,,,,11.3,,,,,,,Percent of Total Billed Charges,,,, DCLO PROF FEE ,94729,CPT,,Outpatient,,,65.5,52.4,48.93,,,,,,,Percent of Total Billed Charges,,48.93,48.93,,65.5,,,,,,,Percent of Total Billed Charges,,,,,62.88,,,,,,,Percent of Total Billed Charges,,,,,62.23,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,,,55.68,,,,,,,Percent of Total Billed Charges,,,,,13.76,,,,,,,Percent of Total Billed Charges,,,,,58.95,,,,,,,Percent of Total Billed Charges,,,,,58.95,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,,,18.34,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,13.1,,,,,,,Percent of Total Billed Charges,,,, N2 W/O PROF FEE ,94727,CPT,,Outpatient,,,60.5,48.4,45.19,,,,,,,Percent of Total Billed Charges,,45.19,45.19,,60.5,,,,,,,Percent of Total Billed Charges,,,,,58.08,,,,,,,Percent of Total Billed Charges,,,,,57.48,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,51.43,,,,,,,Percent of Total Billed Charges,,,,,12.71,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,54.45,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,,,16.94,,,,,,,Percent of Total Billed Charges,,,,,48.4,,,,,,,Percent of Total Billed Charges,,,,,12.1,,,,,,,Percent of Total Billed Charges,,,, STAT CHARGE ,250,RC,,Outpatient,,,69,55.2,51.54,,,,,,,Percent of Total Billed Charges,,51.54,51.54,,69,,,,,,,Percent of Total Billed Charges,,,,,66.24,,,,,,,Percent of Total Billed Charges,,,,,65.55,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,58.65,,,,,,,Percent of Total Billed Charges,,,,,14.49,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,62.1,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,55.2,,,,,,,Percent of Total Billed Charges,,,,,13.8,,,,,,,Percent of Total Billed Charges,,,, SUCTION MACHINE ,250,RC,,Outpatient,,,37.5,30,28.01,,,,,,,Percent of Total Billed Charges,,28.01,28.01,,37.5,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,35.63,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,31.88,,,,,,,Percent of Total Billed Charges,,,,,7.88,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,33.75,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,30,,,,,,,Percent of Total Billed Charges,,,,,7.5,,,,,,,Percent of Total Billed Charges,,,, MVV ,94060TC ,CPT,,Outpatient,,,169.5,135.6,126.62,,,,,,,Percent of Total Billed Charges,,126.62,126.62,,169.5,,,,,,,Percent of Total Billed Charges,,,,,162.72,,,,,,,Percent of Total Billed Charges,,,,,161.03,,,,,,,Percent of Total Billed Charges,,,,,33.9,,,,,,,Percent of Total Billed Charges,,,,,144.08,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,152.55,,,,,,,Percent of Total Billed Charges,,,,,152.55,,,,,,,Percent of Total Billed Charges,,,,,33.9,,,,,,,Percent of Total Billed Charges,,,,,47.46,,,,,,,Percent of Total Billed Charges,,,,,135.6,,,,,,,Percent of Total Billed Charges,,,,,33.9,,,,,,,Percent of Total Billed Charges,,,, FLOW VOLUME LOOP ANALYSIS ,94060TC ,CPT,,Outpatient,,,240.5,192.4,179.65,,,,,,,Percent of Total Billed Charges,,179.65,179.65,,240.5,,,,,,,Percent of Total Billed Charges,,,,,230.88,,,,,,,Percent of Total Billed Charges,,,,,228.48,,,,,,,Percent of Total Billed Charges,,,,,48.1,,,,,,,Percent of Total Billed Charges,,,,,204.43,,,,,,,Percent of Total Billed Charges,,,,,50.51,,,,,,,Percent of Total Billed Charges,,,,,216.45,,,,,,,Percent of Total Billed Charges,,,,,216.45,,,,,,,Percent of Total Billed Charges,,,,,48.1,,,,,,,Percent of Total Billed Charges,,,,,67.34,,,,,,,Percent of Total Billed Charges,,,,,192.4,,,,,,,Percent of Total Billed Charges,,,,,48.1,,,,,,,Percent of Total Billed Charges,,,, SPIROMETRY ,94010TC ,CPT,,Outpatient,,,154,123.2,115.04,,,,,,,Percent of Total Billed Charges,,115.04,115.04,,154,,,,,,,Percent of Total Billed Charges,,,,,147.84,,,,,,,Percent of Total Billed Charges,,,,,146.3,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,130.9,,,,,,,Percent of Total Billed Charges,,,,,32.34,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,138.6,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,,,43.12,,,,,,,Percent of Total Billed Charges,,,,,123.2,,,,,,,Percent of Total Billed Charges,,,,,30.8,,,,,,,Percent of Total Billed Charges,,,, BODY PLETHYSMOGRAPHY ,94726TC ,CPT,,Outpatient,,,173.5,138.8,129.6,,,,,,,Percent of Total Billed Charges,,129.6,129.6,,173.5,,,,,,,Percent of Total Billed Charges,,,,,166.56,,,,,,,Percent of Total Billed Charges,,,,,164.83,,,,,,,Percent of Total Billed Charges,,,,,34.7,,,,,,,Percent of Total Billed Charges,,,,,147.48,,,,,,,Percent of Total Billed Charges,,,,,36.44,,,,,,,Percent of Total Billed Charges,,,,,156.15,,,,,,,Percent of Total Billed Charges,,,,,156.15,,,,,,,Percent of Total Billed Charges,,,,,34.7,,,,,,,Percent of Total Billed Charges,,,,,48.58,,,,,,,Percent of Total Billed Charges,,,,,138.8,,,,,,,Percent of Total Billed Charges,,,,,34.7,,,,,,,Percent of Total Billed Charges,,,, DCLO ,94729TC ,CPT,,Outpatient,,,345.5,276.4,258.09,,,,,,,Percent of Total Billed Charges,,258.09,258.09,,345.5,,,,,,,Percent of Total Billed Charges,,,,,331.68,,,,,,,Percent of Total Billed Charges,,,,,328.23,,,,,,,Percent of Total Billed Charges,,,,,69.1,,,,,,,Percent of Total Billed Charges,,,,,293.68,,,,,,,Percent of Total Billed Charges,,,,,72.56,,,,,,,Percent of Total Billed Charges,,,,,310.95,,,,,,,Percent of Total Billed Charges,,,,,310.95,,,,,,,Percent of Total Billed Charges,,,,,69.1,,,,,,,Percent of Total Billed Charges,,,,,96.74,,,,,,,Percent of Total Billed Charges,,,,,276.4,,,,,,,Percent of Total Billed Charges,,,,,69.1,,,,,,,Percent of Total Billed Charges,,,, N2 W/O ,94350,CPT,,Outpatient,,,269.5,215.6,201.32,,,,,,,Percent of Total Billed Charges,,201.32,201.32,,269.5,,,,,,,Percent of Total Billed Charges,,,,,258.72,,,,,,,Percent of Total Billed Charges,,,,,256.03,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,,,229.08,,,,,,,Percent of Total Billed Charges,,,,,56.6,,,,,,,Percent of Total Billed Charges,,,,,242.55,,,,,,,Percent of Total Billed Charges,,,,,242.55,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,,,75.46,,,,,,,Percent of Total Billed Charges,,,,,215.6,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,, BRONCHO PRV ,94070,CPT,,Outpatient,,,745,596,556.52,,,,,,,Percent of Total Billed Charges,,556.52,556.52,,745,,,,,,,Percent of Total Billed Charges,,,,,715.2,,,,,,,Percent of Total Billed Charges,,,,,707.75,,,,,,,Percent of Total Billed Charges,,,,,149,,,,,,,Percent of Total Billed Charges,,,,,633.25,,,,,,,Percent of Total Billed Charges,,,,,156.45,,,,,,,Percent of Total Billed Charges,,,,,670.5,,,,,,,Percent of Total Billed Charges,,,,,670.5,,,,,,,Percent of Total Billed Charges,,,,,149,,,,,,,Percent of Total Billed Charges,,,,,208.6,,,,,,,Percent of Total Billed Charges,,,,,596,,,,,,,Percent of Total Billed Charges,,,,,149,,,,,,,Percent of Total Billed Charges,,,, ACAPELLA FLUTTER VALVE ,94667,CPT,,Outpatient,,,187,149.6,139.69,,,,,,,Percent of Total Billed Charges,,139.69,139.69,,187,,,,,,,Percent of Total Billed Charges,,,,,179.52,,,,,,,Percent of Total Billed Charges,,,,,177.65,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,158.95,,,,,,,Percent of Total Billed Charges,,,,,39.27,,,,,,,Percent of Total Billed Charges,,,,,168.3,,,,,,,Percent of Total Billed Charges,,,,,168.3,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,52.36,,,,,,,Percent of Total Billed Charges,,,,,149.6,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,, ACAPELLA FLUTTER VALVE EA ADD'L ,94668,CPT,,Outpatient,,,35.5,28.4,26.52,,,,,,,Percent of Total Billed Charges,,26.52,26.52,,35.5,,,,,,,Percent of Total Billed Charges,,,,,34.08,,,,,,,Percent of Total Billed Charges,,,,,33.73,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,30.18,,,,,,,Percent of Total Billed Charges,,,,,7.46,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,31.95,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,,,9.94,,,,,,,Percent of Total Billed Charges,,,,,28.4,,,,,,,Percent of Total Billed Charges,,,,,7.1,,,,,,,Percent of Total Billed Charges,,,, PULMONARY 6MIN STRESS TESTING ,94618,CPT,,Outpatient,,,224,179.2,167.33,,,,,,,Percent of Total Billed Charges,,167.33,167.33,,224,,,,,,,Percent of Total Billed Charges,,,,,215.04,,,,,,,Percent of Total Billed Charges,,,,,212.8,,,,,,,Percent of Total Billed Charges,,,,,44.8,,,,,,,Percent of Total Billed Charges,,,,,190.4,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,201.6,,,,,,,Percent of Total Billed Charges,,,,,201.6,,,,,,,Percent of Total Billed Charges,,,,,44.8,,,,,,,Percent of Total Billed Charges,,,,,62.72,,,,,,,Percent of Total Billed Charges,,,,,179.2,,,,,,,Percent of Total Billed Charges,,,,,44.8,,,,,,,Percent of Total Billed Charges,,,, THERAPEUTIC PROC. TO IMPROVE RESP. ORS ,G0239 ,CPT,,Outpatient,,,41,32.8,30.63,,,,,,,Percent of Total Billed Charges,,30.63,30.63,,41,,,,,,,Percent of Total Billed Charges,,,,,39.36,,,,,,,Percent of Total Billed Charges,,,,,38.95,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,34.85,,,,,,,Percent of Total Billed Charges,,,,,8.61,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,8.2,,,,,,,Percent of Total Billed Charges,,,, RHYTHM STRIP ,93040,CPT,,Outpatient,,,153.5,122.8,114.66,,,,,,,Percent of Total Billed Charges,,114.66,114.66,,153.5,,,,,,,Percent of Total Billed Charges,,,,,147.36,,,,,,,Percent of Total Billed Charges,,,,,145.83,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,130.48,,,,,,,Percent of Total Billed Charges,,,,,32.24,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,42.98,,,,,,,Percent of Total Billed Charges,,,,,122.8,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,, RHYTHM STRIP CONTINUOUS ,93040,CPT,,Outpatient,,,224.5,179.6,167.7,,,,,,,Percent of Total Billed Charges,,167.7,167.7,,224.5,,,,,,,Percent of Total Billed Charges,,,,,215.52,,,,,,,Percent of Total Billed Charges,,,,,213.28,,,,,,,Percent of Total Billed Charges,,,,,44.9,,,,,,,Percent of Total Billed Charges,,,,,190.83,,,,,,,Percent of Total Billed Charges,,,,,47.15,,,,,,,Percent of Total Billed Charges,,,,,202.05,,,,,,,Percent of Total Billed Charges,,,,,202.05,,,,,,,Percent of Total Billed Charges,,,,,44.9,,,,,,,Percent of Total Billed Charges,,,,,62.86,,,,,,,Percent of Total Billed Charges,,,,,179.6,,,,,,,Percent of Total Billed Charges,,,,,44.9,,,,,,,Percent of Total Billed Charges,,,, CARDIAC STANDBY ,250,RC,,Outpatient,,,82.5,66,61.63,,,,,,,Percent of Total Billed Charges,,61.63,61.63,,82.5,,,,,,,Percent of Total Billed Charges,,,,,79.2,,,,,,,Percent of Total Billed Charges,,,,,78.38,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,70.13,,,,,,,Percent of Total Billed Charges,,,,,17.33,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,74.25,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,,,23.1,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,16.5,,,,,,,Percent of Total Billed Charges,,,, EKG ,93005,CPT,,Outpatient,,,244,195.2,182.27,,,,,,,Percent of Total Billed Charges,,182.27,182.27,,244,,,,,,,Percent of Total Billed Charges,,,,,234.24,,,,,,,Percent of Total Billed Charges,,,,,231.8,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,,,207.4,,,,,,,Percent of Total Billed Charges,,,,,51.24,,,,,,,Percent of Total Billed Charges,,,,,219.6,,,,,,,Percent of Total Billed Charges,,,,,219.6,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,,,68.32,,,,,,,Percent of Total Billed Charges,,,,,195.2,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,, HOLTER MON/UP TO 48HRS/ANALYSIS & REPORT,93226,CPT,,Outpatient,,,100,80,74.7,,,,,,,Percent of Total Billed Charges,,74.7,74.7,,100,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,95,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,85,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,, HOLTER MONITOR UP TO 48HRS. ,93225,CPT,,Outpatient,,,52.5,42,39.22,,,,,,,Percent of Total Billed Charges,,39.22,39.22,,52.5,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,44.63,,,,,,,Percent of Total Billed Charges,,,,,11.03,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,42,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,, STRESS TEST ELECTRO INTERPT/REPRT ,93015,CPT,,Outpatient,,,1624.5,1299.6,1213.5,,,,,,,Percent of Total Billed Charges,,1213.5,1213.5,,1624.5,,,,,,,Percent of Total Billed Charges,,,,,1559.52,,,,,,,Percent of Total Billed Charges,,,,,1543.28,,,,,,,Percent of Total Billed Charges,,,,,324.9,,,,,,,Percent of Total Billed Charges,,,,,1380.83,,,,,,,Percent of Total Billed Charges,,,,,341.15,,,,,,,Percent of Total Billed Charges,,,,,1462.05,,,,,,,Percent of Total Billed Charges,,,,,1462.05,,,,,,,Percent of Total Billed Charges,,,,,324.9,,,,,,,Percent of Total Billed Charges,,,,,454.86,,,,,,,Percent of Total Billed Charges,,,,,1299.6,,,,,,,Percent of Total Billed Charges,,,,,324.9,,,,,,,Percent of Total Billed Charges,,,, HOLTER MONITOR 48HRS UP TO 7 DAYS ,93242,CPT,,Outpatient,,,34,27.2,25.4,,,,,,,Percent of Total Billed Charges,,25.4,25.4,,34,,,,,,,Percent of Total Billed Charges,,,,,32.64,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,9.52,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,, STRESS TEST TRACING WITH INTERP/REPORT ,93015,CPT,,Outpatient,,,1624.5,1299.6,1213.5,,,,,,,Percent of Total Billed Charges,,1213.5,1213.5,,1624.5,,,,,,,Percent of Total Billed Charges,,,,,1559.52,,,,,,,Percent of Total Billed Charges,,,,,1543.28,,,,,,,Percent of Total Billed Charges,,,,,324.9,,,,,,,Percent of Total Billed Charges,,,,,1380.83,,,,,,,Percent of Total Billed Charges,,,,,341.15,,,,,,,Percent of Total Billed Charges,,,,,1462.05,,,,,,,Percent of Total Billed Charges,,,,,1462.05,,,,,,,Percent of Total Billed Charges,,,,,324.9,,,,,,,Percent of Total Billed Charges,,,,,454.86,,,,,,,Percent of Total Billed Charges,,,,,1299.6,,,,,,,Percent of Total Billed Charges,,,,,324.9,,,,,,,Percent of Total Billed Charges,,,, STRESS TEST PHARM INPRT/REPT ,93015,CPT,,Outpatient,,,2012.5,1610,1503.34,,,,,,,Percent of Total Billed Charges,,1503.34,1503.34,,2012.5,,,,,,,Percent of Total Billed Charges,,,,,1932,,,,,,,Percent of Total Billed Charges,,,,,1911.88,,,,,,,Percent of Total Billed Charges,,,,,402.5,,,,,,,Percent of Total Billed Charges,,,,,1710.63,,,,,,,Percent of Total Billed Charges,,,,,422.63,,,,,,,Percent of Total Billed Charges,,,,,1811.25,,,,,,,Percent of Total Billed Charges,,,,,1811.25,,,,,,,Percent of Total Billed Charges,,,,,402.5,,,,,,,Percent of Total Billed Charges,,,,,563.5,,,,,,,Percent of Total Billed Charges,,,,,1610,,,,,,,Percent of Total Billed Charges,,,,,402.5,,,,,,,Percent of Total Billed Charges,,,, CARDIO VERSION ,92960,CPT,,Outpatient,,,153.5,122.8,114.66,,,,,,,Percent of Total Billed Charges,,114.66,114.66,,153.5,,,,,,,Percent of Total Billed Charges,,,,,147.36,,,,,,,Percent of Total Billed Charges,,,,,145.83,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,130.48,,,,,,,Percent of Total Billed Charges,,,,,32.24,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,138.15,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,,,42.98,,,,,,,Percent of Total Billed Charges,,,,,122.8,,,,,,,Percent of Total Billed Charges,,,,,30.7,,,,,,,Percent of Total Billed Charges,,,, EVENT MONITOR-APLICATION/RECORDING ,93270,CPT,,Outpatient,,,440,352,328.68,,,,,,,Percent of Total Billed Charges,,328.68,328.68,,440,,,,,,,Percent of Total Billed Charges,,,,,422.4,,,,,,,Percent of Total Billed Charges,,,,,418,,,,,,,Percent of Total Billed Charges,,,,,88,,,,,,,Percent of Total Billed Charges,,,,,374,,,,,,,Percent of Total Billed Charges,,,,,92.4,,,,,,,Percent of Total Billed Charges,,,,,396,,,,,,,Percent of Total Billed Charges,,,,,396,,,,,,,Percent of Total Billed Charges,,,,,88,,,,,,,Percent of Total Billed Charges,,,,,123.2,,,,,,,Percent of Total Billed Charges,,,,,352,,,,,,,Percent of Total Billed Charges,,,,,88,,,,,,,Percent of Total Billed Charges,,,, EVENT MONITOR-APLICATION/TRANS & ANALYSI,93270,CPT,,Outpatient,,,398,318.4,297.31,,,,,,,Percent of Total Billed Charges,,297.31,297.31,,398,,,,,,,Percent of Total Billed Charges,,,,,382.08,,,,,,,Percent of Total Billed Charges,,,,,378.1,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,338.3,,,,,,,Percent of Total Billed Charges,,,,,83.58,,,,,,,Percent of Total Billed Charges,,,,,358.2,,,,,,,Percent of Total Billed Charges,,,,,358.2,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,,,111.44,,,,,,,Percent of Total Billed Charges,,,,,318.4,,,,,,,Percent of Total Billed Charges,,,,,79.6,,,,,,,Percent of Total Billed Charges,,,, EVENT MONITOR-MONITORING/HOOK UP ,93270,CPT,,Outpatient,,,24,19.2,17.93,,,,,,,Percent of Total Billed Charges,,17.93,17.93,,24,,,,,,,Percent of Total Billed Charges,,,,,23.04,,,,,,,Percent of Total Billed Charges,,,,,22.8,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,20.4,,,,,,,Percent of Total Billed Charges,,,,,5.04,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,21.6,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,6.72,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,, HOLTER MONITOR/HOOK-UP 7-14DAY ,93246,CPT,,Outpatient,,,42,33.6,31.37,,,,,,,Percent of Total Billed Charges,,31.37,31.37,,42,,,,,,,Percent of Total Billed Charges,,,,,40.32,,,,,,,Percent of Total Billed Charges,,,,,39.9,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,35.7,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,37.8,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,11.76,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,, HOLTER MONITOR/ANALYSIS & REPORT UP TO 7,93243,CPT,,Outpatient,,,679,543.2,507.21,,,,,,,Percent of Total Billed Charges,,507.21,507.21,,679,,,,,,,Percent of Total Billed Charges,,,,,651.84,,,,,,,Percent of Total Billed Charges,,,,,645.05,,,,,,,Percent of Total Billed Charges,,,,,135.8,,,,,,,Percent of Total Billed Charges,,,,,577.15,,,,,,,Percent of Total Billed Charges,,,,,142.59,,,,,,,Percent of Total Billed Charges,,,,,611.1,,,,,,,Percent of Total Billed Charges,,,,,611.1,,,,,,,Percent of Total Billed Charges,,,,,135.8,,,,,,,Percent of Total Billed Charges,,,,,190.12,,,,,,,Percent of Total Billed Charges,,,,,543.2,,,,,,,Percent of Total Billed Charges,,,,,135.8,,,,,,,Percent of Total Billed Charges,,,, HOLTER MONITOR/ANALYSIS & REPORT 7-14DAY,93247,CPT,,Outpatient,,,705,564,526.64,,,,,,,Percent of Total Billed Charges,,526.64,526.64,,705,,,,,,,Percent of Total Billed Charges,,,,,676.8,,,,,,,Percent of Total Billed Charges,,,,,669.75,,,,,,,Percent of Total Billed Charges,,,,,141,,,,,,,Percent of Total Billed Charges,,,,,599.25,,,,,,,Percent of Total Billed Charges,,,,,148.05,,,,,,,Percent of Total Billed Charges,,,,,634.5,,,,,,,Percent of Total Billed Charges,,,,,634.5,,,,,,,Percent of Total Billed Charges,,,,,141,,,,,,,Percent of Total Billed Charges,,,,,197.4,,,,,,,Percent of Total Billed Charges,,,,,564,,,,,,,Percent of Total Billed Charges,,,,,141,,,,,,,Percent of Total Billed Charges,,,, AMBULATORY BLOOD PRESSURE MONITORING ,93786TC ,CPT,,Outpatient,,,1086,868.8,811.24,,,,,,,Percent of Total Billed Charges,,811.24,811.24,,1086,,,,,,,Percent of Total Billed Charges,,,,,1042.56,,,,,,,Percent of Total Billed Charges,,,,,1031.7,,,,,,,Percent of Total Billed Charges,,,,,217.2,,,,,,,Percent of Total Billed Charges,,,,,923.1,,,,,,,Percent of Total Billed Charges,,,,,228.06,,,,,,,Percent of Total Billed Charges,,,,,977.4,,,,,,,Percent of Total Billed Charges,,,,,977.4,,,,,,,Percent of Total Billed Charges,,,,,217.2,,,,,,,Percent of Total Billed Charges,,,,,304.08,,,,,,,Percent of Total Billed Charges,,,,,868.8,,,,,,,Percent of Total Billed Charges,,,,,217.2,,,,,,,Percent of Total Billed Charges,,,, EEG ,95816,CPT,,Outpatient,,,1560.5,1248.4,1165.69,,,,,,,Percent of Total Billed Charges,,1165.69,1165.69,,1560.5,,,,,,,Percent of Total Billed Charges,,,,,1498.08,,,,,,,Percent of Total Billed Charges,,,,,1482.48,,,,,,,Percent of Total Billed Charges,,,,,312.1,,,,,,,Percent of Total Billed Charges,,,,,1326.43,,,,,,,Percent of Total Billed Charges,,,,,327.71,,,,,,,Percent of Total Billed Charges,,,,,1404.45,,,,,,,Percent of Total Billed Charges,,,,,1404.45,,,,,,,Percent of Total Billed Charges,,,,,312.1,,,,,,,Percent of Total Billed Charges,,,,,436.94,,,,,,,Percent of Total Billed Charges,,,,,1248.4,,,,,,,Percent of Total Billed Charges,,,,,312.1,,,,,,,Percent of Total Billed Charges,,,, EKG PROF FEE ,93010AQ ,CPT,,Outpatient,,,92,73.6,68.72,,,,,,,Percent of Total Billed Charges,,68.72,68.72,,92,,,,,,,Percent of Total Billed Charges,,,,,88.32,,,,,,,Percent of Total Billed Charges,,,,,87.4,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,78.2,,,,,,,Percent of Total Billed Charges,,,,,19.32,,,,,,,Percent of Total Billed Charges,,,,,82.8,,,,,,,Percent of Total Billed Charges,,,,,82.8,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,,,25.76,,,,,,,Percent of Total Billed Charges,,,,,73.6,,,,,,,Percent of Total Billed Charges,,,,,18.4,,,,,,,Percent of Total Billed Charges,,,, HOLTER PROF FEE ,93227,CPT,,Outpatient,,,230.5,184.4,172.18,,,,,,,Percent of Total Billed Charges,,172.18,172.18,,230.5,,,,,,,Percent of Total Billed Charges,,,,,221.28,,,,,,,Percent of Total Billed Charges,,,,,218.98,,,,,,,Percent of Total Billed Charges,,,,,46.1,,,,,,,Percent of Total Billed Charges,,,,,195.93,,,,,,,Percent of Total Billed Charges,,,,,48.41,,,,,,,Percent of Total Billed Charges,,,,,207.45,,,,,,,Percent of Total Billed Charges,,,,,207.45,,,,,,,Percent of Total Billed Charges,,,,,46.1,,,,,,,Percent of Total Billed Charges,,,,,64.54,,,,,,,Percent of Total Billed Charges,,,,,184.4,,,,,,,Percent of Total Billed Charges,,,,,46.1,,,,,,,Percent of Total Billed Charges,,,, STRESS T PROF FEE ,93018,CPT,,Outpatient,,,249.5,199.6,186.38,,,,,,,Percent of Total Billed Charges,,186.38,186.38,,249.5,,,,,,,Percent of Total Billed Charges,,,,,239.52,,,,,,,Percent of Total Billed Charges,,,,,237.03,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,,,212.08,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,224.55,,,,,,,Percent of Total Billed Charges,,,,,224.55,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,,,69.86,,,,,,,Percent of Total Billed Charges,,,,,199.6,,,,,,,Percent of Total Billed Charges,,,,,49.9,,,,,,,Percent of Total Billed Charges,,,, MYOVIEW STRESS PROF FEE ,93015,CPT,,Outpatient,,,249,199.2,186,,,,,,,Percent of Total Billed Charges,,186,186,,249,,,,,,,Percent of Total Billed Charges,,,,,239.04,,,,,,,Percent of Total Billed Charges,,,,,236.55,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,211.65,,,,,,,Percent of Total Billed Charges,,,,,52.29,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,199.2,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,, EVENT MONITOR PROF FEE ,93272,CPT,,Outpatient,,,169,135.2,126.24,,,,,,,Percent of Total Billed Charges,,126.24,126.24,,169,,,,,,,Percent of Total Billed Charges,,,,,162.24,,,,,,,Percent of Total Billed Charges,,,,,160.55,,,,,,,Percent of Total Billed Charges,,,,,33.8,,,,,,,Percent of Total Billed Charges,,,,,143.65,,,,,,,Percent of Total Billed Charges,,,,,35.49,,,,,,,Percent of Total Billed Charges,,,,,152.1,,,,,,,Percent of Total Billed Charges,,,,,152.1,,,,,,,Percent of Total Billed Charges,,,,,33.8,,,,,,,Percent of Total Billed Charges,,,,,47.32,,,,,,,Percent of Total Billed Charges,,,,,135.2,,,,,,,Percent of Total Billed Charges,,,,,33.8,,,,,,,Percent of Total Billed Charges,,,, AMB BLOOD PRESSURE PROF FEE ,93790,CPT,,Outpatient,,,196,156.8,146.41,,,,,,,Percent of Total Billed Charges,,146.41,146.41,,196,,,,,,,Percent of Total Billed Charges,,,,,188.16,,,,,,,Percent of Total Billed Charges,,,,,186.2,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,166.6,,,,,,,Percent of Total Billed Charges,,,,,41.16,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,176.4,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,54.88,,,,,,,Percent of Total Billed Charges,,,,,156.8,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,, X SUPPLY E-Z-PASTE BARIUM ,250,RC,,Outpatient,,,28,22.4,20.92,,,,,,,Percent of Total Billed Charges,,20.92,20.92,,28,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,, X SOFT TISSUE NECK ,70360TC ,CPT,,Outpatient,,,465.5,372.4,347.73,,,,,,,Percent of Total Billed Charges,,347.73,347.73,,465.5,,,,,,,Percent of Total Billed Charges,,,,,446.88,,,,,,,Percent of Total Billed Charges,,,,,442.23,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,395.68,,,,,,,Percent of Total Billed Charges,,,,,97.76,,,,,,,Percent of Total Billed Charges,,,,,418.95,,,,,,,Percent of Total Billed Charges,,,,,418.95,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,,,130.34,,,,,,,Percent of Total Billed Charges,,,,,372.4,,,,,,,Percent of Total Billed Charges,,,,,93.1,,,,,,,Percent of Total Billed Charges,,,, X ABD (SUPINE) ,74018TC ,CPT,,Outpatient,,,555,444,414.59,,,,,,,Percent of Total Billed Charges,,414.59,414.59,,555,,,,,,,Percent of Total Billed Charges,,,,,532.8,,,,,,,Percent of Total Billed Charges,,,,,527.25,,,,,,,Percent of Total Billed Charges,,,,,111,,,,,,,Percent of Total Billed Charges,,,,,471.75,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,499.5,,,,,,,Percent of Total Billed Charges,,,,,499.5,,,,,,,Percent of Total Billed Charges,,,,,111,,,,,,,Percent of Total Billed Charges,,,,,155.4,,,,,,,Percent of Total Billed Charges,,,,,444,,,,,,,Percent of Total Billed Charges,,,,,111,,,,,,,Percent of Total Billed Charges,,,, X ABD SERIES ,74019TC ,CPT,,Outpatient,,,720,576,537.84,,,,,,,Percent of Total Billed Charges,,537.84,537.84,,720,,,,,,,Percent of Total Billed Charges,,,,,691.2,,,,,,,Percent of Total Billed Charges,,,,,684,,,,,,,Percent of Total Billed Charges,,,,,144,,,,,,,Percent of Total Billed Charges,,,,,612,,,,,,,Percent of Total Billed Charges,,,,,151.2,,,,,,,Percent of Total Billed Charges,,,,,648,,,,,,,Percent of Total Billed Charges,,,,,648,,,,,,,Percent of Total Billed Charges,,,,,144,,,,,,,Percent of Total Billed Charges,,,,,201.6,,,,,,,Percent of Total Billed Charges,,,,,576,,,,,,,Percent of Total Billed Charges,,,,,144,,,,,,,Percent of Total Billed Charges,,,, X ABD (DECUBITUS) ,74018TC ,CPT,,Outpatient,,,252.5,202,188.62,,,,,,,Percent of Total Billed Charges,,188.62,188.62,,252.5,,,,,,,Percent of Total Billed Charges,,,,,242.4,,,,,,,Percent of Total Billed Charges,,,,,239.88,,,,,,,Percent of Total Billed Charges,,,,,50.5,,,,,,,Percent of Total Billed Charges,,,,,214.63,,,,,,,Percent of Total Billed Charges,,,,,53.03,,,,,,,Percent of Total Billed Charges,,,,,227.25,,,,,,,Percent of Total Billed Charges,,,,,227.25,,,,,,,Percent of Total Billed Charges,,,,,50.5,,,,,,,Percent of Total Billed Charges,,,,,70.7,,,,,,,Percent of Total Billed Charges,,,,,202,,,,,,,Percent of Total Billed Charges,,,,,50.5,,,,,,,Percent of Total Billed Charges,,,, X ABD (LATERAL) ,74018TC ,CPT,,Outpatient,,,252.5,202,188.62,,,,,,,Percent of Total Billed Charges,,188.62,188.62,,252.5,,,,,,,Percent of Total Billed Charges,,,,,242.4,,,,,,,Percent of Total Billed Charges,,,,,239.88,,,,,,,Percent of Total Billed Charges,,,,,50.5,,,,,,,Percent of Total Billed Charges,,,,,214.63,,,,,,,Percent of Total Billed Charges,,,,,53.03,,,,,,,Percent of Total Billed Charges,,,,,227.25,,,,,,,Percent of Total Billed Charges,,,,,227.25,,,,,,,Percent of Total Billed Charges,,,,,50.5,,,,,,,Percent of Total Billed Charges,,,,,70.7,,,,,,,Percent of Total Billed Charges,,,,,202,,,,,,,Percent of Total Billed Charges,,,,,50.5,,,,,,,Percent of Total Billed Charges,,,, X ABD/OBST SERIES FOLLOW UP SERIES ,74021TC ,CPT,,Outpatient,,,923,738.4,689.48,,,,,,,Percent of Total Billed Charges,,689.48,689.48,,923,,,,,,,Percent of Total Billed Charges,,,,,886.08,,,,,,,Percent of Total Billed Charges,,,,,876.85,,,,,,,Percent of Total Billed Charges,,,,,184.6,,,,,,,Percent of Total Billed Charges,,,,,784.55,,,,,,,Percent of Total Billed Charges,,,,,193.83,,,,,,,Percent of Total Billed Charges,,,,,830.7,,,,,,,Percent of Total Billed Charges,,,,,830.7,,,,,,,Percent of Total Billed Charges,,,,,184.6,,,,,,,Percent of Total Billed Charges,,,,,258.44,,,,,,,Percent of Total Billed Charges,,,,,738.4,,,,,,,Percent of Total Billed Charges,,,,,184.6,,,,,,,Percent of Total Billed Charges,,,, X ABD/OBST SER W/PA CXR FOR ACUTE PAIN ,74021TC ,CPT,,Outpatient,,,1080.5,864.4,807.13,,,,,,,Percent of Total Billed Charges,,807.13,807.13,,1080.5,,,,,,,Percent of Total Billed Charges,,,,,1037.28,,,,,,,Percent of Total Billed Charges,,,,,1026.48,,,,,,,Percent of Total Billed Charges,,,,,216.1,,,,,,,Percent of Total Billed Charges,,,,,918.43,,,,,,,Percent of Total Billed Charges,,,,,226.91,,,,,,,Percent of Total Billed Charges,,,,,972.45,,,,,,,Percent of Total Billed Charges,,,,,972.45,,,,,,,Percent of Total Billed Charges,,,,,216.1,,,,,,,Percent of Total Billed Charges,,,,,302.54,,,,,,,Percent of Total Billed Charges,,,,,864.4,,,,,,,Percent of Total Billed Charges,,,,,216.1,,,,,,,Percent of Total Billed Charges,,,, X A/C JOINTS AP BOTH JOINTS ,73050TC ,CPT,,Outpatient,,,319,255.2,238.29,,,,,,,Percent of Total Billed Charges,,238.29,238.29,,319,,,,,,,Percent of Total Billed Charges,,,,,306.24,,,,,,,Percent of Total Billed Charges,,,,,303.05,,,,,,,Percent of Total Billed Charges,,,,,63.8,,,,,,,Percent of Total Billed Charges,,,,,271.15,,,,,,,Percent of Total Billed Charges,,,,,66.99,,,,,,,Percent of Total Billed Charges,,,,,287.1,,,,,,,Percent of Total Billed Charges,,,,,287.1,,,,,,,Percent of Total Billed Charges,,,,,63.8,,,,,,,Percent of Total Billed Charges,,,,,89.32,,,,,,,Percent of Total Billed Charges,,,,,255.2,,,,,,,Percent of Total Billed Charges,,,,,63.8,,,,,,,Percent of Total Billed Charges,,,, X A/C JOINTS W W/O WEIGHTS(ROUTINE) ,73050TC ,CPT,,Outpatient,,,707.5,566,528.5,,,,,,,Percent of Total Billed Charges,,528.5,528.5,,707.5,,,,,,,Percent of Total Billed Charges,,,,,679.2,,,,,,,Percent of Total Billed Charges,,,,,672.13,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,,,601.38,,,,,,,Percent of Total Billed Charges,,,,,148.58,,,,,,,Percent of Total Billed Charges,,,,,636.75,,,,,,,Percent of Total Billed Charges,,,,,636.75,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,,,198.1,,,,,,,Percent of Total Billed Charges,,,,,566,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,, X ANKLE ROUTINE ,73610TC ,CPT,,Outpatient,,,397,317.6,296.56,,,,,,,Percent of Total Billed Charges,,296.56,296.56,,397,,,,,,,Percent of Total Billed Charges,,,,,381.12,,,,,,,Percent of Total Billed Charges,,,,,377.15,,,,,,,Percent of Total Billed Charges,,,,,79.4,,,,,,,Percent of Total Billed Charges,,,,,337.45,,,,,,,Percent of Total Billed Charges,,,,,83.37,,,,,,,Percent of Total Billed Charges,,,,,357.3,,,,,,,Percent of Total Billed Charges,,,,,357.3,,,,,,,Percent of Total Billed Charges,,,,,79.4,,,,,,,Percent of Total Billed Charges,,,,,111.16,,,,,,,Percent of Total Billed Charges,,,,,317.6,,,,,,,Percent of Total Billed Charges,,,,,79.4,,,,,,,Percent of Total Billed Charges,,,, X ANKLE 2 VIEW ,73600TC ,CPT,,Outpatient,,,358,286.4,267.43,,,,,,,Percent of Total Billed Charges,,267.43,267.43,,358,,,,,,,Percent of Total Billed Charges,,,,,343.68,,,,,,,Percent of Total Billed Charges,,,,,340.1,,,,,,,Percent of Total Billed Charges,,,,,71.6,,,,,,,Percent of Total Billed Charges,,,,,304.3,,,,,,,Percent of Total Billed Charges,,,,,75.18,,,,,,,Percent of Total Billed Charges,,,,,322.2,,,,,,,Percent of Total Billed Charges,,,,,322.2,,,,,,,Percent of Total Billed Charges,,,,,71.6,,,,,,,Percent of Total Billed Charges,,,,,100.24,,,,,,,Percent of Total Billed Charges,,,,,286.4,,,,,,,Percent of Total Billed Charges,,,,,71.6,,,,,,,Percent of Total Billed Charges,,,, X BONE SURVEY COMPLETE ,77075TC ,CPT,,Outpatient,,,2429,1943.2,1814.46,,,,,,,Percent of Total Billed Charges,,1814.46,1814.46,,2429,,,,,,,Percent of Total Billed Charges,,,,,2331.84,,,,,,,Percent of Total Billed Charges,,,,,2307.55,,,,,,,Percent of Total Billed Charges,,,,,485.8,,,,,,,Percent of Total Billed Charges,,,,,2064.65,,,,,,,Percent of Total Billed Charges,,,,,510.09,,,,,,,Percent of Total Billed Charges,,,,,2186.1,,,,,,,Percent of Total Billed Charges,,,,,2186.1,,,,,,,Percent of Total Billed Charges,,,,,485.8,,,,,,,Percent of Total Billed Charges,,,,,680.12,,,,,,,Percent of Total Billed Charges,,,,,1943.2,,,,,,,Percent of Total Billed Charges,,,,,485.8,,,,,,,Percent of Total Billed Charges,,,, X BONE SURVEY PARTIAL ,77074TC ,CPT,,Outpatient,,,1245,996,930.02,,,,,,,Percent of Total Billed Charges,,930.02,930.02,,1245,,,,,,,Percent of Total Billed Charges,,,,,1195.2,,,,,,,Percent of Total Billed Charges,,,,,1182.75,,,,,,,Percent of Total Billed Charges,,,,,249,,,,,,,Percent of Total Billed Charges,,,,,1058.25,,,,,,,Percent of Total Billed Charges,,,,,261.45,,,,,,,Percent of Total Billed Charges,,,,,1120.5,,,,,,,Percent of Total Billed Charges,,,,,1120.5,,,,,,,Percent of Total Billed Charges,,,,,249,,,,,,,Percent of Total Billed Charges,,,,,348.6,,,,,,,Percent of Total Billed Charges,,,,,996,,,,,,,Percent of Total Billed Charges,,,,,249,,,,,,,Percent of Total Billed Charges,,,, X TRAUMA C-SPINE ,72040TC ,CPT,,Outpatient,,,706,564.8,527.38,,,,,,,Percent of Total Billed Charges,,527.38,527.38,,706,,,,,,,Percent of Total Billed Charges,,,,,677.76,,,,,,,Percent of Total Billed Charges,,,,,670.7,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,,,600.1,,,,,,,Percent of Total Billed Charges,,,,,148.26,,,,,,,Percent of Total Billed Charges,,,,,635.4,,,,,,,Percent of Total Billed Charges,,,,,635.4,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,,,197.68,,,,,,,Percent of Total Billed Charges,,,,,564.8,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,, X C-SPINE W/OBLIQUES ,72052TC ,CPT,,Outpatient,,,834,667.2,623,,,,,,,Percent of Total Billed Charges,,623,623,,834,,,,,,,Percent of Total Billed Charges,,,,,800.64,,,,,,,Percent of Total Billed Charges,,,,,792.3,,,,,,,Percent of Total Billed Charges,,,,,166.8,,,,,,,Percent of Total Billed Charges,,,,,708.9,,,,,,,Percent of Total Billed Charges,,,,,175.14,,,,,,,Percent of Total Billed Charges,,,,,750.6,,,,,,,Percent of Total Billed Charges,,,,,750.6,,,,,,,Percent of Total Billed Charges,,,,,166.8,,,,,,,Percent of Total Billed Charges,,,,,233.52,,,,,,,Percent of Total Billed Charges,,,,,667.2,,,,,,,Percent of Total Billed Charges,,,,,166.8,,,,,,,Percent of Total Billed Charges,,,, X C-SPINE 4-5 VIEWS ,72050TC ,CPT,,Outpatient,,,1044,835.2,779.87,,,,,,,Percent of Total Billed Charges,,779.87,779.87,,1044,,,,,,,Percent of Total Billed Charges,,,,,1002.24,,,,,,,Percent of Total Billed Charges,,,,,991.8,,,,,,,Percent of Total Billed Charges,,,,,208.8,,,,,,,Percent of Total Billed Charges,,,,,887.4,,,,,,,Percent of Total Billed Charges,,,,,219.24,,,,,,,Percent of Total Billed Charges,,,,,939.6,,,,,,,Percent of Total Billed Charges,,,,,939.6,,,,,,,Percent of Total Billed Charges,,,,,208.8,,,,,,,Percent of Total Billed Charges,,,,,292.32,,,,,,,Percent of Total Billed Charges,,,,,835.2,,,,,,,Percent of Total Billed Charges,,,,,208.8,,,,,,,Percent of Total Billed Charges,,,, X C-SPINE 1 VW BONE OR SOFT TISSUE ,72020TC ,CPT,,Outpatient,,,400.5,320.4,299.17,,,,,,,Percent of Total Billed Charges,,299.17,299.17,,400.5,,,,,,,Percent of Total Billed Charges,,,,,384.48,,,,,,,Percent of Total Billed Charges,,,,,380.48,,,,,,,Percent of Total Billed Charges,,,,,80.1,,,,,,,Percent of Total Billed Charges,,,,,340.43,,,,,,,Percent of Total Billed Charges,,,,,84.11,,,,,,,Percent of Total Billed Charges,,,,,360.45,,,,,,,Percent of Total Billed Charges,,,,,360.45,,,,,,,Percent of Total Billed Charges,,,,,80.1,,,,,,,Percent of Total Billed Charges,,,,,112.14,,,,,,,Percent of Total Billed Charges,,,,,320.4,,,,,,,Percent of Total Billed Charges,,,,,80.1,,,,,,,Percent of Total Billed Charges,,,, X C-SPINE 2-3 VIEWS ,72040TC ,CPT,,Outpatient,,,522,417.6,389.93,,,,,,,Percent of Total Billed Charges,,389.93,389.93,,522,,,,,,,Percent of Total Billed Charges,,,,,501.12,,,,,,,Percent of Total Billed Charges,,,,,495.9,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,443.7,,,,,,,Percent of Total Billed Charges,,,,,109.62,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,146.16,,,,,,,Percent of Total Billed Charges,,,,,417.6,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,, X CHEST 1 VIEW ,71045TC ,CPT,,Outpatient,,,457,365.6,341.38,,,,,,,Percent of Total Billed Charges,,341.38,341.38,,457,,,,,,,Percent of Total Billed Charges,,,,,438.72,,,,,,,Percent of Total Billed Charges,,,,,434.15,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,,,388.45,,,,,,,Percent of Total Billed Charges,,,,,95.97,,,,,,,Percent of Total Billed Charges,,,,,411.3,,,,,,,Percent of Total Billed Charges,,,,,411.3,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,,,127.96,,,,,,,Percent of Total Billed Charges,,,,,365.6,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,, X CHEST PA LATERAL(ROUTINE) ,71046TC ,CPT,,Outpatient,,,582,465.6,434.75,,,,,,,Percent of Total Billed Charges,,434.75,434.75,,582,,,,,,,Percent of Total Billed Charges,,,,,558.72,,,,,,,Percent of Total Billed Charges,,,,,552.9,,,,,,,Percent of Total Billed Charges,,,,,116.4,,,,,,,Percent of Total Billed Charges,,,,,494.7,,,,,,,Percent of Total Billed Charges,,,,,122.22,,,,,,,Percent of Total Billed Charges,,,,,523.8,,,,,,,Percent of Total Billed Charges,,,,,523.8,,,,,,,Percent of Total Billed Charges,,,,,116.4,,,,,,,Percent of Total Billed Charges,,,,,162.96,,,,,,,Percent of Total Billed Charges,,,,,465.6,,,,,,,Percent of Total Billed Charges,,,,,116.4,,,,,,,Percent of Total Billed Charges,,,, X CHEST (DECUBITUS) ,71045TC ,CPT,,Outpatient,,,452.5,362,338.02,,,,,,,Percent of Total Billed Charges,,338.02,338.02,,452.5,,,,,,,Percent of Total Billed Charges,,,,,434.4,,,,,,,Percent of Total Billed Charges,,,,,429.88,,,,,,,Percent of Total Billed Charges,,,,,90.5,,,,,,,Percent of Total Billed Charges,,,,,384.63,,,,,,,Percent of Total Billed Charges,,,,,95.03,,,,,,,Percent of Total Billed Charges,,,,,407.25,,,,,,,Percent of Total Billed Charges,,,,,407.25,,,,,,,Percent of Total Billed Charges,,,,,90.5,,,,,,,Percent of Total Billed Charges,,,,,126.7,,,,,,,Percent of Total Billed Charges,,,,,362,,,,,,,Percent of Total Billed Charges,,,,,90.5,,,,,,,Percent of Total Billed Charges,,,, X CHEST FLUORO ,76000TC ,CPT,,Outpatient,,,317,253.6,236.8,,,,,,,Percent of Total Billed Charges,,236.8,236.8,,317,,,,,,,Percent of Total Billed Charges,,,,,304.32,,,,,,,Percent of Total Billed Charges,,,,,301.15,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,,,269.45,,,,,,,Percent of Total Billed Charges,,,,,66.57,,,,,,,Percent of Total Billed Charges,,,,,285.3,,,,,,,Percent of Total Billed Charges,,,,,285.3,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,,,88.76,,,,,,,Percent of Total Billed Charges,,,,,253.6,,,,,,,Percent of Total Billed Charges,,,,,63.4,,,,,,,Percent of Total Billed Charges,,,, X CHOLANGIOGRAM ,76499TC ,CPT,,Outpatient,,,421.5,337.2,314.86,,,,,,,Percent of Total Billed Charges,,314.86,314.86,,421.5,,,,,,,Percent of Total Billed Charges,,,,,404.64,,,,,,,Percent of Total Billed Charges,,,,,400.43,,,,,,,Percent of Total Billed Charges,,,,,84.3,,,,,,,Percent of Total Billed Charges,,,,,358.28,,,,,,,Percent of Total Billed Charges,,,,,88.52,,,,,,,Percent of Total Billed Charges,,,,,379.35,,,,,,,Percent of Total Billed Charges,,,,,379.35,,,,,,,Percent of Total Billed Charges,,,,,84.3,,,,,,,Percent of Total Billed Charges,,,,,118.02,,,,,,,Percent of Total Billed Charges,,,,,337.2,,,,,,,Percent of Total Billed Charges,,,,,84.3,,,,,,,Percent of Total Billed Charges,,,, X CHOLANGIOGRAM OR ,74300TC ,CPT,,Outpatient,,,1058.5,846.8,790.7,,,,,,,Percent of Total Billed Charges,,790.7,790.7,,1058.5,,,,,,,Percent of Total Billed Charges,,,,,1016.16,,,,,,,Percent of Total Billed Charges,,,,,1005.58,,,,,,,Percent of Total Billed Charges,,,,,211.7,,,,,,,Percent of Total Billed Charges,,,,,899.73,,,,,,,Percent of Total Billed Charges,,,,,222.29,,,,,,,Percent of Total Billed Charges,,,,,952.65,,,,,,,Percent of Total Billed Charges,,,,,952.65,,,,,,,Percent of Total Billed Charges,,,,,211.7,,,,,,,Percent of Total Billed Charges,,,,,296.38,,,,,,,Percent of Total Billed Charges,,,,,846.8,,,,,,,Percent of Total Billed Charges,,,,,211.7,,,,,,,Percent of Total Billed Charges,,,, X CHOLANGIOGRAM T TUBE ,47531,CPT,,Outpatient,,,1058.5,846.8,790.7,,,,,,,Percent of Total Billed Charges,,790.7,790.7,,1058.5,,,,,,,Percent of Total Billed Charges,,,,,1016.16,,,,,,,Percent of Total Billed Charges,,,,,1005.58,,,,,,,Percent of Total Billed Charges,,,,,211.7,,,,,,,Percent of Total Billed Charges,,,,,899.73,,,,,,,Percent of Total Billed Charges,,,,,222.29,,,,,,,Percent of Total Billed Charges,,,,,952.65,,,,,,,Percent of Total Billed Charges,,,,,952.65,,,,,,,Percent of Total Billed Charges,,,,,211.7,,,,,,,Percent of Total Billed Charges,,,,,296.38,,,,,,,Percent of Total Billed Charges,,,,,846.8,,,,,,,Percent of Total Billed Charges,,,,,211.7,,,,,,,Percent of Total Billed Charges,,,, X CLAVICLE ,73000TC ,CPT,,Outpatient,,,375.5,300.4,280.5,,,,,,,Percent of Total Billed Charges,,280.5,280.5,,375.5,,,,,,,Percent of Total Billed Charges,,,,,360.48,,,,,,,Percent of Total Billed Charges,,,,,356.73,,,,,,,Percent of Total Billed Charges,,,,,75.1,,,,,,,Percent of Total Billed Charges,,,,,319.18,,,,,,,Percent of Total Billed Charges,,,,,78.86,,,,,,,Percent of Total Billed Charges,,,,,337.95,,,,,,,Percent of Total Billed Charges,,,,,337.95,,,,,,,Percent of Total Billed Charges,,,,,75.1,,,,,,,Percent of Total Billed Charges,,,,,105.14,,,,,,,Percent of Total Billed Charges,,,,,300.4,,,,,,,Percent of Total Billed Charges,,,,,75.1,,,,,,,Percent of Total Billed Charges,,,, X COLON REGULAR ,74270TC ,CPT,,Outpatient,,,837.5,670,625.61,,,,,,,Percent of Total Billed Charges,,625.61,625.61,,837.5,,,,,,,Percent of Total Billed Charges,,,,,804,,,,,,,Percent of Total Billed Charges,,,,,795.63,,,,,,,Percent of Total Billed Charges,,,,,167.5,,,,,,,Percent of Total Billed Charges,,,,,711.88,,,,,,,Percent of Total Billed Charges,,,,,175.88,,,,,,,Percent of Total Billed Charges,,,,,753.75,,,,,,,Percent of Total Billed Charges,,,,,753.75,,,,,,,Percent of Total Billed Charges,,,,,167.5,,,,,,,Percent of Total Billed Charges,,,,,234.5,,,,,,,Percent of Total Billed Charges,,,,,670,,,,,,,Percent of Total Billed Charges,,,,,167.5,,,,,,,Percent of Total Billed Charges,,,, X COLON AIR CONTRAST ,74280TC ,CPT,,Outpatient,,,866,692.8,646.9,,,,,,,Percent of Total Billed Charges,,646.9,646.9,,866,,,,,,,Percent of Total Billed Charges,,,,,831.36,,,,,,,Percent of Total Billed Charges,,,,,822.7,,,,,,,Percent of Total Billed Charges,,,,,173.2,,,,,,,Percent of Total Billed Charges,,,,,736.1,,,,,,,Percent of Total Billed Charges,,,,,181.86,,,,,,,Percent of Total Billed Charges,,,,,779.4,,,,,,,Percent of Total Billed Charges,,,,,779.4,,,,,,,Percent of Total Billed Charges,,,,,173.2,,,,,,,Percent of Total Billed Charges,,,,,242.48,,,,,,,Percent of Total Billed Charges,,,,,692.8,,,,,,,Percent of Total Billed Charges,,,,,173.2,,,,,,,Percent of Total Billed Charges,,,, X 2222 ,76499,CPT,,Outpatient,,,122,97.6,91.13,,,,,,,Percent of Total Billed Charges,,91.13,91.13,,122,,,,,,,Percent of Total Billed Charges,,,,,117.12,,,,,,,Percent of Total Billed Charges,,,,,115.9,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,,,103.7,,,,,,,Percent of Total Billed Charges,,,,,25.62,,,,,,,Percent of Total Billed Charges,,,,,109.8,,,,,,,Percent of Total Billed Charges,,,,,109.8,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,,,34.16,,,,,,,Percent of Total Billed Charges,,,,,97.6,,,,,,,Percent of Total Billed Charges,,,,,24.4,,,,,,,Percent of Total Billed Charges,,,, X CYSTOGRAM ,74430TC ,CPT,,Outpatient,,,1117,893.6,834.4,,,,,,,Percent of Total Billed Charges,,834.4,834.4,,1117,,,,,,,Percent of Total Billed Charges,,,,,1072.32,,,,,,,Percent of Total Billed Charges,,,,,1061.15,,,,,,,Percent of Total Billed Charges,,,,,223.4,,,,,,,Percent of Total Billed Charges,,,,,949.45,,,,,,,Percent of Total Billed Charges,,,,,234.57,,,,,,,Percent of Total Billed Charges,,,,,1005.3,,,,,,,Percent of Total Billed Charges,,,,,1005.3,,,,,,,Percent of Total Billed Charges,,,,,223.4,,,,,,,Percent of Total Billed Charges,,,,,312.76,,,,,,,Percent of Total Billed Charges,,,,,893.6,,,,,,,Percent of Total Billed Charges,,,,,223.4,,,,,,,Percent of Total Billed Charges,,,, X CYSTOGRAM VOIDING ,74455TC ,CPT,,Outpatient,,,933.5,746.8,697.32,,,,,,,Percent of Total Billed Charges,,697.32,697.32,,933.5,,,,,,,Percent of Total Billed Charges,,,,,896.16,,,,,,,Percent of Total Billed Charges,,,,,886.83,,,,,,,Percent of Total Billed Charges,,,,,186.7,,,,,,,Percent of Total Billed Charges,,,,,793.48,,,,,,,Percent of Total Billed Charges,,,,,196.04,,,,,,,Percent of Total Billed Charges,,,,,840.15,,,,,,,Percent of Total Billed Charges,,,,,840.15,,,,,,,Percent of Total Billed Charges,,,,,186.7,,,,,,,Percent of Total Billed Charges,,,,,261.38,,,,,,,Percent of Total Billed Charges,,,,,746.8,,,,,,,Percent of Total Billed Charges,,,,,186.7,,,,,,,Percent of Total Billed Charges,,,, X ELBOW ROUTINE ,73080TC ,CPT,,Outpatient,,,367,293.6,274.15,,,,,,,Percent of Total Billed Charges,,274.15,274.15,,367,,,,,,,Percent of Total Billed Charges,,,,,352.32,,,,,,,Percent of Total Billed Charges,,,,,348.65,,,,,,,Percent of Total Billed Charges,,,,,73.4,,,,,,,Percent of Total Billed Charges,,,,,311.95,,,,,,,Percent of Total Billed Charges,,,,,77.07,,,,,,,Percent of Total Billed Charges,,,,,330.3,,,,,,,Percent of Total Billed Charges,,,,,330.3,,,,,,,Percent of Total Billed Charges,,,,,73.4,,,,,,,Percent of Total Billed Charges,,,,,102.76,,,,,,,Percent of Total Billed Charges,,,,,293.6,,,,,,,Percent of Total Billed Charges,,,,,73.4,,,,,,,Percent of Total Billed Charges,,,, X ELBOW 2VIEW ,73070TC ,CPT,,Outpatient,,,330,264,246.51,,,,,,,Percent of Total Billed Charges,,246.51,246.51,,330,,,,,,,Percent of Total Billed Charges,,,,,316.8,,,,,,,Percent of Total Billed Charges,,,,,313.5,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,280.5,,,,,,,Percent of Total Billed Charges,,,,,69.3,,,,,,,Percent of Total Billed Charges,,,,,297,,,,,,,Percent of Total Billed Charges,,,,,297,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,,,92.4,,,,,,,Percent of Total Billed Charges,,,,,264,,,,,,,Percent of Total Billed Charges,,,,,66,,,,,,,Percent of Total Billed Charges,,,, X ESOPHAGRAM ,74220TC ,CPT,,Outpatient,,,523.5,418.8,391.05,,,,,,,Percent of Total Billed Charges,,391.05,391.05,,523.5,,,,,,,Percent of Total Billed Charges,,,,,502.56,,,,,,,Percent of Total Billed Charges,,,,,497.33,,,,,,,Percent of Total Billed Charges,,,,,104.7,,,,,,,Percent of Total Billed Charges,,,,,444.98,,,,,,,Percent of Total Billed Charges,,,,,109.94,,,,,,,Percent of Total Billed Charges,,,,,471.15,,,,,,,Percent of Total Billed Charges,,,,,471.15,,,,,,,Percent of Total Billed Charges,,,,,104.7,,,,,,,Percent of Total Billed Charges,,,,,146.58,,,,,,,Percent of Total Billed Charges,,,,,418.8,,,,,,,Percent of Total Billed Charges,,,,,104.7,,,,,,,Percent of Total Billed Charges,,,, X EXTRA VIEWS 8X10 OR 10X12 ,76499,CPT,,Outpatient,,,50.5,40.4,37.72,,,,,,,Percent of Total Billed Charges,,37.72,37.72,,50.5,,,,,,,Percent of Total Billed Charges,,,,,48.48,,,,,,,Percent of Total Billed Charges,,,,,47.98,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,42.93,,,,,,,Percent of Total Billed Charges,,,,,10.61,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,45.45,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,,,14.14,,,,,,,Percent of Total Billed Charges,,,,,40.4,,,,,,,Percent of Total Billed Charges,,,,,10.1,,,,,,,Percent of Total Billed Charges,,,, X EXTRA VIEWS 11X14 OR 14X17 ,76499,CPT,,Outpatient,,,58.5,46.8,43.7,,,,,,,Percent of Total Billed Charges,,43.7,43.7,,58.5,,,,,,,Percent of Total Billed Charges,,,,,56.16,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,49.73,,,,,,,Percent of Total Billed Charges,,,,,12.29,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,52.65,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,16.38,,,,,,,Percent of Total Billed Charges,,,,,46.8,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,, X FACIAL BONES ,70150TC ,CPT,,Outpatient,,,780,624,582.66,,,,,,,Percent of Total Billed Charges,,582.66,582.66,,780,,,,,,,Percent of Total Billed Charges,,,,,748.8,,,,,,,Percent of Total Billed Charges,,,,,741,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,663,,,,,,,Percent of Total Billed Charges,,,,,163.8,,,,,,,Percent of Total Billed Charges,,,,,702,,,,,,,Percent of Total Billed Charges,,,,,702,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,218.4,,,,,,,Percent of Total Billed Charges,,,,,624,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,, X FEMUR ,73552TC ,CPT,,Outpatient,,,418,334.4,312.25,,,,,,,Percent of Total Billed Charges,,312.25,312.25,,418,,,,,,,Percent of Total Billed Charges,,,,,401.28,,,,,,,Percent of Total Billed Charges,,,,,397.1,,,,,,,Percent of Total Billed Charges,,,,,83.6,,,,,,,Percent of Total Billed Charges,,,,,355.3,,,,,,,Percent of Total Billed Charges,,,,,87.78,,,,,,,Percent of Total Billed Charges,,,,,376.2,,,,,,,Percent of Total Billed Charges,,,,,376.2,,,,,,,Percent of Total Billed Charges,,,,,83.6,,,,,,,Percent of Total Billed Charges,,,,,117.04,,,,,,,Percent of Total Billed Charges,,,,,334.4,,,,,,,Percent of Total Billed Charges,,,,,83.6,,,,,,,Percent of Total Billed Charges,,,, X FINGERS OR THUMB ,73140TC ,CPT,,Outpatient,,,388.5,310.8,290.21,,,,,,,Percent of Total Billed Charges,,290.21,290.21,,388.5,,,,,,,Percent of Total Billed Charges,,,,,372.96,,,,,,,Percent of Total Billed Charges,,,,,369.08,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,330.23,,,,,,,Percent of Total Billed Charges,,,,,81.59,,,,,,,Percent of Total Billed Charges,,,,,349.65,,,,,,,Percent of Total Billed Charges,,,,,349.65,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,108.78,,,,,,,Percent of Total Billed Charges,,,,,310.8,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,, X FISTULA OR SINUS TRACT INJ ,76080TC ,CPT,,Outpatient,,,566,452.8,422.8,,,,,,,Percent of Total Billed Charges,,422.8,422.8,,566,,,,,,,Percent of Total Billed Charges,,,,,543.36,,,,,,,Percent of Total Billed Charges,,,,,537.7,,,,,,,Percent of Total Billed Charges,,,,,113.2,,,,,,,Percent of Total Billed Charges,,,,,481.1,,,,,,,Percent of Total Billed Charges,,,,,118.86,,,,,,,Percent of Total Billed Charges,,,,,509.4,,,,,,,Percent of Total Billed Charges,,,,,509.4,,,,,,,Percent of Total Billed Charges,,,,,113.2,,,,,,,Percent of Total Billed Charges,,,,,158.48,,,,,,,Percent of Total Billed Charges,,,,,452.8,,,,,,,Percent of Total Billed Charges,,,,,113.2,,,,,,,Percent of Total Billed Charges,,,, X FLUORO LESS THAN 1HOUR ,76000TC ,CPT,,Outpatient,,,388.5,310.8,290.21,,,,,,,Percent of Total Billed Charges,,290.21,290.21,,388.5,,,,,,,Percent of Total Billed Charges,,,,,372.96,,,,,,,Percent of Total Billed Charges,,,,,369.08,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,330.23,,,,,,,Percent of Total Billed Charges,,,,,81.59,,,,,,,Percent of Total Billed Charges,,,,,349.65,,,,,,,Percent of Total Billed Charges,,,,,349.65,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,108.78,,,,,,,Percent of Total Billed Charges,,,,,310.8,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,, X FLUORO GUIDANCE ,77002,CPT,,Outpatient,,,421.5,337.2,314.86,,,,,,,Percent of Total Billed Charges,,314.86,314.86,,421.5,,,,,,,Percent of Total Billed Charges,,,,,404.64,,,,,,,Percent of Total Billed Charges,,,,,400.43,,,,,,,Percent of Total Billed Charges,,,,,84.3,,,,,,,Percent of Total Billed Charges,,,,,358.28,,,,,,,Percent of Total Billed Charges,,,,,88.52,,,,,,,Percent of Total Billed Charges,,,,,379.35,,,,,,,Percent of Total Billed Charges,,,,,379.35,,,,,,,Percent of Total Billed Charges,,,,,84.3,,,,,,,Percent of Total Billed Charges,,,,,118.02,,,,,,,Percent of Total Billed Charges,,,,,337.2,,,,,,,Percent of Total Billed Charges,,,,,84.3,,,,,,,Percent of Total Billed Charges,,,, X HIP DR WHITE SERIES ,73502TC ,CPT,,Outpatient,,,534,427.2,398.9,,,,,,,Percent of Total Billed Charges,,398.9,398.9,,534,,,,,,,Percent of Total Billed Charges,,,,,512.64,,,,,,,Percent of Total Billed Charges,,,,,507.3,,,,,,,Percent of Total Billed Charges,,,,,106.8,,,,,,,Percent of Total Billed Charges,,,,,453.9,,,,,,,Percent of Total Billed Charges,,,,,112.14,,,,,,,Percent of Total Billed Charges,,,,,480.6,,,,,,,Percent of Total Billed Charges,,,,,480.6,,,,,,,Percent of Total Billed Charges,,,,,106.8,,,,,,,Percent of Total Billed Charges,,,,,149.52,,,,,,,Percent of Total Billed Charges,,,,,427.2,,,,,,,Percent of Total Billed Charges,,,,,106.8,,,,,,,Percent of Total Billed Charges,,,, X FOOT ROUTINE ,73630TC ,CPT,,Outpatient,,,367,293.6,274.15,,,,,,,Percent of Total Billed Charges,,274.15,274.15,,367,,,,,,,Percent of Total Billed Charges,,,,,352.32,,,,,,,Percent of Total Billed Charges,,,,,348.65,,,,,,,Percent of Total Billed Charges,,,,,73.4,,,,,,,Percent of Total Billed Charges,,,,,311.95,,,,,,,Percent of Total Billed Charges,,,,,77.07,,,,,,,Percent of Total Billed Charges,,,,,330.3,,,,,,,Percent of Total Billed Charges,,,,,330.3,,,,,,,Percent of Total Billed Charges,,,,,73.4,,,,,,,Percent of Total Billed Charges,,,,,102.76,,,,,,,Percent of Total Billed Charges,,,,,293.6,,,,,,,Percent of Total Billed Charges,,,,,73.4,,,,,,,Percent of Total Billed Charges,,,, X FOOT 2 VIEWS ,73620TC ,CPT,,Outpatient,,,349,279.2,260.7,,,,,,,Percent of Total Billed Charges,,260.7,260.7,,349,,,,,,,Percent of Total Billed Charges,,,,,335.04,,,,,,,Percent of Total Billed Charges,,,,,331.55,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,296.65,,,,,,,Percent of Total Billed Charges,,,,,73.29,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,97.72,,,,,,,Percent of Total Billed Charges,,,,,279.2,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,, X FOREARM ROUTINE ,73090TC ,CPT,,Outpatient,,,367,293.6,274.15,,,,,,,Percent of Total Billed Charges,,274.15,274.15,,367,,,,,,,Percent of Total Billed Charges,,,,,352.32,,,,,,,Percent of Total Billed Charges,,,,,348.65,,,,,,,Percent of Total Billed Charges,,,,,73.4,,,,,,,Percent of Total Billed Charges,,,,,311.95,,,,,,,Percent of Total Billed Charges,,,,,77.07,,,,,,,Percent of Total Billed Charges,,,,,330.3,,,,,,,Percent of Total Billed Charges,,,,,330.3,,,,,,,Percent of Total Billed Charges,,,,,73.4,,,,,,,Percent of Total Billed Charges,,,,,102.76,,,,,,,Percent of Total Billed Charges,,,,,293.6,,,,,,,Percent of Total Billed Charges,,,,,73.4,,,,,,,Percent of Total Billed Charges,,,, X GALLBLADDER LIMITED ,74291,CPT,,Outpatient,,,233,186.4,174.05,,,,,,,Percent of Total Billed Charges,,174.05,174.05,,233,,,,,,,Percent of Total Billed Charges,,,,,223.68,,,,,,,Percent of Total Billed Charges,,,,,221.35,,,,,,,Percent of Total Billed Charges,,,,,46.6,,,,,,,Percent of Total Billed Charges,,,,,198.05,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,209.7,,,,,,,Percent of Total Billed Charges,,,,,209.7,,,,,,,Percent of Total Billed Charges,,,,,46.6,,,,,,,Percent of Total Billed Charges,,,,,65.24,,,,,,,Percent of Total Billed Charges,,,,,186.4,,,,,,,Percent of Total Billed Charges,,,,,46.6,,,,,,,Percent of Total Billed Charges,,,, X GALLBLADDER W/SPOTS ,74290TC ,CPT,,Outpatient,,,384,307.2,286.85,,,,,,,Percent of Total Billed Charges,,286.85,286.85,,384,,,,,,,Percent of Total Billed Charges,,,,,368.64,,,,,,,Percent of Total Billed Charges,,,,,364.8,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,80.64,,,,,,,Percent of Total Billed Charges,,,,,345.6,,,,,,,Percent of Total Billed Charges,,,,,345.6,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,107.52,,,,,,,Percent of Total Billed Charges,,,,,307.2,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,, X HAND ROUTINE ,73130TC ,CPT,,Outpatient,,,375.5,300.4,280.5,,,,,,,Percent of Total Billed Charges,,280.5,280.5,,375.5,,,,,,,Percent of Total Billed Charges,,,,,360.48,,,,,,,Percent of Total Billed Charges,,,,,356.73,,,,,,,Percent of Total Billed Charges,,,,,75.1,,,,,,,Percent of Total Billed Charges,,,,,319.18,,,,,,,Percent of Total Billed Charges,,,,,78.86,,,,,,,Percent of Total Billed Charges,,,,,337.95,,,,,,,Percent of Total Billed Charges,,,,,337.95,,,,,,,Percent of Total Billed Charges,,,,,75.1,,,,,,,Percent of Total Billed Charges,,,,,105.14,,,,,,,Percent of Total Billed Charges,,,,,300.4,,,,,,,Percent of Total Billed Charges,,,,,75.1,,,,,,,Percent of Total Billed Charges,,,, X HAND 2 VIEWS ,73120TC ,CPT,,Outpatient,,,340.5,272.4,254.35,,,,,,,Percent of Total Billed Charges,,254.35,254.35,,340.5,,,,,,,Percent of Total Billed Charges,,,,,326.88,,,,,,,Percent of Total Billed Charges,,,,,323.48,,,,,,,Percent of Total Billed Charges,,,,,68.1,,,,,,,Percent of Total Billed Charges,,,,,289.43,,,,,,,Percent of Total Billed Charges,,,,,71.51,,,,,,,Percent of Total Billed Charges,,,,,306.45,,,,,,,Percent of Total Billed Charges,,,,,306.45,,,,,,,Percent of Total Billed Charges,,,,,68.1,,,,,,,Percent of Total Billed Charges,,,,,95.34,,,,,,,Percent of Total Billed Charges,,,,,272.4,,,,,,,Percent of Total Billed Charges,,,,,68.1,,,,,,,Percent of Total Billed Charges,,,, X RIGHT HIP WITH AP PELVIS (TRAUMA) ,73502TC ,CPT,,Outpatient,,,745,596,556.52,,,,,,,Percent of Total Billed Charges,,556.52,556.52,,745,,,,,,,Percent of Total Billed Charges,,,,,715.2,,,,,,,Percent of Total Billed Charges,,,,,707.75,,,,,,,Percent of Total Billed Charges,,,,,149,,,,,,,Percent of Total Billed Charges,,,,,633.25,,,,,,,Percent of Total Billed Charges,,,,,156.45,,,,,,,Percent of Total Billed Charges,,,,,670.5,,,,,,,Percent of Total Billed Charges,,,,,670.5,,,,,,,Percent of Total Billed Charges,,,,,149,,,,,,,Percent of Total Billed Charges,,,,,208.6,,,,,,,Percent of Total Billed Charges,,,,,596,,,,,,,Percent of Total Billed Charges,,,,,149,,,,,,,Percent of Total Billed Charges,,,, X HIP (ROUTINE) ,73502TC ,CPT,,Outpatient,,,446.5,357.2,333.54,,,,,,,Percent of Total Billed Charges,,333.54,333.54,,446.5,,,,,,,Percent of Total Billed Charges,,,,,428.64,,,,,,,Percent of Total Billed Charges,,,,,424.18,,,,,,,Percent of Total Billed Charges,,,,,89.3,,,,,,,Percent of Total Billed Charges,,,,,379.53,,,,,,,Percent of Total Billed Charges,,,,,93.77,,,,,,,Percent of Total Billed Charges,,,,,401.85,,,,,,,Percent of Total Billed Charges,,,,,401.85,,,,,,,Percent of Total Billed Charges,,,,,89.3,,,,,,,Percent of Total Billed Charges,,,,,125.02,,,,,,,Percent of Total Billed Charges,,,,,357.2,,,,,,,Percent of Total Billed Charges,,,,,89.3,,,,,,,Percent of Total Billed Charges,,,, X HIP BILAT W AP PELVIS ,73521TC ,CPT,,Outpatient,,,1584.5,1267.6,1183.62,,,,,,,Percent of Total Billed Charges,,1183.62,1183.62,,1584.5,,,,,,,Percent of Total Billed Charges,,,,,1521.12,,,,,,,Percent of Total Billed Charges,,,,,1505.28,,,,,,,Percent of Total Billed Charges,,,,,316.9,,,,,,,Percent of Total Billed Charges,,,,,1346.83,,,,,,,Percent of Total Billed Charges,,,,,332.75,,,,,,,Percent of Total Billed Charges,,,,,1426.05,,,,,,,Percent of Total Billed Charges,,,,,1426.05,,,,,,,Percent of Total Billed Charges,,,,,316.9,,,,,,,Percent of Total Billed Charges,,,,,443.66,,,,,,,Percent of Total Billed Charges,,,,,1267.6,,,,,,,Percent of Total Billed Charges,,,,,316.9,,,,,,,Percent of Total Billed Charges,,,, X HIP PINNING W/C ARM ,73502TC ,CPT,,Outpatient,,,1473,1178.4,1100.33,,,,,,,Percent of Total Billed Charges,,1100.33,1100.33,,1473,,,,,,,Percent of Total Billed Charges,,,,,1414.08,,,,,,,Percent of Total Billed Charges,,,,,1399.35,,,,,,,Percent of Total Billed Charges,,,,,294.6,,,,,,,Percent of Total Billed Charges,,,,,1252.05,,,,,,,Percent of Total Billed Charges,,,,,309.33,,,,,,,Percent of Total Billed Charges,,,,,1325.7,,,,,,,Percent of Total Billed Charges,,,,,1325.7,,,,,,,Percent of Total Billed Charges,,,,,294.6,,,,,,,Percent of Total Billed Charges,,,,,412.44,,,,,,,Percent of Total Billed Charges,,,,,1178.4,,,,,,,Percent of Total Billed Charges,,,,,294.6,,,,,,,Percent of Total Billed Charges,,,, X HUMERUS ,73060TC ,CPT,,Outpatient,,,441.5,353.2,329.8,,,,,,,Percent of Total Billed Charges,,329.8,329.8,,441.5,,,,,,,Percent of Total Billed Charges,,,,,423.84,,,,,,,Percent of Total Billed Charges,,,,,419.43,,,,,,,Percent of Total Billed Charges,,,,,88.3,,,,,,,Percent of Total Billed Charges,,,,,375.28,,,,,,,Percent of Total Billed Charges,,,,,92.72,,,,,,,Percent of Total Billed Charges,,,,,397.35,,,,,,,Percent of Total Billed Charges,,,,,397.35,,,,,,,Percent of Total Billed Charges,,,,,88.3,,,,,,,Percent of Total Billed Charges,,,,,123.62,,,,,,,Percent of Total Billed Charges,,,,,353.2,,,,,,,Percent of Total Billed Charges,,,,,88.3,,,,,,,Percent of Total Billed Charges,,,, X HYPOTONIC DUODENOGRAPHY EXAM ,74260TC ,CPT,,Outpatient,,,442.5,354,330.55,,,,,,,Percent of Total Billed Charges,,330.55,330.55,,442.5,,,,,,,Percent of Total Billed Charges,,,,,424.8,,,,,,,Percent of Total Billed Charges,,,,,420.38,,,,,,,Percent of Total Billed Charges,,,,,88.5,,,,,,,Percent of Total Billed Charges,,,,,376.13,,,,,,,Percent of Total Billed Charges,,,,,92.93,,,,,,,Percent of Total Billed Charges,,,,,398.25,,,,,,,Percent of Total Billed Charges,,,,,398.25,,,,,,,Percent of Total Billed Charges,,,,,88.5,,,,,,,Percent of Total Billed Charges,,,,,123.9,,,,,,,Percent of Total Billed Charges,,,,,354,,,,,,,Percent of Total Billed Charges,,,,,88.5,,,,,,,Percent of Total Billed Charges,,,, X KNEE 3 VIEWS ,73562TC ,CPT,,Outpatient,,,492.5,394,367.9,,,,,,,Percent of Total Billed Charges,,367.9,367.9,,492.5,,,,,,,Percent of Total Billed Charges,,,,,472.8,,,,,,,Percent of Total Billed Charges,,,,,467.88,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,418.63,,,,,,,Percent of Total Billed Charges,,,,,103.43,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,137.9,,,,,,,Percent of Total Billed Charges,,,,,394,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,, X IVP ,74400TC ,CPT,,Outpatient,,,825.5,660.4,616.65,,,,,,,Percent of Total Billed Charges,,616.65,616.65,,825.5,,,,,,,Percent of Total Billed Charges,,,,,792.48,,,,,,,Percent of Total Billed Charges,,,,,784.23,,,,,,,Percent of Total Billed Charges,,,,,165.1,,,,,,,Percent of Total Billed Charges,,,,,701.68,,,,,,,Percent of Total Billed Charges,,,,,173.36,,,,,,,Percent of Total Billed Charges,,,,,742.95,,,,,,,Percent of Total Billed Charges,,,,,742.95,,,,,,,Percent of Total Billed Charges,,,,,165.1,,,,,,,Percent of Total Billed Charges,,,,,231.14,,,,,,,Percent of Total Billed Charges,,,,,660.4,,,,,,,Percent of Total Billed Charges,,,,,165.1,,,,,,,Percent of Total Billed Charges,,,, CT ABD/PELVIS W/ORAL ONLY ,74176TC ,CPT,,Outpatient,,,7496,5996.8,5599.51,,,,,,,Percent of Total Billed Charges,,5599.51,5599.51,,7496,,,,,,,Percent of Total Billed Charges,,,,,7196.16,,,,,,,Percent of Total Billed Charges,,,,,7121.2,,,,,,,Percent of Total Billed Charges,,,,,1499.2,,,,,,,Percent of Total Billed Charges,,,,,6371.6,,,,,,,Percent of Total Billed Charges,,,,,1574.16,,,,,,,Percent of Total Billed Charges,,,,,6746.4,,,,,,,Percent of Total Billed Charges,,,,,6746.4,,,,,,,Percent of Total Billed Charges,,,,,1499.2,,,,,,,Percent of Total Billed Charges,,,,,2098.88,,,,,,,Percent of Total Billed Charges,,,,,5996.8,,,,,,,Percent of Total Billed Charges,,,,,1499.2,,,,,,,Percent of Total Billed Charges,,,, X IVP HYPERTENSIVE ,74400TC ,CPT,,Outpatient,,,974,779.2,727.58,,,,,,,Percent of Total Billed Charges,,727.58,727.58,,974,,,,,,,Percent of Total Billed Charges,,,,,935.04,,,,,,,Percent of Total Billed Charges,,,,,925.3,,,,,,,Percent of Total Billed Charges,,,,,194.8,,,,,,,Percent of Total Billed Charges,,,,,827.9,,,,,,,Percent of Total Billed Charges,,,,,204.54,,,,,,,Percent of Total Billed Charges,,,,,876.6,,,,,,,Percent of Total Billed Charges,,,,,876.6,,,,,,,Percent of Total Billed Charges,,,,,194.8,,,,,,,Percent of Total Billed Charges,,,,,272.72,,,,,,,Percent of Total Billed Charges,,,,,779.2,,,,,,,Percent of Total Billed Charges,,,,,194.8,,,,,,,Percent of Total Billed Charges,,,, X IVP INFUSION PYELOGRAM ,74410TC ,CPT,,Outpatient,,,975.5,780.4,728.7,,,,,,,Percent of Total Billed Charges,,728.7,728.7,,975.5,,,,,,,Percent of Total Billed Charges,,,,,936.48,,,,,,,Percent of Total Billed Charges,,,,,926.73,,,,,,,Percent of Total Billed Charges,,,,,195.1,,,,,,,Percent of Total Billed Charges,,,,,829.18,,,,,,,Percent of Total Billed Charges,,,,,204.86,,,,,,,Percent of Total Billed Charges,,,,,877.95,,,,,,,Percent of Total Billed Charges,,,,,877.95,,,,,,,Percent of Total Billed Charges,,,,,195.1,,,,,,,Percent of Total Billed Charges,,,,,273.14,,,,,,,Percent of Total Billed Charges,,,,,780.4,,,,,,,Percent of Total Billed Charges,,,,,195.1,,,,,,,Percent of Total Billed Charges,,,, X KNEE 2 VW ROUTINE ,73560TC ,CPT,,Outpatient,,,397,317.6,296.56,,,,,,,Percent of Total Billed Charges,,296.56,296.56,,397,,,,,,,Percent of Total Billed Charges,,,,,381.12,,,,,,,Percent of Total Billed Charges,,,,,377.15,,,,,,,Percent of Total Billed Charges,,,,,79.4,,,,,,,Percent of Total Billed Charges,,,,,337.45,,,,,,,Percent of Total Billed Charges,,,,,83.37,,,,,,,Percent of Total Billed Charges,,,,,357.3,,,,,,,Percent of Total Billed Charges,,,,,357.3,,,,,,,Percent of Total Billed Charges,,,,,79.4,,,,,,,Percent of Total Billed Charges,,,,,111.16,,,,,,,Percent of Total Billed Charges,,,,,317.6,,,,,,,Percent of Total Billed Charges,,,,,79.4,,,,,,,Percent of Total Billed Charges,,,, NOT USED ,73564,CPT,,Outpatient,,,888,710.4,663.34,,,,,,,Percent of Total Billed Charges,,663.34,663.34,,888,,,,,,,Percent of Total Billed Charges,,,,,852.48,,,,,,,Percent of Total Billed Charges,,,,,843.6,,,,,,,Percent of Total Billed Charges,,,,,177.6,,,,,,,Percent of Total Billed Charges,,,,,754.8,,,,,,,Percent of Total Billed Charges,,,,,186.48,,,,,,,Percent of Total Billed Charges,,,,,799.2,,,,,,,Percent of Total Billed Charges,,,,,799.2,,,,,,,Percent of Total Billed Charges,,,,,177.6,,,,,,,Percent of Total Billed Charges,,,,,248.64,,,,,,,Percent of Total Billed Charges,,,,,710.4,,,,,,,Percent of Total Billed Charges,,,,,177.6,,,,,,,Percent of Total Billed Charges,,,, X KNEE 4 OR MORE VIEWS ,73564TC ,CPT,,Outpatient,,,679.5,543.6,507.59,,,,,,,Percent of Total Billed Charges,,507.59,507.59,,679.5,,,,,,,Percent of Total Billed Charges,,,,,652.32,,,,,,,Percent of Total Billed Charges,,,,,645.53,,,,,,,Percent of Total Billed Charges,,,,,135.9,,,,,,,Percent of Total Billed Charges,,,,,577.58,,,,,,,Percent of Total Billed Charges,,,,,142.7,,,,,,,Percent of Total Billed Charges,,,,,611.55,,,,,,,Percent of Total Billed Charges,,,,,611.55,,,,,,,Percent of Total Billed Charges,,,,,135.9,,,,,,,Percent of Total Billed Charges,,,,,190.26,,,,,,,Percent of Total Billed Charges,,,,,543.6,,,,,,,Percent of Total Billed Charges,,,,,135.9,,,,,,,Percent of Total Billed Charges,,,, X LOWER LEG/TIB FIB ,73590TC ,CPT,,Outpatient,,,375.5,300.4,280.5,,,,,,,Percent of Total Billed Charges,,280.5,280.5,,375.5,,,,,,,Percent of Total Billed Charges,,,,,360.48,,,,,,,Percent of Total Billed Charges,,,,,356.73,,,,,,,Percent of Total Billed Charges,,,,,75.1,,,,,,,Percent of Total Billed Charges,,,,,319.18,,,,,,,Percent of Total Billed Charges,,,,,78.86,,,,,,,Percent of Total Billed Charges,,,,,337.95,,,,,,,Percent of Total Billed Charges,,,,,337.95,,,,,,,Percent of Total Billed Charges,,,,,75.1,,,,,,,Percent of Total Billed Charges,,,,,105.14,,,,,,,Percent of Total Billed Charges,,,,,300.4,,,,,,,Percent of Total Billed Charges,,,,,75.1,,,,,,,Percent of Total Billed Charges,,,, X LUMBO-SACRAL SPINE (ROUTINE) ,72100TC ,CPT,,Outpatient,,,843.5,674.8,630.09,,,,,,,Percent of Total Billed Charges,,630.09,630.09,,843.5,,,,,,,Percent of Total Billed Charges,,,,,809.76,,,,,,,Percent of Total Billed Charges,,,,,801.33,,,,,,,Percent of Total Billed Charges,,,,,168.7,,,,,,,Percent of Total Billed Charges,,,,,716.98,,,,,,,Percent of Total Billed Charges,,,,,177.14,,,,,,,Percent of Total Billed Charges,,,,,759.15,,,,,,,Percent of Total Billed Charges,,,,,759.15,,,,,,,Percent of Total Billed Charges,,,,,168.7,,,,,,,Percent of Total Billed Charges,,,,,236.18,,,,,,,Percent of Total Billed Charges,,,,,674.8,,,,,,,Percent of Total Billed Charges,,,,,168.7,,,,,,,Percent of Total Billed Charges,,,, X LUMBO-SACRAL SPINE W/OBLIQUES ,72110TC ,CPT,,Outpatient,,,949.5,759.6,709.28,,,,,,,Percent of Total Billed Charges,,709.28,709.28,,949.5,,,,,,,Percent of Total Billed Charges,,,,,911.52,,,,,,,Percent of Total Billed Charges,,,,,902.03,,,,,,,Percent of Total Billed Charges,,,,,189.9,,,,,,,Percent of Total Billed Charges,,,,,807.08,,,,,,,Percent of Total Billed Charges,,,,,199.4,,,,,,,Percent of Total Billed Charges,,,,,854.55,,,,,,,Percent of Total Billed Charges,,,,,854.55,,,,,,,Percent of Total Billed Charges,,,,,189.9,,,,,,,Percent of Total Billed Charges,,,,,265.86,,,,,,,Percent of Total Billed Charges,,,,,759.6,,,,,,,Percent of Total Billed Charges,,,,,189.9,,,,,,,Percent of Total Billed Charges,,,, X MANDIBLE ,70110TC ,CPT,,Outpatient,,,506.5,405.2,378.36,,,,,,,Percent of Total Billed Charges,,378.36,378.36,,506.5,,,,,,,Percent of Total Billed Charges,,,,,486.24,,,,,,,Percent of Total Billed Charges,,,,,481.18,,,,,,,Percent of Total Billed Charges,,,,,101.3,,,,,,,Percent of Total Billed Charges,,,,,430.53,,,,,,,Percent of Total Billed Charges,,,,,106.37,,,,,,,Percent of Total Billed Charges,,,,,455.85,,,,,,,Percent of Total Billed Charges,,,,,455.85,,,,,,,Percent of Total Billed Charges,,,,,101.3,,,,,,,Percent of Total Billed Charges,,,,,141.82,,,,,,,Percent of Total Billed Charges,,,,,405.2,,,,,,,Percent of Total Billed Charges,,,,,101.3,,,,,,,Percent of Total Billed Charges,,,, X MASTOIDS ,70130TC ,CPT,,Outpatient,,,680.5,544.4,508.33,,,,,,,Percent of Total Billed Charges,,508.33,508.33,,680.5,,,,,,,Percent of Total Billed Charges,,,,,653.28,,,,,,,Percent of Total Billed Charges,,,,,646.48,,,,,,,Percent of Total Billed Charges,,,,,136.1,,,,,,,Percent of Total Billed Charges,,,,,578.43,,,,,,,Percent of Total Billed Charges,,,,,142.91,,,,,,,Percent of Total Billed Charges,,,,,612.45,,,,,,,Percent of Total Billed Charges,,,,,612.45,,,,,,,Percent of Total Billed Charges,,,,,136.1,,,,,,,Percent of Total Billed Charges,,,,,190.54,,,,,,,Percent of Total Billed Charges,,,,,544.4,,,,,,,Percent of Total Billed Charges,,,,,136.1,,,,,,,Percent of Total Billed Charges,,,, X NASAL BONES ,70160TC ,CPT,,Outpatient,,,507.5,406,379.1,,,,,,,Percent of Total Billed Charges,,379.1,379.1,,507.5,,,,,,,Percent of Total Billed Charges,,,,,487.2,,,,,,,Percent of Total Billed Charges,,,,,482.13,,,,,,,Percent of Total Billed Charges,,,,,101.5,,,,,,,Percent of Total Billed Charges,,,,,431.38,,,,,,,Percent of Total Billed Charges,,,,,106.58,,,,,,,Percent of Total Billed Charges,,,,,456.75,,,,,,,Percent of Total Billed Charges,,,,,456.75,,,,,,,Percent of Total Billed Charges,,,,,101.5,,,,,,,Percent of Total Billed Charges,,,,,142.1,,,,,,,Percent of Total Billed Charges,,,,,406,,,,,,,Percent of Total Billed Charges,,,,,101.5,,,,,,,Percent of Total Billed Charges,,,, X OPTIC FORAMINA 2 VIEWS ,70190TC ,CPT,,Outpatient,,,217.5,174,162.47,,,,,,,Percent of Total Billed Charges,,162.47,162.47,,217.5,,,,,,,Percent of Total Billed Charges,,,,,208.8,,,,,,,Percent of Total Billed Charges,,,,,206.63,,,,,,,Percent of Total Billed Charges,,,,,43.5,,,,,,,Percent of Total Billed Charges,,,,,184.88,,,,,,,Percent of Total Billed Charges,,,,,45.68,,,,,,,Percent of Total Billed Charges,,,,,195.75,,,,,,,Percent of Total Billed Charges,,,,,195.75,,,,,,,Percent of Total Billed Charges,,,,,43.5,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,174,,,,,,,Percent of Total Billed Charges,,,,,43.5,,,,,,,Percent of Total Billed Charges,,,, X ORBIT FOREIGN BODY ,70030TC ,CPT,,Outpatient,,,497,397.6,371.26,,,,,,,Percent of Total Billed Charges,,371.26,371.26,,497,,,,,,,Percent of Total Billed Charges,,,,,477.12,,,,,,,Percent of Total Billed Charges,,,,,472.15,,,,,,,Percent of Total Billed Charges,,,,,99.4,,,,,,,Percent of Total Billed Charges,,,,,422.45,,,,,,,Percent of Total Billed Charges,,,,,104.37,,,,,,,Percent of Total Billed Charges,,,,,447.3,,,,,,,Percent of Total Billed Charges,,,,,447.3,,,,,,,Percent of Total Billed Charges,,,,,99.4,,,,,,,Percent of Total Billed Charges,,,,,139.16,,,,,,,Percent of Total Billed Charges,,,,,397.6,,,,,,,Percent of Total Billed Charges,,,,,99.4,,,,,,,Percent of Total Billed Charges,,,, X OS CALCIS ,73650TC ,CPT,,Outpatient,,,345,276,257.72,,,,,,,Percent of Total Billed Charges,,257.72,257.72,,345,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,327.75,,,,,,,Percent of Total Billed Charges,,,,,69,,,,,,,Percent of Total Billed Charges,,,,,293.25,,,,,,,Percent of Total Billed Charges,,,,,72.45,,,,,,,Percent of Total Billed Charges,,,,,310.5,,,,,,,Percent of Total Billed Charges,,,,,310.5,,,,,,,Percent of Total Billed Charges,,,,,69,,,,,,,Percent of Total Billed Charges,,,,,96.6,,,,,,,Percent of Total Billed Charges,,,,,276,,,,,,,Percent of Total Billed Charges,,,,,69,,,,,,,Percent of Total Billed Charges,,,, X PACEMAKER PLACEMENT FLUOR & CHEST ,71023,CPT,,Outpatient,,,789,631.2,589.38,,,,,,,Percent of Total Billed Charges,,589.38,589.38,,789,,,,,,,Percent of Total Billed Charges,,,,,757.44,,,,,,,Percent of Total Billed Charges,,,,,749.55,,,,,,,Percent of Total Billed Charges,,,,,157.8,,,,,,,Percent of Total Billed Charges,,,,,670.65,,,,,,,Percent of Total Billed Charges,,,,,165.69,,,,,,,Percent of Total Billed Charges,,,,,710.1,,,,,,,Percent of Total Billed Charges,,,,,710.1,,,,,,,Percent of Total Billed Charges,,,,,157.8,,,,,,,Percent of Total Billed Charges,,,,,220.92,,,,,,,Percent of Total Billed Charges,,,,,631.2,,,,,,,Percent of Total Billed Charges,,,,,157.8,,,,,,,Percent of Total Billed Charges,,,, X PELVIS 1 VIEW(ROUTINE) ,72170TC ,CPT,,Outpatient,,,469,375.2,350.34,,,,,,,Percent of Total Billed Charges,,350.34,350.34,,469,,,,,,,Percent of Total Billed Charges,,,,,450.24,,,,,,,Percent of Total Billed Charges,,,,,445.55,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,,,398.65,,,,,,,Percent of Total Billed Charges,,,,,98.49,,,,,,,Percent of Total Billed Charges,,,,,422.1,,,,,,,Percent of Total Billed Charges,,,,,422.1,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,,,131.32,,,,,,,Percent of Total Billed Charges,,,,,375.2,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,, X ORBIT FOR FB ,70030TC ,CPT,,Outpatient,,,338.5,270.8,252.86,,,,,,,Percent of Total Billed Charges,,252.86,252.86,,338.5,,,,,,,Percent of Total Billed Charges,,,,,324.96,,,,,,,Percent of Total Billed Charges,,,,,321.58,,,,,,,Percent of Total Billed Charges,,,,,67.7,,,,,,,Percent of Total Billed Charges,,,,,287.73,,,,,,,Percent of Total Billed Charges,,,,,71.09,,,,,,,Percent of Total Billed Charges,,,,,304.65,,,,,,,Percent of Total Billed Charges,,,,,304.65,,,,,,,Percent of Total Billed Charges,,,,,67.7,,,,,,,Percent of Total Billed Charges,,,,,94.78,,,,,,,Percent of Total Billed Charges,,,,,270.8,,,,,,,Percent of Total Billed Charges,,,,,67.7,,,,,,,Percent of Total Billed Charges,,,, X PELVIS W/FROG LAT ,72190TC ,CPT,,Outpatient,,,617,493.6,460.9,,,,,,,Percent of Total Billed Charges,,460.9,460.9,,617,,,,,,,Percent of Total Billed Charges,,,,,592.32,,,,,,,Percent of Total Billed Charges,,,,,586.15,,,,,,,Percent of Total Billed Charges,,,,,123.4,,,,,,,Percent of Total Billed Charges,,,,,524.45,,,,,,,Percent of Total Billed Charges,,,,,129.57,,,,,,,Percent of Total Billed Charges,,,,,555.3,,,,,,,Percent of Total Billed Charges,,,,,555.3,,,,,,,Percent of Total Billed Charges,,,,,123.4,,,,,,,Percent of Total Billed Charges,,,,,172.76,,,,,,,Percent of Total Billed Charges,,,,,493.6,,,,,,,Percent of Total Billed Charges,,,,,123.4,,,,,,,Percent of Total Billed Charges,,,, X PELVIS W/OBLIQUES ,72190TC ,CPT,,Outpatient,,,805,644,601.34,,,,,,,Percent of Total Billed Charges,,601.34,601.34,,805,,,,,,,Percent of Total Billed Charges,,,,,772.8,,,,,,,Percent of Total Billed Charges,,,,,764.75,,,,,,,Percent of Total Billed Charges,,,,,161,,,,,,,Percent of Total Billed Charges,,,,,684.25,,,,,,,Percent of Total Billed Charges,,,,,169.05,,,,,,,Percent of Total Billed Charges,,,,,724.5,,,,,,,Percent of Total Billed Charges,,,,,724.5,,,,,,,Percent of Total Billed Charges,,,,,161,,,,,,,Percent of Total Billed Charges,,,,,225.4,,,,,,,Percent of Total Billed Charges,,,,,644,,,,,,,Percent of Total Billed Charges,,,,,161,,,,,,,Percent of Total Billed Charges,,,, X RIBS UNI W/PA (ROUTINE) ,71101TC ,CPT,,Outpatient,,,676.5,541.2,505.35,,,,,,,Percent of Total Billed Charges,,505.35,505.35,,676.5,,,,,,,Percent of Total Billed Charges,,,,,649.44,,,,,,,Percent of Total Billed Charges,,,,,642.68,,,,,,,Percent of Total Billed Charges,,,,,135.3,,,,,,,Percent of Total Billed Charges,,,,,575.03,,,,,,,Percent of Total Billed Charges,,,,,142.07,,,,,,,Percent of Total Billed Charges,,,,,608.85,,,,,,,Percent of Total Billed Charges,,,,,608.85,,,,,,,Percent of Total Billed Charges,,,,,135.3,,,,,,,Percent of Total Billed Charges,,,,,189.42,,,,,,,Percent of Total Billed Charges,,,,,541.2,,,,,,,Percent of Total Billed Charges,,,,,135.3,,,,,,,Percent of Total Billed Charges,,,, X RETROGRADE PYELOGRAM BILATERAL ,74425TC ,CPT,,Outpatient,,,1203,962.4,898.64,,,,,,,Percent of Total Billed Charges,,898.64,898.64,,1203,,,,,,,Percent of Total Billed Charges,,,,,1154.88,,,,,,,Percent of Total Billed Charges,,,,,1142.85,,,,,,,Percent of Total Billed Charges,,,,,240.6,,,,,,,Percent of Total Billed Charges,,,,,1022.55,,,,,,,Percent of Total Billed Charges,,,,,252.63,,,,,,,Percent of Total Billed Charges,,,,,1082.7,,,,,,,Percent of Total Billed Charges,,,,,1082.7,,,,,,,Percent of Total Billed Charges,,,,,240.6,,,,,,,Percent of Total Billed Charges,,,,,336.84,,,,,,,Percent of Total Billed Charges,,,,,962.4,,,,,,,Percent of Total Billed Charges,,,,,240.6,,,,,,,Percent of Total Billed Charges,,,, X RETROGRADE PYELOGRAM UNILATERAL ,74425TC ,CPT,,Outpatient,,,626,500.8,467.62,,,,,,,Percent of Total Billed Charges,,467.62,467.62,,626,,,,,,,Percent of Total Billed Charges,,,,,600.96,,,,,,,Percent of Total Billed Charges,,,,,594.7,,,,,,,Percent of Total Billed Charges,,,,,125.2,,,,,,,Percent of Total Billed Charges,,,,,532.1,,,,,,,Percent of Total Billed Charges,,,,,131.46,,,,,,,Percent of Total Billed Charges,,,,,563.4,,,,,,,Percent of Total Billed Charges,,,,,563.4,,,,,,,Percent of Total Billed Charges,,,,,125.2,,,,,,,Percent of Total Billed Charges,,,,,175.28,,,,,,,Percent of Total Billed Charges,,,,,500.8,,,,,,,Percent of Total Billed Charges,,,,,125.2,,,,,,,Percent of Total Billed Charges,,,, X RIBS UNILAT ,71100TC ,CPT,,Outpatient,,,555.5,444.4,414.96,,,,,,,Percent of Total Billed Charges,,414.96,414.96,,555.5,,,,,,,Percent of Total Billed Charges,,,,,533.28,,,,,,,Percent of Total Billed Charges,,,,,527.73,,,,,,,Percent of Total Billed Charges,,,,,111.1,,,,,,,Percent of Total Billed Charges,,,,,472.18,,,,,,,Percent of Total Billed Charges,,,,,116.66,,,,,,,Percent of Total Billed Charges,,,,,499.95,,,,,,,Percent of Total Billed Charges,,,,,499.95,,,,,,,Percent of Total Billed Charges,,,,,111.1,,,,,,,Percent of Total Billed Charges,,,,,155.54,,,,,,,Percent of Total Billed Charges,,,,,444.4,,,,,,,Percent of Total Billed Charges,,,,,111.1,,,,,,,Percent of Total Billed Charges,,,, X RIBS BILATW/PA(ROUTINE) ,71111TC ,CPT,,Outpatient,,,1447.5,1158,1081.28,,,,,,,Percent of Total Billed Charges,,1081.28,1081.28,,1447.5,,,,,,,Percent of Total Billed Charges,,,,,1389.6,,,,,,,Percent of Total Billed Charges,,,,,1375.13,,,,,,,Percent of Total Billed Charges,,,,,289.5,,,,,,,Percent of Total Billed Charges,,,,,1230.38,,,,,,,Percent of Total Billed Charges,,,,,303.98,,,,,,,Percent of Total Billed Charges,,,,,1302.75,,,,,,,Percent of Total Billed Charges,,,,,1302.75,,,,,,,Percent of Total Billed Charges,,,,,289.5,,,,,,,Percent of Total Billed Charges,,,,,405.3,,,,,,,Percent of Total Billed Charges,,,,,1158,,,,,,,Percent of Total Billed Charges,,,,,289.5,,,,,,,Percent of Total Billed Charges,,,, X SACRO-ILIAC JOINTS ,72202TC ,CPT,,Outpatient,,,580,464,433.26,,,,,,,Percent of Total Billed Charges,,433.26,433.26,,580,,,,,,,Percent of Total Billed Charges,,,,,556.8,,,,,,,Percent of Total Billed Charges,,,,,551,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,,,493,,,,,,,Percent of Total Billed Charges,,,,,121.8,,,,,,,Percent of Total Billed Charges,,,,,522,,,,,,,Percent of Total Billed Charges,,,,,522,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,,,162.4,,,,,,,Percent of Total Billed Charges,,,,,464,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,, X SACRUM & COCCYX ,72220TC ,CPT,,Outpatient,,,610.5,488.4,456.04,,,,,,,Percent of Total Billed Charges,,456.04,456.04,,610.5,,,,,,,Percent of Total Billed Charges,,,,,586.08,,,,,,,Percent of Total Billed Charges,,,,,579.98,,,,,,,Percent of Total Billed Charges,,,,,122.1,,,,,,,Percent of Total Billed Charges,,,,,518.93,,,,,,,Percent of Total Billed Charges,,,,,128.21,,,,,,,Percent of Total Billed Charges,,,,,549.45,,,,,,,Percent of Total Billed Charges,,,,,549.45,,,,,,,Percent of Total Billed Charges,,,,,122.1,,,,,,,Percent of Total Billed Charges,,,,,170.94,,,,,,,Percent of Total Billed Charges,,,,,488.4,,,,,,,Percent of Total Billed Charges,,,,,122.1,,,,,,,Percent of Total Billed Charges,,,, X RIBS BILAT ,71110TC ,CPT,,Outpatient,,,1233,986.4,921.05,,,,,,,Percent of Total Billed Charges,,921.05,921.05,,1233,,,,,,,Percent of Total Billed Charges,,,,,1183.68,,,,,,,Percent of Total Billed Charges,,,,,1171.35,,,,,,,Percent of Total Billed Charges,,,,,246.6,,,,,,,Percent of Total Billed Charges,,,,,1048.05,,,,,,,Percent of Total Billed Charges,,,,,258.93,,,,,,,Percent of Total Billed Charges,,,,,1109.7,,,,,,,Percent of Total Billed Charges,,,,,1109.7,,,,,,,Percent of Total Billed Charges,,,,,246.6,,,,,,,Percent of Total Billed Charges,,,,,345.24,,,,,,,Percent of Total Billed Charges,,,,,986.4,,,,,,,Percent of Total Billed Charges,,,,,246.6,,,,,,,Percent of Total Billed Charges,,,, X SCAPULA ,73010TC ,CPT,,Outpatient,,,439.5,351.6,328.31,,,,,,,Percent of Total Billed Charges,,328.31,328.31,,439.5,,,,,,,Percent of Total Billed Charges,,,,,421.92,,,,,,,Percent of Total Billed Charges,,,,,417.53,,,,,,,Percent of Total Billed Charges,,,,,87.9,,,,,,,Percent of Total Billed Charges,,,,,373.58,,,,,,,Percent of Total Billed Charges,,,,,92.3,,,,,,,Percent of Total Billed Charges,,,,,395.55,,,,,,,Percent of Total Billed Charges,,,,,395.55,,,,,,,Percent of Total Billed Charges,,,,,87.9,,,,,,,Percent of Total Billed Charges,,,,,123.06,,,,,,,Percent of Total Billed Charges,,,,,351.6,,,,,,,Percent of Total Billed Charges,,,,,87.9,,,,,,,Percent of Total Billed Charges,,,, X SCOLIOSIS SURVEY 2 VIEWS PEDS ,72082TC ,CPT,,Outpatient,,,880.5,704.4,657.73,,,,,,,Percent of Total Billed Charges,,657.73,657.73,,880.5,,,,,,,Percent of Total Billed Charges,,,,,845.28,,,,,,,Percent of Total Billed Charges,,,,,836.48,,,,,,,Percent of Total Billed Charges,,,,,176.1,,,,,,,Percent of Total Billed Charges,,,,,748.43,,,,,,,Percent of Total Billed Charges,,,,,184.91,,,,,,,Percent of Total Billed Charges,,,,,792.45,,,,,,,Percent of Total Billed Charges,,,,,792.45,,,,,,,Percent of Total Billed Charges,,,,,176.1,,,,,,,Percent of Total Billed Charges,,,,,246.54,,,,,,,Percent of Total Billed Charges,,,,,704.4,,,,,,,Percent of Total Billed Charges,,,,,176.1,,,,,,,Percent of Total Billed Charges,,,, X SHOULDER ROUTINE ,73030TC ,CPT,,Outpatient,,,439.5,351.6,328.31,,,,,,,Percent of Total Billed Charges,,328.31,328.31,,439.5,,,,,,,Percent of Total Billed Charges,,,,,421.92,,,,,,,Percent of Total Billed Charges,,,,,417.53,,,,,,,Percent of Total Billed Charges,,,,,87.9,,,,,,,Percent of Total Billed Charges,,,,,373.58,,,,,,,Percent of Total Billed Charges,,,,,92.3,,,,,,,Percent of Total Billed Charges,,,,,395.55,,,,,,,Percent of Total Billed Charges,,,,,395.55,,,,,,,Percent of Total Billed Charges,,,,,87.9,,,,,,,Percent of Total Billed Charges,,,,,123.06,,,,,,,Percent of Total Billed Charges,,,,,351.6,,,,,,,Percent of Total Billed Charges,,,,,87.9,,,,,,,Percent of Total Billed Charges,,,, X SCOLIOSIS SURVEY AP 1 VIEW ,72081TC ,CPT,,Outpatient,,,880.5,704.4,657.73,,,,,,,Percent of Total Billed Charges,,657.73,657.73,,880.5,,,,,,,Percent of Total Billed Charges,,,,,845.28,,,,,,,Percent of Total Billed Charges,,,,,836.48,,,,,,,Percent of Total Billed Charges,,,,,176.1,,,,,,,Percent of Total Billed Charges,,,,,748.43,,,,,,,Percent of Total Billed Charges,,,,,184.91,,,,,,,Percent of Total Billed Charges,,,,,792.45,,,,,,,Percent of Total Billed Charges,,,,,792.45,,,,,,,Percent of Total Billed Charges,,,,,176.1,,,,,,,Percent of Total Billed Charges,,,,,246.54,,,,,,,Percent of Total Billed Charges,,,,,704.4,,,,,,,Percent of Total Billed Charges,,,,,176.1,,,,,,,Percent of Total Billed Charges,,,, X HIP DURING OPERATIVE PROCEDURE ,73502TC ,CPT,,Outpatient,,,737.5,590,550.91,,,,,,,Percent of Total Billed Charges,,550.91,550.91,,737.5,,,,,,,Percent of Total Billed Charges,,,,,708,,,,,,,Percent of Total Billed Charges,,,,,700.63,,,,,,,Percent of Total Billed Charges,,,,,147.5,,,,,,,Percent of Total Billed Charges,,,,,626.88,,,,,,,Percent of Total Billed Charges,,,,,154.88,,,,,,,Percent of Total Billed Charges,,,,,663.75,,,,,,,Percent of Total Billed Charges,,,,,663.75,,,,,,,Percent of Total Billed Charges,,,,,147.5,,,,,,,Percent of Total Billed Charges,,,,,206.5,,,,,,,Percent of Total Billed Charges,,,,,590,,,,,,,Percent of Total Billed Charges,,,,,147.5,,,,,,,Percent of Total Billed Charges,,,, X SINUSES ROUTINE ,70220TC ,CPT,,Outpatient,,,745,596,556.52,,,,,,,Percent of Total Billed Charges,,556.52,556.52,,745,,,,,,,Percent of Total Billed Charges,,,,,715.2,,,,,,,Percent of Total Billed Charges,,,,,707.75,,,,,,,Percent of Total Billed Charges,,,,,149,,,,,,,Percent of Total Billed Charges,,,,,633.25,,,,,,,Percent of Total Billed Charges,,,,,156.45,,,,,,,Percent of Total Billed Charges,,,,,670.5,,,,,,,Percent of Total Billed Charges,,,,,670.5,,,,,,,Percent of Total Billed Charges,,,,,149,,,,,,,Percent of Total Billed Charges,,,,,208.6,,,,,,,Percent of Total Billed Charges,,,,,596,,,,,,,Percent of Total Billed Charges,,,,,149,,,,,,,Percent of Total Billed Charges,,,, X SKULL ROUTINE ,70260TC ,CPT,,Outpatient,,,1131.5,905.2,845.23,,,,,,,Percent of Total Billed Charges,,845.23,845.23,,1131.5,,,,,,,Percent of Total Billed Charges,,,,,1086.24,,,,,,,Percent of Total Billed Charges,,,,,1074.93,,,,,,,Percent of Total Billed Charges,,,,,226.3,,,,,,,Percent of Total Billed Charges,,,,,961.78,,,,,,,Percent of Total Billed Charges,,,,,237.62,,,,,,,Percent of Total Billed Charges,,,,,1018.35,,,,,,,Percent of Total Billed Charges,,,,,1018.35,,,,,,,Percent of Total Billed Charges,,,,,226.3,,,,,,,Percent of Total Billed Charges,,,,,316.82,,,,,,,Percent of Total Billed Charges,,,,,905.2,,,,,,,Percent of Total Billed Charges,,,,,226.3,,,,,,,Percent of Total Billed Charges,,,, X SKULL UP TO 2 VIEWS ,70250TC ,CPT,,Outpatient,,,858.5,686.8,641.3,,,,,,,Percent of Total Billed Charges,,641.3,641.3,,858.5,,,,,,,Percent of Total Billed Charges,,,,,824.16,,,,,,,Percent of Total Billed Charges,,,,,815.58,,,,,,,Percent of Total Billed Charges,,,,,171.7,,,,,,,Percent of Total Billed Charges,,,,,729.73,,,,,,,Percent of Total Billed Charges,,,,,180.29,,,,,,,Percent of Total Billed Charges,,,,,772.65,,,,,,,Percent of Total Billed Charges,,,,,772.65,,,,,,,Percent of Total Billed Charges,,,,,171.7,,,,,,,Percent of Total Billed Charges,,,,,240.38,,,,,,,Percent of Total Billed Charges,,,,,686.8,,,,,,,Percent of Total Billed Charges,,,,,171.7,,,,,,,Percent of Total Billed Charges,,,, X SMALL BOWEL SERIES W/FLUORO ,74250TC ,CPT,,Outpatient,,,594,475.2,443.72,,,,,,,Percent of Total Billed Charges,,443.72,443.72,,594,,,,,,,Percent of Total Billed Charges,,,,,570.24,,,,,,,Percent of Total Billed Charges,,,,,564.3,,,,,,,Percent of Total Billed Charges,,,,,118.8,,,,,,,Percent of Total Billed Charges,,,,,504.9,,,,,,,Percent of Total Billed Charges,,,,,124.74,,,,,,,Percent of Total Billed Charges,,,,,534.6,,,,,,,Percent of Total Billed Charges,,,,,534.6,,,,,,,Percent of Total Billed Charges,,,,,118.8,,,,,,,Percent of Total Billed Charges,,,,,166.32,,,,,,,Percent of Total Billed Charges,,,,,475.2,,,,,,,Percent of Total Billed Charges,,,,,118.8,,,,,,,Percent of Total Billed Charges,,,, X STERNO-CLAVICULAR JOINTS ,71130TC ,CPT,,Outpatient,,,522,417.6,389.93,,,,,,,Percent of Total Billed Charges,,389.93,389.93,,522,,,,,,,Percent of Total Billed Charges,,,,,501.12,,,,,,,Percent of Total Billed Charges,,,,,495.9,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,443.7,,,,,,,Percent of Total Billed Charges,,,,,109.62,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,146.16,,,,,,,Percent of Total Billed Charges,,,,,417.6,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,, X STERNUM ,71120TC ,CPT,,Outpatient,,,541,432.8,404.13,,,,,,,Percent of Total Billed Charges,,404.13,404.13,,541,,,,,,,Percent of Total Billed Charges,,,,,519.36,,,,,,,Percent of Total Billed Charges,,,,,513.95,,,,,,,Percent of Total Billed Charges,,,,,108.2,,,,,,,Percent of Total Billed Charges,,,,,459.85,,,,,,,Percent of Total Billed Charges,,,,,113.61,,,,,,,Percent of Total Billed Charges,,,,,486.9,,,,,,,Percent of Total Billed Charges,,,,,486.9,,,,,,,Percent of Total Billed Charges,,,,,108.2,,,,,,,Percent of Total Billed Charges,,,,,151.48,,,,,,,Percent of Total Billed Charges,,,,,432.8,,,,,,,Percent of Total Billed Charges,,,,,108.2,,,,,,,Percent of Total Billed Charges,,,, X SHUNTOGRAM ,75809TC ,CPT,,Outpatient,,,933.5,746.8,697.32,,,,,,,Percent of Total Billed Charges,,697.32,697.32,,933.5,,,,,,,Percent of Total Billed Charges,,,,,896.16,,,,,,,Percent of Total Billed Charges,,,,,886.83,,,,,,,Percent of Total Billed Charges,,,,,186.7,,,,,,,Percent of Total Billed Charges,,,,,793.48,,,,,,,Percent of Total Billed Charges,,,,,196.04,,,,,,,Percent of Total Billed Charges,,,,,840.15,,,,,,,Percent of Total Billed Charges,,,,,840.15,,,,,,,Percent of Total Billed Charges,,,,,186.7,,,,,,,Percent of Total Billed Charges,,,,,261.38,,,,,,,Percent of Total Billed Charges,,,,,746.8,,,,,,,Percent of Total Billed Charges,,,,,186.7,,,,,,,Percent of Total Billed Charges,,,, X UGI W/SMALL BOWEL STUDY ,74245TC ,CPT,,Outpatient,,,1115.5,892.4,833.28,,,,,,,Percent of Total Billed Charges,,833.28,833.28,,1115.5,,,,,,,Percent of Total Billed Charges,,,,,1070.88,,,,,,,Percent of Total Billed Charges,,,,,1059.73,,,,,,,Percent of Total Billed Charges,,,,,223.1,,,,,,,Percent of Total Billed Charges,,,,,948.18,,,,,,,Percent of Total Billed Charges,,,,,234.26,,,,,,,Percent of Total Billed Charges,,,,,1003.95,,,,,,,Percent of Total Billed Charges,,,,,1003.95,,,,,,,Percent of Total Billed Charges,,,,,223.1,,,,,,,Percent of Total Billed Charges,,,,,312.34,,,,,,,Percent of Total Billed Charges,,,,,892.4,,,,,,,Percent of Total Billed Charges,,,,,223.1,,,,,,,Percent of Total Billed Charges,,,, X TEMPERO MAND JOINTS ,70330TC ,CPT,,Outpatient,,,707.5,566,528.5,,,,,,,Percent of Total Billed Charges,,528.5,528.5,,707.5,,,,,,,Percent of Total Billed Charges,,,,,679.2,,,,,,,Percent of Total Billed Charges,,,,,672.13,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,,,601.38,,,,,,,Percent of Total Billed Charges,,,,,148.58,,,,,,,Percent of Total Billed Charges,,,,,636.75,,,,,,,Percent of Total Billed Charges,,,,,636.75,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,,,198.1,,,,,,,Percent of Total Billed Charges,,,,,566,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,, X THORACIC SPINE ,72072TC ,CPT,,Outpatient,,,707.5,566,528.5,,,,,,,Percent of Total Billed Charges,,528.5,528.5,,707.5,,,,,,,Percent of Total Billed Charges,,,,,679.2,,,,,,,Percent of Total Billed Charges,,,,,672.13,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,,,601.38,,,,,,,Percent of Total Billed Charges,,,,,148.58,,,,,,,Percent of Total Billed Charges,,,,,636.75,,,,,,,Percent of Total Billed Charges,,,,,636.75,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,,,198.1,,,,,,,Percent of Total Billed Charges,,,,,566,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,, X RIGHT TOES ,73660TC ,CPT,,Outpatient,,,365.5,292.4,273.03,,,,,,,Percent of Total Billed Charges,,273.03,273.03,,365.5,,,,,,,Percent of Total Billed Charges,,,,,350.88,,,,,,,Percent of Total Billed Charges,,,,,347.23,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,,,310.68,,,,,,,Percent of Total Billed Charges,,,,,76.76,,,,,,,Percent of Total Billed Charges,,,,,328.95,,,,,,,Percent of Total Billed Charges,,,,,328.95,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,,,102.34,,,,,,,Percent of Total Billed Charges,,,,,292.4,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,, X TOMOGRAPHY ,76100TC ,CPT,,Outpatient,,,185,148,138.2,,,,,,,Percent of Total Billed Charges,,138.2,138.2,,185,,,,,,,Percent of Total Billed Charges,,,,,177.6,,,,,,,Percent of Total Billed Charges,,,,,175.75,,,,,,,Percent of Total Billed Charges,,,,,37,,,,,,,Percent of Total Billed Charges,,,,,157.25,,,,,,,Percent of Total Billed Charges,,,,,38.85,,,,,,,Percent of Total Billed Charges,,,,,166.5,,,,,,,Percent of Total Billed Charges,,,,,166.5,,,,,,,Percent of Total Billed Charges,,,,,37,,,,,,,Percent of Total Billed Charges,,,,,51.8,,,,,,,Percent of Total Billed Charges,,,,,148,,,,,,,Percent of Total Billed Charges,,,,,37,,,,,,,Percent of Total Billed Charges,,,, X SINUSES LIMITED ,70210TC ,CPT,,Outpatient,,,418.5,334.8,312.62,,,,,,,Percent of Total Billed Charges,,312.62,312.62,,418.5,,,,,,,Percent of Total Billed Charges,,,,,401.76,,,,,,,Percent of Total Billed Charges,,,,,397.58,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,355.73,,,,,,,Percent of Total Billed Charges,,,,,87.89,,,,,,,Percent of Total Billed Charges,,,,,376.65,,,,,,,Percent of Total Billed Charges,,,,,376.65,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,117.18,,,,,,,Percent of Total Billed Charges,,,,,334.8,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,, X UPPER GI REGULAR ,74241TC ,CPT,,Outpatient,,,856,684.8,639.43,,,,,,,Percent of Total Billed Charges,,639.43,639.43,,856,,,,,,,Percent of Total Billed Charges,,,,,821.76,,,,,,,Percent of Total Billed Charges,,,,,813.2,,,,,,,Percent of Total Billed Charges,,,,,171.2,,,,,,,Percent of Total Billed Charges,,,,,727.6,,,,,,,Percent of Total Billed Charges,,,,,179.76,,,,,,,Percent of Total Billed Charges,,,,,770.4,,,,,,,Percent of Total Billed Charges,,,,,770.4,,,,,,,Percent of Total Billed Charges,,,,,171.2,,,,,,,Percent of Total Billed Charges,,,,,239.68,,,,,,,Percent of Total Billed Charges,,,,,684.8,,,,,,,Percent of Total Billed Charges,,,,,171.2,,,,,,,Percent of Total Billed Charges,,,, X VENOGRAM ,75820TC ,CPT,,Outpatient,,,1676,1340.8,1251.97,,,,,,,Percent of Total Billed Charges,,1251.97,1251.97,,1676,,,,,,,Percent of Total Billed Charges,,,,,1608.96,,,,,,,Percent of Total Billed Charges,,,,,1592.2,,,,,,,Percent of Total Billed Charges,,,,,335.2,,,,,,,Percent of Total Billed Charges,,,,,1424.6,,,,,,,Percent of Total Billed Charges,,,,,351.96,,,,,,,Percent of Total Billed Charges,,,,,1508.4,,,,,,,Percent of Total Billed Charges,,,,,1508.4,,,,,,,Percent of Total Billed Charges,,,,,335.2,,,,,,,Percent of Total Billed Charges,,,,,469.28,,,,,,,Percent of Total Billed Charges,,,,,1340.8,,,,,,,Percent of Total Billed Charges,,,,,335.2,,,,,,,Percent of Total Billed Charges,,,, X VENOGRAM BILATERAL ,75822TC ,CPT,,Outpatient,,,1611.5,1289.2,1203.79,,,,,,,Percent of Total Billed Charges,,1203.79,1203.79,,1611.5,,,,,,,Percent of Total Billed Charges,,,,,1547.04,,,,,,,Percent of Total Billed Charges,,,,,1530.93,,,,,,,Percent of Total Billed Charges,,,,,322.3,,,,,,,Percent of Total Billed Charges,,,,,1369.78,,,,,,,Percent of Total Billed Charges,,,,,338.42,,,,,,,Percent of Total Billed Charges,,,,,1450.35,,,,,,,Percent of Total Billed Charges,,,,,1450.35,,,,,,,Percent of Total Billed Charges,,,,,322.3,,,,,,,Percent of Total Billed Charges,,,,,451.22,,,,,,,Percent of Total Billed Charges,,,,,1289.2,,,,,,,Percent of Total Billed Charges,,,,,322.3,,,,,,,Percent of Total Billed Charges,,,, X WRIST ROUTINE ,73110TC ,CPT,,Outpatient,,,375.5,300.4,280.5,,,,,,,Percent of Total Billed Charges,,280.5,280.5,,375.5,,,,,,,Percent of Total Billed Charges,,,,,360.48,,,,,,,Percent of Total Billed Charges,,,,,356.73,,,,,,,Percent of Total Billed Charges,,,,,75.1,,,,,,,Percent of Total Billed Charges,,,,,319.18,,,,,,,Percent of Total Billed Charges,,,,,78.86,,,,,,,Percent of Total Billed Charges,,,,,337.95,,,,,,,Percent of Total Billed Charges,,,,,337.95,,,,,,,Percent of Total Billed Charges,,,,,75.1,,,,,,,Percent of Total Billed Charges,,,,,105.14,,,,,,,Percent of Total Billed Charges,,,,,300.4,,,,,,,Percent of Total Billed Charges,,,,,75.1,,,,,,,Percent of Total Billed Charges,,,, X WRIST 2 VIEWS ,73100TC ,CPT,,Outpatient,,,349,279.2,260.7,,,,,,,Percent of Total Billed Charges,,260.7,260.7,,349,,,,,,,Percent of Total Billed Charges,,,,,335.04,,,,,,,Percent of Total Billed Charges,,,,,331.55,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,296.65,,,,,,,Percent of Total Billed Charges,,,,,73.29,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,314.1,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,,,97.72,,,,,,,Percent of Total Billed Charges,,,,,279.2,,,,,,,Percent of Total Billed Charges,,,,,69.8,,,,,,,Percent of Total Billed Charges,,,, X NAVICULAR ,73100TC ,CPT,,Outpatient,,,236,188.8,176.29,,,,,,,Percent of Total Billed Charges,,176.29,176.29,,236,,,,,,,Percent of Total Billed Charges,,,,,226.56,,,,,,,Percent of Total Billed Charges,,,,,224.2,,,,,,,Percent of Total Billed Charges,,,,,47.2,,,,,,,Percent of Total Billed Charges,,,,,200.6,,,,,,,Percent of Total Billed Charges,,,,,49.56,,,,,,,Percent of Total Billed Charges,,,,,212.4,,,,,,,Percent of Total Billed Charges,,,,,212.4,,,,,,,Percent of Total Billed Charges,,,,,47.2,,,,,,,Percent of Total Billed Charges,,,,,66.08,,,,,,,Percent of Total Billed Charges,,,,,188.8,,,,,,,Percent of Total Billed Charges,,,,,47.2,,,,,,,Percent of Total Billed Charges,,,, X MAMMO-SPECIAL VW ,77065TC ,CPT,,Outpatient,,,369,295.2,275.64,,,,,,,Percent of Total Billed Charges,,275.64,275.64,,369,,,,,,,Percent of Total Billed Charges,,,,,354.24,,,,,,,Percent of Total Billed Charges,,,,,350.55,,,,,,,Percent of Total Billed Charges,,,,,73.8,,,,,,,Percent of Total Billed Charges,,,,,313.65,,,,,,,Percent of Total Billed Charges,,,,,77.49,,,,,,,Percent of Total Billed Charges,,,,,332.1,,,,,,,Percent of Total Billed Charges,,,,,332.1,,,,,,,Percent of Total Billed Charges,,,,,73.8,,,,,,,Percent of Total Billed Charges,,,,,103.32,,,,,,,Percent of Total Billed Charges,,,,,295.2,,,,,,,Percent of Total Billed Charges,,,,,73.8,,,,,,,Percent of Total Billed Charges,,,, X MAMMO-UNILAT ,77067TC ,CPT,,Outpatient,,,279,223.2,208.41,,,,,,,Percent of Total Billed Charges,,208.41,208.41,,279,,,,,,,Percent of Total Billed Charges,,,,,267.84,,,,,,,Percent of Total Billed Charges,,,,,265.05,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,58.59,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,251.1,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,,,78.12,,,,,,,Percent of Total Billed Charges,,,,,223.2,,,,,,,Percent of Total Billed Charges,,,,,55.8,,,,,,,Percent of Total Billed Charges,,,, X MAMMO-DIAGNOSTIC ,77066TC ,CPT,,Outpatient,,,335,268,250.25,,,,,,,Percent of Total Billed Charges,,250.25,250.25,,335,,,,,,,Percent of Total Billed Charges,,,,,321.6,,,,,,,Percent of Total Billed Charges,,,,,318.25,,,,,,,Percent of Total Billed Charges,,,,,67,,,,,,,Percent of Total Billed Charges,,,,,284.75,,,,,,,Percent of Total Billed Charges,,,,,70.35,,,,,,,Percent of Total Billed Charges,,,,,301.5,,,,,,,Percent of Total Billed Charges,,,,,301.5,,,,,,,Percent of Total Billed Charges,,,,,67,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,,,268,,,,,,,Percent of Total Billed Charges,,,,,67,,,,,,,Percent of Total Billed Charges,,,, X NEEDLE LOCALIZATION BREAST ,77032TC ,CPT,,Outpatient,,,1618,1294.4,1208.65,,,,,,,Percent of Total Billed Charges,,1208.65,1208.65,,1618,,,,,,,Percent of Total Billed Charges,,,,,1553.28,,,,,,,Percent of Total Billed Charges,,,,,1537.1,,,,,,,Percent of Total Billed Charges,,,,,323.6,,,,,,,Percent of Total Billed Charges,,,,,1375.3,,,,,,,Percent of Total Billed Charges,,,,,339.78,,,,,,,Percent of Total Billed Charges,,,,,1456.2,,,,,,,Percent of Total Billed Charges,,,,,1456.2,,,,,,,Percent of Total Billed Charges,,,,,323.6,,,,,,,Percent of Total Billed Charges,,,,,453.04,,,,,,,Percent of Total Billed Charges,,,,,1294.4,,,,,,,Percent of Total Billed Charges,,,,,323.6,,,,,,,Percent of Total Billed Charges,,,, X NEEDLE LOCALIZATION ADDITION ,77032TC ,CPT,,Outpatient,,,287,229.6,214.39,,,,,,,Percent of Total Billed Charges,,214.39,214.39,,287,,,,,,,Percent of Total Billed Charges,,,,,275.52,,,,,,,Percent of Total Billed Charges,,,,,272.65,,,,,,,Percent of Total Billed Charges,,,,,57.4,,,,,,,Percent of Total Billed Charges,,,,,243.95,,,,,,,Percent of Total Billed Charges,,,,,60.27,,,,,,,Percent of Total Billed Charges,,,,,258.3,,,,,,,Percent of Total Billed Charges,,,,,258.3,,,,,,,Percent of Total Billed Charges,,,,,57.4,,,,,,,Percent of Total Billed Charges,,,,,80.36,,,,,,,Percent of Total Billed Charges,,,,,229.6,,,,,,,Percent of Total Billed Charges,,,,,57.4,,,,,,,Percent of Total Billed Charges,,,, X XRAY NEEDLE BIOPSY W FLUORO ,77002TC ,CPT,,Outpatient,,,1095,876,817.97,,,,,,,Percent of Total Billed Charges,,817.97,817.97,,1095,,,,,,,Percent of Total Billed Charges,,,,,1051.2,,,,,,,Percent of Total Billed Charges,,,,,1040.25,,,,,,,Percent of Total Billed Charges,,,,,219,,,,,,,Percent of Total Billed Charges,,,,,930.75,,,,,,,Percent of Total Billed Charges,,,,,229.95,,,,,,,Percent of Total Billed Charges,,,,,985.5,,,,,,,Percent of Total Billed Charges,,,,,985.5,,,,,,,Percent of Total Billed Charges,,,,,219,,,,,,,Percent of Total Billed Charges,,,,,306.6,,,,,,,Percent of Total Billed Charges,,,,,876,,,,,,,Percent of Total Billed Charges,,,,,219,,,,,,,Percent of Total Billed Charges,,,, X PATELLA ,73562TC ,CPT,,Outpatient,,,300,240,224.1,,,,,,,Percent of Total Billed Charges,,224.1,224.1,,300,,,,,,,Percent of Total Billed Charges,,,,,288,,,,,,,Percent of Total Billed Charges,,,,,285,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,,,255,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,270,,,,,,,Percent of Total Billed Charges,,,,,270,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,,,84,,,,,,,Percent of Total Billed Charges,,,,,240,,,,,,,Percent of Total Billed Charges,,,,,60,,,,,,,Percent of Total Billed Charges,,,, X ZYGOMA ,70150TC ,CPT,,Outpatient,,,533.5,426.8,398.52,,,,,,,Percent of Total Billed Charges,,398.52,398.52,,533.5,,,,,,,Percent of Total Billed Charges,,,,,512.16,,,,,,,Percent of Total Billed Charges,,,,,506.83,,,,,,,Percent of Total Billed Charges,,,,,106.7,,,,,,,Percent of Total Billed Charges,,,,,453.48,,,,,,,Percent of Total Billed Charges,,,,,112.04,,,,,,,Percent of Total Billed Charges,,,,,480.15,,,,,,,Percent of Total Billed Charges,,,,,480.15,,,,,,,Percent of Total Billed Charges,,,,,106.7,,,,,,,Percent of Total Billed Charges,,,,,149.38,,,,,,,Percent of Total Billed Charges,,,,,426.8,,,,,,,Percent of Total Billed Charges,,,,,106.7,,,,,,,Percent of Total Billed Charges,,,, X MAMM/IMPLANT ,77067TC ,CPT,,Outpatient,,,315,252,235.31,,,,,,,Percent of Total Billed Charges,,235.31,235.31,,315,,,,,,,Percent of Total Billed Charges,,,,,302.4,,,,,,,Percent of Total Billed Charges,,,,,299.25,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,267.75,,,,,,,Percent of Total Billed Charges,,,,,66.15,,,,,,,Percent of Total Billed Charges,,,,,283.5,,,,,,,Percent of Total Billed Charges,,,,,283.5,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,88.2,,,,,,,Percent of Total Billed Charges,,,,,252,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,, X MAMM BREAST SURGICAL SPECIMEN ,76098TC ,CPT,,Outpatient,,,493.5,394.8,368.64,,,,,,,Percent of Total Billed Charges,,368.64,368.64,,493.5,,,,,,,Percent of Total Billed Charges,,,,,473.76,,,,,,,Percent of Total Billed Charges,,,,,468.83,,,,,,,Percent of Total Billed Charges,,,,,98.7,,,,,,,Percent of Total Billed Charges,,,,,419.48,,,,,,,Percent of Total Billed Charges,,,,,103.64,,,,,,,Percent of Total Billed Charges,,,,,444.15,,,,,,,Percent of Total Billed Charges,,,,,444.15,,,,,,,Percent of Total Billed Charges,,,,,98.7,,,,,,,Percent of Total Billed Charges,,,,,138.18,,,,,,,Percent of Total Billed Charges,,,,,394.8,,,,,,,Percent of Total Billed Charges,,,,,98.7,,,,,,,Percent of Total Billed Charges,,,, X ARTHROGRAM ,73525TC ,CPT,,Outpatient,,,610.5,488.4,456.04,,,,,,,Percent of Total Billed Charges,,456.04,456.04,,610.5,,,,,,,Percent of Total Billed Charges,,,,,586.08,,,,,,,Percent of Total Billed Charges,,,,,579.98,,,,,,,Percent of Total Billed Charges,,,,,122.1,,,,,,,Percent of Total Billed Charges,,,,,518.93,,,,,,,Percent of Total Billed Charges,,,,,128.21,,,,,,,Percent of Total Billed Charges,,,,,549.45,,,,,,,Percent of Total Billed Charges,,,,,549.45,,,,,,,Percent of Total Billed Charges,,,,,122.1,,,,,,,Percent of Total Billed Charges,,,,,170.94,,,,,,,Percent of Total Billed Charges,,,,,488.4,,,,,,,Percent of Total Billed Charges,,,,,122.1,,,,,,,Percent of Total Billed Charges,,,, X SWALLOW EVAL VIDEOFLUOROSCOPY ,74230TC ,CPT,,Outpatient,,,866.5,693.2,647.28,,,,,,,Percent of Total Billed Charges,,647.28,647.28,,866.5,,,,,,,Percent of Total Billed Charges,,,,,831.84,,,,,,,Percent of Total Billed Charges,,,,,823.18,,,,,,,Percent of Total Billed Charges,,,,,173.3,,,,,,,Percent of Total Billed Charges,,,,,736.53,,,,,,,Percent of Total Billed Charges,,,,,181.97,,,,,,,Percent of Total Billed Charges,,,,,779.85,,,,,,,Percent of Total Billed Charges,,,,,779.85,,,,,,,Percent of Total Billed Charges,,,,,173.3,,,,,,,Percent of Total Billed Charges,,,,,242.62,,,,,,,Percent of Total Billed Charges,,,,,693.2,,,,,,,Percent of Total Billed Charges,,,,,173.3,,,,,,,Percent of Total Billed Charges,,,, X SPEECH EVALUATION ,92610,CPT,,Outpatient,,,96,76.8,71.71,,,,,,,Percent of Total Billed Charges,,71.71,71.71,,96,,,,,,,Percent of Total Billed Charges,,,,,92.16,,,,,,,Percent of Total Billed Charges,,,,,91.2,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,, X MAMMO-SCREEN DIGITAL ,77067TC ,CPT,,Outpatient,,,417,333.6,311.5,,,,,,,Percent of Total Billed Charges,,311.5,311.5,,417,,,,,,,Percent of Total Billed Charges,,,,,400.32,,,,,,,Percent of Total Billed Charges,,,,,396.15,,,,,,,Percent of Total Billed Charges,,,,,83.4,,,,,,,Percent of Total Billed Charges,,,,,354.45,,,,,,,Percent of Total Billed Charges,,,,,87.57,,,,,,,Percent of Total Billed Charges,,,,,375.3,,,,,,,Percent of Total Billed Charges,,,,,375.3,,,,,,,Percent of Total Billed Charges,,,,,83.4,,,,,,,Percent of Total Billed Charges,,,,,116.76,,,,,,,Percent of Total Billed Charges,,,,,333.6,,,,,,,Percent of Total Billed Charges,,,,,83.4,,,,,,,Percent of Total Billed Charges,,,, X MAMMO BILAT SCREEN 2D/3D TOMO ,77063TC ,CPT,,Outpatient,,,230.5,184.4,172.18,,,,,,,Percent of Total Billed Charges,,172.18,172.18,,230.5,,,,,,,Percent of Total Billed Charges,,,,,221.28,,,,,,,Percent of Total Billed Charges,,,,,218.98,,,,,,,Percent of Total Billed Charges,,,,,46.1,,,,,,,Percent of Total Billed Charges,,,,,195.93,,,,,,,Percent of Total Billed Charges,,,,,48.41,,,,,,,Percent of Total Billed Charges,,,,,207.45,,,,,,,Percent of Total Billed Charges,,,,,207.45,,,,,,,Percent of Total Billed Charges,,,,,46.1,,,,,,,Percent of Total Billed Charges,,,,,64.54,,,,,,,Percent of Total Billed Charges,,,,,184.4,,,,,,,Percent of Total Billed Charges,,,,,46.1,,,,,,,Percent of Total Billed Charges,,,, X MAMMO-DX UNILAT DIGITAL ,77065TC ,CPT,,Outpatient,,,417,333.6,311.5,,,,,,,Percent of Total Billed Charges,,311.5,311.5,,417,,,,,,,Percent of Total Billed Charges,,,,,400.32,,,,,,,Percent of Total Billed Charges,,,,,396.15,,,,,,,Percent of Total Billed Charges,,,,,83.4,,,,,,,Percent of Total Billed Charges,,,,,354.45,,,,,,,Percent of Total Billed Charges,,,,,87.57,,,,,,,Percent of Total Billed Charges,,,,,375.3,,,,,,,Percent of Total Billed Charges,,,,,375.3,,,,,,,Percent of Total Billed Charges,,,,,83.4,,,,,,,Percent of Total Billed Charges,,,,,116.76,,,,,,,Percent of Total Billed Charges,,,,,333.6,,,,,,,Percent of Total Billed Charges,,,,,83.4,,,,,,,Percent of Total Billed Charges,,,, X MAMMO-DIAG DIGITAL ,77066TC ,CPT,,Outpatient,,,521.5,417.2,389.56,,,,,,,Percent of Total Billed Charges,,389.56,389.56,,521.5,,,,,,,Percent of Total Billed Charges,,,,,500.64,,,,,,,Percent of Total Billed Charges,,,,,495.43,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,,,443.28,,,,,,,Percent of Total Billed Charges,,,,,109.52,,,,,,,Percent of Total Billed Charges,,,,,469.35,,,,,,,Percent of Total Billed Charges,,,,,469.35,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,,,146.02,,,,,,,Percent of Total Billed Charges,,,,,417.2,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,, X MAMMO-DX BILAT 2D 3D ,G0279TC ,CPT,,Outpatient,,,230.5,184.4,172.18,,,,,,,Percent of Total Billed Charges,,172.18,172.18,,230.5,,,,,,,Percent of Total Billed Charges,,,,,221.28,,,,,,,Percent of Total Billed Charges,,,,,218.98,,,,,,,Percent of Total Billed Charges,,,,,46.1,,,,,,,Percent of Total Billed Charges,,,,,195.93,,,,,,,Percent of Total Billed Charges,,,,,48.41,,,,,,,Percent of Total Billed Charges,,,,,207.45,,,,,,,Percent of Total Billed Charges,,,,,207.45,,,,,,,Percent of Total Billed Charges,,,,,46.1,,,,,,,Percent of Total Billed Charges,,,,,64.54,,,,,,,Percent of Total Billed Charges,,,,,184.4,,,,,,,Percent of Total Billed Charges,,,,,46.1,,,,,,,Percent of Total Billed Charges,,,, X MAMMO-DX UNILAT TOMOSYNTHESIS ,G0279TC ,CPT,,Outpatient,,,230.5,184.4,172.18,,,,,,,Percent of Total Billed Charges,,172.18,172.18,,230.5,,,,,,,Percent of Total Billed Charges,,,,,221.28,,,,,,,Percent of Total Billed Charges,,,,,218.98,,,,,,,Percent of Total Billed Charges,,,,,46.1,,,,,,,Percent of Total Billed Charges,,,,,195.93,,,,,,,Percent of Total Billed Charges,,,,,48.41,,,,,,,Percent of Total Billed Charges,,,,,207.45,,,,,,,Percent of Total Billed Charges,,,,,207.45,,,,,,,Percent of Total Billed Charges,,,,,46.1,,,,,,,Percent of Total Billed Charges,,,,,64.54,,,,,,,Percent of Total Billed Charges,,,,,184.4,,,,,,,Percent of Total Billed Charges,,,,,46.1,,,,,,,Percent of Total Billed Charges,,,, X MAMM/IMPLANT DIGITAL ,77067TC ,CPT,,Outpatient,,,583,466.4,435.5,,,,,,,Percent of Total Billed Charges,,435.5,435.5,,583,,,,,,,Percent of Total Billed Charges,,,,,559.68,,,,,,,Percent of Total Billed Charges,,,,,553.85,,,,,,,Percent of Total Billed Charges,,,,,116.6,,,,,,,Percent of Total Billed Charges,,,,,495.55,,,,,,,Percent of Total Billed Charges,,,,,122.43,,,,,,,Percent of Total Billed Charges,,,,,524.7,,,,,,,Percent of Total Billed Charges,,,,,524.7,,,,,,,Percent of Total Billed Charges,,,,,116.6,,,,,,,Percent of Total Billed Charges,,,,,163.24,,,,,,,Percent of Total Billed Charges,,,,,466.4,,,,,,,Percent of Total Billed Charges,,,,,116.6,,,,,,,Percent of Total Billed Charges,,,, X FLUORO BY RADIOLOGIST ,76000TC ,CPT,,Outpatient,,,332,265.6,248,,,,,,,Percent of Total Billed Charges,,248,248,,332,,,,,,,Percent of Total Billed Charges,,,,,318.72,,,,,,,Percent of Total Billed Charges,,,,,315.4,,,,,,,Percent of Total Billed Charges,,,,,66.4,,,,,,,Percent of Total Billed Charges,,,,,282.2,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,298.8,,,,,,,Percent of Total Billed Charges,,,,,298.8,,,,,,,Percent of Total Billed Charges,,,,,66.4,,,,,,,Percent of Total Billed Charges,,,,,92.96,,,,,,,Percent of Total Billed Charges,,,,,265.6,,,,,,,Percent of Total Billed Charges,,,,,66.4,,,,,,,Percent of Total Billed Charges,,,, X MAMMO-SCREEN ,77067TC ,CPT,,Outpatient,,,225,180,168.08,,,,,,,Percent of Total Billed Charges,,168.08,168.08,,225,,,,,,,Percent of Total Billed Charges,,,,,216,,,,,,,Percent of Total Billed Charges,,,,,213.75,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,191.25,,,,,,,Percent of Total Billed Charges,,,,,47.25,,,,,,,Percent of Total Billed Charges,,,,,202.5,,,,,,,Percent of Total Billed Charges,,,,,202.5,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,180,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,, X RAY DUPLICATION PER EXAM ,250,RC,,Outpatient,,,55,44,41.09,,,,,,,Percent of Total Billed Charges,,41.09,41.09,,55,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,52.25,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,46.75,,,,,,,Percent of Total Billed Charges,,,,,11.55,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,49.5,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,,,15.4,,,,,,,Percent of Total Billed Charges,,,,,44,,,,,,,Percent of Total Billed Charges,,,,,11,,,,,,,Percent of Total Billed Charges,,,, EMERGENCY CALL CHARGE ,250,RC,,Outpatient,,,79,63.2,59.01,,,,,,,Percent of Total Billed Charges,,59.01,59.01,,79,,,,,,,Percent of Total Billed Charges,,,,,75.84,,,,,,,Percent of Total Billed Charges,,,,,75.05,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,67.15,,,,,,,Percent of Total Billed Charges,,,,,16.59,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,22.12,,,,,,,Percent of Total Billed Charges,,,,,63.2,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,, X STAT READING FEE ,250,RC,,Outpatient,,,79,63.2,59.01,,,,,,,Percent of Total Billed Charges,,59.01,59.01,,79,,,,,,,Percent of Total Billed Charges,,,,,75.84,,,,,,,Percent of Total Billed Charges,,,,,75.05,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,67.15,,,,,,,Percent of Total Billed Charges,,,,,16.59,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,22.12,,,,,,,Percent of Total Billed Charges,,,,,63.2,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,, X LEFT ANKLE 2 VIEW ,73600TC ,CPT,,Outpatient,,,469,375.2,350.34,,,,,,,Percent of Total Billed Charges,,350.34,350.34,,469,,,,,,,Percent of Total Billed Charges,,,,,450.24,,,,,,,Percent of Total Billed Charges,,,,,445.55,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,,,398.65,,,,,,,Percent of Total Billed Charges,,,,,98.49,,,,,,,Percent of Total Billed Charges,,,,,422.1,,,,,,,Percent of Total Billed Charges,,,,,422.1,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,,,131.32,,,,,,,Percent of Total Billed Charges,,,,,375.2,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,, CYSTOGRAFFIN PER BOTTLE ,250,RC,,Outpatient,,,91.5,73.2,68.35,,,,,,,Percent of Total Billed Charges,,68.35,68.35,,91.5,,,,,,,Percent of Total Billed Charges,,,,,87.84,,,,,,,Percent of Total Billed Charges,,,,,86.93,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,,,77.78,,,,,,,Percent of Total Billed Charges,,,,,19.22,,,,,,,Percent of Total Billed Charges,,,,,82.35,,,,,,,Percent of Total Billed Charges,,,,,82.35,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,,,25.62,,,,,,,Percent of Total Billed Charges,,,,,73.2,,,,,,,Percent of Total Billed Charges,,,,,18.3,,,,,,,Percent of Total Billed Charges,,,, X LEFT ANKLE ROUTINE ,73610TC ,CPT,,Outpatient,,,522,417.6,389.93,,,,,,,Percent of Total Billed Charges,,389.93,389.93,,522,,,,,,,Percent of Total Billed Charges,,,,,501.12,,,,,,,Percent of Total Billed Charges,,,,,495.9,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,443.7,,,,,,,Percent of Total Billed Charges,,,,,109.62,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,146.16,,,,,,,Percent of Total Billed Charges,,,,,417.6,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,, GASTROGRAFIN 30ML ,250,RC,,Outpatient,,,314.5,251.6,234.93,,,,,,,Percent of Total Billed Charges,,234.93,234.93,,314.5,,,,,,,Percent of Total Billed Charges,,,,,301.92,,,,,,,Percent of Total Billed Charges,,,,,298.78,,,,,,,Percent of Total Billed Charges,,,,,62.9,,,,,,,Percent of Total Billed Charges,,,,,267.33,,,,,,,Percent of Total Billed Charges,,,,,66.05,,,,,,,Percent of Total Billed Charges,,,,,283.05,,,,,,,Percent of Total Billed Charges,,,,,283.05,,,,,,,Percent of Total Billed Charges,,,,,62.9,,,,,,,Percent of Total Billed Charges,,,,,88.06,,,,,,,Percent of Total Billed Charges,,,,,251.6,,,,,,,Percent of Total Billed Charges,,,,,62.9,,,,,,,Percent of Total Billed Charges,,,, X LEFT CLAVICLE ,73000TC ,CPT,,Outpatient,,,492.5,394,367.9,,,,,,,Percent of Total Billed Charges,,367.9,367.9,,492.5,,,,,,,Percent of Total Billed Charges,,,,,472.8,,,,,,,Percent of Total Billed Charges,,,,,467.88,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,418.63,,,,,,,Percent of Total Billed Charges,,,,,103.43,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,137.9,,,,,,,Percent of Total Billed Charges,,,,,394,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,, KINEVAC PER BOTTLE ,J2805 ,CPT,,Outpatient,,,156.5,125.2,116.91,,,,,,,Percent of Total Billed Charges,,116.91,116.91,,156.5,,,,,,,Percent of Total Billed Charges,,,,,150.24,,,,,,,Percent of Total Billed Charges,,,,,148.68,,,,,,,Percent of Total Billed Charges,,,,,31.3,,,,,,,Percent of Total Billed Charges,,,,,133.03,,,,,,,Percent of Total Billed Charges,,,,,32.87,,,,,,,Percent of Total Billed Charges,,,,,140.85,,,,,,,Percent of Total Billed Charges,,,,,140.85,,,,,,,Percent of Total Billed Charges,,,,,31.3,,,,,,,Percent of Total Billed Charges,,,,,43.82,,,,,,,Percent of Total Billed Charges,,,,,125.2,,,,,,,Percent of Total Billed Charges,,,,,31.3,,,,,,,Percent of Total Billed Charges,,,, RENO M-60 ,250,RC,,Outpatient,,,43.5,34.8,32.49,,,,,,,Percent of Total Billed Charges,,32.49,32.49,,43.5,,,,,,,Percent of Total Billed Charges,,,,,41.76,,,,,,,Percent of Total Billed Charges,,,,,41.33,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,36.98,,,,,,,Percent of Total Billed Charges,,,,,9.14,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,39.15,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,,,12.18,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,8.7,,,,,,,Percent of Total Billed Charges,,,, X LEFT ELBOW 2VIEW ,73070TC ,CPT,,Outpatient,,,431.5,345.2,322.33,,,,,,,Percent of Total Billed Charges,,322.33,322.33,,431.5,,,,,,,Percent of Total Billed Charges,,,,,414.24,,,,,,,Percent of Total Billed Charges,,,,,409.93,,,,,,,Percent of Total Billed Charges,,,,,86.3,,,,,,,Percent of Total Billed Charges,,,,,366.78,,,,,,,Percent of Total Billed Charges,,,,,90.62,,,,,,,Percent of Total Billed Charges,,,,,388.35,,,,,,,Percent of Total Billed Charges,,,,,388.35,,,,,,,Percent of Total Billed Charges,,,,,86.3,,,,,,,Percent of Total Billed Charges,,,,,120.82,,,,,,,Percent of Total Billed Charges,,,,,345.2,,,,,,,Percent of Total Billed Charges,,,,,86.3,,,,,,,Percent of Total Billed Charges,,,, X LEFT ELBOW ROUTINE ,73080TC ,CPT,,Outpatient,,,481.5,385.2,359.68,,,,,,,Percent of Total Billed Charges,,359.68,359.68,,481.5,,,,,,,Percent of Total Billed Charges,,,,,462.24,,,,,,,Percent of Total Billed Charges,,,,,457.43,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,409.28,,,,,,,Percent of Total Billed Charges,,,,,101.12,,,,,,,Percent of Total Billed Charges,,,,,433.35,,,,,,,Percent of Total Billed Charges,,,,,433.35,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,134.82,,,,,,,Percent of Total Billed Charges,,,,,385.2,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,, X-LOCM CONTRAST ,250,RC,,Outpatient,,,184.5,147.6,137.82,,,,,,,Percent of Total Billed Charges,,137.82,137.82,,184.5,,,,,,,Percent of Total Billed Charges,,,,,177.12,,,,,,,Percent of Total Billed Charges,,,,,175.28,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,156.83,,,,,,,Percent of Total Billed Charges,,,,,38.75,,,,,,,Percent of Total Billed Charges,,,,,166.05,,,,,,,Percent of Total Billed Charges,,,,,166.05,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,,,51.66,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,36.9,,,,,,,Percent of Total Billed Charges,,,, X LEFT FEMUR ,73552TC ,CPT,,Outpatient,,,550.5,440.4,411.22,,,,,,,Percent of Total Billed Charges,,411.22,411.22,,550.5,,,,,,,Percent of Total Billed Charges,,,,,528.48,,,,,,,Percent of Total Billed Charges,,,,,522.98,,,,,,,Percent of Total Billed Charges,,,,,110.1,,,,,,,Percent of Total Billed Charges,,,,,467.93,,,,,,,Percent of Total Billed Charges,,,,,115.61,,,,,,,Percent of Total Billed Charges,,,,,495.45,,,,,,,Percent of Total Billed Charges,,,,,495.45,,,,,,,Percent of Total Billed Charges,,,,,110.1,,,,,,,Percent of Total Billed Charges,,,,,154.14,,,,,,,Percent of Total Billed Charges,,,,,440.4,,,,,,,Percent of Total Billed Charges,,,,,110.1,,,,,,,Percent of Total Billed Charges,,,, X LEFT FINGERS OR THUMB ,73140TC ,CPT,,Outpatient,,,388.5,310.8,290.21,,,,,,,Percent of Total Billed Charges,,290.21,290.21,,388.5,,,,,,,Percent of Total Billed Charges,,,,,372.96,,,,,,,Percent of Total Billed Charges,,,,,369.08,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,330.23,,,,,,,Percent of Total Billed Charges,,,,,81.59,,,,,,,Percent of Total Billed Charges,,,,,349.65,,,,,,,Percent of Total Billed Charges,,,,,349.65,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,108.78,,,,,,,Percent of Total Billed Charges,,,,,310.8,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,, X LEFT FOOT 2 VIEWS ,73620TC ,CPT,,Outpatient,,,457,365.6,341.38,,,,,,,Percent of Total Billed Charges,,341.38,341.38,,457,,,,,,,Percent of Total Billed Charges,,,,,438.72,,,,,,,Percent of Total Billed Charges,,,,,434.15,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,,,388.45,,,,,,,Percent of Total Billed Charges,,,,,95.97,,,,,,,Percent of Total Billed Charges,,,,,411.3,,,,,,,Percent of Total Billed Charges,,,,,411.3,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,,,127.96,,,,,,,Percent of Total Billed Charges,,,,,365.6,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,, X LEFT FOOT ROUTINE ,73630TC ,CPT,,Outpatient,,,481.5,385.2,359.68,,,,,,,Percent of Total Billed Charges,,359.68,359.68,,481.5,,,,,,,Percent of Total Billed Charges,,,,,462.24,,,,,,,Percent of Total Billed Charges,,,,,457.43,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,409.28,,,,,,,Percent of Total Billed Charges,,,,,101.12,,,,,,,Percent of Total Billed Charges,,,,,433.35,,,,,,,Percent of Total Billed Charges,,,,,433.35,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,134.82,,,,,,,Percent of Total Billed Charges,,,,,385.2,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,, X LEFT FOREARM ROUTINE ,73090TC ,CPT,,Outpatient,,,481.5,385.2,359.68,,,,,,,Percent of Total Billed Charges,,359.68,359.68,,481.5,,,,,,,Percent of Total Billed Charges,,,,,462.24,,,,,,,Percent of Total Billed Charges,,,,,457.43,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,409.28,,,,,,,Percent of Total Billed Charges,,,,,101.12,,,,,,,Percent of Total Billed Charges,,,,,433.35,,,,,,,Percent of Total Billed Charges,,,,,433.35,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,134.82,,,,,,,Percent of Total Billed Charges,,,,,385.2,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,, X LEFT HAND 2 VIEWS ,73120TC ,CPT,,Outpatient,,,445.5,356.4,332.79,,,,,,,Percent of Total Billed Charges,,332.79,332.79,,445.5,,,,,,,Percent of Total Billed Charges,,,,,427.68,,,,,,,Percent of Total Billed Charges,,,,,423.23,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,378.68,,,,,,,Percent of Total Billed Charges,,,,,93.56,,,,,,,Percent of Total Billed Charges,,,,,400.95,,,,,,,Percent of Total Billed Charges,,,,,400.95,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,124.74,,,,,,,Percent of Total Billed Charges,,,,,356.4,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,, X LEFT HAND ROUTINE ,73130TC ,CPT,,Outpatient,,,492.5,394,367.9,,,,,,,Percent of Total Billed Charges,,367.9,367.9,,492.5,,,,,,,Percent of Total Billed Charges,,,,,472.8,,,,,,,Percent of Total Billed Charges,,,,,467.88,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,418.63,,,,,,,Percent of Total Billed Charges,,,,,103.43,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,137.9,,,,,,,Percent of Total Billed Charges,,,,,394,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,, X LEFT HIP (ROUTINE) ,73502TC ,CPT,,Outpatient,,,589,471.2,439.98,,,,,,,Percent of Total Billed Charges,,439.98,439.98,,589,,,,,,,Percent of Total Billed Charges,,,,,565.44,,,,,,,Percent of Total Billed Charges,,,,,559.55,,,,,,,Percent of Total Billed Charges,,,,,117.8,,,,,,,Percent of Total Billed Charges,,,,,500.65,,,,,,,Percent of Total Billed Charges,,,,,123.69,,,,,,,Percent of Total Billed Charges,,,,,530.1,,,,,,,Percent of Total Billed Charges,,,,,530.1,,,,,,,Percent of Total Billed Charges,,,,,117.8,,,,,,,Percent of Total Billed Charges,,,,,164.92,,,,,,,Percent of Total Billed Charges,,,,,471.2,,,,,,,Percent of Total Billed Charges,,,,,117.8,,,,,,,Percent of Total Billed Charges,,,, X LEFT HIP DR WHITE SERIES ,73502TC ,CPT,,Outpatient,,,708.5,566.8,529.25,,,,,,,Percent of Total Billed Charges,,529.25,529.25,,708.5,,,,,,,Percent of Total Billed Charges,,,,,680.16,,,,,,,Percent of Total Billed Charges,,,,,673.08,,,,,,,Percent of Total Billed Charges,,,,,141.7,,,,,,,Percent of Total Billed Charges,,,,,602.23,,,,,,,Percent of Total Billed Charges,,,,,148.79,,,,,,,Percent of Total Billed Charges,,,,,637.65,,,,,,,Percent of Total Billed Charges,,,,,637.65,,,,,,,Percent of Total Billed Charges,,,,,141.7,,,,,,,Percent of Total Billed Charges,,,,,198.38,,,,,,,Percent of Total Billed Charges,,,,,566.8,,,,,,,Percent of Total Billed Charges,,,,,141.7,,,,,,,Percent of Total Billed Charges,,,, X LEFT HIP POST OPERATIVE 2V ,73502TC ,CPT,,Outpatient,,,982,785.6,733.55,,,,,,,Percent of Total Billed Charges,,733.55,733.55,,982,,,,,,,Percent of Total Billed Charges,,,,,942.72,,,,,,,Percent of Total Billed Charges,,,,,932.9,,,,,,,Percent of Total Billed Charges,,,,,196.4,,,,,,,Percent of Total Billed Charges,,,,,834.7,,,,,,,Percent of Total Billed Charges,,,,,206.22,,,,,,,Percent of Total Billed Charges,,,,,883.8,,,,,,,Percent of Total Billed Charges,,,,,883.8,,,,,,,Percent of Total Billed Charges,,,,,196.4,,,,,,,Percent of Total Billed Charges,,,,,274.96,,,,,,,Percent of Total Billed Charges,,,,,785.6,,,,,,,Percent of Total Billed Charges,,,,,196.4,,,,,,,Percent of Total Billed Charges,,,, X LEFT HIP PINNING W/C ARM ,73502TC ,CPT,,Outpatient,,,1977.5,1582,1477.19,,,,,,,Percent of Total Billed Charges,,1477.19,1477.19,,1977.5,,,,,,,Percent of Total Billed Charges,,,,,1898.4,,,,,,,Percent of Total Billed Charges,,,,,1878.63,,,,,,,Percent of Total Billed Charges,,,,,395.5,,,,,,,Percent of Total Billed Charges,,,,,1680.88,,,,,,,Percent of Total Billed Charges,,,,,415.28,,,,,,,Percent of Total Billed Charges,,,,,1779.75,,,,,,,Percent of Total Billed Charges,,,,,1779.75,,,,,,,Percent of Total Billed Charges,,,,,395.5,,,,,,,Percent of Total Billed Charges,,,,,553.7,,,,,,,Percent of Total Billed Charges,,,,,1582,,,,,,,Percent of Total Billed Charges,,,,,395.5,,,,,,,Percent of Total Billed Charges,,,, X LEFT HIP WITH AP PELVIS (TRAUMA) ,73502TC ,CPT,,Outpatient,,,745,596,556.52,,,,,,,Percent of Total Billed Charges,,556.52,556.52,,745,,,,,,,Percent of Total Billed Charges,,,,,715.2,,,,,,,Percent of Total Billed Charges,,,,,707.75,,,,,,,Percent of Total Billed Charges,,,,,149,,,,,,,Percent of Total Billed Charges,,,,,633.25,,,,,,,Percent of Total Billed Charges,,,,,156.45,,,,,,,Percent of Total Billed Charges,,,,,670.5,,,,,,,Percent of Total Billed Charges,,,,,670.5,,,,,,,Percent of Total Billed Charges,,,,,149,,,,,,,Percent of Total Billed Charges,,,,,208.6,,,,,,,Percent of Total Billed Charges,,,,,596,,,,,,,Percent of Total Billed Charges,,,,,149,,,,,,,Percent of Total Billed Charges,,,, X LEFT HUMERUS ,73060TC ,CPT,,Outpatient,,,582.5,466,435.13,,,,,,,Percent of Total Billed Charges,,435.13,435.13,,582.5,,,,,,,Percent of Total Billed Charges,,,,,559.2,,,,,,,Percent of Total Billed Charges,,,,,553.38,,,,,,,Percent of Total Billed Charges,,,,,116.5,,,,,,,Percent of Total Billed Charges,,,,,495.13,,,,,,,Percent of Total Billed Charges,,,,,122.33,,,,,,,Percent of Total Billed Charges,,,,,524.25,,,,,,,Percent of Total Billed Charges,,,,,524.25,,,,,,,Percent of Total Billed Charges,,,,,116.5,,,,,,,Percent of Total Billed Charges,,,,,163.1,,,,,,,Percent of Total Billed Charges,,,,,466,,,,,,,Percent of Total Billed Charges,,,,,116.5,,,,,,,Percent of Total Billed Charges,,,, X LEFT KNEE 2 VW ROUTINE ,73560TC ,CPT,,Outpatient,,,522,417.6,389.93,,,,,,,Percent of Total Billed Charges,,389.93,389.93,,522,,,,,,,Percent of Total Billed Charges,,,,,501.12,,,,,,,Percent of Total Billed Charges,,,,,495.9,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,443.7,,,,,,,Percent of Total Billed Charges,,,,,109.62,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,146.16,,,,,,,Percent of Total Billed Charges,,,,,417.6,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,, X LEFT KNEE 3 VIEWS ORTHO ,73562TC ,CPT,,Outpatient,,,651,520.8,486.3,,,,,,,Percent of Total Billed Charges,,486.3,486.3,,651,,,,,,,Percent of Total Billed Charges,,,,,624.96,,,,,,,Percent of Total Billed Charges,,,,,618.45,,,,,,,Percent of Total Billed Charges,,,,,130.2,,,,,,,Percent of Total Billed Charges,,,,,553.35,,,,,,,Percent of Total Billed Charges,,,,,136.71,,,,,,,Percent of Total Billed Charges,,,,,585.9,,,,,,,Percent of Total Billed Charges,,,,,585.9,,,,,,,Percent of Total Billed Charges,,,,,130.2,,,,,,,Percent of Total Billed Charges,,,,,182.28,,,,,,,Percent of Total Billed Charges,,,,,520.8,,,,,,,Percent of Total Billed Charges,,,,,130.2,,,,,,,Percent of Total Billed Charges,,,, X LEFT KNEE 4 OR MORE VIEWS ,73564TC ,CPT,,Outpatient,,,904.5,723.6,675.66,,,,,,,Percent of Total Billed Charges,,675.66,675.66,,904.5,,,,,,,Percent of Total Billed Charges,,,,,868.32,,,,,,,Percent of Total Billed Charges,,,,,859.28,,,,,,,Percent of Total Billed Charges,,,,,180.9,,,,,,,Percent of Total Billed Charges,,,,,768.83,,,,,,,Percent of Total Billed Charges,,,,,189.95,,,,,,,Percent of Total Billed Charges,,,,,814.05,,,,,,,Percent of Total Billed Charges,,,,,814.05,,,,,,,Percent of Total Billed Charges,,,,,180.9,,,,,,,Percent of Total Billed Charges,,,,,253.26,,,,,,,Percent of Total Billed Charges,,,,,723.6,,,,,,,Percent of Total Billed Charges,,,,,180.9,,,,,,,Percent of Total Billed Charges,,,, X LEFT LOWER LEG/TIB FIB ,73590TC ,CPT,,Outpatient,,,492.5,394,367.9,,,,,,,Percent of Total Billed Charges,,367.9,367.9,,492.5,,,,,,,Percent of Total Billed Charges,,,,,472.8,,,,,,,Percent of Total Billed Charges,,,,,467.88,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,418.63,,,,,,,Percent of Total Billed Charges,,,,,103.43,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,137.9,,,,,,,Percent of Total Billed Charges,,,,,394,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,, X MANDIBLE BILATERAL ,70110TC ,CPT,,Outpatient,,,669.5,535.6,500.12,,,,,,,Percent of Total Billed Charges,,500.12,500.12,,669.5,,,,,,,Percent of Total Billed Charges,,,,,642.72,,,,,,,Percent of Total Billed Charges,,,,,636.03,,,,,,,Percent of Total Billed Charges,,,,,133.9,,,,,,,Percent of Total Billed Charges,,,,,569.08,,,,,,,Percent of Total Billed Charges,,,,,140.6,,,,,,,Percent of Total Billed Charges,,,,,602.55,,,,,,,Percent of Total Billed Charges,,,,,602.55,,,,,,,Percent of Total Billed Charges,,,,,133.9,,,,,,,Percent of Total Billed Charges,,,,,187.46,,,,,,,Percent of Total Billed Charges,,,,,535.6,,,,,,,Percent of Total Billed Charges,,,,,133.9,,,,,,,Percent of Total Billed Charges,,,, X LEFT MASTOIDS ,70130TC ,CPT,,Outpatient,,,905.5,724.4,676.41,,,,,,,Percent of Total Billed Charges,,676.41,676.41,,905.5,,,,,,,Percent of Total Billed Charges,,,,,869.28,,,,,,,Percent of Total Billed Charges,,,,,860.23,,,,,,,Percent of Total Billed Charges,,,,,181.1,,,,,,,Percent of Total Billed Charges,,,,,769.68,,,,,,,Percent of Total Billed Charges,,,,,190.16,,,,,,,Percent of Total Billed Charges,,,,,814.95,,,,,,,Percent of Total Billed Charges,,,,,814.95,,,,,,,Percent of Total Billed Charges,,,,,181.1,,,,,,,Percent of Total Billed Charges,,,,,253.54,,,,,,,Percent of Total Billed Charges,,,,,724.4,,,,,,,Percent of Total Billed Charges,,,,,181.1,,,,,,,Percent of Total Billed Charges,,,, X LEFT NAVICULAR ,73100TC ,CPT,,Outpatient,,,304.5,243.6,227.46,,,,,,,Percent of Total Billed Charges,,227.46,227.46,,304.5,,,,,,,Percent of Total Billed Charges,,,,,292.32,,,,,,,Percent of Total Billed Charges,,,,,289.28,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,258.83,,,,,,,Percent of Total Billed Charges,,,,,63.95,,,,,,,Percent of Total Billed Charges,,,,,274.05,,,,,,,Percent of Total Billed Charges,,,,,274.05,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,85.26,,,,,,,Percent of Total Billed Charges,,,,,243.6,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,, X LEFT OS CALCIS ,73650TC ,CPT,,Outpatient,,,452.5,362,338.02,,,,,,,Percent of Total Billed Charges,,338.02,338.02,,452.5,,,,,,,Percent of Total Billed Charges,,,,,434.4,,,,,,,Percent of Total Billed Charges,,,,,429.88,,,,,,,Percent of Total Billed Charges,,,,,90.5,,,,,,,Percent of Total Billed Charges,,,,,384.63,,,,,,,Percent of Total Billed Charges,,,,,95.03,,,,,,,Percent of Total Billed Charges,,,,,407.25,,,,,,,Percent of Total Billed Charges,,,,,407.25,,,,,,,Percent of Total Billed Charges,,,,,90.5,,,,,,,Percent of Total Billed Charges,,,,,126.7,,,,,,,Percent of Total Billed Charges,,,,,362,,,,,,,Percent of Total Billed Charges,,,,,90.5,,,,,,,Percent of Total Billed Charges,,,, X LEFT PATELLA ,73562TC ,CPT,,Outpatient,,,391.5,313.2,292.45,,,,,,,Percent of Total Billed Charges,,292.45,292.45,,391.5,,,,,,,Percent of Total Billed Charges,,,,,375.84,,,,,,,Percent of Total Billed Charges,,,,,371.93,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,332.78,,,,,,,Percent of Total Billed Charges,,,,,82.22,,,,,,,Percent of Total Billed Charges,,,,,352.35,,,,,,,Percent of Total Billed Charges,,,,,352.35,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,109.62,,,,,,,Percent of Total Billed Charges,,,,,313.2,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,, X LEFT RIBS UNI W/PA (ROUTINE) ,71101TC ,CPT,,Outpatient,,,900,720,672.3,,,,,,,Percent of Total Billed Charges,,672.3,672.3,,900,,,,,,,Percent of Total Billed Charges,,,,,864,,,,,,,Percent of Total Billed Charges,,,,,855,,,,,,,Percent of Total Billed Charges,,,,,180,,,,,,,Percent of Total Billed Charges,,,,,765,,,,,,,Percent of Total Billed Charges,,,,,189,,,,,,,Percent of Total Billed Charges,,,,,810,,,,,,,Percent of Total Billed Charges,,,,,810,,,,,,,Percent of Total Billed Charges,,,,,180,,,,,,,Percent of Total Billed Charges,,,,,252,,,,,,,Percent of Total Billed Charges,,,,,720,,,,,,,Percent of Total Billed Charges,,,,,180,,,,,,,Percent of Total Billed Charges,,,, X LEFT RIBS UNILAT ,71100TC ,CPT,,Outpatient,,,736.5,589.2,550.17,,,,,,,Percent of Total Billed Charges,,550.17,550.17,,736.5,,,,,,,Percent of Total Billed Charges,,,,,707.04,,,,,,,Percent of Total Billed Charges,,,,,699.68,,,,,,,Percent of Total Billed Charges,,,,,147.3,,,,,,,Percent of Total Billed Charges,,,,,626.03,,,,,,,Percent of Total Billed Charges,,,,,154.67,,,,,,,Percent of Total Billed Charges,,,,,662.85,,,,,,,Percent of Total Billed Charges,,,,,662.85,,,,,,,Percent of Total Billed Charges,,,,,147.3,,,,,,,Percent of Total Billed Charges,,,,,206.22,,,,,,,Percent of Total Billed Charges,,,,,589.2,,,,,,,Percent of Total Billed Charges,,,,,147.3,,,,,,,Percent of Total Billed Charges,,,, X LEFT SCAPULA ,73010TC ,CPT,,Outpatient,,,580,464,433.26,,,,,,,Percent of Total Billed Charges,,433.26,433.26,,580,,,,,,,Percent of Total Billed Charges,,,,,556.8,,,,,,,Percent of Total Billed Charges,,,,,551,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,,,493,,,,,,,Percent of Total Billed Charges,,,,,121.8,,,,,,,Percent of Total Billed Charges,,,,,522,,,,,,,Percent of Total Billed Charges,,,,,522,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,,,162.4,,,,,,,Percent of Total Billed Charges,,,,,464,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,, X LEFT SHOULDER ROUTINE ,73030TC ,CPT,,Outpatient,,,580,464,433.26,,,,,,,Percent of Total Billed Charges,,433.26,433.26,,580,,,,,,,Percent of Total Billed Charges,,,,,556.8,,,,,,,Percent of Total Billed Charges,,,,,551,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,,,493,,,,,,,Percent of Total Billed Charges,,,,,121.8,,,,,,,Percent of Total Billed Charges,,,,,522,,,,,,,Percent of Total Billed Charges,,,,,522,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,,,162.4,,,,,,,Percent of Total Billed Charges,,,,,464,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,, X LEFT TOES ,73660TC ,CPT,,Outpatient,,,365.5,292.4,273.03,,,,,,,Percent of Total Billed Charges,,273.03,273.03,,365.5,,,,,,,Percent of Total Billed Charges,,,,,350.88,,,,,,,Percent of Total Billed Charges,,,,,347.23,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,,,310.68,,,,,,,Percent of Total Billed Charges,,,,,76.76,,,,,,,Percent of Total Billed Charges,,,,,328.95,,,,,,,Percent of Total Billed Charges,,,,,328.95,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,,,102.34,,,,,,,Percent of Total Billed Charges,,,,,292.4,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,, X LEFT WRIST 2 VIEWS ,73100TC ,CPT,,Outpatient,,,457,365.6,341.38,,,,,,,Percent of Total Billed Charges,,341.38,341.38,,457,,,,,,,Percent of Total Billed Charges,,,,,438.72,,,,,,,Percent of Total Billed Charges,,,,,434.15,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,,,388.45,,,,,,,Percent of Total Billed Charges,,,,,95.97,,,,,,,Percent of Total Billed Charges,,,,,411.3,,,,,,,Percent of Total Billed Charges,,,,,411.3,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,,,127.96,,,,,,,Percent of Total Billed Charges,,,,,365.6,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,, X LEFT WRIST ROUTINE ,73110TC ,CPT,,Outpatient,,,492.5,394,367.9,,,,,,,Percent of Total Billed Charges,,367.9,367.9,,492.5,,,,,,,Percent of Total Billed Charges,,,,,472.8,,,,,,,Percent of Total Billed Charges,,,,,467.88,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,418.63,,,,,,,Percent of Total Billed Charges,,,,,103.43,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,137.9,,,,,,,Percent of Total Billed Charges,,,,,394,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,, X LEFT ZYGOMA ,70150TC ,CPT,,Outpatient,,,707.5,566,528.5,,,,,,,Percent of Total Billed Charges,,528.5,528.5,,707.5,,,,,,,Percent of Total Billed Charges,,,,,679.2,,,,,,,Percent of Total Billed Charges,,,,,672.13,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,,,601.38,,,,,,,Percent of Total Billed Charges,,,,,148.58,,,,,,,Percent of Total Billed Charges,,,,,636.75,,,,,,,Percent of Total Billed Charges,,,,,636.75,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,,,198.1,,,,,,,Percent of Total Billed Charges,,,,,566,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,, X LEFT ORBIT ,70200TC ,CPT,,Outpatient,,,657,525.6,490.78,,,,,,,Percent of Total Billed Charges,,490.78,490.78,,657,,,,,,,Percent of Total Billed Charges,,,,,630.72,,,,,,,Percent of Total Billed Charges,,,,,624.15,,,,,,,Percent of Total Billed Charges,,,,,131.4,,,,,,,Percent of Total Billed Charges,,,,,558.45,,,,,,,Percent of Total Billed Charges,,,,,137.97,,,,,,,Percent of Total Billed Charges,,,,,591.3,,,,,,,Percent of Total Billed Charges,,,,,591.3,,,,,,,Percent of Total Billed Charges,,,,,131.4,,,,,,,Percent of Total Billed Charges,,,,,183.96,,,,,,,Percent of Total Billed Charges,,,,,525.6,,,,,,,Percent of Total Billed Charges,,,,,131.4,,,,,,,Percent of Total Billed Charges,,,, X RIGHT SHOULDER 1 VIEW ,73020TC ,CPT,,Outpatient,,,350.5,280.4,261.82,,,,,,,Percent of Total Billed Charges,,261.82,261.82,,350.5,,,,,,,Percent of Total Billed Charges,,,,,336.48,,,,,,,Percent of Total Billed Charges,,,,,332.98,,,,,,,Percent of Total Billed Charges,,,,,70.1,,,,,,,Percent of Total Billed Charges,,,,,297.93,,,,,,,Percent of Total Billed Charges,,,,,73.61,,,,,,,Percent of Total Billed Charges,,,,,315.45,,,,,,,Percent of Total Billed Charges,,,,,315.45,,,,,,,Percent of Total Billed Charges,,,,,70.1,,,,,,,Percent of Total Billed Charges,,,,,98.14,,,,,,,Percent of Total Billed Charges,,,,,280.4,,,,,,,Percent of Total Billed Charges,,,,,70.1,,,,,,,Percent of Total Billed Charges,,,, X LEFT SHOULDER 1 VIEW ,73020TC ,CPT,,Outpatient,,,350.5,280.4,261.82,,,,,,,Percent of Total Billed Charges,,261.82,261.82,,350.5,,,,,,,Percent of Total Billed Charges,,,,,336.48,,,,,,,Percent of Total Billed Charges,,,,,332.98,,,,,,,Percent of Total Billed Charges,,,,,70.1,,,,,,,Percent of Total Billed Charges,,,,,297.93,,,,,,,Percent of Total Billed Charges,,,,,73.61,,,,,,,Percent of Total Billed Charges,,,,,315.45,,,,,,,Percent of Total Billed Charges,,,,,315.45,,,,,,,Percent of Total Billed Charges,,,,,70.1,,,,,,,Percent of Total Billed Charges,,,,,98.14,,,,,,,Percent of Total Billed Charges,,,,,280.4,,,,,,,Percent of Total Billed Charges,,,,,70.1,,,,,,,Percent of Total Billed Charges,,,, X RIGHT HIP POST OPERATIVE 2V ,73502TC ,CPT,,Outpatient,,,982,785.6,733.55,,,,,,,Percent of Total Billed Charges,,733.55,733.55,,982,,,,,,,Percent of Total Billed Charges,,,,,942.72,,,,,,,Percent of Total Billed Charges,,,,,932.9,,,,,,,Percent of Total Billed Charges,,,,,196.4,,,,,,,Percent of Total Billed Charges,,,,,834.7,,,,,,,Percent of Total Billed Charges,,,,,206.22,,,,,,,Percent of Total Billed Charges,,,,,883.8,,,,,,,Percent of Total Billed Charges,,,,,883.8,,,,,,,Percent of Total Billed Charges,,,,,196.4,,,,,,,Percent of Total Billed Charges,,,,,274.96,,,,,,,Percent of Total Billed Charges,,,,,785.6,,,,,,,Percent of Total Billed Charges,,,,,196.4,,,,,,,Percent of Total Billed Charges,,,, X LEFT HIP 1V ,73501TC ,CPT,,Outpatient,,,707.5,566,528.5,,,,,,,Percent of Total Billed Charges,,528.5,528.5,,707.5,,,,,,,Percent of Total Billed Charges,,,,,679.2,,,,,,,Percent of Total Billed Charges,,,,,672.13,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,,,601.38,,,,,,,Percent of Total Billed Charges,,,,,148.58,,,,,,,Percent of Total Billed Charges,,,,,636.75,,,,,,,Percent of Total Billed Charges,,,,,636.75,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,,,198.1,,,,,,,Percent of Total Billed Charges,,,,,566,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,, X RIGHT HIP 1V ,70150TC ,CPT,,Outpatient,,,707.5,566,528.5,,,,,,,Percent of Total Billed Charges,,528.5,528.5,,707.5,,,,,,,Percent of Total Billed Charges,,,,,679.2,,,,,,,Percent of Total Billed Charges,,,,,672.13,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,,,601.38,,,,,,,Percent of Total Billed Charges,,,,,148.58,,,,,,,Percent of Total Billed Charges,,,,,636.75,,,,,,,Percent of Total Billed Charges,,,,,636.75,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,,,198.1,,,,,,,Percent of Total Billed Charges,,,,,566,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,, X RIGHT HIP 4 VIEW ,73503TC ,CPT,,Outpatient,,,393.5,314.8,293.94,,,,,,,Percent of Total Billed Charges,,293.94,293.94,,393.5,,,,,,,Percent of Total Billed Charges,,,,,377.76,,,,,,,Percent of Total Billed Charges,,,,,373.83,,,,,,,Percent of Total Billed Charges,,,,,78.7,,,,,,,Percent of Total Billed Charges,,,,,334.48,,,,,,,Percent of Total Billed Charges,,,,,82.64,,,,,,,Percent of Total Billed Charges,,,,,354.15,,,,,,,Percent of Total Billed Charges,,,,,354.15,,,,,,,Percent of Total Billed Charges,,,,,78.7,,,,,,,Percent of Total Billed Charges,,,,,110.18,,,,,,,Percent of Total Billed Charges,,,,,314.8,,,,,,,Percent of Total Billed Charges,,,,,78.7,,,,,,,Percent of Total Billed Charges,,,, X RIGHT ANKLE 2 VIEW ,73600TC ,CPT,,Outpatient,,,469,375.2,350.34,,,,,,,Percent of Total Billed Charges,,350.34,350.34,,469,,,,,,,Percent of Total Billed Charges,,,,,450.24,,,,,,,Percent of Total Billed Charges,,,,,445.55,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,,,398.65,,,,,,,Percent of Total Billed Charges,,,,,98.49,,,,,,,Percent of Total Billed Charges,,,,,422.1,,,,,,,Percent of Total Billed Charges,,,,,422.1,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,,,131.32,,,,,,,Percent of Total Billed Charges,,,,,375.2,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,, X RIGHT ANKLE ROUTINE ,73610TC ,CPT,,Outpatient,,,522,417.6,389.93,,,,,,,Percent of Total Billed Charges,,389.93,389.93,,522,,,,,,,Percent of Total Billed Charges,,,,,501.12,,,,,,,Percent of Total Billed Charges,,,,,495.9,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,443.7,,,,,,,Percent of Total Billed Charges,,,,,109.62,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,146.16,,,,,,,Percent of Total Billed Charges,,,,,417.6,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,, X RIGHT CLAVICLE ,73000TC ,CPT,,Outpatient,,,492.5,394,367.9,,,,,,,Percent of Total Billed Charges,,367.9,367.9,,492.5,,,,,,,Percent of Total Billed Charges,,,,,472.8,,,,,,,Percent of Total Billed Charges,,,,,467.88,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,418.63,,,,,,,Percent of Total Billed Charges,,,,,103.43,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,137.9,,,,,,,Percent of Total Billed Charges,,,,,394,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,, X RIGHT ELBOW 2VIEW ,73070TC ,CPT,,Outpatient,,,431.5,345.2,322.33,,,,,,,Percent of Total Billed Charges,,322.33,322.33,,431.5,,,,,,,Percent of Total Billed Charges,,,,,414.24,,,,,,,Percent of Total Billed Charges,,,,,409.93,,,,,,,Percent of Total Billed Charges,,,,,86.3,,,,,,,Percent of Total Billed Charges,,,,,366.78,,,,,,,Percent of Total Billed Charges,,,,,90.62,,,,,,,Percent of Total Billed Charges,,,,,388.35,,,,,,,Percent of Total Billed Charges,,,,,388.35,,,,,,,Percent of Total Billed Charges,,,,,86.3,,,,,,,Percent of Total Billed Charges,,,,,120.82,,,,,,,Percent of Total Billed Charges,,,,,345.2,,,,,,,Percent of Total Billed Charges,,,,,86.3,,,,,,,Percent of Total Billed Charges,,,, X RIGHT ELBOW ROUTINE ,73080TC ,CPT,,Outpatient,,,481.5,385.2,359.68,,,,,,,Percent of Total Billed Charges,,359.68,359.68,,481.5,,,,,,,Percent of Total Billed Charges,,,,,462.24,,,,,,,Percent of Total Billed Charges,,,,,457.43,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,409.28,,,,,,,Percent of Total Billed Charges,,,,,101.12,,,,,,,Percent of Total Billed Charges,,,,,433.35,,,,,,,Percent of Total Billed Charges,,,,,433.35,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,134.82,,,,,,,Percent of Total Billed Charges,,,,,385.2,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,, X RIGHT FEMUR ,73552TC ,CPT,,Outpatient,,,550.5,440.4,411.22,,,,,,,Percent of Total Billed Charges,,411.22,411.22,,550.5,,,,,,,Percent of Total Billed Charges,,,,,528.48,,,,,,,Percent of Total Billed Charges,,,,,522.98,,,,,,,Percent of Total Billed Charges,,,,,110.1,,,,,,,Percent of Total Billed Charges,,,,,467.93,,,,,,,Percent of Total Billed Charges,,,,,115.61,,,,,,,Percent of Total Billed Charges,,,,,495.45,,,,,,,Percent of Total Billed Charges,,,,,495.45,,,,,,,Percent of Total Billed Charges,,,,,110.1,,,,,,,Percent of Total Billed Charges,,,,,154.14,,,,,,,Percent of Total Billed Charges,,,,,440.4,,,,,,,Percent of Total Billed Charges,,,,,110.1,,,,,,,Percent of Total Billed Charges,,,, X RIGHT FINGERS OR THUMB ,73140TC ,CPT,,Outpatient,,,388.5,310.8,290.21,,,,,,,Percent of Total Billed Charges,,290.21,290.21,,388.5,,,,,,,Percent of Total Billed Charges,,,,,372.96,,,,,,,Percent of Total Billed Charges,,,,,369.08,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,330.23,,,,,,,Percent of Total Billed Charges,,,,,81.59,,,,,,,Percent of Total Billed Charges,,,,,349.65,,,,,,,Percent of Total Billed Charges,,,,,349.65,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,,,108.78,,,,,,,Percent of Total Billed Charges,,,,,310.8,,,,,,,Percent of Total Billed Charges,,,,,77.7,,,,,,,Percent of Total Billed Charges,,,, X RIGHT FOOT 2 VIEWS ,73620TC ,CPT,,Outpatient,,,457,365.6,341.38,,,,,,,Percent of Total Billed Charges,,341.38,341.38,,457,,,,,,,Percent of Total Billed Charges,,,,,438.72,,,,,,,Percent of Total Billed Charges,,,,,434.15,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,,,388.45,,,,,,,Percent of Total Billed Charges,,,,,95.97,,,,,,,Percent of Total Billed Charges,,,,,411.3,,,,,,,Percent of Total Billed Charges,,,,,411.3,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,,,127.96,,,,,,,Percent of Total Billed Charges,,,,,365.6,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,, X RIGHT FOOT ROUTINE ,73630TC ,CPT,,Outpatient,,,481.5,385.2,359.68,,,,,,,Percent of Total Billed Charges,,359.68,359.68,,481.5,,,,,,,Percent of Total Billed Charges,,,,,462.24,,,,,,,Percent of Total Billed Charges,,,,,457.43,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,409.28,,,,,,,Percent of Total Billed Charges,,,,,101.12,,,,,,,Percent of Total Billed Charges,,,,,433.35,,,,,,,Percent of Total Billed Charges,,,,,433.35,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,134.82,,,,,,,Percent of Total Billed Charges,,,,,385.2,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,, X RIGHT FOREARM ROUTINE ,73090TC ,CPT,,Outpatient,,,481.5,385.2,359.68,,,,,,,Percent of Total Billed Charges,,359.68,359.68,,481.5,,,,,,,Percent of Total Billed Charges,,,,,462.24,,,,,,,Percent of Total Billed Charges,,,,,457.43,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,409.28,,,,,,,Percent of Total Billed Charges,,,,,101.12,,,,,,,Percent of Total Billed Charges,,,,,433.35,,,,,,,Percent of Total Billed Charges,,,,,433.35,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,,,134.82,,,,,,,Percent of Total Billed Charges,,,,,385.2,,,,,,,Percent of Total Billed Charges,,,,,96.3,,,,,,,Percent of Total Billed Charges,,,, X RIGHT HAND 2 VIEWS ,73120TC ,CPT,,Outpatient,,,445.5,356.4,332.79,,,,,,,Percent of Total Billed Charges,,332.79,332.79,,445.5,,,,,,,Percent of Total Billed Charges,,,,,427.68,,,,,,,Percent of Total Billed Charges,,,,,423.23,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,378.68,,,,,,,Percent of Total Billed Charges,,,,,93.56,,,,,,,Percent of Total Billed Charges,,,,,400.95,,,,,,,Percent of Total Billed Charges,,,,,400.95,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,124.74,,,,,,,Percent of Total Billed Charges,,,,,356.4,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,, X RIGHT HAND ROUTINE ,73130TC ,CPT,,Outpatient,,,492.5,394,367.9,,,,,,,Percent of Total Billed Charges,,367.9,367.9,,492.5,,,,,,,Percent of Total Billed Charges,,,,,472.8,,,,,,,Percent of Total Billed Charges,,,,,467.88,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,418.63,,,,,,,Percent of Total Billed Charges,,,,,103.43,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,137.9,,,,,,,Percent of Total Billed Charges,,,,,394,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,, X RIGHT HIP (ROUTINE) ,73502TC ,CPT,,Outpatient,,,589,471.2,439.98,,,,,,,Percent of Total Billed Charges,,439.98,439.98,,589,,,,,,,Percent of Total Billed Charges,,,,,565.44,,,,,,,Percent of Total Billed Charges,,,,,559.55,,,,,,,Percent of Total Billed Charges,,,,,117.8,,,,,,,Percent of Total Billed Charges,,,,,500.65,,,,,,,Percent of Total Billed Charges,,,,,123.69,,,,,,,Percent of Total Billed Charges,,,,,530.1,,,,,,,Percent of Total Billed Charges,,,,,530.1,,,,,,,Percent of Total Billed Charges,,,,,117.8,,,,,,,Percent of Total Billed Charges,,,,,164.92,,,,,,,Percent of Total Billed Charges,,,,,471.2,,,,,,,Percent of Total Billed Charges,,,,,117.8,,,,,,,Percent of Total Billed Charges,,,, X RIGHT HIP DR WHITE SERIES ,73502TC ,CPT,,Outpatient,,,708.5,566.8,529.25,,,,,,,Percent of Total Billed Charges,,529.25,529.25,,708.5,,,,,,,Percent of Total Billed Charges,,,,,680.16,,,,,,,Percent of Total Billed Charges,,,,,673.08,,,,,,,Percent of Total Billed Charges,,,,,141.7,,,,,,,Percent of Total Billed Charges,,,,,602.23,,,,,,,Percent of Total Billed Charges,,,,,148.79,,,,,,,Percent of Total Billed Charges,,,,,637.65,,,,,,,Percent of Total Billed Charges,,,,,637.65,,,,,,,Percent of Total Billed Charges,,,,,141.7,,,,,,,Percent of Total Billed Charges,,,,,198.38,,,,,,,Percent of Total Billed Charges,,,,,566.8,,,,,,,Percent of Total Billed Charges,,,,,141.7,,,,,,,Percent of Total Billed Charges,,,, X HIP POST OPERATIVE PROCEDURE ,73502TC ,CPT,,Outpatient,,,737.5,590,550.91,,,,,,,Percent of Total Billed Charges,,550.91,550.91,,737.5,,,,,,,Percent of Total Billed Charges,,,,,708,,,,,,,Percent of Total Billed Charges,,,,,700.63,,,,,,,Percent of Total Billed Charges,,,,,147.5,,,,,,,Percent of Total Billed Charges,,,,,626.88,,,,,,,Percent of Total Billed Charges,,,,,154.88,,,,,,,Percent of Total Billed Charges,,,,,663.75,,,,,,,Percent of Total Billed Charges,,,,,663.75,,,,,,,Percent of Total Billed Charges,,,,,147.5,,,,,,,Percent of Total Billed Charges,,,,,206.5,,,,,,,Percent of Total Billed Charges,,,,,590,,,,,,,Percent of Total Billed Charges,,,,,147.5,,,,,,,Percent of Total Billed Charges,,,, X RIGHT HIP PINNING W/C ARM ,73502TC ,CPT,,Outpatient,,,1977.5,1582,1477.19,,,,,,,Percent of Total Billed Charges,,1477.19,1477.19,,1977.5,,,,,,,Percent of Total Billed Charges,,,,,1898.4,,,,,,,Percent of Total Billed Charges,,,,,1878.63,,,,,,,Percent of Total Billed Charges,,,,,395.5,,,,,,,Percent of Total Billed Charges,,,,,1680.88,,,,,,,Percent of Total Billed Charges,,,,,415.28,,,,,,,Percent of Total Billed Charges,,,,,1779.75,,,,,,,Percent of Total Billed Charges,,,,,1779.75,,,,,,,Percent of Total Billed Charges,,,,,395.5,,,,,,,Percent of Total Billed Charges,,,,,553.7,,,,,,,Percent of Total Billed Charges,,,,,1582,,,,,,,Percent of Total Billed Charges,,,,,395.5,,,,,,,Percent of Total Billed Charges,,,, X RIGHT HUMERUS ,73060TC ,CPT,,Outpatient,,,582.5,466,435.13,,,,,,,Percent of Total Billed Charges,,435.13,435.13,,582.5,,,,,,,Percent of Total Billed Charges,,,,,559.2,,,,,,,Percent of Total Billed Charges,,,,,553.38,,,,,,,Percent of Total Billed Charges,,,,,116.5,,,,,,,Percent of Total Billed Charges,,,,,495.13,,,,,,,Percent of Total Billed Charges,,,,,122.33,,,,,,,Percent of Total Billed Charges,,,,,524.25,,,,,,,Percent of Total Billed Charges,,,,,524.25,,,,,,,Percent of Total Billed Charges,,,,,116.5,,,,,,,Percent of Total Billed Charges,,,,,163.1,,,,,,,Percent of Total Billed Charges,,,,,466,,,,,,,Percent of Total Billed Charges,,,,,116.5,,,,,,,Percent of Total Billed Charges,,,, X RIGHT KNEE 2 VW ROUTINE ,73560TC ,CPT,,Outpatient,,,522,417.6,389.93,,,,,,,Percent of Total Billed Charges,,389.93,389.93,,522,,,,,,,Percent of Total Billed Charges,,,,,501.12,,,,,,,Percent of Total Billed Charges,,,,,495.9,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,443.7,,,,,,,Percent of Total Billed Charges,,,,,109.62,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,469.8,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,,,146.16,,,,,,,Percent of Total Billed Charges,,,,,417.6,,,,,,,Percent of Total Billed Charges,,,,,104.4,,,,,,,Percent of Total Billed Charges,,,, X RIGHT KNEE 3 VIEWS ORTHO ,73562TC ,CPT,,Outpatient,,,651,520.8,486.3,,,,,,,Percent of Total Billed Charges,,486.3,486.3,,651,,,,,,,Percent of Total Billed Charges,,,,,624.96,,,,,,,Percent of Total Billed Charges,,,,,618.45,,,,,,,Percent of Total Billed Charges,,,,,130.2,,,,,,,Percent of Total Billed Charges,,,,,553.35,,,,,,,Percent of Total Billed Charges,,,,,136.71,,,,,,,Percent of Total Billed Charges,,,,,585.9,,,,,,,Percent of Total Billed Charges,,,,,585.9,,,,,,,Percent of Total Billed Charges,,,,,130.2,,,,,,,Percent of Total Billed Charges,,,,,182.28,,,,,,,Percent of Total Billed Charges,,,,,520.8,,,,,,,Percent of Total Billed Charges,,,,,130.2,,,,,,,Percent of Total Billed Charges,,,, X RIGHT KNEE 4 OR MORE VIEWS ,73564TC ,CPT,,Outpatient,,,904.5,723.6,675.66,,,,,,,Percent of Total Billed Charges,,675.66,675.66,,904.5,,,,,,,Percent of Total Billed Charges,,,,,868.32,,,,,,,Percent of Total Billed Charges,,,,,859.28,,,,,,,Percent of Total Billed Charges,,,,,180.9,,,,,,,Percent of Total Billed Charges,,,,,768.83,,,,,,,Percent of Total Billed Charges,,,,,189.95,,,,,,,Percent of Total Billed Charges,,,,,814.05,,,,,,,Percent of Total Billed Charges,,,,,814.05,,,,,,,Percent of Total Billed Charges,,,,,180.9,,,,,,,Percent of Total Billed Charges,,,,,253.26,,,,,,,Percent of Total Billed Charges,,,,,723.6,,,,,,,Percent of Total Billed Charges,,,,,180.9,,,,,,,Percent of Total Billed Charges,,,, X RIGHT LOWER LEG/TIB FIB ,73590TC ,CPT,,Outpatient,,,492.5,394,367.9,,,,,,,Percent of Total Billed Charges,,367.9,367.9,,492.5,,,,,,,Percent of Total Billed Charges,,,,,472.8,,,,,,,Percent of Total Billed Charges,,,,,467.88,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,418.63,,,,,,,Percent of Total Billed Charges,,,,,103.43,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,137.9,,,,,,,Percent of Total Billed Charges,,,,,394,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,, X JOINT SURVEY ,77077TC ,CPT,,Outpatient,,,445.5,356.4,332.79,,,,,,,Percent of Total Billed Charges,,332.79,332.79,,445.5,,,,,,,Percent of Total Billed Charges,,,,,427.68,,,,,,,Percent of Total Billed Charges,,,,,423.23,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,378.68,,,,,,,Percent of Total Billed Charges,,,,,93.56,,,,,,,Percent of Total Billed Charges,,,,,400.95,,,,,,,Percent of Total Billed Charges,,,,,400.95,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,,,124.74,,,,,,,Percent of Total Billed Charges,,,,,356.4,,,,,,,Percent of Total Billed Charges,,,,,89.1,,,,,,,Percent of Total Billed Charges,,,, X RIGHT MASTOIDS ,70130TC ,CPT,,Outpatient,,,905.5,724.4,676.41,,,,,,,Percent of Total Billed Charges,,676.41,676.41,,905.5,,,,,,,Percent of Total Billed Charges,,,,,869.28,,,,,,,Percent of Total Billed Charges,,,,,860.23,,,,,,,Percent of Total Billed Charges,,,,,181.1,,,,,,,Percent of Total Billed Charges,,,,,769.68,,,,,,,Percent of Total Billed Charges,,,,,190.16,,,,,,,Percent of Total Billed Charges,,,,,814.95,,,,,,,Percent of Total Billed Charges,,,,,814.95,,,,,,,Percent of Total Billed Charges,,,,,181.1,,,,,,,Percent of Total Billed Charges,,,,,253.54,,,,,,,Percent of Total Billed Charges,,,,,724.4,,,,,,,Percent of Total Billed Charges,,,,,181.1,,,,,,,Percent of Total Billed Charges,,,, X RIGHT NAVICULAR ,73100TC ,CPT,,Outpatient,,,304.5,243.6,227.46,,,,,,,Percent of Total Billed Charges,,227.46,227.46,,304.5,,,,,,,Percent of Total Billed Charges,,,,,292.32,,,,,,,Percent of Total Billed Charges,,,,,289.28,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,258.83,,,,,,,Percent of Total Billed Charges,,,,,63.95,,,,,,,Percent of Total Billed Charges,,,,,274.05,,,,,,,Percent of Total Billed Charges,,,,,274.05,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,85.26,,,,,,,Percent of Total Billed Charges,,,,,243.6,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,, X RIGHT ORBIT ,70200TC ,CPT,,Outpatient,,,657,525.6,490.78,,,,,,,Percent of Total Billed Charges,,490.78,490.78,,657,,,,,,,Percent of Total Billed Charges,,,,,630.72,,,,,,,Percent of Total Billed Charges,,,,,624.15,,,,,,,Percent of Total Billed Charges,,,,,131.4,,,,,,,Percent of Total Billed Charges,,,,,558.45,,,,,,,Percent of Total Billed Charges,,,,,137.97,,,,,,,Percent of Total Billed Charges,,,,,591.3,,,,,,,Percent of Total Billed Charges,,,,,591.3,,,,,,,Percent of Total Billed Charges,,,,,131.4,,,,,,,Percent of Total Billed Charges,,,,,183.96,,,,,,,Percent of Total Billed Charges,,,,,525.6,,,,,,,Percent of Total Billed Charges,,,,,131.4,,,,,,,Percent of Total Billed Charges,,,, X RIGHT OS CALCIS ,73650TC ,CPT,,Outpatient,,,452.5,362,338.02,,,,,,,Percent of Total Billed Charges,,338.02,338.02,,452.5,,,,,,,Percent of Total Billed Charges,,,,,434.4,,,,,,,Percent of Total Billed Charges,,,,,429.88,,,,,,,Percent of Total Billed Charges,,,,,90.5,,,,,,,Percent of Total Billed Charges,,,,,384.63,,,,,,,Percent of Total Billed Charges,,,,,95.03,,,,,,,Percent of Total Billed Charges,,,,,407.25,,,,,,,Percent of Total Billed Charges,,,,,407.25,,,,,,,Percent of Total Billed Charges,,,,,90.5,,,,,,,Percent of Total Billed Charges,,,,,126.7,,,,,,,Percent of Total Billed Charges,,,,,362,,,,,,,Percent of Total Billed Charges,,,,,90.5,,,,,,,Percent of Total Billed Charges,,,, X RIGHT PATELLA ,73562TC ,CPT,,Outpatient,,,391.5,313.2,292.45,,,,,,,Percent of Total Billed Charges,,292.45,292.45,,391.5,,,,,,,Percent of Total Billed Charges,,,,,375.84,,,,,,,Percent of Total Billed Charges,,,,,371.93,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,332.78,,,,,,,Percent of Total Billed Charges,,,,,82.22,,,,,,,Percent of Total Billed Charges,,,,,352.35,,,,,,,Percent of Total Billed Charges,,,,,352.35,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,,,109.62,,,,,,,Percent of Total Billed Charges,,,,,313.2,,,,,,,Percent of Total Billed Charges,,,,,78.3,,,,,,,Percent of Total Billed Charges,,,, X RIGHT RIBS UNI W/PA (ROUTINE) ,71101TC ,CPT,,Outpatient,,,900,720,672.3,,,,,,,Percent of Total Billed Charges,,672.3,672.3,,900,,,,,,,Percent of Total Billed Charges,,,,,864,,,,,,,Percent of Total Billed Charges,,,,,855,,,,,,,Percent of Total Billed Charges,,,,,180,,,,,,,Percent of Total Billed Charges,,,,,765,,,,,,,Percent of Total Billed Charges,,,,,189,,,,,,,Percent of Total Billed Charges,,,,,810,,,,,,,Percent of Total Billed Charges,,,,,810,,,,,,,Percent of Total Billed Charges,,,,,180,,,,,,,Percent of Total Billed Charges,,,,,252,,,,,,,Percent of Total Billed Charges,,,,,720,,,,,,,Percent of Total Billed Charges,,,,,180,,,,,,,Percent of Total Billed Charges,,,, X RIGHT RIBS UNILAT ,71100TC ,CPT,,Outpatient,,,736.5,589.2,550.17,,,,,,,Percent of Total Billed Charges,,550.17,550.17,,736.5,,,,,,,Percent of Total Billed Charges,,,,,707.04,,,,,,,Percent of Total Billed Charges,,,,,699.68,,,,,,,Percent of Total Billed Charges,,,,,147.3,,,,,,,Percent of Total Billed Charges,,,,,626.03,,,,,,,Percent of Total Billed Charges,,,,,154.67,,,,,,,Percent of Total Billed Charges,,,,,662.85,,,,,,,Percent of Total Billed Charges,,,,,662.85,,,,,,,Percent of Total Billed Charges,,,,,147.3,,,,,,,Percent of Total Billed Charges,,,,,206.22,,,,,,,Percent of Total Billed Charges,,,,,589.2,,,,,,,Percent of Total Billed Charges,,,,,147.3,,,,,,,Percent of Total Billed Charges,,,, X RIGHT SCAPULA ,73010TC ,CPT,,Outpatient,,,580,464,433.26,,,,,,,Percent of Total Billed Charges,,433.26,433.26,,580,,,,,,,Percent of Total Billed Charges,,,,,556.8,,,,,,,Percent of Total Billed Charges,,,,,551,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,,,493,,,,,,,Percent of Total Billed Charges,,,,,121.8,,,,,,,Percent of Total Billed Charges,,,,,522,,,,,,,Percent of Total Billed Charges,,,,,522,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,,,162.4,,,,,,,Percent of Total Billed Charges,,,,,464,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,, X RIGHT SHOULDER ROUTINE ,73030TC ,CPT,,Outpatient,,,580,464,433.26,,,,,,,Percent of Total Billed Charges,,433.26,433.26,,580,,,,,,,Percent of Total Billed Charges,,,,,556.8,,,,,,,Percent of Total Billed Charges,,,,,551,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,,,493,,,,,,,Percent of Total Billed Charges,,,,,121.8,,,,,,,Percent of Total Billed Charges,,,,,522,,,,,,,Percent of Total Billed Charges,,,,,522,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,,,162.4,,,,,,,Percent of Total Billed Charges,,,,,464,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,, X RIGHT TOES ,73660TC ,CPT,,Outpatient,,,365.5,292.4,273.03,,,,,,,Percent of Total Billed Charges,,273.03,273.03,,365.5,,,,,,,Percent of Total Billed Charges,,,,,350.88,,,,,,,Percent of Total Billed Charges,,,,,347.23,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,,,310.68,,,,,,,Percent of Total Billed Charges,,,,,76.76,,,,,,,Percent of Total Billed Charges,,,,,328.95,,,,,,,Percent of Total Billed Charges,,,,,328.95,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,,,102.34,,,,,,,Percent of Total Billed Charges,,,,,292.4,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,, X RIGHT WRIST 2 VIEWS ,73100TC ,CPT,,Outpatient,,,457,365.6,341.38,,,,,,,Percent of Total Billed Charges,,341.38,341.38,,457,,,,,,,Percent of Total Billed Charges,,,,,438.72,,,,,,,Percent of Total Billed Charges,,,,,434.15,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,,,388.45,,,,,,,Percent of Total Billed Charges,,,,,95.97,,,,,,,Percent of Total Billed Charges,,,,,411.3,,,,,,,Percent of Total Billed Charges,,,,,411.3,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,,,127.96,,,,,,,Percent of Total Billed Charges,,,,,365.6,,,,,,,Percent of Total Billed Charges,,,,,91.4,,,,,,,Percent of Total Billed Charges,,,, X RIGHT WRIST ROUTINE ,73110TC ,CPT,,Outpatient,,,492.5,394,367.9,,,,,,,Percent of Total Billed Charges,,367.9,367.9,,492.5,,,,,,,Percent of Total Billed Charges,,,,,472.8,,,,,,,Percent of Total Billed Charges,,,,,467.88,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,418.63,,,,,,,Percent of Total Billed Charges,,,,,103.43,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,443.25,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,,,137.9,,,,,,,Percent of Total Billed Charges,,,,,394,,,,,,,Percent of Total Billed Charges,,,,,98.5,,,,,,,Percent of Total Billed Charges,,,, X RIGHT ZYGOMA ,70150TC ,CPT,,Outpatient,,,707.5,566,528.5,,,,,,,Percent of Total Billed Charges,,528.5,528.5,,707.5,,,,,,,Percent of Total Billed Charges,,,,,679.2,,,,,,,Percent of Total Billed Charges,,,,,672.13,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,,,601.38,,,,,,,Percent of Total Billed Charges,,,,,148.58,,,,,,,Percent of Total Billed Charges,,,,,636.75,,,,,,,Percent of Total Billed Charges,,,,,636.75,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,,,198.1,,,,,,,Percent of Total Billed Charges,,,,,566,,,,,,,Percent of Total Billed Charges,,,,,141.5,,,,,,,Percent of Total Billed Charges,,,, N BONE SCAN WHOLE BODY ,78306TC ,CPT,,Outpatient,,,3110,2488,2323.17,,,,,,,Percent of Total Billed Charges,,2323.17,2323.17,,3110,,,,,,,Percent of Total Billed Charges,,,,,2985.6,,,,,,,Percent of Total Billed Charges,,,,,2954.5,,,,,,,Percent of Total Billed Charges,,,,,622,,,,,,,Percent of Total Billed Charges,,,,,2643.5,,,,,,,Percent of Total Billed Charges,,,,,653.1,,,,,,,Percent of Total Billed Charges,,,,,2799,,,,,,,Percent of Total Billed Charges,,,,,2799,,,,,,,Percent of Total Billed Charges,,,,,622,,,,,,,Percent of Total Billed Charges,,,,,870.8,,,,,,,Percent of Total Billed Charges,,,,,2488,,,,,,,Percent of Total Billed Charges,,,,,622,,,,,,,Percent of Total Billed Charges,,,, N BONE SCAN REGIONAL ,78300TC ,CPT,,Outpatient,,,1846,1476.8,1378.96,,,,,,,Percent of Total Billed Charges,,1378.96,1378.96,,1846,,,,,,,Percent of Total Billed Charges,,,,,1772.16,,,,,,,Percent of Total Billed Charges,,,,,1753.7,,,,,,,Percent of Total Billed Charges,,,,,369.2,,,,,,,Percent of Total Billed Charges,,,,,1569.1,,,,,,,Percent of Total Billed Charges,,,,,387.66,,,,,,,Percent of Total Billed Charges,,,,,1661.4,,,,,,,Percent of Total Billed Charges,,,,,1661.4,,,,,,,Percent of Total Billed Charges,,,,,369.2,,,,,,,Percent of Total Billed Charges,,,,,516.88,,,,,,,Percent of Total Billed Charges,,,,,1476.8,,,,,,,Percent of Total Billed Charges,,,,,369.2,,,,,,,Percent of Total Billed Charges,,,, N BONE SCAN 3 PHASE ,78315TC ,CPT,,Outpatient,,,2776,2220.8,2073.67,,,,,,,Percent of Total Billed Charges,,2073.67,2073.67,,2776,,,,,,,Percent of Total Billed Charges,,,,,2664.96,,,,,,,Percent of Total Billed Charges,,,,,2637.2,,,,,,,Percent of Total Billed Charges,,,,,555.2,,,,,,,Percent of Total Billed Charges,,,,,2359.6,,,,,,,Percent of Total Billed Charges,,,,,582.96,,,,,,,Percent of Total Billed Charges,,,,,2498.4,,,,,,,Percent of Total Billed Charges,,,,,2498.4,,,,,,,Percent of Total Billed Charges,,,,,555.2,,,,,,,Percent of Total Billed Charges,,,,,777.28,,,,,,,Percent of Total Billed Charges,,,,,2220.8,,,,,,,Percent of Total Billed Charges,,,,,555.2,,,,,,,Percent of Total Billed Charges,,,, N BONE SCAN JOINT ,78300TC ,CPT,,Outpatient,,,980.5,784.4,732.43,,,,,,,Percent of Total Billed Charges,,732.43,732.43,,980.5,,,,,,,Percent of Total Billed Charges,,,,,941.28,,,,,,,Percent of Total Billed Charges,,,,,931.48,,,,,,,Percent of Total Billed Charges,,,,,196.1,,,,,,,Percent of Total Billed Charges,,,,,833.43,,,,,,,Percent of Total Billed Charges,,,,,205.91,,,,,,,Percent of Total Billed Charges,,,,,882.45,,,,,,,Percent of Total Billed Charges,,,,,882.45,,,,,,,Percent of Total Billed Charges,,,,,196.1,,,,,,,Percent of Total Billed Charges,,,,,274.54,,,,,,,Percent of Total Billed Charges,,,,,784.4,,,,,,,Percent of Total Billed Charges,,,,,196.1,,,,,,,Percent of Total Billed Charges,,,, N HEPATOBILIARY SCAN WITHOUT CCK ,78226TC ,CPT,,Outpatient,,,2926,2340.8,2185.72,,,,,,,Percent of Total Billed Charges,,2185.72,2185.72,,2926,,,,,,,Percent of Total Billed Charges,,,,,2808.96,,,,,,,Percent of Total Billed Charges,,,,,2779.7,,,,,,,Percent of Total Billed Charges,,,,,585.2,,,,,,,Percent of Total Billed Charges,,,,,2487.1,,,,,,,Percent of Total Billed Charges,,,,,614.46,,,,,,,Percent of Total Billed Charges,,,,,2633.4,,,,,,,Percent of Total Billed Charges,,,,,2633.4,,,,,,,Percent of Total Billed Charges,,,,,585.2,,,,,,,Percent of Total Billed Charges,,,,,819.28,,,,,,,Percent of Total Billed Charges,,,,,2340.8,,,,,,,Percent of Total Billed Charges,,,,,585.2,,,,,,,Percent of Total Billed Charges,,,, N BRAIN SCAN W/FLOW ,78606TC ,CPT,,Outpatient,,,1244.5,995.6,929.64,,,,,,,Percent of Total Billed Charges,,929.64,929.64,,1244.5,,,,,,,Percent of Total Billed Charges,,,,,1194.72,,,,,,,Percent of Total Billed Charges,,,,,1182.28,,,,,,,Percent of Total Billed Charges,,,,,248.9,,,,,,,Percent of Total Billed Charges,,,,,1057.83,,,,,,,Percent of Total Billed Charges,,,,,261.35,,,,,,,Percent of Total Billed Charges,,,,,1120.05,,,,,,,Percent of Total Billed Charges,,,,,1120.05,,,,,,,Percent of Total Billed Charges,,,,,248.9,,,,,,,Percent of Total Billed Charges,,,,,348.46,,,,,,,Percent of Total Billed Charges,,,,,995.6,,,,,,,Percent of Total Billed Charges,,,,,248.9,,,,,,,Percent of Total Billed Charges,,,, N CARDIAC SCAN PYP ,78466TC ,CPT,,Outpatient,,,947.5,758,707.78,,,,,,,Percent of Total Billed Charges,,707.78,707.78,,947.5,,,,,,,Percent of Total Billed Charges,,,,,909.6,,,,,,,Percent of Total Billed Charges,,,,,900.13,,,,,,,Percent of Total Billed Charges,,,,,189.5,,,,,,,Percent of Total Billed Charges,,,,,805.38,,,,,,,Percent of Total Billed Charges,,,,,198.98,,,,,,,Percent of Total Billed Charges,,,,,852.75,,,,,,,Percent of Total Billed Charges,,,,,852.75,,,,,,,Percent of Total Billed Charges,,,,,189.5,,,,,,,Percent of Total Billed Charges,,,,,265.3,,,,,,,Percent of Total Billed Charges,,,,,758,,,,,,,Percent of Total Billed Charges,,,,,189.5,,,,,,,Percent of Total Billed Charges,,,, N CARDIAC FIRST PASS REST ,78481TC ,CPT,,Outpatient,,,1458,1166.4,1089.13,,,,,,,Percent of Total Billed Charges,,1089.13,1089.13,,1458,,,,,,,Percent of Total Billed Charges,,,,,1399.68,,,,,,,Percent of Total Billed Charges,,,,,1385.1,,,,,,,Percent of Total Billed Charges,,,,,291.6,,,,,,,Percent of Total Billed Charges,,,,,1239.3,,,,,,,Percent of Total Billed Charges,,,,,306.18,,,,,,,Percent of Total Billed Charges,,,,,1312.2,,,,,,,Percent of Total Billed Charges,,,,,1312.2,,,,,,,Percent of Total Billed Charges,,,,,291.6,,,,,,,Percent of Total Billed Charges,,,,,408.24,,,,,,,Percent of Total Billed Charges,,,,,1166.4,,,,,,,Percent of Total Billed Charges,,,,,291.6,,,,,,,Percent of Total Billed Charges,,,, N CARDIAC FIRST PASS STRESS ,78472TC ,CPT,,Outpatient,,,1528.5,1222.8,1141.79,,,,,,,Percent of Total Billed Charges,,1141.79,1141.79,,1528.5,,,,,,,Percent of Total Billed Charges,,,,,1467.36,,,,,,,Percent of Total Billed Charges,,,,,1452.08,,,,,,,Percent of Total Billed Charges,,,,,305.7,,,,,,,Percent of Total Billed Charges,,,,,1299.23,,,,,,,Percent of Total Billed Charges,,,,,320.99,,,,,,,Percent of Total Billed Charges,,,,,1375.65,,,,,,,Percent of Total Billed Charges,,,,,1375.65,,,,,,,Percent of Total Billed Charges,,,,,305.7,,,,,,,Percent of Total Billed Charges,,,,,427.98,,,,,,,Percent of Total Billed Charges,,,,,1222.8,,,,,,,Percent of Total Billed Charges,,,,,305.7,,,,,,,Percent of Total Billed Charges,,,, N CARDIAC MUGA ,78472TC ,CPT,,Outpatient,,,2866.5,2293.2,2141.28,,,,,,,Percent of Total Billed Charges,,2141.28,2141.28,,2866.5,,,,,,,Percent of Total Billed Charges,,,,,2751.84,,,,,,,Percent of Total Billed Charges,,,,,2723.18,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,2436.53,,,,,,,Percent of Total Billed Charges,,,,,601.97,,,,,,,Percent of Total Billed Charges,,,,,2579.85,,,,,,,Percent of Total Billed Charges,,,,,2579.85,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,802.62,,,,,,,Percent of Total Billed Charges,,,,,2293.2,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,, N CARDIAC MUGA STRESS ,78473TC ,CPT,,Outpatient,,,1458,1166.4,1089.13,,,,,,,Percent of Total Billed Charges,,1089.13,1089.13,,1458,,,,,,,Percent of Total Billed Charges,,,,,1399.68,,,,,,,Percent of Total Billed Charges,,,,,1385.1,,,,,,,Percent of Total Billed Charges,,,,,291.6,,,,,,,Percent of Total Billed Charges,,,,,1239.3,,,,,,,Percent of Total Billed Charges,,,,,306.18,,,,,,,Percent of Total Billed Charges,,,,,1312.2,,,,,,,Percent of Total Billed Charges,,,,,1312.2,,,,,,,Percent of Total Billed Charges,,,,,291.6,,,,,,,Percent of Total Billed Charges,,,,,408.24,,,,,,,Percent of Total Billed Charges,,,,,1166.4,,,,,,,Percent of Total Billed Charges,,,,,291.6,,,,,,,Percent of Total Billed Charges,,,, N COMPUTER PROCESSING ,78890TC ,CPT,,Outpatient,,,350.5,280.4,261.82,,,,,,,Percent of Total Billed Charges,,261.82,261.82,,350.5,,,,,,,Percent of Total Billed Charges,,,,,336.48,,,,,,,Percent of Total Billed Charges,,,,,332.98,,,,,,,Percent of Total Billed Charges,,,,,70.1,,,,,,,Percent of Total Billed Charges,,,,,297.93,,,,,,,Percent of Total Billed Charges,,,,,73.61,,,,,,,Percent of Total Billed Charges,,,,,315.45,,,,,,,Percent of Total Billed Charges,,,,,315.45,,,,,,,Percent of Total Billed Charges,,,,,70.1,,,,,,,Percent of Total Billed Charges,,,,,98.14,,,,,,,Percent of Total Billed Charges,,,,,280.4,,,,,,,Percent of Total Billed Charges,,,,,70.1,,,,,,,Percent of Total Billed Charges,,,, N DELAYED EXTRA VIEW ,78890TC ,CPT,,Outpatient,,,350.5,280.4,261.82,,,,,,,Percent of Total Billed Charges,,261.82,261.82,,350.5,,,,,,,Percent of Total Billed Charges,,,,,336.48,,,,,,,Percent of Total Billed Charges,,,,,332.98,,,,,,,Percent of Total Billed Charges,,,,,70.1,,,,,,,Percent of Total Billed Charges,,,,,297.93,,,,,,,Percent of Total Billed Charges,,,,,73.61,,,,,,,Percent of Total Billed Charges,,,,,315.45,,,,,,,Percent of Total Billed Charges,,,,,315.45,,,,,,,Percent of Total Billed Charges,,,,,70.1,,,,,,,Percent of Total Billed Charges,,,,,98.14,,,,,,,Percent of Total Billed Charges,,,,,280.4,,,,,,,Percent of Total Billed Charges,,,,,70.1,,,,,,,Percent of Total Billed Charges,,,, N GALLIUM SCAN ,78802TC ,CPT,,Outpatient,,,3298,2638.4,2463.61,,,,,,,Percent of Total Billed Charges,,2463.61,2463.61,,3298,,,,,,,Percent of Total Billed Charges,,,,,3166.08,,,,,,,Percent of Total Billed Charges,,,,,3133.1,,,,,,,Percent of Total Billed Charges,,,,,659.6,,,,,,,Percent of Total Billed Charges,,,,,2803.3,,,,,,,Percent of Total Billed Charges,,,,,692.58,,,,,,,Percent of Total Billed Charges,,,,,2968.2,,,,,,,Percent of Total Billed Charges,,,,,2968.2,,,,,,,Percent of Total Billed Charges,,,,,659.6,,,,,,,Percent of Total Billed Charges,,,,,923.44,,,,,,,Percent of Total Billed Charges,,,,,2638.4,,,,,,,Percent of Total Billed Charges,,,,,659.6,,,,,,,Percent of Total Billed Charges,,,, N GASTRIC EMPTYING ,78264TC ,CPT,,Outpatient,,,1187.5,950,887.06,,,,,,,Percent of Total Billed Charges,,887.06,887.06,,1187.5,,,,,,,Percent of Total Billed Charges,,,,,1140,,,,,,,Percent of Total Billed Charges,,,,,1128.13,,,,,,,Percent of Total Billed Charges,,,,,237.5,,,,,,,Percent of Total Billed Charges,,,,,1009.38,,,,,,,Percent of Total Billed Charges,,,,,249.38,,,,,,,Percent of Total Billed Charges,,,,,1068.75,,,,,,,Percent of Total Billed Charges,,,,,1068.75,,,,,,,Percent of Total Billed Charges,,,,,237.5,,,,,,,Percent of Total Billed Charges,,,,,332.5,,,,,,,Percent of Total Billed Charges,,,,,950,,,,,,,Percent of Total Billed Charges,,,,,237.5,,,,,,,Percent of Total Billed Charges,,,, N GASTRO-ESOPHAGUS REFLUX ,78262TC ,CPT,,Outpatient,,,838.5,670.8,626.36,,,,,,,Percent of Total Billed Charges,,626.36,626.36,,838.5,,,,,,,Percent of Total Billed Charges,,,,,804.96,,,,,,,Percent of Total Billed Charges,,,,,796.58,,,,,,,Percent of Total Billed Charges,,,,,167.7,,,,,,,Percent of Total Billed Charges,,,,,712.73,,,,,,,Percent of Total Billed Charges,,,,,176.09,,,,,,,Percent of Total Billed Charges,,,,,754.65,,,,,,,Percent of Total Billed Charges,,,,,754.65,,,,,,,Percent of Total Billed Charges,,,,,167.7,,,,,,,Percent of Total Billed Charges,,,,,234.78,,,,,,,Percent of Total Billed Charges,,,,,670.8,,,,,,,Percent of Total Billed Charges,,,,,167.7,,,,,,,Percent of Total Billed Charges,,,, N GI BLEED SCAN ,78278TC ,CPT,,Outpatient,,,1242.5,994,928.15,,,,,,,Percent of Total Billed Charges,,928.15,928.15,,1242.5,,,,,,,Percent of Total Billed Charges,,,,,1192.8,,,,,,,Percent of Total Billed Charges,,,,,1180.38,,,,,,,Percent of Total Billed Charges,,,,,248.5,,,,,,,Percent of Total Billed Charges,,,,,1056.13,,,,,,,Percent of Total Billed Charges,,,,,260.93,,,,,,,Percent of Total Billed Charges,,,,,1118.25,,,,,,,Percent of Total Billed Charges,,,,,1118.25,,,,,,,Percent of Total Billed Charges,,,,,248.5,,,,,,,Percent of Total Billed Charges,,,,,347.9,,,,,,,Percent of Total Billed Charges,,,,,994,,,,,,,Percent of Total Billed Charges,,,,,248.5,,,,,,,Percent of Total Billed Charges,,,, N HEPATOBILIARY SCAN WITH CCK ,78227TC ,CPT,,Outpatient,,,2926,2340.8,2185.72,,,,,,,Percent of Total Billed Charges,,2185.72,2185.72,,2926,,,,,,,Percent of Total Billed Charges,,,,,2808.96,,,,,,,Percent of Total Billed Charges,,,,,2779.7,,,,,,,Percent of Total Billed Charges,,,,,585.2,,,,,,,Percent of Total Billed Charges,,,,,2487.1,,,,,,,Percent of Total Billed Charges,,,,,614.46,,,,,,,Percent of Total Billed Charges,,,,,2633.4,,,,,,,Percent of Total Billed Charges,,,,,2633.4,,,,,,,Percent of Total Billed Charges,,,,,585.2,,,,,,,Percent of Total Billed Charges,,,,,819.28,,,,,,,Percent of Total Billed Charges,,,,,2340.8,,,,,,,Percent of Total Billed Charges,,,,,585.2,,,,,,,Percent of Total Billed Charges,,,, N HEPATO-PULMONARY SCAN ,78223TC ,CPT,,Outpatient,,,1086,868.8,811.24,,,,,,,Percent of Total Billed Charges,,811.24,811.24,,1086,,,,,,,Percent of Total Billed Charges,,,,,1042.56,,,,,,,Percent of Total Billed Charges,,,,,1031.7,,,,,,,Percent of Total Billed Charges,,,,,217.2,,,,,,,Percent of Total Billed Charges,,,,,923.1,,,,,,,Percent of Total Billed Charges,,,,,228.06,,,,,,,Percent of Total Billed Charges,,,,,977.4,,,,,,,Percent of Total Billed Charges,,,,,977.4,,,,,,,Percent of Total Billed Charges,,,,,217.2,,,,,,,Percent of Total Billed Charges,,,,,304.08,,,,,,,Percent of Total Billed Charges,,,,,868.8,,,,,,,Percent of Total Billed Charges,,,,,217.2,,,,,,,Percent of Total Billed Charges,,,, N LIVER/SPLEEN SCAN ,78215TC ,CPT,,Outpatient,,,2926,2340.8,2185.72,,,,,,,Percent of Total Billed Charges,,2185.72,2185.72,,2926,,,,,,,Percent of Total Billed Charges,,,,,2808.96,,,,,,,Percent of Total Billed Charges,,,,,2779.7,,,,,,,Percent of Total Billed Charges,,,,,585.2,,,,,,,Percent of Total Billed Charges,,,,,2487.1,,,,,,,Percent of Total Billed Charges,,,,,614.46,,,,,,,Percent of Total Billed Charges,,,,,2633.4,,,,,,,Percent of Total Billed Charges,,,,,2633.4,,,,,,,Percent of Total Billed Charges,,,,,585.2,,,,,,,Percent of Total Billed Charges,,,,,819.28,,,,,,,Percent of Total Billed Charges,,,,,2340.8,,,,,,,Percent of Total Billed Charges,,,,,585.2,,,,,,,Percent of Total Billed Charges,,,, N LUNG PERFUSION SCAN ,78580TC ,CPT,,Outpatient,,,961.5,769.2,718.24,,,,,,,Percent of Total Billed Charges,,718.24,718.24,,961.5,,,,,,,Percent of Total Billed Charges,,,,,923.04,,,,,,,Percent of Total Billed Charges,,,,,913.43,,,,,,,Percent of Total Billed Charges,,,,,192.3,,,,,,,Percent of Total Billed Charges,,,,,817.28,,,,,,,Percent of Total Billed Charges,,,,,201.92,,,,,,,Percent of Total Billed Charges,,,,,865.35,,,,,,,Percent of Total Billed Charges,,,,,865.35,,,,,,,Percent of Total Billed Charges,,,,,192.3,,,,,,,Percent of Total Billed Charges,,,,,269.22,,,,,,,Percent of Total Billed Charges,,,,,769.2,,,,,,,Percent of Total Billed Charges,,,,,192.3,,,,,,,Percent of Total Billed Charges,,,, N LUNG VENTILATION SCAN ,78587TC ,CPT,,Outpatient,,,961.5,769.2,718.24,,,,,,,Percent of Total Billed Charges,,718.24,718.24,,961.5,,,,,,,Percent of Total Billed Charges,,,,,923.04,,,,,,,Percent of Total Billed Charges,,,,,913.43,,,,,,,Percent of Total Billed Charges,,,,,192.3,,,,,,,Percent of Total Billed Charges,,,,,817.28,,,,,,,Percent of Total Billed Charges,,,,,201.92,,,,,,,Percent of Total Billed Charges,,,,,865.35,,,,,,,Percent of Total Billed Charges,,,,,865.35,,,,,,,Percent of Total Billed Charges,,,,,192.3,,,,,,,Percent of Total Billed Charges,,,,,269.22,,,,,,,Percent of Total Billed Charges,,,,,769.2,,,,,,,Percent of Total Billed Charges,,,,,192.3,,,,,,,Percent of Total Billed Charges,,,, N RENAL SCAN ,78701TC ,CPT,,Outpatient,,,2763.5,2210.8,2064.33,,,,,,,Percent of Total Billed Charges,,2064.33,2064.33,,2763.5,,,,,,,Percent of Total Billed Charges,,,,,2652.96,,,,,,,Percent of Total Billed Charges,,,,,2625.33,,,,,,,Percent of Total Billed Charges,,,,,552.7,,,,,,,Percent of Total Billed Charges,,,,,2348.98,,,,,,,Percent of Total Billed Charges,,,,,580.34,,,,,,,Percent of Total Billed Charges,,,,,2487.15,,,,,,,Percent of Total Billed Charges,,,,,2487.15,,,,,,,Percent of Total Billed Charges,,,,,552.7,,,,,,,Percent of Total Billed Charges,,,,,773.78,,,,,,,Percent of Total Billed Charges,,,,,2210.8,,,,,,,Percent of Total Billed Charges,,,,,552.7,,,,,,,Percent of Total Billed Charges,,,, N RENOGRAM COMPLETE ,78707TC ,CPT,,Outpatient,,,824,659.2,615.53,,,,,,,Percent of Total Billed Charges,,615.53,615.53,,824,,,,,,,Percent of Total Billed Charges,,,,,791.04,,,,,,,Percent of Total Billed Charges,,,,,782.8,,,,,,,Percent of Total Billed Charges,,,,,164.8,,,,,,,Percent of Total Billed Charges,,,,,700.4,,,,,,,Percent of Total Billed Charges,,,,,173.04,,,,,,,Percent of Total Billed Charges,,,,,741.6,,,,,,,Percent of Total Billed Charges,,,,,741.6,,,,,,,Percent of Total Billed Charges,,,,,164.8,,,,,,,Percent of Total Billed Charges,,,,,230.72,,,,,,,Percent of Total Billed Charges,,,,,659.2,,,,,,,Percent of Total Billed Charges,,,,,164.8,,,,,,,Percent of Total Billed Charges,,,, N SALIVARY SCAN ,78231TC ,CPT,,Outpatient,,,859.5,687.6,642.05,,,,,,,Percent of Total Billed Charges,,642.05,642.05,,859.5,,,,,,,Percent of Total Billed Charges,,,,,825.12,,,,,,,Percent of Total Billed Charges,,,,,816.53,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,730.58,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,,,773.55,,,,,,,Percent of Total Billed Charges,,,,,773.55,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,240.66,,,,,,,Percent of Total Billed Charges,,,,,687.6,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,, N EMERGENCY SCAN CHARGE ,250,RC,,Outpatient,,,295,236,220.37,,,,,,,Percent of Total Billed Charges,,220.37,220.37,,295,,,,,,,Percent of Total Billed Charges,,,,,283.2,,,,,,,Percent of Total Billed Charges,,,,,280.25,,,,,,,Percent of Total Billed Charges,,,,,59,,,,,,,Percent of Total Billed Charges,,,,,250.75,,,,,,,Percent of Total Billed Charges,,,,,61.95,,,,,,,Percent of Total Billed Charges,,,,,265.5,,,,,,,Percent of Total Billed Charges,,,,,265.5,,,,,,,Percent of Total Billed Charges,,,,,59,,,,,,,Percent of Total Billed Charges,,,,,82.6,,,,,,,Percent of Total Billed Charges,,,,,236,,,,,,,Percent of Total Billed Charges,,,,,59,,,,,,,Percent of Total Billed Charges,,,, N STAT READING CHARGE ,250,RC,,Outpatient,,,79,63.2,59.01,,,,,,,Percent of Total Billed Charges,,59.01,59.01,,79,,,,,,,Percent of Total Billed Charges,,,,,75.84,,,,,,,Percent of Total Billed Charges,,,,,75.05,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,67.15,,,,,,,Percent of Total Billed Charges,,,,,16.59,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,71.1,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,,,22.12,,,,,,,Percent of Total Billed Charges,,,,,63.2,,,,,,,Percent of Total Billed Charges,,,,,15.8,,,,,,,Percent of Total Billed Charges,,,, N TESTICULAR SCAN ,78761TC ,CPT,,Outpatient,,,1756.5,1405.2,1312.11,,,,,,,Percent of Total Billed Charges,,1312.11,1312.11,,1756.5,,,,,,,Percent of Total Billed Charges,,,,,1686.24,,,,,,,Percent of Total Billed Charges,,,,,1668.68,,,,,,,Percent of Total Billed Charges,,,,,351.3,,,,,,,Percent of Total Billed Charges,,,,,1493.03,,,,,,,Percent of Total Billed Charges,,,,,368.87,,,,,,,Percent of Total Billed Charges,,,,,1580.85,,,,,,,Percent of Total Billed Charges,,,,,1580.85,,,,,,,Percent of Total Billed Charges,,,,,351.3,,,,,,,Percent of Total Billed Charges,,,,,491.82,,,,,,,Percent of Total Billed Charges,,,,,1405.2,,,,,,,Percent of Total Billed Charges,,,,,351.3,,,,,,,Percent of Total Billed Charges,,,, N *DONT USE THALLIUM SCAN STRESS & REST,78452TC ,CPT,,Outpatient,,,1019,815.2,761.19,,,,,,,Percent of Total Billed Charges,,761.19,761.19,,1019,,,,,,,Percent of Total Billed Charges,,,,,978.24,,,,,,,Percent of Total Billed Charges,,,,,968.05,,,,,,,Percent of Total Billed Charges,,,,,203.8,,,,,,,Percent of Total Billed Charges,,,,,866.15,,,,,,,Percent of Total Billed Charges,,,,,213.99,,,,,,,Percent of Total Billed Charges,,,,,917.1,,,,,,,Percent of Total Billed Charges,,,,,917.1,,,,,,,Percent of Total Billed Charges,,,,,203.8,,,,,,,Percent of Total Billed Charges,,,,,285.32,,,,,,,Percent of Total Billed Charges,,,,,815.2,,,,,,,Percent of Total Billed Charges,,,,,203.8,,,,,,,Percent of Total Billed Charges,,,, N CARDIAC SCAN (PLANAR) ,78461,CPT,,Outpatient,,,1458,1166.4,1089.13,,,,,,,Percent of Total Billed Charges,,1089.13,1089.13,,1458,,,,,,,Percent of Total Billed Charges,,,,,1399.68,,,,,,,Percent of Total Billed Charges,,,,,1385.1,,,,,,,Percent of Total Billed Charges,,,,,291.6,,,,,,,Percent of Total Billed Charges,,,,,1239.3,,,,,,,Percent of Total Billed Charges,,,,,306.18,,,,,,,Percent of Total Billed Charges,,,,,1312.2,,,,,,,Percent of Total Billed Charges,,,,,1312.2,,,,,,,Percent of Total Billed Charges,,,,,291.6,,,,,,,Percent of Total Billed Charges,,,,,408.24,,,,,,,Percent of Total Billed Charges,,,,,1166.4,,,,,,,Percent of Total Billed Charges,,,,,291.6,,,,,,,Percent of Total Billed Charges,,,, N THYROID SCAN ,78013TC ,CPT,,Outpatient,,,1425.5,1140.4,1064.85,,,,,,,Percent of Total Billed Charges,,1064.85,1064.85,,1425.5,,,,,,,Percent of Total Billed Charges,,,,,1368.48,,,,,,,Percent of Total Billed Charges,,,,,1354.23,,,,,,,Percent of Total Billed Charges,,,,,285.1,,,,,,,Percent of Total Billed Charges,,,,,1211.68,,,,,,,Percent of Total Billed Charges,,,,,299.36,,,,,,,Percent of Total Billed Charges,,,,,1282.95,,,,,,,Percent of Total Billed Charges,,,,,1282.95,,,,,,,Percent of Total Billed Charges,,,,,285.1,,,,,,,Percent of Total Billed Charges,,,,,399.14,,,,,,,Percent of Total Billed Charges,,,,,1140.4,,,,,,,Percent of Total Billed Charges,,,,,285.1,,,,,,,Percent of Total Billed Charges,,,, N THYROID STIMULATION SCAN ,78003TC ,CPT,,Outpatient,,,753.5,602.8,562.86,,,,,,,Percent of Total Billed Charges,,562.86,562.86,,753.5,,,,,,,Percent of Total Billed Charges,,,,,723.36,,,,,,,Percent of Total Billed Charges,,,,,715.83,,,,,,,Percent of Total Billed Charges,,,,,150.7,,,,,,,Percent of Total Billed Charges,,,,,640.48,,,,,,,Percent of Total Billed Charges,,,,,158.24,,,,,,,Percent of Total Billed Charges,,,,,678.15,,,,,,,Percent of Total Billed Charges,,,,,678.15,,,,,,,Percent of Total Billed Charges,,,,,150.7,,,,,,,Percent of Total Billed Charges,,,,,210.98,,,,,,,Percent of Total Billed Charges,,,,,602.8,,,,,,,Percent of Total Billed Charges,,,,,150.7,,,,,,,Percent of Total Billed Charges,,,, N THYROID SUPPRESSION SCAN ,78003TC ,CPT,,Outpatient,,,753.5,602.8,562.86,,,,,,,Percent of Total Billed Charges,,562.86,562.86,,753.5,,,,,,,Percent of Total Billed Charges,,,,,723.36,,,,,,,Percent of Total Billed Charges,,,,,715.83,,,,,,,Percent of Total Billed Charges,,,,,150.7,,,,,,,Percent of Total Billed Charges,,,,,640.48,,,,,,,Percent of Total Billed Charges,,,,,158.24,,,,,,,Percent of Total Billed Charges,,,,,678.15,,,,,,,Percent of Total Billed Charges,,,,,678.15,,,,,,,Percent of Total Billed Charges,,,,,150.7,,,,,,,Percent of Total Billed Charges,,,,,210.98,,,,,,,Percent of Total Billed Charges,,,,,602.8,,,,,,,Percent of Total Billed Charges,,,,,150.7,,,,,,,Percent of Total Billed Charges,,,, N THYROID UPTAKE ,78012TC ,CPT,,Outpatient,,,930.5,744.4,695.08,,,,,,,Percent of Total Billed Charges,,695.08,695.08,,930.5,,,,,,,Percent of Total Billed Charges,,,,,893.28,,,,,,,Percent of Total Billed Charges,,,,,883.98,,,,,,,Percent of Total Billed Charges,,,,,186.1,,,,,,,Percent of Total Billed Charges,,,,,790.93,,,,,,,Percent of Total Billed Charges,,,,,195.41,,,,,,,Percent of Total Billed Charges,,,,,837.45,,,,,,,Percent of Total Billed Charges,,,,,837.45,,,,,,,Percent of Total Billed Charges,,,,,186.1,,,,,,,Percent of Total Billed Charges,,,,,260.54,,,,,,,Percent of Total Billed Charges,,,,,744.4,,,,,,,Percent of Total Billed Charges,,,,,186.1,,,,,,,Percent of Total Billed Charges,,,, N THYROID UPTAKE AND SCAN ,78012TC ,CPT,,Outpatient,,,1687.5,1350,1260.56,,,,,,,Percent of Total Billed Charges,,1260.56,1260.56,,1687.5,,,,,,,Percent of Total Billed Charges,,,,,1620,,,,,,,Percent of Total Billed Charges,,,,,1603.13,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,1434.38,,,,,,,Percent of Total Billed Charges,,,,,354.38,,,,,,,Percent of Total Billed Charges,,,,,1518.75,,,,,,,Percent of Total Billed Charges,,,,,1518.75,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,,,472.5,,,,,,,Percent of Total Billed Charges,,,,,1350,,,,,,,Percent of Total Billed Charges,,,,,337.5,,,,,,,Percent of Total Billed Charges,,,, N NUCLEAR VENOGRAM ,78458TC ,CPT,,Outpatient,,,863.5,690.8,645.03,,,,,,,Percent of Total Billed Charges,,645.03,645.03,,863.5,,,,,,,Percent of Total Billed Charges,,,,,828.96,,,,,,,Percent of Total Billed Charges,,,,,820.33,,,,,,,Percent of Total Billed Charges,,,,,172.7,,,,,,,Percent of Total Billed Charges,,,,,733.98,,,,,,,Percent of Total Billed Charges,,,,,181.34,,,,,,,Percent of Total Billed Charges,,,,,777.15,,,,,,,Percent of Total Billed Charges,,,,,777.15,,,,,,,Percent of Total Billed Charges,,,,,172.7,,,,,,,Percent of Total Billed Charges,,,,,241.78,,,,,,,Percent of Total Billed Charges,,,,,690.8,,,,,,,Percent of Total Billed Charges,,,,,172.7,,,,,,,Percent of Total Billed Charges,,,, N NUCLEAR VOIDING CYSTOGRAM ,78740TC ,CPT,,Outpatient,,,1988,1590.4,1485.04,,,,,,,Percent of Total Billed Charges,,1485.04,1485.04,,1988,,,,,,,Percent of Total Billed Charges,,,,,1908.48,,,,,,,Percent of Total Billed Charges,,,,,1888.6,,,,,,,Percent of Total Billed Charges,,,,,397.6,,,,,,,Percent of Total Billed Charges,,,,,1689.8,,,,,,,Percent of Total Billed Charges,,,,,417.48,,,,,,,Percent of Total Billed Charges,,,,,1789.2,,,,,,,Percent of Total Billed Charges,,,,,1789.2,,,,,,,Percent of Total Billed Charges,,,,,397.6,,,,,,,Percent of Total Billed Charges,,,,,556.64,,,,,,,Percent of Total Billed Charges,,,,,1590.4,,,,,,,Percent of Total Billed Charges,,,,,397.6,,,,,,,Percent of Total Billed Charges,,,, N IN-111 LEUKOCYTE SCAN ,78806TC ,CPT,,Outpatient,,,1881.5,1505.2,1405.48,,,,,,,Percent of Total Billed Charges,,1405.48,1405.48,,1881.5,,,,,,,Percent of Total Billed Charges,,,,,1806.24,,,,,,,Percent of Total Billed Charges,,,,,1787.43,,,,,,,Percent of Total Billed Charges,,,,,376.3,,,,,,,Percent of Total Billed Charges,,,,,1599.28,,,,,,,Percent of Total Billed Charges,,,,,395.12,,,,,,,Percent of Total Billed Charges,,,,,1693.35,,,,,,,Percent of Total Billed Charges,,,,,1693.35,,,,,,,Percent of Total Billed Charges,,,,,376.3,,,,,,,Percent of Total Billed Charges,,,,,526.82,,,,,,,Percent of Total Billed Charges,,,,,1505.2,,,,,,,Percent of Total Billed Charges,,,,,376.3,,,,,,,Percent of Total Billed Charges,,,, N LEVEEN SHUNT PATENCY TEST ,78291TC ,CPT,,Outpatient,,,1380,1104,1030.86,,,,,,,Percent of Total Billed Charges,,1030.86,1030.86,,1380,,,,,,,Percent of Total Billed Charges,,,,,1324.8,,,,,,,Percent of Total Billed Charges,,,,,1311,,,,,,,Percent of Total Billed Charges,,,,,276,,,,,,,Percent of Total Billed Charges,,,,,1173,,,,,,,Percent of Total Billed Charges,,,,,289.8,,,,,,,Percent of Total Billed Charges,,,,,1242,,,,,,,Percent of Total Billed Charges,,,,,1242,,,,,,,Percent of Total Billed Charges,,,,,276,,,,,,,Percent of Total Billed Charges,,,,,386.4,,,,,,,Percent of Total Billed Charges,,,,,1104,,,,,,,Percent of Total Billed Charges,,,,,276,,,,,,,Percent of Total Billed Charges,,,, N SPECT THALLIUM STUDY ,78465TC ,CPT,,Outpatient,,,2542.5,2034,1899.25,,,,,,,Percent of Total Billed Charges,,1899.25,1899.25,,2542.5,,,,,,,Percent of Total Billed Charges,,,,,2440.8,,,,,,,Percent of Total Billed Charges,,,,,2415.38,,,,,,,Percent of Total Billed Charges,,,,,508.5,,,,,,,Percent of Total Billed Charges,,,,,2161.13,,,,,,,Percent of Total Billed Charges,,,,,533.93,,,,,,,Percent of Total Billed Charges,,,,,2288.25,,,,,,,Percent of Total Billed Charges,,,,,2288.25,,,,,,,Percent of Total Billed Charges,,,,,508.5,,,,,,,Percent of Total Billed Charges,,,,,711.9,,,,,,,Percent of Total Billed Charges,,,,,2034,,,,,,,Percent of Total Billed Charges,,,,,508.5,,,,,,,Percent of Total Billed Charges,,,, N CARDIOLITE STRESS & REST ,78452TC ,CPT,,Outpatient,,,10688,8550.4,7983.94,,,,,,,Percent of Total Billed Charges,,7983.94,7983.94,,10688,,,,,,,Percent of Total Billed Charges,,,,,10260.48,,,,,,,Percent of Total Billed Charges,,,,,10153.6,,,,,,,Percent of Total Billed Charges,,,,,2137.6,,,,,,,Percent of Total Billed Charges,,,,,9084.8,,,,,,,Percent of Total Billed Charges,,,,,2244.48,,,,,,,Percent of Total Billed Charges,,,,,9619.2,,,,,,,Percent of Total Billed Charges,,,,,9619.2,,,,,,,Percent of Total Billed Charges,,,,,2137.6,,,,,,,Percent of Total Billed Charges,,,,,2992.64,,,,,,,Percent of Total Billed Charges,,,,,8550.4,,,,,,,Percent of Total Billed Charges,,,,,2137.6,,,,,,,Percent of Total Billed Charges,,,, N SPECT BONE ,78320TC ,CPT,,Outpatient,,,796.5,637.2,594.99,,,,,,,Percent of Total Billed Charges,,594.99,594.99,,796.5,,,,,,,Percent of Total Billed Charges,,,,,764.64,,,,,,,Percent of Total Billed Charges,,,,,756.68,,,,,,,Percent of Total Billed Charges,,,,,159.3,,,,,,,Percent of Total Billed Charges,,,,,677.03,,,,,,,Percent of Total Billed Charges,,,,,167.27,,,,,,,Percent of Total Billed Charges,,,,,716.85,,,,,,,Percent of Total Billed Charges,,,,,716.85,,,,,,,Percent of Total Billed Charges,,,,,159.3,,,,,,,Percent of Total Billed Charges,,,,,223.02,,,,,,,Percent of Total Billed Charges,,,,,637.2,,,,,,,Percent of Total Billed Charges,,,,,159.3,,,,,,,Percent of Total Billed Charges,,,, N CARDIAC SPECT STRESS OR REST ,78464TC ,CPT,,Outpatient,,,1729,1383.2,1291.56,,,,,,,Percent of Total Billed Charges,,1291.56,1291.56,,1729,,,,,,,Percent of Total Billed Charges,,,,,1659.84,,,,,,,Percent of Total Billed Charges,,,,,1642.55,,,,,,,Percent of Total Billed Charges,,,,,345.8,,,,,,,Percent of Total Billed Charges,,,,,1469.65,,,,,,,Percent of Total Billed Charges,,,,,363.09,,,,,,,Percent of Total Billed Charges,,,,,1556.1,,,,,,,Percent of Total Billed Charges,,,,,1556.1,,,,,,,Percent of Total Billed Charges,,,,,345.8,,,,,,,Percent of Total Billed Charges,,,,,484.12,,,,,,,Percent of Total Billed Charges,,,,,1383.2,,,,,,,Percent of Total Billed Charges,,,,,345.8,,,,,,,Percent of Total Billed Charges,,,, N SPECT LIVER ,78205TC ,CPT,,Outpatient,,,796.5,637.2,594.99,,,,,,,Percent of Total Billed Charges,,594.99,594.99,,796.5,,,,,,,Percent of Total Billed Charges,,,,,764.64,,,,,,,Percent of Total Billed Charges,,,,,756.68,,,,,,,Percent of Total Billed Charges,,,,,159.3,,,,,,,Percent of Total Billed Charges,,,,,677.03,,,,,,,Percent of Total Billed Charges,,,,,167.27,,,,,,,Percent of Total Billed Charges,,,,,716.85,,,,,,,Percent of Total Billed Charges,,,,,716.85,,,,,,,Percent of Total Billed Charges,,,,,159.3,,,,,,,Percent of Total Billed Charges,,,,,223.02,,,,,,,Percent of Total Billed Charges,,,,,637.2,,,,,,,Percent of Total Billed Charges,,,,,159.3,,,,,,,Percent of Total Billed Charges,,,, N DVT SCAN ,78456TC ,CPT,,Outpatient,,,4429.5,3543.6,3308.84,,,,,,,Percent of Total Billed Charges,,3308.84,3308.84,,4429.5,,,,,,,Percent of Total Billed Charges,,,,,4252.32,,,,,,,Percent of Total Billed Charges,,,,,4208.03,,,,,,,Percent of Total Billed Charges,,,,,885.9,,,,,,,Percent of Total Billed Charges,,,,,3765.08,,,,,,,Percent of Total Billed Charges,,,,,930.2,,,,,,,Percent of Total Billed Charges,,,,,3986.55,,,,,,,Percent of Total Billed Charges,,,,,3986.55,,,,,,,Percent of Total Billed Charges,,,,,885.9,,,,,,,Percent of Total Billed Charges,,,,,1240.26,,,,,,,Percent of Total Billed Charges,,,,,3543.6,,,,,,,Percent of Total Billed Charges,,,,,885.9,,,,,,,Percent of Total Billed Charges,,,, N PARATHYROID IMAGING ,78070TC ,CPT,,Outpatient,,,2206,1764.8,1647.88,,,,,,,Percent of Total Billed Charges,,1647.88,1647.88,,2206,,,,,,,Percent of Total Billed Charges,,,,,2117.76,,,,,,,Percent of Total Billed Charges,,,,,2095.7,,,,,,,Percent of Total Billed Charges,,,,,441.2,,,,,,,Percent of Total Billed Charges,,,,,1875.1,,,,,,,Percent of Total Billed Charges,,,,,463.26,,,,,,,Percent of Total Billed Charges,,,,,1985.4,,,,,,,Percent of Total Billed Charges,,,,,1985.4,,,,,,,Percent of Total Billed Charges,,,,,441.2,,,,,,,Percent of Total Billed Charges,,,,,617.68,,,,,,,Percent of Total Billed Charges,,,,,1764.8,,,,,,,Percent of Total Billed Charges,,,,,441.2,,,,,,,Percent of Total Billed Charges,,,, N CAPTOPRIL RENAL STUDY ,78709TC ,CPT,,Outpatient,,,3604.5,2883.6,2692.56,,,,,,,Percent of Total Billed Charges,,2692.56,2692.56,,3604.5,,,,,,,Percent of Total Billed Charges,,,,,3460.32,,,,,,,Percent of Total Billed Charges,,,,,3424.28,,,,,,,Percent of Total Billed Charges,,,,,720.9,,,,,,,Percent of Total Billed Charges,,,,,3063.83,,,,,,,Percent of Total Billed Charges,,,,,756.95,,,,,,,Percent of Total Billed Charges,,,,,3244.05,,,,,,,Percent of Total Billed Charges,,,,,3244.05,,,,,,,Percent of Total Billed Charges,,,,,720.9,,,,,,,Percent of Total Billed Charges,,,,,1009.26,,,,,,,Percent of Total Billed Charges,,,,,2883.6,,,,,,,Percent of Total Billed Charges,,,,,720.9,,,,,,,Percent of Total Billed Charges,,,, RADIOPHARMACEUTICAL-DIAGNOSTIC ,A9516 ,CPT,,Outpatient,,,644,515.2,481.07,,,,,,,Percent of Total Billed Charges,,481.07,481.07,,644,,,,,,,Percent of Total Billed Charges,,,,,618.24,,,,,,,Percent of Total Billed Charges,,,,,611.8,,,,,,,Percent of Total Billed Charges,,,,,128.8,,,,,,,Percent of Total Billed Charges,,,,,547.4,,,,,,,Percent of Total Billed Charges,,,,,135.24,,,,,,,Percent of Total Billed Charges,,,,,579.6,,,,,,,Percent of Total Billed Charges,,,,,579.6,,,,,,,Percent of Total Billed Charges,,,,,128.8,,,,,,,Percent of Total Billed Charges,,,,,180.32,,,,,,,Percent of Total Billed Charges,,,,,515.2,,,,,,,Percent of Total Billed Charges,,,,,128.8,,,,,,,Percent of Total Billed Charges,,,, Tc99m SESTAMIBI ,A9500 ,CPT,,Outpatient,,,1075.5,860.4,803.4,,,,,,,Percent of Total Billed Charges,,803.4,803.4,,1075.5,,,,,,,Percent of Total Billed Charges,,,,,1032.48,,,,,,,Percent of Total Billed Charges,,,,,1021.73,,,,,,,Percent of Total Billed Charges,,,,,215.1,,,,,,,Percent of Total Billed Charges,,,,,914.18,,,,,,,Percent of Total Billed Charges,,,,,225.86,,,,,,,Percent of Total Billed Charges,,,,,967.95,,,,,,,Percent of Total Billed Charges,,,,,967.95,,,,,,,Percent of Total Billed Charges,,,,,215.1,,,,,,,Percent of Total Billed Charges,,,,,301.14,,,,,,,Percent of Total Billed Charges,,,,,860.4,,,,,,,Percent of Total Billed Charges,,,,,215.1,,,,,,,Percent of Total Billed Charges,,,, THALLOUS CHLORIDE TI 201 ,A9505 ,CPT,,Outpatient,,,129.5,103.6,96.74,,,,,,,Percent of Total Billed Charges,,96.74,96.74,,129.5,,,,,,,Percent of Total Billed Charges,,,,,124.32,,,,,,,Percent of Total Billed Charges,,,,,123.03,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,110.08,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,116.55,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,,,36.26,,,,,,,Percent of Total Billed Charges,,,,,103.6,,,,,,,Percent of Total Billed Charges,,,,,25.9,,,,,,,Percent of Total Billed Charges,,,, N CARDIAC WALL MOTION STUDY ,78478,CPT,,Outpatient,,,914.5,731.6,683.13,,,,,,,Percent of Total Billed Charges,,683.13,683.13,,914.5,,,,,,,Percent of Total Billed Charges,,,,,877.92,,,,,,,Percent of Total Billed Charges,,,,,868.78,,,,,,,Percent of Total Billed Charges,,,,,182.9,,,,,,,Percent of Total Billed Charges,,,,,777.33,,,,,,,Percent of Total Billed Charges,,,,,192.05,,,,,,,Percent of Total Billed Charges,,,,,823.05,,,,,,,Percent of Total Billed Charges,,,,,823.05,,,,,,,Percent of Total Billed Charges,,,,,182.9,,,,,,,Percent of Total Billed Charges,,,,,256.06,,,,,,,Percent of Total Billed Charges,,,,,731.6,,,,,,,Percent of Total Billed Charges,,,,,182.9,,,,,,,Percent of Total Billed Charges,,,, N WHITE BLOOD CELL SCAN ,78801TC ,CPT,,Outpatient,,,1016,812.8,758.95,,,,,,,Percent of Total Billed Charges,,758.95,758.95,,1016,,,,,,,Percent of Total Billed Charges,,,,,975.36,,,,,,,Percent of Total Billed Charges,,,,,965.2,,,,,,,Percent of Total Billed Charges,,,,,203.2,,,,,,,Percent of Total Billed Charges,,,,,863.6,,,,,,,Percent of Total Billed Charges,,,,,213.36,,,,,,,Percent of Total Billed Charges,,,,,914.4,,,,,,,Percent of Total Billed Charges,,,,,914.4,,,,,,,Percent of Total Billed Charges,,,,,203.2,,,,,,,Percent of Total Billed Charges,,,,,284.48,,,,,,,Percent of Total Billed Charges,,,,,812.8,,,,,,,Percent of Total Billed Charges,,,,,203.2,,,,,,,Percent of Total Billed Charges,,,, N CARDIAC PERFUSION STUDY W EJECTION FR ,78480,CPT,,Outpatient,,,914.5,731.6,683.13,,,,,,,Percent of Total Billed Charges,,683.13,683.13,,914.5,,,,,,,Percent of Total Billed Charges,,,,,877.92,,,,,,,Percent of Total Billed Charges,,,,,868.78,,,,,,,Percent of Total Billed Charges,,,,,182.9,,,,,,,Percent of Total Billed Charges,,,,,777.33,,,,,,,Percent of Total Billed Charges,,,,,192.05,,,,,,,Percent of Total Billed Charges,,,,,823.05,,,,,,,Percent of Total Billed Charges,,,,,823.05,,,,,,,Percent of Total Billed Charges,,,,,182.9,,,,,,,Percent of Total Billed Charges,,,,,256.06,,,,,,,Percent of Total Billed Charges,,,,,731.6,,,,,,,Percent of Total Billed Charges,,,,,182.9,,,,,,,Percent of Total Billed Charges,,,, N MECKELS SCAN ,78290TC ,CPT,,Outpatient,,,1783,1426.4,1331.9,,,,,,,Percent of Total Billed Charges,,1331.9,1331.9,,1783,,,,,,,Percent of Total Billed Charges,,,,,1711.68,,,,,,,Percent of Total Billed Charges,,,,,1693.85,,,,,,,Percent of Total Billed Charges,,,,,356.6,,,,,,,Percent of Total Billed Charges,,,,,1515.55,,,,,,,Percent of Total Billed Charges,,,,,374.43,,,,,,,Percent of Total Billed Charges,,,,,1604.7,,,,,,,Percent of Total Billed Charges,,,,,1604.7,,,,,,,Percent of Total Billed Charges,,,,,356.6,,,,,,,Percent of Total Billed Charges,,,,,499.24,,,,,,,Percent of Total Billed Charges,,,,,1426.4,,,,,,,Percent of Total Billed Charges,,,,,356.6,,,,,,,Percent of Total Billed Charges,,,, N PYTEST C-14 UREA BREATH TEST ,78267TC ,CPT,,Outpatient,,,659,527.2,492.27,,,,,,,Percent of Total Billed Charges,,492.27,492.27,,659,,,,,,,Percent of Total Billed Charges,,,,,632.64,,,,,,,Percent of Total Billed Charges,,,,,626.05,,,,,,,Percent of Total Billed Charges,,,,,131.8,,,,,,,Percent of Total Billed Charges,,,,,560.15,,,,,,,Percent of Total Billed Charges,,,,,138.39,,,,,,,Percent of Total Billed Charges,,,,,593.1,,,,,,,Percent of Total Billed Charges,,,,,593.1,,,,,,,Percent of Total Billed Charges,,,,,131.8,,,,,,,Percent of Total Billed Charges,,,,,184.52,,,,,,,Percent of Total Billed Charges,,,,,527.2,,,,,,,Percent of Total Billed Charges,,,,,131.8,,,,,,,Percent of Total Billed Charges,,,, N UNCLASSIFIED DRUG-PYTEST C-14 ,A4641 ,CPT,,Outpatient,,,343.5,274.8,256.59,,,,,,,Percent of Total Billed Charges,,256.59,256.59,,343.5,,,,,,,Percent of Total Billed Charges,,,,,329.76,,,,,,,Percent of Total Billed Charges,,,,,326.33,,,,,,,Percent of Total Billed Charges,,,,,68.7,,,,,,,Percent of Total Billed Charges,,,,,291.98,,,,,,,Percent of Total Billed Charges,,,,,72.14,,,,,,,Percent of Total Billed Charges,,,,,309.15,,,,,,,Percent of Total Billed Charges,,,,,309.15,,,,,,,Percent of Total Billed Charges,,,,,68.7,,,,,,,Percent of Total Billed Charges,,,,,96.18,,,,,,,Percent of Total Billed Charges,,,,,274.8,,,,,,,Percent of Total Billed Charges,,,,,68.7,,,,,,,Percent of Total Billed Charges,,,, N V/Q SCAN ,78582TC ,CPT,,Outpatient,,,4285.5,3428.4,3201.27,,,,,,,Percent of Total Billed Charges,,3201.27,3201.27,,4285.5,,,,,,,Percent of Total Billed Charges,,,,,4114.08,,,,,,,Percent of Total Billed Charges,,,,,4071.23,,,,,,,Percent of Total Billed Charges,,,,,857.1,,,,,,,Percent of Total Billed Charges,,,,,3642.68,,,,,,,Percent of Total Billed Charges,,,,,899.96,,,,,,,Percent of Total Billed Charges,,,,,3856.95,,,,,,,Percent of Total Billed Charges,,,,,3856.95,,,,,,,Percent of Total Billed Charges,,,,,857.1,,,,,,,Percent of Total Billed Charges,,,,,1199.94,,,,,,,Percent of Total Billed Charges,,,,,3428.4,,,,,,,Percent of Total Billed Charges,,,,,857.1,,,,,,,Percent of Total Billed Charges,,,, Tc-99m MAA ,A9540 ,CPT,,Outpatient,,,304.5,243.6,227.46,,,,,,,Percent of Total Billed Charges,,227.46,227.46,,304.5,,,,,,,Percent of Total Billed Charges,,,,,292.32,,,,,,,Percent of Total Billed Charges,,,,,289.28,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,258.83,,,,,,,Percent of Total Billed Charges,,,,,63.95,,,,,,,Percent of Total Billed Charges,,,,,274.05,,,,,,,Percent of Total Billed Charges,,,,,274.05,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,,,85.26,,,,,,,Percent of Total Billed Charges,,,,,243.6,,,,,,,Percent of Total Billed Charges,,,,,60.9,,,,,,,Percent of Total Billed Charges,,,, TC-99M CHOLETEC ,A9510 ,CPT,,Outpatient,,,685.5,548.4,512.07,,,,,,,Percent of Total Billed Charges,,512.07,512.07,,685.5,,,,,,,Percent of Total Billed Charges,,,,,658.08,,,,,,,Percent of Total Billed Charges,,,,,651.23,,,,,,,Percent of Total Billed Charges,,,,,137.1,,,,,,,Percent of Total Billed Charges,,,,,582.68,,,,,,,Percent of Total Billed Charges,,,,,143.96,,,,,,,Percent of Total Billed Charges,,,,,616.95,,,,,,,Percent of Total Billed Charges,,,,,616.95,,,,,,,Percent of Total Billed Charges,,,,,137.1,,,,,,,Percent of Total Billed Charges,,,,,191.94,,,,,,,Percent of Total Billed Charges,,,,,548.4,,,,,,,Percent of Total Billed Charges,,,,,137.1,,,,,,,Percent of Total Billed Charges,,,, TC-99M DTPA ,A9567 ,CPT,,Outpatient,,,685.5,548.4,512.07,,,,,,,Percent of Total Billed Charges,,512.07,512.07,,685.5,,,,,,,Percent of Total Billed Charges,,,,,658.08,,,,,,,Percent of Total Billed Charges,,,,,651.23,,,,,,,Percent of Total Billed Charges,,,,,137.1,,,,,,,Percent of Total Billed Charges,,,,,582.68,,,,,,,Percent of Total Billed Charges,,,,,143.96,,,,,,,Percent of Total Billed Charges,,,,,616.95,,,,,,,Percent of Total Billed Charges,,,,,616.95,,,,,,,Percent of Total Billed Charges,,,,,137.1,,,,,,,Percent of Total Billed Charges,,,,,191.94,,,,,,,Percent of Total Billed Charges,,,,,548.4,,,,,,,Percent of Total Billed Charges,,,,,137.1,,,,,,,Percent of Total Billed Charges,,,, TC-99M DMSA ,A9551 ,CPT,,Outpatient,,,1139,911.2,850.83,,,,,,,Percent of Total Billed Charges,,850.83,850.83,,1139,,,,,,,Percent of Total Billed Charges,,,,,1093.44,,,,,,,Percent of Total Billed Charges,,,,,1082.05,,,,,,,Percent of Total Billed Charges,,,,,227.8,,,,,,,Percent of Total Billed Charges,,,,,968.15,,,,,,,Percent of Total Billed Charges,,,,,239.19,,,,,,,Percent of Total Billed Charges,,,,,1025.1,,,,,,,Percent of Total Billed Charges,,,,,1025.1,,,,,,,Percent of Total Billed Charges,,,,,227.8,,,,,,,Percent of Total Billed Charges,,,,,318.92,,,,,,,Percent of Total Billed Charges,,,,,911.2,,,,,,,Percent of Total Billed Charges,,,,,227.8,,,,,,,Percent of Total Billed Charges,,,, TC-99M SULFER COLLOID ,A9541 ,CPT,,Outpatient,,,685.5,548.4,512.07,,,,,,,Percent of Total Billed Charges,,512.07,512.07,,685.5,,,,,,,Percent of Total Billed Charges,,,,,658.08,,,,,,,Percent of Total Billed Charges,,,,,651.23,,,,,,,Percent of Total Billed Charges,,,,,137.1,,,,,,,Percent of Total Billed Charges,,,,,582.68,,,,,,,Percent of Total Billed Charges,,,,,143.96,,,,,,,Percent of Total Billed Charges,,,,,616.95,,,,,,,Percent of Total Billed Charges,,,,,616.95,,,,,,,Percent of Total Billed Charges,,,,,137.1,,,,,,,Percent of Total Billed Charges,,,,,191.94,,,,,,,Percent of Total Billed Charges,,,,,548.4,,,,,,,Percent of Total Billed Charges,,,,,137.1,,,,,,,Percent of Total Billed Charges,,,, TC-99M MAG3 ,A9537 ,CPT,,Outpatient,,,1139,911.2,850.83,,,,,,,Percent of Total Billed Charges,,850.83,850.83,,1139,,,,,,,Percent of Total Billed Charges,,,,,1093.44,,,,,,,Percent of Total Billed Charges,,,,,1082.05,,,,,,,Percent of Total Billed Charges,,,,,227.8,,,,,,,Percent of Total Billed Charges,,,,,968.15,,,,,,,Percent of Total Billed Charges,,,,,239.19,,,,,,,Percent of Total Billed Charges,,,,,1025.1,,,,,,,Percent of Total Billed Charges,,,,,1025.1,,,,,,,Percent of Total Billed Charges,,,,,227.8,,,,,,,Percent of Total Billed Charges,,,,,318.92,,,,,,,Percent of Total Billed Charges,,,,,911.2,,,,,,,Percent of Total Billed Charges,,,,,227.8,,,,,,,Percent of Total Billed Charges,,,, TC-99M MDP - OXIDRONATE ,A9503 ,CPT,,Outpatient,,,708,566.4,528.88,,,,,,,Percent of Total Billed Charges,,528.88,528.88,,708,,,,,,,Percent of Total Billed Charges,,,,,679.68,,,,,,,Percent of Total Billed Charges,,,,,672.6,,,,,,,Percent of Total Billed Charges,,,,,141.6,,,,,,,Percent of Total Billed Charges,,,,,601.8,,,,,,,Percent of Total Billed Charges,,,,,148.68,,,,,,,Percent of Total Billed Charges,,,,,637.2,,,,,,,Percent of Total Billed Charges,,,,,637.2,,,,,,,Percent of Total Billed Charges,,,,,141.6,,,,,,,Percent of Total Billed Charges,,,,,198.24,,,,,,,Percent of Total Billed Charges,,,,,566.4,,,,,,,Percent of Total Billed Charges,,,,,141.6,,,,,,,Percent of Total Billed Charges,,,, TC-99M LABELED RED BLOOD CELL/MCI ,A9560 ,CPT,,Outpatient,,,86,68.8,64.24,,,,,,,Percent of Total Billed Charges,,64.24,64.24,,86,,,,,,,Percent of Total Billed Charges,,,,,82.56,,,,,,,Percent of Total Billed Charges,,,,,81.7,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,73.1,,,,,,,Percent of Total Billed Charges,,,,,18.06,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,77.4,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,,,24.08,,,,,,,Percent of Total Billed Charges,,,,,68.8,,,,,,,Percent of Total Billed Charges,,,,,17.2,,,,,,,Percent of Total Billed Charges,,,, I-123 CAPSULE/100 UCI ,A9516 ,CPT,,Outpatient,,,251.5,201.2,187.87,,,,,,,Percent of Total Billed Charges,,187.87,187.87,,251.5,,,,,,,Percent of Total Billed Charges,,,,,241.44,,,,,,,Percent of Total Billed Charges,,,,,238.93,,,,,,,Percent of Total Billed Charges,,,,,50.3,,,,,,,Percent of Total Billed Charges,,,,,213.78,,,,,,,Percent of Total Billed Charges,,,,,52.82,,,,,,,Percent of Total Billed Charges,,,,,226.35,,,,,,,Percent of Total Billed Charges,,,,,226.35,,,,,,,Percent of Total Billed Charges,,,,,50.3,,,,,,,Percent of Total Billed Charges,,,,,70.42,,,,,,,Percent of Total Billed Charges,,,,,201.2,,,,,,,Percent of Total Billed Charges,,,,,50.3,,,,,,,Percent of Total Billed Charges,,,, GALLIUM-67/MCI ,A9556 ,CPT,,Outpatient,,,155.5,124.4,116.16,,,,,,,Percent of Total Billed Charges,,116.16,116.16,,155.5,,,,,,,Percent of Total Billed Charges,,,,,149.28,,,,,,,Percent of Total Billed Charges,,,,,147.73,,,,,,,Percent of Total Billed Charges,,,,,31.1,,,,,,,Percent of Total Billed Charges,,,,,132.18,,,,,,,Percent of Total Billed Charges,,,,,32.66,,,,,,,Percent of Total Billed Charges,,,,,139.95,,,,,,,Percent of Total Billed Charges,,,,,139.95,,,,,,,Percent of Total Billed Charges,,,,,31.1,,,,,,,Percent of Total Billed Charges,,,,,43.54,,,,,,,Percent of Total Billed Charges,,,,,124.4,,,,,,,Percent of Total Billed Charges,,,,,31.1,,,,,,,Percent of Total Billed Charges,,,, TC-99M ACCUTECT ,A9504 ,CPT,,Outpatient,,,2262,1809.6,1689.71,,,,,,,Percent of Total Billed Charges,,1689.71,1689.71,,2262,,,,,,,Percent of Total Billed Charges,,,,,2171.52,,,,,,,Percent of Total Billed Charges,,,,,2148.9,,,,,,,Percent of Total Billed Charges,,,,,452.4,,,,,,,Percent of Total Billed Charges,,,,,1922.7,,,,,,,Percent of Total Billed Charges,,,,,475.02,,,,,,,Percent of Total Billed Charges,,,,,2035.8,,,,,,,Percent of Total Billed Charges,,,,,2035.8,,,,,,,Percent of Total Billed Charges,,,,,452.4,,,,,,,Percent of Total Billed Charges,,,,,633.36,,,,,,,Percent of Total Billed Charges,,,,,1809.6,,,,,,,Percent of Total Billed Charges,,,,,452.4,,,,,,,Percent of Total Billed Charges,,,, TC-99M CERETEC ,A9569 ,CPT,,Outpatient,,,685.5,548.4,512.07,,,,,,,Percent of Total Billed Charges,,512.07,512.07,,685.5,,,,,,,Percent of Total Billed Charges,,,,,658.08,,,,,,,Percent of Total Billed Charges,,,,,651.23,,,,,,,Percent of Total Billed Charges,,,,,137.1,,,,,,,Percent of Total Billed Charges,,,,,582.68,,,,,,,Percent of Total Billed Charges,,,,,143.96,,,,,,,Percent of Total Billed Charges,,,,,616.95,,,,,,,Percent of Total Billed Charges,,,,,616.95,,,,,,,Percent of Total Billed Charges,,,,,137.1,,,,,,,Percent of Total Billed Charges,,,,,191.94,,,,,,,Percent of Total Billed Charges,,,,,548.4,,,,,,,Percent of Total Billed Charges,,,,,137.1,,,,,,,Percent of Total Billed Charges,,,, CO-57 .5 MCI CAPSULE ,Q3012 ,CPT,,Outpatient,,,463.5,370.8,346.23,,,,,,,Percent of Total Billed Charges,,346.23,346.23,,463.5,,,,,,,Percent of Total Billed Charges,,,,,444.96,,,,,,,Percent of Total Billed Charges,,,,,440.33,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,393.98,,,,,,,Percent of Total Billed Charges,,,,,97.34,,,,,,,Percent of Total Billed Charges,,,,,417.15,,,,,,,Percent of Total Billed Charges,,,,,417.15,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,129.78,,,,,,,Percent of Total Billed Charges,,,,,370.8,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,, Tc99m TETROFOSMIN ,A9502 ,CPT,,Outpatient,,,1075.5,860.4,803.4,,,,,,,Percent of Total Billed Charges,,803.4,803.4,,1075.5,,,,,,,Percent of Total Billed Charges,,,,,1032.48,,,,,,,Percent of Total Billed Charges,,,,,1021.73,,,,,,,Percent of Total Billed Charges,,,,,215.1,,,,,,,Percent of Total Billed Charges,,,,,914.18,,,,,,,Percent of Total Billed Charges,,,,,225.86,,,,,,,Percent of Total Billed Charges,,,,,967.95,,,,,,,Percent of Total Billed Charges,,,,,967.95,,,,,,,Percent of Total Billed Charges,,,,,215.1,,,,,,,Percent of Total Billed Charges,,,,,301.14,,,,,,,Percent of Total Billed Charges,,,,,860.4,,,,,,,Percent of Total Billed Charges,,,,,215.1,,,,,,,Percent of Total Billed Charges,,,, CT SUPPLY ORAL OMNIPAQUE 9MG/ML ,Q9965 ,CPT,,Outpatient,,,380,304,283.86,,,,,,,Percent of Total Billed Charges,,283.86,283.86,,380,,,,,,,Percent of Total Billed Charges,,,,,364.8,,,,,,,Percent of Total Billed Charges,,,,,361,,,,,,,Percent of Total Billed Charges,,,,,76,,,,,,,Percent of Total Billed Charges,,,,,323,,,,,,,Percent of Total Billed Charges,,,,,79.8,,,,,,,Percent of Total Billed Charges,,,,,342,,,,,,,Percent of Total Billed Charges,,,,,342,,,,,,,Percent of Total Billed Charges,,,,,76,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,304,,,,,,,Percent of Total Billed Charges,,,,,76,,,,,,,Percent of Total Billed Charges,,,, CT SUPPLY ORAL OMNIPAQUE 12MG/ML ,Q9965 ,CPT,,Outpatient,,,380,304,283.86,,,,,,,Percent of Total Billed Charges,,283.86,283.86,,380,,,,,,,Percent of Total Billed Charges,,,,,364.8,,,,,,,Percent of Total Billed Charges,,,,,361,,,,,,,Percent of Total Billed Charges,,,,,76,,,,,,,Percent of Total Billed Charges,,,,,323,,,,,,,Percent of Total Billed Charges,,,,,79.8,,,,,,,Percent of Total Billed Charges,,,,,342,,,,,,,Percent of Total Billed Charges,,,,,342,,,,,,,Percent of Total Billed Charges,,,,,76,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,304,,,,,,,Percent of Total Billed Charges,,,,,76,,,,,,,Percent of Total Billed Charges,,,, ISOVUE 300 150ML ,Q9965 ,CPT,,Outpatient,,,380,304,283.86,,,,,,,Percent of Total Billed Charges,,283.86,283.86,,380,,,,,,,Percent of Total Billed Charges,,,,,364.8,,,,,,,Percent of Total Billed Charges,,,,,361,,,,,,,Percent of Total Billed Charges,,,,,76,,,,,,,Percent of Total Billed Charges,,,,,323,,,,,,,Percent of Total Billed Charges,,,,,79.8,,,,,,,Percent of Total Billed Charges,,,,,342,,,,,,,Percent of Total Billed Charges,,,,,342,,,,,,,Percent of Total Billed Charges,,,,,76,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,304,,,,,,,Percent of Total Billed Charges,,,,,76,,,,,,,Percent of Total Billed Charges,,,, ISOVUE 300 100ML ,Q9965 ,CPT,,Outpatient,,,291,232.8,217.38,,,,,,,Percent of Total Billed Charges,,217.38,217.38,,291,,,,,,,Percent of Total Billed Charges,,,,,279.36,,,,,,,Percent of Total Billed Charges,,,,,276.45,,,,,,,Percent of Total Billed Charges,,,,,58.2,,,,,,,Percent of Total Billed Charges,,,,,247.35,,,,,,,Percent of Total Billed Charges,,,,,61.11,,,,,,,Percent of Total Billed Charges,,,,,261.9,,,,,,,Percent of Total Billed Charges,,,,,261.9,,,,,,,Percent of Total Billed Charges,,,,,58.2,,,,,,,Percent of Total Billed Charges,,,,,81.48,,,,,,,Percent of Total Billed Charges,,,,,232.8,,,,,,,Percent of Total Billed Charges,,,,,58.2,,,,,,,Percent of Total Billed Charges,,,, CT NECK SOFT TISSUE W/O W/IV CONT (ROUT),70492TC ,CPT,,Outpatient,,,6746.5,5397.2,5039.64,,,,,,,Percent of Total Billed Charges,,5039.64,5039.64,,6746.5,,,,,,,Percent of Total Billed Charges,,,,,6476.64,,,,,,,Percent of Total Billed Charges,,,,,6409.18,,,,,,,Percent of Total Billed Charges,,,,,1349.3,,,,,,,Percent of Total Billed Charges,,,,,5734.53,,,,,,,Percent of Total Billed Charges,,,,,1416.77,,,,,,,Percent of Total Billed Charges,,,,,6071.85,,,,,,,Percent of Total Billed Charges,,,,,6071.85,,,,,,,Percent of Total Billed Charges,,,,,1349.3,,,,,,,Percent of Total Billed Charges,,,,,1889.02,,,,,,,Percent of Total Billed Charges,,,,,5397.2,,,,,,,Percent of Total Billed Charges,,,,,1349.3,,,,,,,Percent of Total Billed Charges,,,, E-Z PASTE PER UNIT ,250,RC,,Outpatient,,,29,23.2,21.66,,,,,,,Percent of Total Billed Charges,,21.66,21.66,,29,,,,,,,Percent of Total Billed Charges,,,,,27.84,,,,,,,Percent of Total Billed Charges,,,,,27.55,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,24.65,,,,,,,Percent of Total Billed Charges,,,,,6.09,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,26.1,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,,,8.12,,,,,,,Percent of Total Billed Charges,,,,,23.2,,,,,,,Percent of Total Billed Charges,,,,,5.8,,,,,,,Percent of Total Billed Charges,,,, CT SUPPLY OMNIPAQUE 350-100ml ,250,RC,,Outpatient,,,186.5,149.2,139.32,,,,,,,Percent of Total Billed Charges,,139.32,139.32,,186.5,,,,,,,Percent of Total Billed Charges,,,,,179.04,,,,,,,Percent of Total Billed Charges,,,,,177.18,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,158.53,,,,,,,Percent of Total Billed Charges,,,,,39.17,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,167.85,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,,,52.22,,,,,,,Percent of Total Billed Charges,,,,,149.2,,,,,,,Percent of Total Billed Charges,,,,,37.3,,,,,,,Percent of Total Billed Charges,,,, CT SUPPLY ISOVUE 300 100ML/CASE ,250,RC,,Outpatient,,,849,679.2,634.2,,,,,,,Percent of Total Billed Charges,,634.2,634.2,,849,,,,,,,Percent of Total Billed Charges,,,,,815.04,,,,,,,Percent of Total Billed Charges,,,,,806.55,,,,,,,Percent of Total Billed Charges,,,,,169.8,,,,,,,Percent of Total Billed Charges,,,,,721.65,,,,,,,Percent of Total Billed Charges,,,,,178.29,,,,,,,Percent of Total Billed Charges,,,,,764.1,,,,,,,Percent of Total Billed Charges,,,,,764.1,,,,,,,Percent of Total Billed Charges,,,,,169.8,,,,,,,Percent of Total Billed Charges,,,,,237.72,,,,,,,Percent of Total Billed Charges,,,,,679.2,,,,,,,Percent of Total Billed Charges,,,,,169.8,,,,,,,Percent of Total Billed Charges,,,, CT SUPPLY ISOVUE 370-100mL/CASE ,250,RC,,Outpatient,,,208,166.4,155.38,,,,,,,Percent of Total Billed Charges,,155.38,155.38,,208,,,,,,,Percent of Total Billed Charges,,,,,199.68,,,,,,,Percent of Total Billed Charges,,,,,197.6,,,,,,,Percent of Total Billed Charges,,,,,41.6,,,,,,,Percent of Total Billed Charges,,,,,176.8,,,,,,,Percent of Total Billed Charges,,,,,43.68,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,187.2,,,,,,,Percent of Total Billed Charges,,,,,41.6,,,,,,,Percent of Total Billed Charges,,,,,58.24,,,,,,,Percent of Total Billed Charges,,,,,166.4,,,,,,,Percent of Total Billed Charges,,,,,41.6,,,,,,,Percent of Total Billed Charges,,,, READI-CAT PER UNIT ,250,RC,,Outpatient,,,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, "CT TEMPORAL, INNER EAR, MASTOID W/O IV ",70480TC ,CPT,,Outpatient,,,4261,3408.8,3182.97,,,,,,,Percent of Total Billed Charges,,3182.97,3182.97,,4261,,,,,,,Percent of Total Billed Charges,,,,,4090.56,,,,,,,Percent of Total Billed Charges,,,,,4047.95,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,,,3621.85,,,,,,,Percent of Total Billed Charges,,,,,894.81,,,,,,,Percent of Total Billed Charges,,,,,3834.9,,,,,,,Percent of Total Billed Charges,,,,,3834.9,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,,,1193.08,,,,,,,Percent of Total Billed Charges,,,,,3408.8,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,, CT INNER EAR/MASTOIDS W/IV CONT ,70481TC ,CPT,,Outpatient,,,4286.5,3429.2,3202.02,,,,,,,Percent of Total Billed Charges,,3202.02,3202.02,,4286.5,,,,,,,Percent of Total Billed Charges,,,,,4115.04,,,,,,,Percent of Total Billed Charges,,,,,4072.18,,,,,,,Percent of Total Billed Charges,,,,,857.3,,,,,,,Percent of Total Billed Charges,,,,,3643.53,,,,,,,Percent of Total Billed Charges,,,,,900.17,,,,,,,Percent of Total Billed Charges,,,,,3857.85,,,,,,,Percent of Total Billed Charges,,,,,3857.85,,,,,,,Percent of Total Billed Charges,,,,,857.3,,,,,,,Percent of Total Billed Charges,,,,,1200.22,,,,,,,Percent of Total Billed Charges,,,,,3429.2,,,,,,,Percent of Total Billed Charges,,,,,857.3,,,,,,,Percent of Total Billed Charges,,,, CT INNER EAR/MASTOIDS W/0 & W IV CONT ,70482,CPT,,Outpatient,,,6315.5,5052.4,4717.68,,,,,,,Percent of Total Billed Charges,,4717.68,4717.68,,6315.5,,,,,,,Percent of Total Billed Charges,,,,,6062.88,,,,,,,Percent of Total Billed Charges,,,,,5999.73,,,,,,,Percent of Total Billed Charges,,,,,1263.1,,,,,,,Percent of Total Billed Charges,,,,,5368.18,,,,,,,Percent of Total Billed Charges,,,,,1326.26,,,,,,,Percent of Total Billed Charges,,,,,5683.95,,,,,,,Percent of Total Billed Charges,,,,,5683.95,,,,,,,Percent of Total Billed Charges,,,,,1263.1,,,,,,,Percent of Total Billed Charges,,,,,1768.34,,,,,,,Percent of Total Billed Charges,,,,,5052.4,,,,,,,Percent of Total Billed Charges,,,,,1263.1,,,,,,,Percent of Total Billed Charges,,,, CT HEAD W/O CONTRAST ,70450TC ,CPT,,Outpatient,,,3817.5,3054,2851.67,,,,,,,Percent of Total Billed Charges,,2851.67,2851.67,,3817.5,,,,,,,Percent of Total Billed Charges,,,,,3664.8,,,,,,,Percent of Total Billed Charges,,,,,3626.63,,,,,,,Percent of Total Billed Charges,,,,,763.5,,,,,,,Percent of Total Billed Charges,,,,,3244.88,,,,,,,Percent of Total Billed Charges,,,,,801.68,,,,,,,Percent of Total Billed Charges,,,,,3435.75,,,,,,,Percent of Total Billed Charges,,,,,3435.75,,,,,,,Percent of Total Billed Charges,,,,,763.5,,,,,,,Percent of Total Billed Charges,,,,,1068.9,,,,,,,Percent of Total Billed Charges,,,,,3054,,,,,,,Percent of Total Billed Charges,,,,,763.5,,,,,,,Percent of Total Billed Charges,,,, CT HEAD W IV CONT ,70460TC ,CPT,,Outpatient,,,4242,3393.6,3168.77,,,,,,,Percent of Total Billed Charges,,3168.77,3168.77,,4242,,,,,,,Percent of Total Billed Charges,,,,,4072.32,,,,,,,Percent of Total Billed Charges,,,,,4029.9,,,,,,,Percent of Total Billed Charges,,,,,848.4,,,,,,,Percent of Total Billed Charges,,,,,3605.7,,,,,,,Percent of Total Billed Charges,,,,,890.82,,,,,,,Percent of Total Billed Charges,,,,,3817.8,,,,,,,Percent of Total Billed Charges,,,,,3817.8,,,,,,,Percent of Total Billed Charges,,,,,848.4,,,,,,,Percent of Total Billed Charges,,,,,1187.76,,,,,,,Percent of Total Billed Charges,,,,,3393.6,,,,,,,Percent of Total Billed Charges,,,,,848.4,,,,,,,Percent of Total Billed Charges,,,, CT HEAD W/O and W CONT ,70470TC ,CPT,,Outpatient,,,5269.5,4215.6,3936.32,,,,,,,Percent of Total Billed Charges,,3936.32,3936.32,,5269.5,,,,,,,Percent of Total Billed Charges,,,,,5058.72,,,,,,,Percent of Total Billed Charges,,,,,5006.03,,,,,,,Percent of Total Billed Charges,,,,,1053.9,,,,,,,Percent of Total Billed Charges,,,,,4479.08,,,,,,,Percent of Total Billed Charges,,,,,1106.6,,,,,,,Percent of Total Billed Charges,,,,,4742.55,,,,,,,Percent of Total Billed Charges,,,,,4742.55,,,,,,,Percent of Total Billed Charges,,,,,1053.9,,,,,,,Percent of Total Billed Charges,,,,,1475.46,,,,,,,Percent of Total Billed Charges,,,,,4215.6,,,,,,,Percent of Total Billed Charges,,,,,1053.9,,,,,,,Percent of Total Billed Charges,,,, CT ORBIT/SELLA W/O IV CONT (ROUT)* ,70480TC ,CPT,,Outpatient,,,4261,3408.8,3182.97,,,,,,,Percent of Total Billed Charges,,3182.97,3182.97,,4261,,,,,,,Percent of Total Billed Charges,,,,,4090.56,,,,,,,Percent of Total Billed Charges,,,,,4047.95,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,,,3621.85,,,,,,,Percent of Total Billed Charges,,,,,894.81,,,,,,,Percent of Total Billed Charges,,,,,3834.9,,,,,,,Percent of Total Billed Charges,,,,,3834.9,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,,,1193.08,,,,,,,Percent of Total Billed Charges,,,,,3408.8,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,, CT ORBIT SELLA W IV CONT ,70481TC ,CPT,,Outpatient,,,4286.5,3429.2,3202.02,,,,,,,Percent of Total Billed Charges,,3202.02,3202.02,,4286.5,,,,,,,Percent of Total Billed Charges,,,,,4115.04,,,,,,,Percent of Total Billed Charges,,,,,4072.18,,,,,,,Percent of Total Billed Charges,,,,,857.3,,,,,,,Percent of Total Billed Charges,,,,,3643.53,,,,,,,Percent of Total Billed Charges,,,,,900.17,,,,,,,Percent of Total Billed Charges,,,,,3857.85,,,,,,,Percent of Total Billed Charges,,,,,3857.85,,,,,,,Percent of Total Billed Charges,,,,,857.3,,,,,,,Percent of Total Billed Charges,,,,,1200.22,,,,,,,Percent of Total Billed Charges,,,,,3429.2,,,,,,,Percent of Total Billed Charges,,,,,857.3,,,,,,,Percent of Total Billed Charges,,,, "CT ORBIT/SELLA,/IAC AND/OR MASTOIDS WO/W",70482,CPT,,Outpatient,,,6315.5,5052.4,4717.68,,,,,,,Percent of Total Billed Charges,,4717.68,4717.68,,6315.5,,,,,,,Percent of Total Billed Charges,,,,,6062.88,,,,,,,Percent of Total Billed Charges,,,,,5999.73,,,,,,,Percent of Total Billed Charges,,,,,1263.1,,,,,,,Percent of Total Billed Charges,,,,,5368.18,,,,,,,Percent of Total Billed Charges,,,,,1326.26,,,,,,,Percent of Total Billed Charges,,,,,5683.95,,,,,,,Percent of Total Billed Charges,,,,,5683.95,,,,,,,Percent of Total Billed Charges,,,,,1263.1,,,,,,,Percent of Total Billed Charges,,,,,1768.34,,,,,,,Percent of Total Billed Charges,,,,,5052.4,,,,,,,Percent of Total Billed Charges,,,,,1263.1,,,,,,,Percent of Total Billed Charges,,,, CT NECK W W/O * ,70492TC ,CPT,,Outpatient,,,5610,4488,4190.67,,,,,,,Percent of Total Billed Charges,,4190.67,4190.67,,5610,,,,,,,Percent of Total Billed Charges,,,,,5385.6,,,,,,,Percent of Total Billed Charges,,,,,5329.5,,,,,,,Percent of Total Billed Charges,,,,,1122,,,,,,,Percent of Total Billed Charges,,,,,4768.5,,,,,,,Percent of Total Billed Charges,,,,,1178.1,,,,,,,Percent of Total Billed Charges,,,,,5049,,,,,,,Percent of Total Billed Charges,,,,,5049,,,,,,,Percent of Total Billed Charges,,,,,1122,,,,,,,Percent of Total Billed Charges,,,,,1570.8,,,,,,,Percent of Total Billed Charges,,,,,4488,,,,,,,Percent of Total Billed Charges,,,,,1122,,,,,,,Percent of Total Billed Charges,,,, CT FACIAL BONES W/O ,70486TC ,CPT,,Outpatient,,,3662,2929.6,2735.51,,,,,,,Percent of Total Billed Charges,,2735.51,2735.51,,3662,,,,,,,Percent of Total Billed Charges,,,,,3515.52,,,,,,,Percent of Total Billed Charges,,,,,3478.9,,,,,,,Percent of Total Billed Charges,,,,,732.4,,,,,,,Percent of Total Billed Charges,,,,,3112.7,,,,,,,Percent of Total Billed Charges,,,,,769.02,,,,,,,Percent of Total Billed Charges,,,,,3295.8,,,,,,,Percent of Total Billed Charges,,,,,3295.8,,,,,,,Percent of Total Billed Charges,,,,,732.4,,,,,,,Percent of Total Billed Charges,,,,,1025.36,,,,,,,Percent of Total Billed Charges,,,,,2929.6,,,,,,,Percent of Total Billed Charges,,,,,732.4,,,,,,,Percent of Total Billed Charges,,,, CTA UPPER EXTREM ,73206TC ,CPT,,Outpatient,,,4393.5,3514.8,3281.94,,,,,,,Percent of Total Billed Charges,,3281.94,3281.94,,4393.5,,,,,,,Percent of Total Billed Charges,,,,,4217.76,,,,,,,Percent of Total Billed Charges,,,,,4173.83,,,,,,,Percent of Total Billed Charges,,,,,878.7,,,,,,,Percent of Total Billed Charges,,,,,3734.48,,,,,,,Percent of Total Billed Charges,,,,,922.64,,,,,,,Percent of Total Billed Charges,,,,,3954.15,,,,,,,Percent of Total Billed Charges,,,,,3954.15,,,,,,,Percent of Total Billed Charges,,,,,878.7,,,,,,,Percent of Total Billed Charges,,,,,1230.18,,,,,,,Percent of Total Billed Charges,,,,,3514.8,,,,,,,Percent of Total Billed Charges,,,,,878.7,,,,,,,Percent of Total Billed Charges,,,, CT CHEST/THORAX W/O ,71250TC ,CPT,,Outpatient,,,4261,3408.8,3182.97,,,,,,,Percent of Total Billed Charges,,3182.97,3182.97,,4261,,,,,,,Percent of Total Billed Charges,,,,,4090.56,,,,,,,Percent of Total Billed Charges,,,,,4047.95,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,,,3621.85,,,,,,,Percent of Total Billed Charges,,,,,894.81,,,,,,,Percent of Total Billed Charges,,,,,3834.9,,,,,,,Percent of Total Billed Charges,,,,,3834.9,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,,,1193.08,,,,,,,Percent of Total Billed Charges,,,,,3408.8,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,, CT CHEST W IV CONT ,71260TC ,CPT,,Outpatient,,,5086.5,4069.2,3799.62,,,,,,,Percent of Total Billed Charges,,3799.62,3799.62,,5086.5,,,,,,,Percent of Total Billed Charges,,,,,4883.04,,,,,,,Percent of Total Billed Charges,,,,,4832.18,,,,,,,Percent of Total Billed Charges,,,,,1017.3,,,,,,,Percent of Total Billed Charges,,,,,4323.53,,,,,,,Percent of Total Billed Charges,,,,,1068.17,,,,,,,Percent of Total Billed Charges,,,,,4577.85,,,,,,,Percent of Total Billed Charges,,,,,4577.85,,,,,,,Percent of Total Billed Charges,,,,,1017.3,,,,,,,Percent of Total Billed Charges,,,,,1424.22,,,,,,,Percent of Total Billed Charges,,,,,4069.2,,,,,,,Percent of Total Billed Charges,,,,,1017.3,,,,,,,Percent of Total Billed Charges,,,, CT CHEST W/WO IV CONT* ,71270TC ,CPT,,Outpatient,,,4717,3773.6,3523.6,,,,,,,Percent of Total Billed Charges,,3523.6,3523.6,,4717,,,,,,,Percent of Total Billed Charges,,,,,4528.32,,,,,,,Percent of Total Billed Charges,,,,,4481.15,,,,,,,Percent of Total Billed Charges,,,,,943.4,,,,,,,Percent of Total Billed Charges,,,,,4009.45,,,,,,,Percent of Total Billed Charges,,,,,990.57,,,,,,,Percent of Total Billed Charges,,,,,4245.3,,,,,,,Percent of Total Billed Charges,,,,,4245.3,,,,,,,Percent of Total Billed Charges,,,,,943.4,,,,,,,Percent of Total Billed Charges,,,,,1320.76,,,,,,,Percent of Total Billed Charges,,,,,3773.6,,,,,,,Percent of Total Billed Charges,,,,,943.4,,,,,,,Percent of Total Billed Charges,,,, CT CERV SPINE W/O ,72125TC ,CPT,,Outpatient,,,5061,4048.8,3780.57,,,,,,,Percent of Total Billed Charges,,3780.57,3780.57,,5061,,,,,,,Percent of Total Billed Charges,,,,,4858.56,,,,,,,Percent of Total Billed Charges,,,,,4807.95,,,,,,,Percent of Total Billed Charges,,,,,1012.2,,,,,,,Percent of Total Billed Charges,,,,,4301.85,,,,,,,Percent of Total Billed Charges,,,,,1062.81,,,,,,,Percent of Total Billed Charges,,,,,4554.9,,,,,,,Percent of Total Billed Charges,,,,,4554.9,,,,,,,Percent of Total Billed Charges,,,,,1012.2,,,,,,,Percent of Total Billed Charges,,,,,1417.08,,,,,,,Percent of Total Billed Charges,,,,,4048.8,,,,,,,Percent of Total Billed Charges,,,,,1012.2,,,,,,,Percent of Total Billed Charges,,,, CT LS SPINE W/O ,72131TC ,CPT,,Outpatient,,,4666.5,3733.2,3485.88,,,,,,,Percent of Total Billed Charges,,3485.88,3485.88,,4666.5,,,,,,,Percent of Total Billed Charges,,,,,4479.84,,,,,,,Percent of Total Billed Charges,,,,,4433.18,,,,,,,Percent of Total Billed Charges,,,,,933.3,,,,,,,Percent of Total Billed Charges,,,,,3966.53,,,,,,,Percent of Total Billed Charges,,,,,979.97,,,,,,,Percent of Total Billed Charges,,,,,4199.85,,,,,,,Percent of Total Billed Charges,,,,,4199.85,,,,,,,Percent of Total Billed Charges,,,,,933.3,,,,,,,Percent of Total Billed Charges,,,,,1306.62,,,,,,,Percent of Total Billed Charges,,,,,3733.2,,,,,,,Percent of Total Billed Charges,,,,,933.3,,,,,,,Percent of Total Billed Charges,,,, CT THORACIC SPINE WITHOUT ,72128TC ,CPT,,Outpatient,,,4666.5,3733.2,3485.88,,,,,,,Percent of Total Billed Charges,,3485.88,3485.88,,4666.5,,,,,,,Percent of Total Billed Charges,,,,,4479.84,,,,,,,Percent of Total Billed Charges,,,,,4433.18,,,,,,,Percent of Total Billed Charges,,,,,933.3,,,,,,,Percent of Total Billed Charges,,,,,3966.53,,,,,,,Percent of Total Billed Charges,,,,,979.97,,,,,,,Percent of Total Billed Charges,,,,,4199.85,,,,,,,Percent of Total Billed Charges,,,,,4199.85,,,,,,,Percent of Total Billed Charges,,,,,933.3,,,,,,,Percent of Total Billed Charges,,,,,1306.62,,,,,,,Percent of Total Billed Charges,,,,,3733.2,,,,,,,Percent of Total Billed Charges,,,,,933.3,,,,,,,Percent of Total Billed Charges,,,, CT PELVIS W/O IV CONTRAST ,72192TC ,CPT,,Outpatient,,,4060.5,3248.4,3033.19,,,,,,,Percent of Total Billed Charges,,3033.19,3033.19,,4060.5,,,,,,,Percent of Total Billed Charges,,,,,3898.08,,,,,,,Percent of Total Billed Charges,,,,,3857.48,,,,,,,Percent of Total Billed Charges,,,,,812.1,,,,,,,Percent of Total Billed Charges,,,,,3451.43,,,,,,,Percent of Total Billed Charges,,,,,852.71,,,,,,,Percent of Total Billed Charges,,,,,3654.45,,,,,,,Percent of Total Billed Charges,,,,,3654.45,,,,,,,Percent of Total Billed Charges,,,,,812.1,,,,,,,Percent of Total Billed Charges,,,,,1136.94,,,,,,,Percent of Total Billed Charges,,,,,3248.4,,,,,,,Percent of Total Billed Charges,,,,,812.1,,,,,,,Percent of Total Billed Charges,,,, CT PELVIS W/IV (ROUTINE) ,72193TC ,CPT,,Outpatient,,,4691.5,3753.2,3504.55,,,,,,,Percent of Total Billed Charges,,3504.55,3504.55,,4691.5,,,,,,,Percent of Total Billed Charges,,,,,4503.84,,,,,,,Percent of Total Billed Charges,,,,,4456.93,,,,,,,Percent of Total Billed Charges,,,,,938.3,,,,,,,Percent of Total Billed Charges,,,,,3987.78,,,,,,,Percent of Total Billed Charges,,,,,985.22,,,,,,,Percent of Total Billed Charges,,,,,4222.35,,,,,,,Percent of Total Billed Charges,,,,,4222.35,,,,,,,Percent of Total Billed Charges,,,,,938.3,,,,,,,Percent of Total Billed Charges,,,,,1313.62,,,,,,,Percent of Total Billed Charges,,,,,3753.2,,,,,,,Percent of Total Billed Charges,,,,,938.3,,,,,,,Percent of Total Billed Charges,,,, CT RENAL STONE SURVEY ,74176TC ,CPT,,Outpatient,,,8063.5,6450.8,6023.43,,,,,,,Percent of Total Billed Charges,,6023.43,6023.43,,8063.5,,,,,,,Percent of Total Billed Charges,,,,,7740.96,,,,,,,Percent of Total Billed Charges,,,,,7660.33,,,,,,,Percent of Total Billed Charges,,,,,1612.7,,,,,,,Percent of Total Billed Charges,,,,,6853.98,,,,,,,Percent of Total Billed Charges,,,,,1693.34,,,,,,,Percent of Total Billed Charges,,,,,7257.15,,,,,,,Percent of Total Billed Charges,,,,,7257.15,,,,,,,Percent of Total Billed Charges,,,,,1612.7,,,,,,,Percent of Total Billed Charges,,,,,2257.78,,,,,,,Percent of Total Billed Charges,,,,,6450.8,,,,,,,Percent of Total Billed Charges,,,,,1612.7,,,,,,,Percent of Total Billed Charges,,,, CT UPPER EXTREM W/O ,73200TC ,CPT,,Outpatient,,,4261,3408.8,3182.97,,,,,,,Percent of Total Billed Charges,,3182.97,3182.97,,4261,,,,,,,Percent of Total Billed Charges,,,,,4090.56,,,,,,,Percent of Total Billed Charges,,,,,4047.95,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,,,3621.85,,,,,,,Percent of Total Billed Charges,,,,,894.81,,,,,,,Percent of Total Billed Charges,,,,,3834.9,,,,,,,Percent of Total Billed Charges,,,,,3834.9,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,,,1193.08,,,,,,,Percent of Total Billed Charges,,,,,3408.8,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,, CTA HEAD ,70496TC ,CPT,,Outpatient,,,5383,4306.4,4021.1,,,,,,,Percent of Total Billed Charges,,4021.1,4021.1,,5383,,,,,,,Percent of Total Billed Charges,,,,,5167.68,,,,,,,Percent of Total Billed Charges,,,,,5113.85,,,,,,,Percent of Total Billed Charges,,,,,1076.6,,,,,,,Percent of Total Billed Charges,,,,,4575.55,,,,,,,Percent of Total Billed Charges,,,,,1130.43,,,,,,,Percent of Total Billed Charges,,,,,4844.7,,,,,,,Percent of Total Billed Charges,,,,,4844.7,,,,,,,Percent of Total Billed Charges,,,,,1076.6,,,,,,,Percent of Total Billed Charges,,,,,1507.24,,,,,,,Percent of Total Billed Charges,,,,,4306.4,,,,,,,Percent of Total Billed Charges,,,,,1076.6,,,,,,,Percent of Total Billed Charges,,,, CT PELVIS WO/W IV CONTRAST* ,72194TC ,CPT,,Outpatient,,,5684.5,4547.6,4246.32,,,,,,,Percent of Total Billed Charges,,4246.32,4246.32,,5684.5,,,,,,,Percent of Total Billed Charges,,,,,5457.12,,,,,,,Percent of Total Billed Charges,,,,,5400.28,,,,,,,Percent of Total Billed Charges,,,,,1136.9,,,,,,,Percent of Total Billed Charges,,,,,4831.83,,,,,,,Percent of Total Billed Charges,,,,,1193.75,,,,,,,Percent of Total Billed Charges,,,,,5116.05,,,,,,,Percent of Total Billed Charges,,,,,5116.05,,,,,,,Percent of Total Billed Charges,,,,,1136.9,,,,,,,Percent of Total Billed Charges,,,,,1591.66,,,,,,,Percent of Total Billed Charges,,,,,4547.6,,,,,,,Percent of Total Billed Charges,,,,,1136.9,,,,,,,Percent of Total Billed Charges,,,, CT LOWER EXTREM WO ,73700TC ,CPT,,Outpatient,,,3662,2929.6,2735.51,,,,,,,Percent of Total Billed Charges,,2735.51,2735.51,,3662,,,,,,,Percent of Total Billed Charges,,,,,3515.52,,,,,,,Percent of Total Billed Charges,,,,,3478.9,,,,,,,Percent of Total Billed Charges,,,,,732.4,,,,,,,Percent of Total Billed Charges,,,,,3112.7,,,,,,,Percent of Total Billed Charges,,,,,769.02,,,,,,,Percent of Total Billed Charges,,,,,3295.8,,,,,,,Percent of Total Billed Charges,,,,,3295.8,,,,,,,Percent of Total Billed Charges,,,,,732.4,,,,,,,Percent of Total Billed Charges,,,,,1025.36,,,,,,,Percent of Total Billed Charges,,,,,2929.6,,,,,,,Percent of Total Billed Charges,,,,,732.4,,,,,,,Percent of Total Billed Charges,,,, CT RECONSTRUCTION ,76375TC ,CPT,,Outpatient,,,1011,808.8,755.22,,,,,,,Percent of Total Billed Charges,,755.22,755.22,,1011,,,,,,,Percent of Total Billed Charges,,,,,970.56,,,,,,,Percent of Total Billed Charges,,,,,960.45,,,,,,,Percent of Total Billed Charges,,,,,202.2,,,,,,,Percent of Total Billed Charges,,,,,859.35,,,,,,,Percent of Total Billed Charges,,,,,212.31,,,,,,,Percent of Total Billed Charges,,,,,909.9,,,,,,,Percent of Total Billed Charges,,,,,909.9,,,,,,,Percent of Total Billed Charges,,,,,202.2,,,,,,,Percent of Total Billed Charges,,,,,283.08,,,,,,,Percent of Total Billed Charges,,,,,808.8,,,,,,,Percent of Total Billed Charges,,,,,202.2,,,,,,,Percent of Total Billed Charges,,,, CTA ILIAC FEMORALS WITHOUT RUNOFF ,73706TC ,CPT,,Outpatient,,,3794.5,3035.6,2834.49,,,,,,,Percent of Total Billed Charges,,2834.49,2834.49,,3794.5,,,,,,,Percent of Total Billed Charges,,,,,3642.72,,,,,,,Percent of Total Billed Charges,,,,,3604.78,,,,,,,Percent of Total Billed Charges,,,,,758.9,,,,,,,Percent of Total Billed Charges,,,,,3225.33,,,,,,,Percent of Total Billed Charges,,,,,796.85,,,,,,,Percent of Total Billed Charges,,,,,3415.05,,,,,,,Percent of Total Billed Charges,,,,,3415.05,,,,,,,Percent of Total Billed Charges,,,,,758.9,,,,,,,Percent of Total Billed Charges,,,,,1062.46,,,,,,,Percent of Total Billed Charges,,,,,3035.6,,,,,,,Percent of Total Billed Charges,,,,,758.9,,,,,,,Percent of Total Billed Charges,,,, CT ABDOMEN W/O CONT ,74150TC ,CPT,,Outpatient,,,4261,3408.8,3182.97,,,,,,,Percent of Total Billed Charges,,3182.97,3182.97,,4261,,,,,,,Percent of Total Billed Charges,,,,,4090.56,,,,,,,Percent of Total Billed Charges,,,,,4047.95,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,,,3621.85,,,,,,,Percent of Total Billed Charges,,,,,894.81,,,,,,,Percent of Total Billed Charges,,,,,3834.9,,,,,,,Percent of Total Billed Charges,,,,,3834.9,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,,,1193.08,,,,,,,Percent of Total Billed Charges,,,,,3408.8,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,, CT ABDOMEN WITH/IV AND ORAL ,74160TC ,CPT,,Outpatient,,,4691.5,3753.2,3504.55,,,,,,,Percent of Total Billed Charges,,3504.55,3504.55,,4691.5,,,,,,,Percent of Total Billed Charges,,,,,4503.84,,,,,,,Percent of Total Billed Charges,,,,,4456.93,,,,,,,Percent of Total Billed Charges,,,,,938.3,,,,,,,Percent of Total Billed Charges,,,,,3987.78,,,,,,,Percent of Total Billed Charges,,,,,985.22,,,,,,,Percent of Total Billed Charges,,,,,4222.35,,,,,,,Percent of Total Billed Charges,,,,,4222.35,,,,,,,Percent of Total Billed Charges,,,,,938.3,,,,,,,Percent of Total Billed Charges,,,,,1313.62,,,,,,,Percent of Total Billed Charges,,,,,3753.2,,,,,,,Percent of Total Billed Charges,,,,,938.3,,,,,,,Percent of Total Billed Charges,,,, CTA NECK ,70498TC ,CPT,,Outpatient,,,5994,4795.2,4477.52,,,,,,,Percent of Total Billed Charges,,4477.52,4477.52,,5994,,,,,,,Percent of Total Billed Charges,,,,,5754.24,,,,,,,Percent of Total Billed Charges,,,,,5694.3,,,,,,,Percent of Total Billed Charges,,,,,1198.8,,,,,,,Percent of Total Billed Charges,,,,,5094.9,,,,,,,Percent of Total Billed Charges,,,,,1258.74,,,,,,,Percent of Total Billed Charges,,,,,5394.6,,,,,,,Percent of Total Billed Charges,,,,,5394.6,,,,,,,Percent of Total Billed Charges,,,,,1198.8,,,,,,,Percent of Total Billed Charges,,,,,1678.32,,,,,,,Percent of Total Billed Charges,,,,,4795.2,,,,,,,Percent of Total Billed Charges,,,,,1198.8,,,,,,,Percent of Total Billed Charges,,,, CT NEEDLE BIOPSY ,76360TC ,CPT,,Outpatient,,,4009,3207.2,2994.72,,,,,,,Percent of Total Billed Charges,,2994.72,2994.72,,4009,,,,,,,Percent of Total Billed Charges,,,,,3848.64,,,,,,,Percent of Total Billed Charges,,,,,3808.55,,,,,,,Percent of Total Billed Charges,,,,,801.8,,,,,,,Percent of Total Billed Charges,,,,,3407.65,,,,,,,Percent of Total Billed Charges,,,,,841.89,,,,,,,Percent of Total Billed Charges,,,,,3608.1,,,,,,,Percent of Total Billed Charges,,,,,3608.1,,,,,,,Percent of Total Billed Charges,,,,,801.8,,,,,,,Percent of Total Billed Charges,,,,,1122.52,,,,,,,Percent of Total Billed Charges,,,,,3207.2,,,,,,,Percent of Total Billed Charges,,,,,801.8,,,,,,,Percent of Total Billed Charges,,,, CT LEG LENGTH STUDY ,77073TC ,CPT,,Outpatient,,,1174,939.2,876.98,,,,,,,Percent of Total Billed Charges,,876.98,876.98,,1174,,,,,,,Percent of Total Billed Charges,,,,,1127.04,,,,,,,Percent of Total Billed Charges,,,,,1115.3,,,,,,,Percent of Total Billed Charges,,,,,234.8,,,,,,,Percent of Total Billed Charges,,,,,997.9,,,,,,,Percent of Total Billed Charges,,,,,246.54,,,,,,,Percent of Total Billed Charges,,,,,1056.6,,,,,,,Percent of Total Billed Charges,,,,,1056.6,,,,,,,Percent of Total Billed Charges,,,,,234.8,,,,,,,Percent of Total Billed Charges,,,,,328.72,,,,,,,Percent of Total Billed Charges,,,,,939.2,,,,,,,Percent of Total Billed Charges,,,,,234.8,,,,,,,Percent of Total Billed Charges,,,, CT ABDOMEN W/WO ,74170TC ,CPT,,Outpatient,,,5912.5,4730,4416.64,,,,,,,Percent of Total Billed Charges,,4416.64,4416.64,,5912.5,,,,,,,Percent of Total Billed Charges,,,,,5676,,,,,,,Percent of Total Billed Charges,,,,,5616.88,,,,,,,Percent of Total Billed Charges,,,,,1182.5,,,,,,,Percent of Total Billed Charges,,,,,5025.63,,,,,,,Percent of Total Billed Charges,,,,,1241.63,,,,,,,Percent of Total Billed Charges,,,,,5321.25,,,,,,,Percent of Total Billed Charges,,,,,5321.25,,,,,,,Percent of Total Billed Charges,,,,,1182.5,,,,,,,Percent of Total Billed Charges,,,,,1655.5,,,,,,,Percent of Total Billed Charges,,,,,4730,,,,,,,Percent of Total Billed Charges,,,,,1182.5,,,,,,,Percent of Total Billed Charges,,,, CTA CHEST ,71275TC ,CPT,,Outpatient,,,4798.5,3838.8,3584.48,,,,,,,Percent of Total Billed Charges,,3584.48,3584.48,,4798.5,,,,,,,Percent of Total Billed Charges,,,,,4606.56,,,,,,,Percent of Total Billed Charges,,,,,4558.58,,,,,,,Percent of Total Billed Charges,,,,,959.7,,,,,,,Percent of Total Billed Charges,,,,,4078.73,,,,,,,Percent of Total Billed Charges,,,,,1007.69,,,,,,,Percent of Total Billed Charges,,,,,4318.65,,,,,,,Percent of Total Billed Charges,,,,,4318.65,,,,,,,Percent of Total Billed Charges,,,,,959.7,,,,,,,Percent of Total Billed Charges,,,,,1343.58,,,,,,,Percent of Total Billed Charges,,,,,3838.8,,,,,,,Percent of Total Billed Charges,,,,,959.7,,,,,,,Percent of Total Billed Charges,,,, CT FACIAL BONES/SINUS W/O & W ,70488TC ,CPT,,Outpatient,,,3314.5,2651.6,2475.93,,,,,,,Percent of Total Billed Charges,,2475.93,2475.93,,3314.5,,,,,,,Percent of Total Billed Charges,,,,,3181.92,,,,,,,Percent of Total Billed Charges,,,,,3148.78,,,,,,,Percent of Total Billed Charges,,,,,662.9,,,,,,,Percent of Total Billed Charges,,,,,2817.33,,,,,,,Percent of Total Billed Charges,,,,,696.05,,,,,,,Percent of Total Billed Charges,,,,,2983.05,,,,,,,Percent of Total Billed Charges,,,,,2983.05,,,,,,,Percent of Total Billed Charges,,,,,662.9,,,,,,,Percent of Total Billed Charges,,,,,928.06,,,,,,,Percent of Total Billed Charges,,,,,2651.6,,,,,,,Percent of Total Billed Charges,,,,,662.9,,,,,,,Percent of Total Billed Charges,,,, CT NECK SOFT TISSUE W/IV CONT (ROUT) ,70491TC ,CPT,,Outpatient,,,5428,4342.4,4054.72,,,,,,,Percent of Total Billed Charges,,4054.72,4054.72,,5428,,,,,,,Percent of Total Billed Charges,,,,,5210.88,,,,,,,Percent of Total Billed Charges,,,,,5156.6,,,,,,,Percent of Total Billed Charges,,,,,1085.6,,,,,,,Percent of Total Billed Charges,,,,,4613.8,,,,,,,Percent of Total Billed Charges,,,,,1139.88,,,,,,,Percent of Total Billed Charges,,,,,4885.2,,,,,,,Percent of Total Billed Charges,,,,,4885.2,,,,,,,Percent of Total Billed Charges,,,,,1085.6,,,,,,,Percent of Total Billed Charges,,,,,1519.84,,,,,,,Percent of Total Billed Charges,,,,,4342.4,,,,,,,Percent of Total Billed Charges,,,,,1085.6,,,,,,,Percent of Total Billed Charges,,,, CT NECK SOFT TISSUE W/O CONT ,70490TC ,CPT,,Outpatient,,,5117.5,4094,3822.77,,,,,,,Percent of Total Billed Charges,,3822.77,3822.77,,5117.5,,,,,,,Percent of Total Billed Charges,,,,,4912.8,,,,,,,Percent of Total Billed Charges,,,,,4861.63,,,,,,,Percent of Total Billed Charges,,,,,1023.5,,,,,,,Percent of Total Billed Charges,,,,,4349.88,,,,,,,Percent of Total Billed Charges,,,,,1074.68,,,,,,,Percent of Total Billed Charges,,,,,4605.75,,,,,,,Percent of Total Billed Charges,,,,,4605.75,,,,,,,Percent of Total Billed Charges,,,,,1023.5,,,,,,,Percent of Total Billed Charges,,,,,1432.9,,,,,,,Percent of Total Billed Charges,,,,,4094,,,,,,,Percent of Total Billed Charges,,,,,1023.5,,,,,,,Percent of Total Billed Charges,,,, CT UPPER EXTREM WITH ,73201TC ,CPT,,Outpatient,,,4432,3545.6,3310.7,,,,,,,Percent of Total Billed Charges,,3310.7,3310.7,,4432,,,,,,,Percent of Total Billed Charges,,,,,4254.72,,,,,,,Percent of Total Billed Charges,,,,,4210.4,,,,,,,Percent of Total Billed Charges,,,,,886.4,,,,,,,Percent of Total Billed Charges,,,,,3767.2,,,,,,,Percent of Total Billed Charges,,,,,930.72,,,,,,,Percent of Total Billed Charges,,,,,3988.8,,,,,,,Percent of Total Billed Charges,,,,,3988.8,,,,,,,Percent of Total Billed Charges,,,,,886.4,,,,,,,Percent of Total Billed Charges,,,,,1240.96,,,,,,,Percent of Total Billed Charges,,,,,3545.6,,,,,,,Percent of Total Billed Charges,,,,,886.4,,,,,,,Percent of Total Billed Charges,,,, CTA AORTO-ILIOFEMORAL RUN OFF ,75635TC ,CPT,,Outpatient,,,5994,4795.2,4477.52,,,,,,,Percent of Total Billed Charges,,4477.52,4477.52,,5994,,,,,,,Percent of Total Billed Charges,,,,,5754.24,,,,,,,Percent of Total Billed Charges,,,,,5694.3,,,,,,,Percent of Total Billed Charges,,,,,1198.8,,,,,,,Percent of Total Billed Charges,,,,,5094.9,,,,,,,Percent of Total Billed Charges,,,,,1258.74,,,,,,,Percent of Total Billed Charges,,,,,5394.6,,,,,,,Percent of Total Billed Charges,,,,,5394.6,,,,,,,Percent of Total Billed Charges,,,,,1198.8,,,,,,,Percent of Total Billed Charges,,,,,1678.32,,,,,,,Percent of Total Billed Charges,,,,,4795.2,,,,,,,Percent of Total Billed Charges,,,,,1198.8,,,,,,,Percent of Total Billed Charges,,,, CT ABD/PELVIS WITH IV AND ORAL ,74177TC ,CPT,,Outpatient,,,8657,6925.6,6466.78,,,,,,,Percent of Total Billed Charges,,6466.78,6466.78,,8657,,,,,,,Percent of Total Billed Charges,,,,,8310.72,,,,,,,Percent of Total Billed Charges,,,,,8224.15,,,,,,,Percent of Total Billed Charges,,,,,1731.4,,,,,,,Percent of Total Billed Charges,,,,,7358.45,,,,,,,Percent of Total Billed Charges,,,,,1817.97,,,,,,,Percent of Total Billed Charges,,,,,7791.3,,,,,,,Percent of Total Billed Charges,,,,,7791.3,,,,,,,Percent of Total Billed Charges,,,,,1731.4,,,,,,,Percent of Total Billed Charges,,,,,2423.96,,,,,,,Percent of Total Billed Charges,,,,,6925.6,,,,,,,Percent of Total Billed Charges,,,,,1731.4,,,,,,,Percent of Total Billed Charges,,,, CT ABD/PELVIS W/O CONT ,74176TC ,CPT,,Outpatient,,,8227.5,6582,6145.94,,,,,,,Percent of Total Billed Charges,,6145.94,6145.94,,8227.5,,,,,,,Percent of Total Billed Charges,,,,,7898.4,,,,,,,Percent of Total Billed Charges,,,,,7816.13,,,,,,,Percent of Total Billed Charges,,,,,1645.5,,,,,,,Percent of Total Billed Charges,,,,,6993.38,,,,,,,Percent of Total Billed Charges,,,,,1727.78,,,,,,,Percent of Total Billed Charges,,,,,7404.75,,,,,,,Percent of Total Billed Charges,,,,,7404.75,,,,,,,Percent of Total Billed Charges,,,,,1645.5,,,,,,,Percent of Total Billed Charges,,,,,2303.7,,,,,,,Percent of Total Billed Charges,,,,,6582,,,,,,,Percent of Total Billed Charges,,,,,1645.5,,,,,,,Percent of Total Billed Charges,,,, CT ABDOMEN WITH/IV ONLY ,74160TC ,CPT,,Outpatient,,,4691.5,3753.2,3504.55,,,,,,,Percent of Total Billed Charges,,3504.55,3504.55,,4691.5,,,,,,,Percent of Total Billed Charges,,,,,4503.84,,,,,,,Percent of Total Billed Charges,,,,,4456.93,,,,,,,Percent of Total Billed Charges,,,,,938.3,,,,,,,Percent of Total Billed Charges,,,,,3987.78,,,,,,,Percent of Total Billed Charges,,,,,985.22,,,,,,,Percent of Total Billed Charges,,,,,4222.35,,,,,,,Percent of Total Billed Charges,,,,,4222.35,,,,,,,Percent of Total Billed Charges,,,,,938.3,,,,,,,Percent of Total Billed Charges,,,,,1313.62,,,,,,,Percent of Total Billed Charges,,,,,3753.2,,,,,,,Percent of Total Billed Charges,,,,,938.3,,,,,,,Percent of Total Billed Charges,,,, CT ABD/PELVIS WITH IV ,74177TC ,CPT,,Outpatient,,,7933.5,6346.8,5926.32,,,,,,,Percent of Total Billed Charges,,5926.32,5926.32,,7933.5,,,,,,,Percent of Total Billed Charges,,,,,7616.16,,,,,,,Percent of Total Billed Charges,,,,,7536.83,,,,,,,Percent of Total Billed Charges,,,,,1586.7,,,,,,,Percent of Total Billed Charges,,,,,6743.48,,,,,,,Percent of Total Billed Charges,,,,,1666.04,,,,,,,Percent of Total Billed Charges,,,,,7140.15,,,,,,,Percent of Total Billed Charges,,,,,7140.15,,,,,,,Percent of Total Billed Charges,,,,,1586.7,,,,,,,Percent of Total Billed Charges,,,,,2221.38,,,,,,,Percent of Total Billed Charges,,,,,6346.8,,,,,,,Percent of Total Billed Charges,,,,,1586.7,,,,,,,Percent of Total Billed Charges,,,, CT ABD/PELVIS W/WO ,74178TC ,CPT,,Outpatient,,,8682,6945.6,6485.45,,,,,,,Percent of Total Billed Charges,,6485.45,6485.45,,8682,,,,,,,Percent of Total Billed Charges,,,,,8334.72,,,,,,,Percent of Total Billed Charges,,,,,8247.9,,,,,,,Percent of Total Billed Charges,,,,,1736.4,,,,,,,Percent of Total Billed Charges,,,,,7379.7,,,,,,,Percent of Total Billed Charges,,,,,1823.22,,,,,,,Percent of Total Billed Charges,,,,,7813.8,,,,,,,Percent of Total Billed Charges,,,,,7813.8,,,,,,,Percent of Total Billed Charges,,,,,1736.4,,,,,,,Percent of Total Billed Charges,,,,,2430.96,,,,,,,Percent of Total Billed Charges,,,,,6945.6,,,,,,,Percent of Total Billed Charges,,,,,1736.4,,,,,,,Percent of Total Billed Charges,,,, CT UROGRAM ,74178TC ,CPT,,Outpatient,,,8518.5,6814.8,6363.32,,,,,,,Percent of Total Billed Charges,,6363.32,6363.32,,8518.5,,,,,,,Percent of Total Billed Charges,,,,,8177.76,,,,,,,Percent of Total Billed Charges,,,,,8092.58,,,,,,,Percent of Total Billed Charges,,,,,1703.7,,,,,,,Percent of Total Billed Charges,,,,,7240.73,,,,,,,Percent of Total Billed Charges,,,,,1788.89,,,,,,,Percent of Total Billed Charges,,,,,7666.65,,,,,,,Percent of Total Billed Charges,,,,,7666.65,,,,,,,Percent of Total Billed Charges,,,,,1703.7,,,,,,,Percent of Total Billed Charges,,,,,2385.18,,,,,,,Percent of Total Billed Charges,,,,,6814.8,,,,,,,Percent of Total Billed Charges,,,,,1703.7,,,,,,,Percent of Total Billed Charges,,,, CT EMERGENCY SCAN CHARGE ,250,RC,,Outpatient,,,626.5,501.2,468,,,,,,,Percent of Total Billed Charges,,468,468,,626.5,,,,,,,Percent of Total Billed Charges,,,,,601.44,,,,,,,Percent of Total Billed Charges,,,,,595.18,,,,,,,Percent of Total Billed Charges,,,,,125.3,,,,,,,Percent of Total Billed Charges,,,,,532.53,,,,,,,Percent of Total Billed Charges,,,,,131.57,,,,,,,Percent of Total Billed Charges,,,,,563.85,,,,,,,Percent of Total Billed Charges,,,,,563.85,,,,,,,Percent of Total Billed Charges,,,,,125.3,,,,,,,Percent of Total Billed Charges,,,,,175.42,,,,,,,Percent of Total Billed Charges,,,,,501.2,,,,,,,Percent of Total Billed Charges,,,,,125.3,,,,,,,Percent of Total Billed Charges,,,, CT STAT READING ,250,RC,,Outpatient,,,176.5,141.2,131.85,,,,,,,Percent of Total Billed Charges,,131.85,131.85,,176.5,,,,,,,Percent of Total Billed Charges,,,,,169.44,,,,,,,Percent of Total Billed Charges,,,,,167.68,,,,,,,Percent of Total Billed Charges,,,,,35.3,,,,,,,Percent of Total Billed Charges,,,,,150.03,,,,,,,Percent of Total Billed Charges,,,,,37.07,,,,,,,Percent of Total Billed Charges,,,,,158.85,,,,,,,Percent of Total Billed Charges,,,,,158.85,,,,,,,Percent of Total Billed Charges,,,,,35.3,,,,,,,Percent of Total Billed Charges,,,,,49.42,,,,,,,Percent of Total Billed Charges,,,,,141.2,,,,,,,Percent of Total Billed Charges,,,,,35.3,,,,,,,Percent of Total Billed Charges,,,, CT PE STUDY ,71275TC ,CPT,,Outpatient,,,5230,4184,3906.81,,,,,,,Percent of Total Billed Charges,,3906.81,3906.81,,5230,,,,,,,Percent of Total Billed Charges,,,,,5020.8,,,,,,,Percent of Total Billed Charges,,,,,4968.5,,,,,,,Percent of Total Billed Charges,,,,,1046,,,,,,,Percent of Total Billed Charges,,,,,4445.5,,,,,,,Percent of Total Billed Charges,,,,,1098.3,,,,,,,Percent of Total Billed Charges,,,,,4707,,,,,,,Percent of Total Billed Charges,,,,,4707,,,,,,,Percent of Total Billed Charges,,,,,1046,,,,,,,Percent of Total Billed Charges,,,,,1464.4,,,,,,,Percent of Total Billed Charges,,,,,4184,,,,,,,Percent of Total Billed Charges,,,,,1046,,,,,,,Percent of Total Billed Charges,,,, CT SINUS WITHOUT ,70486TC ,CPT,,Outpatient,,,3285,2628,2453.9,,,,,,,Percent of Total Billed Charges,,2453.9,2453.9,,3285,,,,,,,Percent of Total Billed Charges,,,,,3153.6,,,,,,,Percent of Total Billed Charges,,,,,3120.75,,,,,,,Percent of Total Billed Charges,,,,,657,,,,,,,Percent of Total Billed Charges,,,,,2792.25,,,,,,,Percent of Total Billed Charges,,,,,689.85,,,,,,,Percent of Total Billed Charges,,,,,2956.5,,,,,,,Percent of Total Billed Charges,,,,,2956.5,,,,,,,Percent of Total Billed Charges,,,,,657,,,,,,,Percent of Total Billed Charges,,,,,919.8,,,,,,,Percent of Total Billed Charges,,,,,2628,,,,,,,Percent of Total Billed Charges,,,,,657,,,,,,,Percent of Total Billed Charges,,,, PET SKULL BASE TO MID-THIGH ,78815TC ,CPT,,Outpatient,,,6280,5024,4691.16,,,,,,,Percent of Total Billed Charges,,4691.16,4691.16,,6280,,,,,,,Percent of Total Billed Charges,,,,,6028.8,,,,,,,Percent of Total Billed Charges,,,,,5966,,,,,,,Percent of Total Billed Charges,,,,,1256,,,,,,,Percent of Total Billed Charges,,,,,5338,,,,,,,Percent of Total Billed Charges,,,,,1318.8,,,,,,,Percent of Total Billed Charges,,,,,5652,,,,,,,Percent of Total Billed Charges,,,,,5652,,,,,,,Percent of Total Billed Charges,,,,,1256,,,,,,,Percent of Total Billed Charges,,,,,1758.4,,,,,,,Percent of Total Billed Charges,,,,,5024,,,,,,,Percent of Total Billed Charges,,,,,1256,,,,,,,Percent of Total Billed Charges,,,, CT ABDOMEN WITHOUT ,74150TC ,CPT,,Outpatient,,,4286.5,3429.2,3202.02,,,,,,,Percent of Total Billed Charges,,3202.02,3202.02,,4286.5,,,,,,,Percent of Total Billed Charges,,,,,4115.04,,,,,,,Percent of Total Billed Charges,,,,,4072.18,,,,,,,Percent of Total Billed Charges,,,,,857.3,,,,,,,Percent of Total Billed Charges,,,,,3643.53,,,,,,,Percent of Total Billed Charges,,,,,900.17,,,,,,,Percent of Total Billed Charges,,,,,3857.85,,,,,,,Percent of Total Billed Charges,,,,,3857.85,,,,,,,Percent of Total Billed Charges,,,,,857.3,,,,,,,Percent of Total Billed Charges,,,,,1200.22,,,,,,,Percent of Total Billed Charges,,,,,3429.2,,,,,,,Percent of Total Billed Charges,,,,,857.3,,,,,,,Percent of Total Billed Charges,,,, CT LDCT LUNG CANCER SCREENING ,71271TC ,CPT,,Outpatient,,,1285,1028,959.9,,,,,,,Percent of Total Billed Charges,,959.9,959.9,,1285,,,,,,,Percent of Total Billed Charges,,,,,1233.6,,,,,,,Percent of Total Billed Charges,,,,,1220.75,,,,,,,Percent of Total Billed Charges,,,,,257,,,,,,,Percent of Total Billed Charges,,,,,1092.25,,,,,,,Percent of Total Billed Charges,,,,,269.85,,,,,,,Percent of Total Billed Charges,,,,,1156.5,,,,,,,Percent of Total Billed Charges,,,,,1156.5,,,,,,,Percent of Total Billed Charges,,,,,257,,,,,,,Percent of Total Billed Charges,,,,,359.8,,,,,,,Percent of Total Billed Charges,,,,,1028,,,,,,,Percent of Total Billed Charges,,,,,257,,,,,,,Percent of Total Billed Charges,,,, PET SKULL VERTEX TO TOES ,78816TC ,CPT,,Outpatient,,,7653,6122.4,5716.79,,,,,,,Percent of Total Billed Charges,,5716.79,5716.79,,7653,,,,,,,Percent of Total Billed Charges,,,,,7346.88,,,,,,,Percent of Total Billed Charges,,,,,7270.35,,,,,,,Percent of Total Billed Charges,,,,,1530.6,,,,,,,Percent of Total Billed Charges,,,,,6505.05,,,,,,,Percent of Total Billed Charges,,,,,1607.13,,,,,,,Percent of Total Billed Charges,,,,,6887.7,,,,,,,Percent of Total Billed Charges,,,,,6887.7,,,,,,,Percent of Total Billed Charges,,,,,1530.6,,,,,,,Percent of Total Billed Charges,,,,,2142.84,,,,,,,Percent of Total Billed Charges,,,,,6122.4,,,,,,,Percent of Total Billed Charges,,,,,1530.6,,,,,,,Percent of Total Billed Charges,,,, CT LDCT FOLLOW UP/ CHEST W/O ,71250TC ,CPT,,Outpatient,,,4261,3408.8,3182.97,,,,,,,Percent of Total Billed Charges,,3182.97,3182.97,,4261,,,,,,,Percent of Total Billed Charges,,,,,4090.56,,,,,,,Percent of Total Billed Charges,,,,,4047.95,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,,,3621.85,,,,,,,Percent of Total Billed Charges,,,,,894.81,,,,,,,Percent of Total Billed Charges,,,,,3834.9,,,,,,,Percent of Total Billed Charges,,,,,3834.9,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,,,1193.08,,,,,,,Percent of Total Billed Charges,,,,,3408.8,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,, PET CT FDG INJECTION ,A9552 ,CPT,,Outpatient,,,35,28,26.15,,,,,,,Percent of Total Billed Charges,,26.15,26.15,,35,,,,,,,Percent of Total Billed Charges,,,,,33.6,,,,,,,Percent of Total Billed Charges,,,,,33.25,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,29.75,,,,,,,Percent of Total Billed Charges,,,,,7.35,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,31.5,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,7,,,,,,,Percent of Total Billed Charges,,,, CT UPPER EXTREM WO/WITH ,73202TC ,CPT,,Outpatient,,,4725,3780,3529.58,,,,,,,Percent of Total Billed Charges,,3529.58,3529.58,,4725,,,,,,,Percent of Total Billed Charges,,,,,4536,,,,,,,Percent of Total Billed Charges,,,,,4488.75,,,,,,,Percent of Total Billed Charges,,,,,945,,,,,,,Percent of Total Billed Charges,,,,,4016.25,,,,,,,Percent of Total Billed Charges,,,,,992.25,,,,,,,Percent of Total Billed Charges,,,,,4252.5,,,,,,,Percent of Total Billed Charges,,,,,4252.5,,,,,,,Percent of Total Billed Charges,,,,,945,,,,,,,Percent of Total Billed Charges,,,,,1323,,,,,,,Percent of Total Billed Charges,,,,,3780,,,,,,,Percent of Total Billed Charges,,,,,945,,,,,,,Percent of Total Billed Charges,,,, CTA ABD/PELVIS ,74174TC ,CPT,,Outpatient,,,11567,9253.6,8640.55,,,,,,,Percent of Total Billed Charges,,8640.55,8640.55,,11567,,,,,,,Percent of Total Billed Charges,,,,,11104.32,,,,,,,Percent of Total Billed Charges,,,,,10988.65,,,,,,,Percent of Total Billed Charges,,,,,2313.4,,,,,,,Percent of Total Billed Charges,,,,,9831.95,,,,,,,Percent of Total Billed Charges,,,,,2429.07,,,,,,,Percent of Total Billed Charges,,,,,10410.3,,,,,,,Percent of Total Billed Charges,,,,,10410.3,,,,,,,Percent of Total Billed Charges,,,,,2313.4,,,,,,,Percent of Total Billed Charges,,,,,3238.76,,,,,,,Percent of Total Billed Charges,,,,,9253.6,,,,,,,Percent of Total Billed Charges,,,,,2313.4,,,,,,,Percent of Total Billed Charges,,,, CT LS SPINE WITH CONTRAST ,72132TC ,CPT,,Outpatient,,,4851,3880.8,3623.7,,,,,,,Percent of Total Billed Charges,,3623.7,3623.7,,4851,,,,,,,Percent of Total Billed Charges,,,,,4656.96,,,,,,,Percent of Total Billed Charges,,,,,4608.45,,,,,,,Percent of Total Billed Charges,,,,,970.2,,,,,,,Percent of Total Billed Charges,,,,,4123.35,,,,,,,Percent of Total Billed Charges,,,,,1018.71,,,,,,,Percent of Total Billed Charges,,,,,4365.9,,,,,,,Percent of Total Billed Charges,,,,,4365.9,,,,,,,Percent of Total Billed Charges,,,,,970.2,,,,,,,Percent of Total Billed Charges,,,,,1358.28,,,,,,,Percent of Total Billed Charges,,,,,3880.8,,,,,,,Percent of Total Billed Charges,,,,,970.2,,,,,,,Percent of Total Billed Charges,,,, CT LS SPINE W/WO CONTRAST ,72133TC ,CPT,,Outpatient,,,4992.5,3994,3729.4,,,,,,,Percent of Total Billed Charges,,3729.4,3729.4,,4992.5,,,,,,,Percent of Total Billed Charges,,,,,4792.8,,,,,,,Percent of Total Billed Charges,,,,,4742.88,,,,,,,Percent of Total Billed Charges,,,,,998.5,,,,,,,Percent of Total Billed Charges,,,,,4243.63,,,,,,,Percent of Total Billed Charges,,,,,1048.43,,,,,,,Percent of Total Billed Charges,,,,,4493.25,,,,,,,Percent of Total Billed Charges,,,,,4493.25,,,,,,,Percent of Total Billed Charges,,,,,998.5,,,,,,,Percent of Total Billed Charges,,,,,1397.9,,,,,,,Percent of Total Billed Charges,,,,,3994,,,,,,,Percent of Total Billed Charges,,,,,998.5,,,,,,,Percent of Total Billed Charges,,,, CT CERV SPINE WITH ,72126TC ,CPT,,Outpatient,,,5313,4250.4,3968.81,,,,,,,Percent of Total Billed Charges,,3968.81,3968.81,,5313,,,,,,,Percent of Total Billed Charges,,,,,5100.48,,,,,,,Percent of Total Billed Charges,,,,,5047.35,,,,,,,Percent of Total Billed Charges,,,,,1062.6,,,,,,,Percent of Total Billed Charges,,,,,4516.05,,,,,,,Percent of Total Billed Charges,,,,,1115.73,,,,,,,Percent of Total Billed Charges,,,,,4781.7,,,,,,,Percent of Total Billed Charges,,,,,4781.7,,,,,,,Percent of Total Billed Charges,,,,,1062.6,,,,,,,Percent of Total Billed Charges,,,,,1487.64,,,,,,,Percent of Total Billed Charges,,,,,4250.4,,,,,,,Percent of Total Billed Charges,,,,,1062.6,,,,,,,Percent of Total Billed Charges,,,, CT CHEST HIGH RESOLUTION W/O ,71250TC ,CPT,,Outpatient,,,4261,3408.8,3182.97,,,,,,,Percent of Total Billed Charges,,3182.97,3182.97,,4261,,,,,,,Percent of Total Billed Charges,,,,,4090.56,,,,,,,Percent of Total Billed Charges,,,,,4047.95,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,,,3621.85,,,,,,,Percent of Total Billed Charges,,,,,894.81,,,,,,,Percent of Total Billed Charges,,,,,3834.9,,,,,,,Percent of Total Billed Charges,,,,,3834.9,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,,,1193.08,,,,,,,Percent of Total Billed Charges,,,,,3408.8,,,,,,,Percent of Total Billed Charges,,,,,852.2,,,,,,,Percent of Total Billed Charges,,,, CT LOWER EXTREM WITH CONTRAST ,73701TC ,CPT,,Outpatient,,,3819.5,3055.6,2853.17,,,,,,,Percent of Total Billed Charges,,2853.17,2853.17,,3819.5,,,,,,,Percent of Total Billed Charges,,,,,3666.72,,,,,,,Percent of Total Billed Charges,,,,,3628.53,,,,,,,Percent of Total Billed Charges,,,,,763.9,,,,,,,Percent of Total Billed Charges,,,,,3246.58,,,,,,,Percent of Total Billed Charges,,,,,802.1,,,,,,,Percent of Total Billed Charges,,,,,3437.55,,,,,,,Percent of Total Billed Charges,,,,,3437.55,,,,,,,Percent of Total Billed Charges,,,,,763.9,,,,,,,Percent of Total Billed Charges,,,,,1069.46,,,,,,,Percent of Total Billed Charges,,,,,3055.6,,,,,,,Percent of Total Billed Charges,,,,,763.9,,,,,,,Percent of Total Billed Charges,,,, CT THORACIC SPINE WITH ,72129TC ,CPT,,Outpatient,,,4773.5,3818.8,3565.8,,,,,,,Percent of Total Billed Charges,,3565.8,3565.8,,4773.5,,,,,,,Percent of Total Billed Charges,,,,,4582.56,,,,,,,Percent of Total Billed Charges,,,,,4534.83,,,,,,,Percent of Total Billed Charges,,,,,954.7,,,,,,,Percent of Total Billed Charges,,,,,4057.48,,,,,,,Percent of Total Billed Charges,,,,,1002.44,,,,,,,Percent of Total Billed Charges,,,,,4296.15,,,,,,,Percent of Total Billed Charges,,,,,4296.15,,,,,,,Percent of Total Billed Charges,,,,,954.7,,,,,,,Percent of Total Billed Charges,,,,,1336.58,,,,,,,Percent of Total Billed Charges,,,,,3818.8,,,,,,,Percent of Total Billed Charges,,,,,954.7,,,,,,,Percent of Total Billed Charges,,,, CT THORACIC SPINE W/WO ,72130TC ,CPT,,Outpatient,,,4934,3947.2,3685.7,,,,,,,Percent of Total Billed Charges,,3685.7,3685.7,,4934,,,,,,,Percent of Total Billed Charges,,,,,4736.64,,,,,,,Percent of Total Billed Charges,,,,,4687.3,,,,,,,Percent of Total Billed Charges,,,,,986.8,,,,,,,Percent of Total Billed Charges,,,,,4193.9,,,,,,,Percent of Total Billed Charges,,,,,1036.14,,,,,,,Percent of Total Billed Charges,,,,,4440.6,,,,,,,Percent of Total Billed Charges,,,,,4440.6,,,,,,,Percent of Total Billed Charges,,,,,986.8,,,,,,,Percent of Total Billed Charges,,,,,1381.52,,,,,,,Percent of Total Billed Charges,,,,,3947.2,,,,,,,Percent of Total Billed Charges,,,,,986.8,,,,,,,Percent of Total Billed Charges,,,, CT LOWER EXT WO W CONTRAST ,73702TC ,CPT,,Outpatient,,,964,771.2,720.11,,,,,,,Percent of Total Billed Charges,,720.11,720.11,,964,,,,,,,Percent of Total Billed Charges,,,,,925.44,,,,,,,Percent of Total Billed Charges,,,,,915.8,,,,,,,Percent of Total Billed Charges,,,,,192.8,,,,,,,Percent of Total Billed Charges,,,,,819.4,,,,,,,Percent of Total Billed Charges,,,,,202.44,,,,,,,Percent of Total Billed Charges,,,,,867.6,,,,,,,Percent of Total Billed Charges,,,,,867.6,,,,,,,Percent of Total Billed Charges,,,,,192.8,,,,,,,Percent of Total Billed Charges,,,,,269.92,,,,,,,Percent of Total Billed Charges,,,,,771.2,,,,,,,Percent of Total Billed Charges,,,,,192.8,,,,,,,Percent of Total Billed Charges,,,, CT HEAD W/O CONTRAST (ACUTE STROKE) ,70450TC ,CPT,,Outpatient,,,3817.5,3054,2851.67,,,,,,,Percent of Total Billed Charges,,2851.67,2851.67,,3817.5,,,,,,,Percent of Total Billed Charges,,,,,3664.8,,,,,,,Percent of Total Billed Charges,,,,,3626.63,,,,,,,Percent of Total Billed Charges,,,,,763.5,,,,,,,Percent of Total Billed Charges,,,,,3244.88,,,,,,,Percent of Total Billed Charges,,,,,801.68,,,,,,,Percent of Total Billed Charges,,,,,3435.75,,,,,,,Percent of Total Billed Charges,,,,,3435.75,,,,,,,Percent of Total Billed Charges,,,,,763.5,,,,,,,Percent of Total Billed Charges,,,,,1068.9,,,,,,,Percent of Total Billed Charges,,,,,3054,,,,,,,Percent of Total Billed Charges,,,,,763.5,,,,,,,Percent of Total Billed Charges,,,, U RENAL ARTERY ,93975TC ,CPT,,Outpatient,,,22512,18009.6,16816.46,,,,,,,Percent of Total Billed Charges,,16816.46,16816.46,,22512,,,,,,,Percent of Total Billed Charges,,,,,21611.52,,,,,,,Percent of Total Billed Charges,,,,,21386.4,,,,,,,Percent of Total Billed Charges,,,,,4502.4,,,,,,,Percent of Total Billed Charges,,,,,19135.2,,,,,,,Percent of Total Billed Charges,,,,,4727.52,,,,,,,Percent of Total Billed Charges,,,,,20260.8,,,,,,,Percent of Total Billed Charges,,,,,20260.8,,,,,,,Percent of Total Billed Charges,,,,,4502.4,,,,,,,Percent of Total Billed Charges,,,,,6303.36,,,,,,,Percent of Total Billed Charges,,,,,18009.6,,,,,,,Percent of Total Billed Charges,,,,,4502.4,,,,,,,Percent of Total Billed Charges,,,, U RENAL ARTERY LIMITED ,93975TC ,CPT,,Outpatient,,,1682,1345.6,1256.45,,,,,,,Percent of Total Billed Charges,,1256.45,1256.45,,1682,,,,,,,Percent of Total Billed Charges,,,,,1614.72,,,,,,,Percent of Total Billed Charges,,,,,1597.9,,,,,,,Percent of Total Billed Charges,,,,,336.4,,,,,,,Percent of Total Billed Charges,,,,,1429.7,,,,,,,Percent of Total Billed Charges,,,,,353.22,,,,,,,Percent of Total Billed Charges,,,,,1513.8,,,,,,,Percent of Total Billed Charges,,,,,1513.8,,,,,,,Percent of Total Billed Charges,,,,,336.4,,,,,,,Percent of Total Billed Charges,,,,,470.96,,,,,,,Percent of Total Billed Charges,,,,,1345.6,,,,,,,Percent of Total Billed Charges,,,,,336.4,,,,,,,Percent of Total Billed Charges,,,, E ECHO PROF READING FEE ,9330626,CPT,,Outpatient,,,587.5,470,438.86,,,,,,,Percent of Total Billed Charges,,438.86,438.86,,587.5,,,,,,,Percent of Total Billed Charges,,,,,564,,,,,,,Percent of Total Billed Charges,,,,,558.13,,,,,,,Percent of Total Billed Charges,,,,,117.5,,,,,,,Percent of Total Billed Charges,,,,,499.38,,,,,,,Percent of Total Billed Charges,,,,,123.38,,,,,,,Percent of Total Billed Charges,,,,,528.75,,,,,,,Percent of Total Billed Charges,,,,,528.75,,,,,,,Percent of Total Billed Charges,,,,,117.5,,,,,,,Percent of Total Billed Charges,,,,,164.5,,,,,,,Percent of Total Billed Charges,,,,,470,,,,,,,Percent of Total Billed Charges,,,,,117.5,,,,,,,Percent of Total Billed Charges,,,, E DOPPLER READING ,250,RC,,Outpatient,,,169,135.2,126.24,,,,,,,Percent of Total Billed Charges,,126.24,126.24,,169,,,,,,,Percent of Total Billed Charges,,,,,162.24,,,,,,,Percent of Total Billed Charges,,,,,160.55,,,,,,,Percent of Total Billed Charges,,,,,33.8,,,,,,,Percent of Total Billed Charges,,,,,143.65,,,,,,,Percent of Total Billed Charges,,,,,35.49,,,,,,,Percent of Total Billed Charges,,,,,152.1,,,,,,,Percent of Total Billed Charges,,,,,152.1,,,,,,,Percent of Total Billed Charges,,,,,33.8,,,,,,,Percent of Total Billed Charges,,,,,47.32,,,,,,,Percent of Total Billed Charges,,,,,135.2,,,,,,,Percent of Total Billed Charges,,,,,33.8,,,,,,,Percent of Total Billed Charges,,,, E COLOR FLOW READING ,250,RC,,Outpatient,,,96.5,77.2,72.09,,,,,,,Percent of Total Billed Charges,,72.09,72.09,,96.5,,,,,,,Percent of Total Billed Charges,,,,,92.64,,,,,,,Percent of Total Billed Charges,,,,,91.68,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,82.03,,,,,,,Percent of Total Billed Charges,,,,,20.27,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,86.85,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,,,27.02,,,,,,,Percent of Total Billed Charges,,,,,77.2,,,,,,,Percent of Total Billed Charges,,,,,19.3,,,,,,,Percent of Total Billed Charges,,,, E ECHOCARDIOGRAM WITH STRAIN ,93356TC ,CPT,,Outpatient,,,2401,1920.8,1793.55,,,,,,,Percent of Total Billed Charges,,1793.55,1793.55,,2401,,,,,,,Percent of Total Billed Charges,,,,,2304.96,,,,,,,Percent of Total Billed Charges,,,,,2280.95,,,,,,,Percent of Total Billed Charges,,,,,480.2,,,,,,,Percent of Total Billed Charges,,,,,2040.85,,,,,,,Percent of Total Billed Charges,,,,,504.21,,,,,,,Percent of Total Billed Charges,,,,,2160.9,,,,,,,Percent of Total Billed Charges,,,,,2160.9,,,,,,,Percent of Total Billed Charges,,,,,480.2,,,,,,,Percent of Total Billed Charges,,,,,672.28,,,,,,,Percent of Total Billed Charges,,,,,1920.8,,,,,,,Percent of Total Billed Charges,,,,,480.2,,,,,,,Percent of Total Billed Charges,,,, U ABDOMEN COMPLETE ,76700TC ,CPT,,Outpatient,,,2182.5,1746,1630.33,,,,,,,Percent of Total Billed Charges,,1630.33,1630.33,,2182.5,,,,,,,Percent of Total Billed Charges,,,,,2095.2,,,,,,,Percent of Total Billed Charges,,,,,2073.38,,,,,,,Percent of Total Billed Charges,,,,,436.5,,,,,,,Percent of Total Billed Charges,,,,,1855.13,,,,,,,Percent of Total Billed Charges,,,,,458.33,,,,,,,Percent of Total Billed Charges,,,,,1964.25,,,,,,,Percent of Total Billed Charges,,,,,1964.25,,,,,,,Percent of Total Billed Charges,,,,,436.5,,,,,,,Percent of Total Billed Charges,,,,,611.1,,,,,,,Percent of Total Billed Charges,,,,,1746,,,,,,,Percent of Total Billed Charges,,,,,436.5,,,,,,,Percent of Total Billed Charges,,,, U ABDOMEN AORTA COMPLETE ,76770TC ,CPT,,Outpatient,,,1593.5,1274.8,1190.34,,,,,,,Percent of Total Billed Charges,,1190.34,1190.34,,1593.5,,,,,,,Percent of Total Billed Charges,,,,,1529.76,,,,,,,Percent of Total Billed Charges,,,,,1513.83,,,,,,,Percent of Total Billed Charges,,,,,318.7,,,,,,,Percent of Total Billed Charges,,,,,1354.48,,,,,,,Percent of Total Billed Charges,,,,,334.64,,,,,,,Percent of Total Billed Charges,,,,,1434.15,,,,,,,Percent of Total Billed Charges,,,,,1434.15,,,,,,,Percent of Total Billed Charges,,,,,318.7,,,,,,,Percent of Total Billed Charges,,,,,446.18,,,,,,,Percent of Total Billed Charges,,,,,1274.8,,,,,,,Percent of Total Billed Charges,,,,,318.7,,,,,,,Percent of Total Billed Charges,,,, U GALLBLADDER SONO ,76705TC ,CPT,,Outpatient,,,1656,1324.8,1237.03,,,,,,,Percent of Total Billed Charges,,1237.03,1237.03,,1656,,,,,,,Percent of Total Billed Charges,,,,,1589.76,,,,,,,Percent of Total Billed Charges,,,,,1573.2,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,1407.6,,,,,,,Percent of Total Billed Charges,,,,,347.76,,,,,,,Percent of Total Billed Charges,,,,,1490.4,,,,,,,Percent of Total Billed Charges,,,,,1490.4,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,463.68,,,,,,,Percent of Total Billed Charges,,,,,1324.8,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,, U HEPATO-SPLENIC ,76705TC ,CPT,,Outpatient,,,1656,1324.8,1237.03,,,,,,,Percent of Total Billed Charges,,1237.03,1237.03,,1656,,,,,,,Percent of Total Billed Charges,,,,,1589.76,,,,,,,Percent of Total Billed Charges,,,,,1573.2,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,1407.6,,,,,,,Percent of Total Billed Charges,,,,,347.76,,,,,,,Percent of Total Billed Charges,,,,,1490.4,,,,,,,Percent of Total Billed Charges,,,,,1490.4,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,463.68,,,,,,,Percent of Total Billed Charges,,,,,1324.8,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,, U PANCREAS SONO ,76705TC ,CPT,,Outpatient,,,1656,1324.8,1237.03,,,,,,,Percent of Total Billed Charges,,1237.03,1237.03,,1656,,,,,,,Percent of Total Billed Charges,,,,,1589.76,,,,,,,Percent of Total Billed Charges,,,,,1573.2,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,1407.6,,,,,,,Percent of Total Billed Charges,,,,,347.76,,,,,,,Percent of Total Billed Charges,,,,,1490.4,,,,,,,Percent of Total Billed Charges,,,,,1490.4,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,463.68,,,,,,,Percent of Total Billed Charges,,,,,1324.8,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,, U RETROPERITONEUM ,76770TC ,CPT,,Outpatient,,,2273,1818.4,1697.93,,,,,,,Percent of Total Billed Charges,,1697.93,1697.93,,2273,,,,,,,Percent of Total Billed Charges,,,,,2182.08,,,,,,,Percent of Total Billed Charges,,,,,2159.35,,,,,,,Percent of Total Billed Charges,,,,,454.6,,,,,,,Percent of Total Billed Charges,,,,,1932.05,,,,,,,Percent of Total Billed Charges,,,,,477.33,,,,,,,Percent of Total Billed Charges,,,,,2045.7,,,,,,,Percent of Total Billed Charges,,,,,2045.7,,,,,,,Percent of Total Billed Charges,,,,,454.6,,,,,,,Percent of Total Billed Charges,,,,,636.44,,,,,,,Percent of Total Billed Charges,,,,,1818.4,,,,,,,Percent of Total Billed Charges,,,,,454.6,,,,,,,Percent of Total Billed Charges,,,, U CYST ASPIRATION ,76942TC ,CPT,,Outpatient,,,1247.5,998,931.88,,,,,,,Percent of Total Billed Charges,,931.88,931.88,,1247.5,,,,,,,Percent of Total Billed Charges,,,,,1197.6,,,,,,,Percent of Total Billed Charges,,,,,1185.13,,,,,,,Percent of Total Billed Charges,,,,,249.5,,,,,,,Percent of Total Billed Charges,,,,,1060.38,,,,,,,Percent of Total Billed Charges,,,,,261.98,,,,,,,Percent of Total Billed Charges,,,,,1122.75,,,,,,,Percent of Total Billed Charges,,,,,1122.75,,,,,,,Percent of Total Billed Charges,,,,,249.5,,,,,,,Percent of Total Billed Charges,,,,,349.3,,,,,,,Percent of Total Billed Charges,,,,,998,,,,,,,Percent of Total Billed Charges,,,,,249.5,,,,,,,Percent of Total Billed Charges,,,, U RENAL SONO ,76770TC ,CPT,,Outpatient,,,1656,1324.8,1237.03,,,,,,,Percent of Total Billed Charges,,1237.03,1237.03,,1656,,,,,,,Percent of Total Billed Charges,,,,,1589.76,,,,,,,Percent of Total Billed Charges,,,,,1573.2,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,1407.6,,,,,,,Percent of Total Billed Charges,,,,,347.76,,,,,,,Percent of Total Billed Charges,,,,,1490.4,,,,,,,Percent of Total Billed Charges,,,,,1490.4,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,,,463.68,,,,,,,Percent of Total Billed Charges,,,,,1324.8,,,,,,,Percent of Total Billed Charges,,,,,331.2,,,,,,,Percent of Total Billed Charges,,,, U ABDOMEN LIMITED ,76705TC ,CPT,,Outpatient,,,1825,1460,1363.28,,,,,,,Percent of Total Billed Charges,,1363.28,1363.28,,1825,,,,,,,Percent of Total Billed Charges,,,,,1752,,,,,,,Percent of Total Billed Charges,,,,,1733.75,,,,,,,Percent of Total Billed Charges,,,,,365,,,,,,,Percent of Total Billed Charges,,,,,1551.25,,,,,,,Percent of Total Billed Charges,,,,,383.25,,,,,,,Percent of Total Billed Charges,,,,,1642.5,,,,,,,Percent of Total Billed Charges,,,,,1642.5,,,,,,,Percent of Total Billed Charges,,,,,365,,,,,,,Percent of Total Billed Charges,,,,,511,,,,,,,Percent of Total Billed Charges,,,,,1460,,,,,,,Percent of Total Billed Charges,,,,,365,,,,,,,Percent of Total Billed Charges,,,, U URINARY BLADDER SONO ,76857TC ,CPT,,Outpatient,,,1059,847.2,791.07,,,,,,,Percent of Total Billed Charges,,791.07,791.07,,1059,,,,,,,Percent of Total Billed Charges,,,,,1016.64,,,,,,,Percent of Total Billed Charges,,,,,1006.05,,,,,,,Percent of Total Billed Charges,,,,,211.8,,,,,,,Percent of Total Billed Charges,,,,,900.15,,,,,,,Percent of Total Billed Charges,,,,,222.39,,,,,,,Percent of Total Billed Charges,,,,,953.1,,,,,,,Percent of Total Billed Charges,,,,,953.1,,,,,,,Percent of Total Billed Charges,,,,,211.8,,,,,,,Percent of Total Billed Charges,,,,,296.52,,,,,,,Percent of Total Billed Charges,,,,,847.2,,,,,,,Percent of Total Billed Charges,,,,,211.8,,,,,,,Percent of Total Billed Charges,,,, U OB COMP WITH DETAIL ,76811TC ,CPT,,Outpatient,,,1836.5,1469.2,1371.87,,,,,,,Percent of Total Billed Charges,,1371.87,1371.87,,1836.5,,,,,,,Percent of Total Billed Charges,,,,,1763.04,,,,,,,Percent of Total Billed Charges,,,,,1744.68,,,,,,,Percent of Total Billed Charges,,,,,367.3,,,,,,,Percent of Total Billed Charges,,,,,1561.03,,,,,,,Percent of Total Billed Charges,,,,,385.67,,,,,,,Percent of Total Billed Charges,,,,,1652.85,,,,,,,Percent of Total Billed Charges,,,,,1652.85,,,,,,,Percent of Total Billed Charges,,,,,367.3,,,,,,,Percent of Total Billed Charges,,,,,514.22,,,,,,,Percent of Total Billed Charges,,,,,1469.2,,,,,,,Percent of Total Billed Charges,,,,,367.3,,,,,,,Percent of Total Billed Charges,,,, U OB FETAL AGE (BI-PARIETAL) ,76815TC ,CPT,,Outpatient,,,1226.5,981.2,916.2,,,,,,,Percent of Total Billed Charges,,916.2,916.2,,1226.5,,,,,,,Percent of Total Billed Charges,,,,,1177.44,,,,,,,Percent of Total Billed Charges,,,,,1165.18,,,,,,,Percent of Total Billed Charges,,,,,245.3,,,,,,,Percent of Total Billed Charges,,,,,1042.53,,,,,,,Percent of Total Billed Charges,,,,,257.57,,,,,,,Percent of Total Billed Charges,,,,,1103.85,,,,,,,Percent of Total Billed Charges,,,,,1103.85,,,,,,,Percent of Total Billed Charges,,,,,245.3,,,,,,,Percent of Total Billed Charges,,,,,343.42,,,,,,,Percent of Total Billed Charges,,,,,981.2,,,,,,,Percent of Total Billed Charges,,,,,245.3,,,,,,,Percent of Total Billed Charges,,,, U OB FOLLOW UP FETAL AGE ,76815TC ,CPT,,Outpatient,,,869,695.2,649.14,,,,,,,Percent of Total Billed Charges,,649.14,649.14,,869,,,,,,,Percent of Total Billed Charges,,,,,834.24,,,,,,,Percent of Total Billed Charges,,,,,825.55,,,,,,,Percent of Total Billed Charges,,,,,173.8,,,,,,,Percent of Total Billed Charges,,,,,738.65,,,,,,,Percent of Total Billed Charges,,,,,182.49,,,,,,,Percent of Total Billed Charges,,,,,782.1,,,,,,,Percent of Total Billed Charges,,,,,782.1,,,,,,,Percent of Total Billed Charges,,,,,173.8,,,,,,,Percent of Total Billed Charges,,,,,243.32,,,,,,,Percent of Total Billed Charges,,,,,695.2,,,,,,,Percent of Total Billed Charges,,,,,173.8,,,,,,,Percent of Total Billed Charges,,,, U OB FETAL GROWTH RATE ,76815TC ,CPT,,Outpatient,,,1296.5,1037.2,968.49,,,,,,,Percent of Total Billed Charges,,968.49,968.49,,1296.5,,,,,,,Percent of Total Billed Charges,,,,,1244.64,,,,,,,Percent of Total Billed Charges,,,,,1231.68,,,,,,,Percent of Total Billed Charges,,,,,259.3,,,,,,,Percent of Total Billed Charges,,,,,1102.03,,,,,,,Percent of Total Billed Charges,,,,,272.27,,,,,,,Percent of Total Billed Charges,,,,,1166.85,,,,,,,Percent of Total Billed Charges,,,,,1166.85,,,,,,,Percent of Total Billed Charges,,,,,259.3,,,,,,,Percent of Total Billed Charges,,,,,363.02,,,,,,,Percent of Total Billed Charges,,,,,1037.2,,,,,,,Percent of Total Billed Charges,,,,,259.3,,,,,,,Percent of Total Billed Charges,,,, U LIMITED PELVIS SONO ,76857TC ,CPT,,Outpatient,,,1862,1489.6,1390.91,,,,,,,Percent of Total Billed Charges,,1390.91,1390.91,,1862,,,,,,,Percent of Total Billed Charges,,,,,1787.52,,,,,,,Percent of Total Billed Charges,,,,,1768.9,,,,,,,Percent of Total Billed Charges,,,,,372.4,,,,,,,Percent of Total Billed Charges,,,,,1582.7,,,,,,,Percent of Total Billed Charges,,,,,391.02,,,,,,,Percent of Total Billed Charges,,,,,1675.8,,,,,,,Percent of Total Billed Charges,,,,,1675.8,,,,,,,Percent of Total Billed Charges,,,,,372.4,,,,,,,Percent of Total Billed Charges,,,,,521.36,,,,,,,Percent of Total Billed Charges,,,,,1489.6,,,,,,,Percent of Total Billed Charges,,,,,372.4,,,,,,,Percent of Total Billed Charges,,,, U MOLAR PREGNANCY SONO ,76805TC ,CPT,,Outpatient,,,1296.5,1037.2,968.49,,,,,,,Percent of Total Billed Charges,,968.49,968.49,,1296.5,,,,,,,Percent of Total Billed Charges,,,,,1244.64,,,,,,,Percent of Total Billed Charges,,,,,1231.68,,,,,,,Percent of Total Billed Charges,,,,,259.3,,,,,,,Percent of Total Billed Charges,,,,,1102.03,,,,,,,Percent of Total Billed Charges,,,,,272.27,,,,,,,Percent of Total Billed Charges,,,,,1166.85,,,,,,,Percent of Total Billed Charges,,,,,1166.85,,,,,,,Percent of Total Billed Charges,,,,,259.3,,,,,,,Percent of Total Billed Charges,,,,,363.02,,,,,,,Percent of Total Billed Charges,,,,,1037.2,,,,,,,Percent of Total Billed Charges,,,,,259.3,,,,,,,Percent of Total Billed Charges,,,, U PELVIC TRANSABDOMINAL ONLY ,76856TC ,CPT,,Outpatient,,,1704.5,1363.6,1273.26,,,,,,,Percent of Total Billed Charges,,1273.26,1273.26,,1704.5,,,,,,,Percent of Total Billed Charges,,,,,1636.32,,,,,,,Percent of Total Billed Charges,,,,,1619.28,,,,,,,Percent of Total Billed Charges,,,,,340.9,,,,,,,Percent of Total Billed Charges,,,,,1448.83,,,,,,,Percent of Total Billed Charges,,,,,357.95,,,,,,,Percent of Total Billed Charges,,,,,1534.05,,,,,,,Percent of Total Billed Charges,,,,,1534.05,,,,,,,Percent of Total Billed Charges,,,,,340.9,,,,,,,Percent of Total Billed Charges,,,,,477.26,,,,,,,Percent of Total Billed Charges,,,,,1363.6,,,,,,,Percent of Total Billed Charges,,,,,340.9,,,,,,,Percent of Total Billed Charges,,,, U OB PLACENTAL LOCALIZATION ,76815TC ,CPT,,Outpatient,,,1270.5,1016.4,949.06,,,,,,,Percent of Total Billed Charges,,949.06,949.06,,1270.5,,,,,,,Percent of Total Billed Charges,,,,,1219.68,,,,,,,Percent of Total Billed Charges,,,,,1206.98,,,,,,,Percent of Total Billed Charges,,,,,254.1,,,,,,,Percent of Total Billed Charges,,,,,1079.93,,,,,,,Percent of Total Billed Charges,,,,,266.81,,,,,,,Percent of Total Billed Charges,,,,,1143.45,,,,,,,Percent of Total Billed Charges,,,,,1143.45,,,,,,,Percent of Total Billed Charges,,,,,254.1,,,,,,,Percent of Total Billed Charges,,,,,355.74,,,,,,,Percent of Total Billed Charges,,,,,1016.4,,,,,,,Percent of Total Billed Charges,,,,,254.1,,,,,,,Percent of Total Billed Charges,,,, U OB COMPLETE 14WK + ,76805TC ,CPT,,Outpatient,,,1780,1424,1329.66,,,,,,,Percent of Total Billed Charges,,1329.66,1329.66,,1780,,,,,,,Percent of Total Billed Charges,,,,,1708.8,,,,,,,Percent of Total Billed Charges,,,,,1691,,,,,,,Percent of Total Billed Charges,,,,,356,,,,,,,Percent of Total Billed Charges,,,,,1513,,,,,,,Percent of Total Billed Charges,,,,,373.8,,,,,,,Percent of Total Billed Charges,,,,,1602,,,,,,,Percent of Total Billed Charges,,,,,1602,,,,,,,Percent of Total Billed Charges,,,,,356,,,,,,,Percent of Total Billed Charges,,,,,498.4,,,,,,,Percent of Total Billed Charges,,,,,1424,,,,,,,Percent of Total Billed Charges,,,,,356,,,,,,,Percent of Total Billed Charges,,,, U BREAST BILATERAL ,76642TC ,CPT,,Outpatient,,,1129.5,903.6,843.74,,,,,,,Percent of Total Billed Charges,,843.74,843.74,,1129.5,,,,,,,Percent of Total Billed Charges,,,,,1084.32,,,,,,,Percent of Total Billed Charges,,,,,1073.03,,,,,,,Percent of Total Billed Charges,,,,,225.9,,,,,,,Percent of Total Billed Charges,,,,,960.08,,,,,,,Percent of Total Billed Charges,,,,,237.2,,,,,,,Percent of Total Billed Charges,,,,,1016.55,,,,,,,Percent of Total Billed Charges,,,,,1016.55,,,,,,,Percent of Total Billed Charges,,,,,225.9,,,,,,,Percent of Total Billed Charges,,,,,316.26,,,,,,,Percent of Total Billed Charges,,,,,903.6,,,,,,,Percent of Total Billed Charges,,,,,225.9,,,,,,,Percent of Total Billed Charges,,,, U THYROID SONO ,76536TC ,CPT,,Outpatient,,,1420,1136,1060.74,,,,,,,Percent of Total Billed Charges,,1060.74,1060.74,,1420,,,,,,,Percent of Total Billed Charges,,,,,1363.2,,,,,,,Percent of Total Billed Charges,,,,,1349,,,,,,,Percent of Total Billed Charges,,,,,284,,,,,,,Percent of Total Billed Charges,,,,,1207,,,,,,,Percent of Total Billed Charges,,,,,298.2,,,,,,,Percent of Total Billed Charges,,,,,1278,,,,,,,Percent of Total Billed Charges,,,,,1278,,,,,,,Percent of Total Billed Charges,,,,,284,,,,,,,Percent of Total Billed Charges,,,,,397.6,,,,,,,Percent of Total Billed Charges,,,,,1136,,,,,,,Percent of Total Billed Charges,,,,,284,,,,,,,Percent of Total Billed Charges,,,, U THORACENTESIS W/SONO ,76942TC ,CPT,,Outpatient,,,1368,1094.4,1021.9,,,,,,,Percent of Total Billed Charges,,1021.9,1021.9,,1368,,,,,,,Percent of Total Billed Charges,,,,,1313.28,,,,,,,Percent of Total Billed Charges,,,,,1299.6,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,1162.8,,,,,,,Percent of Total Billed Charges,,,,,287.28,,,,,,,Percent of Total Billed Charges,,,,,1231.2,,,,,,,Percent of Total Billed Charges,,,,,1231.2,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,383.04,,,,,,,Percent of Total Billed Charges,,,,,1094.4,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,, U EXTREMITY SONO ,76881TC ,CPT,,Outpatient,,,1966,1572.8,1468.6,,,,,,,Percent of Total Billed Charges,,1468.6,1468.6,,1966,,,,,,,Percent of Total Billed Charges,,,,,1887.36,,,,,,,Percent of Total Billed Charges,,,,,1867.7,,,,,,,Percent of Total Billed Charges,,,,,393.2,,,,,,,Percent of Total Billed Charges,,,,,1671.1,,,,,,,Percent of Total Billed Charges,,,,,412.86,,,,,,,Percent of Total Billed Charges,,,,,1769.4,,,,,,,Percent of Total Billed Charges,,,,,1769.4,,,,,,,Percent of Total Billed Charges,,,,,393.2,,,,,,,Percent of Total Billed Charges,,,,,550.48,,,,,,,Percent of Total Billed Charges,,,,,1572.8,,,,,,,Percent of Total Billed Charges,,,,,393.2,,,,,,,Percent of Total Billed Charges,,,, U STAT ,250,RC,,Outpatient,,,408,326.4,304.78,,,,,,,Percent of Total Billed Charges,,304.78,304.78,,408,,,,,,,Percent of Total Billed Charges,,,,,391.68,,,,,,,Percent of Total Billed Charges,,,,,387.6,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,346.8,,,,,,,Percent of Total Billed Charges,,,,,85.68,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,114.24,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,, U STAT READING CHARGE ,250,RC,,Outpatient,,,369.5,295.6,276.02,,,,,,,Percent of Total Billed Charges,,276.02,276.02,,369.5,,,,,,,Percent of Total Billed Charges,,,,,354.72,,,,,,,Percent of Total Billed Charges,,,,,351.03,,,,,,,Percent of Total Billed Charges,,,,,73.9,,,,,,,Percent of Total Billed Charges,,,,,314.08,,,,,,,Percent of Total Billed Charges,,,,,77.6,,,,,,,Percent of Total Billed Charges,,,,,332.55,,,,,,,Percent of Total Billed Charges,,,,,332.55,,,,,,,Percent of Total Billed Charges,,,,,73.9,,,,,,,Percent of Total Billed Charges,,,,,103.46,,,,,,,Percent of Total Billed Charges,,,,,295.6,,,,,,,Percent of Total Billed Charges,,,,,73.9,,,,,,,Percent of Total Billed Charges,,,, E ECHOCARDIOGRAM-OSF ,93306TC ,CPT,,Outpatient,,,2558.5,2046.8,1911.2,,,,,,,Percent of Total Billed Charges,,1911.2,1911.2,,2558.5,,,,,,,Percent of Total Billed Charges,,,,,2456.16,,,,,,,Percent of Total Billed Charges,,,,,2430.58,,,,,,,Percent of Total Billed Charges,,,,,511.7,,,,,,,Percent of Total Billed Charges,,,,,2174.73,,,,,,,Percent of Total Billed Charges,,,,,537.29,,,,,,,Percent of Total Billed Charges,,,,,2302.65,,,,,,,Percent of Total Billed Charges,,,,,2302.65,,,,,,,Percent of Total Billed Charges,,,,,511.7,,,,,,,Percent of Total Billed Charges,,,,,716.38,,,,,,,Percent of Total Billed Charges,,,,,2046.8,,,,,,,Percent of Total Billed Charges,,,,,511.7,,,,,,,Percent of Total Billed Charges,,,, E ECHO EMERGENCY CHARGE ,250,RC,,Outpatient,,,532.5,426,397.78,,,,,,,Percent of Total Billed Charges,,397.78,397.78,,532.5,,,,,,,Percent of Total Billed Charges,,,,,511.2,,,,,,,Percent of Total Billed Charges,,,,,505.88,,,,,,,Percent of Total Billed Charges,,,,,106.5,,,,,,,Percent of Total Billed Charges,,,,,452.63,,,,,,,Percent of Total Billed Charges,,,,,111.83,,,,,,,Percent of Total Billed Charges,,,,,479.25,,,,,,,Percent of Total Billed Charges,,,,,479.25,,,,,,,Percent of Total Billed Charges,,,,,106.5,,,,,,,Percent of Total Billed Charges,,,,,149.1,,,,,,,Percent of Total Billed Charges,,,,,426,,,,,,,Percent of Total Billed Charges,,,,,106.5,,,,,,,Percent of Total Billed Charges,,,, U CAROTID DOPPLER ,93880TC ,CPT,,Outpatient,,,2561,2048.8,1913.07,,,,,,,Percent of Total Billed Charges,,1913.07,1913.07,,2561,,,,,,,Percent of Total Billed Charges,,,,,2458.56,,,,,,,Percent of Total Billed Charges,,,,,2432.95,,,,,,,Percent of Total Billed Charges,,,,,512.2,,,,,,,Percent of Total Billed Charges,,,,,2176.85,,,,,,,Percent of Total Billed Charges,,,,,537.81,,,,,,,Percent of Total Billed Charges,,,,,2304.9,,,,,,,Percent of Total Billed Charges,,,,,2304.9,,,,,,,Percent of Total Billed Charges,,,,,512.2,,,,,,,Percent of Total Billed Charges,,,,,717.08,,,,,,,Percent of Total Billed Charges,,,,,2048.8,,,,,,,Percent of Total Billed Charges,,,,,512.2,,,,,,,Percent of Total Billed Charges,,,, U BREAST RIGHT LIMITED ,76642RTTC ,CPT,,Outpatient,,,537.5,430,401.51,,,,,,,Percent of Total Billed Charges,,401.51,401.51,,537.5,,,,,,,Percent of Total Billed Charges,,,,,516,,,,,,,Percent of Total Billed Charges,,,,,510.63,,,,,,,Percent of Total Billed Charges,,,,,107.5,,,,,,,Percent of Total Billed Charges,,,,,456.88,,,,,,,Percent of Total Billed Charges,,,,,112.88,,,,,,,Percent of Total Billed Charges,,,,,483.75,,,,,,,Percent of Total Billed Charges,,,,,483.75,,,,,,,Percent of Total Billed Charges,,,,,107.5,,,,,,,Percent of Total Billed Charges,,,,,150.5,,,,,,,Percent of Total Billed Charges,,,,,430,,,,,,,Percent of Total Billed Charges,,,,,107.5,,,,,,,Percent of Total Billed Charges,,,, U FOLLOW UP VASCULAR STUDIES ,93970TC ,CPT,,Outpatient,,,1593.5,1274.8,1190.34,,,,,,,Percent of Total Billed Charges,,1190.34,1190.34,,1593.5,,,,,,,Percent of Total Billed Charges,,,,,1529.76,,,,,,,Percent of Total Billed Charges,,,,,1513.83,,,,,,,Percent of Total Billed Charges,,,,,318.7,,,,,,,Percent of Total Billed Charges,,,,,1354.48,,,,,,,Percent of Total Billed Charges,,,,,334.64,,,,,,,Percent of Total Billed Charges,,,,,1434.15,,,,,,,Percent of Total Billed Charges,,,,,1434.15,,,,,,,Percent of Total Billed Charges,,,,,318.7,,,,,,,Percent of Total Billed Charges,,,,,446.18,,,,,,,Percent of Total Billed Charges,,,,,1274.8,,,,,,,Percent of Total Billed Charges,,,,,318.7,,,,,,,Percent of Total Billed Charges,,,, U BREAST LEFT LIMITED ,76642LTTC ,CPT,,Outpatient,,,537.5,430,401.51,,,,,,,Percent of Total Billed Charges,,401.51,401.51,,537.5,,,,,,,Percent of Total Billed Charges,,,,,516,,,,,,,Percent of Total Billed Charges,,,,,510.63,,,,,,,Percent of Total Billed Charges,,,,,107.5,,,,,,,Percent of Total Billed Charges,,,,,456.88,,,,,,,Percent of Total Billed Charges,,,,,112.88,,,,,,,Percent of Total Billed Charges,,,,,483.75,,,,,,,Percent of Total Billed Charges,,,,,483.75,,,,,,,Percent of Total Billed Charges,,,,,107.5,,,,,,,Percent of Total Billed Charges,,,,,150.5,,,,,,,Percent of Total Billed Charges,,,,,430,,,,,,,Percent of Total Billed Charges,,,,,107.5,,,,,,,Percent of Total Billed Charges,,,, E ECHOCARDIOGRAM LIMITED ,93303TC ,CPT,,Outpatient,,,2068,1654.4,1544.8,,,,,,,Percent of Total Billed Charges,,1544.8,1544.8,,2068,,,,,,,Percent of Total Billed Charges,,,,,1985.28,,,,,,,Percent of Total Billed Charges,,,,,1964.6,,,,,,,Percent of Total Billed Charges,,,,,413.6,,,,,,,Percent of Total Billed Charges,,,,,1757.8,,,,,,,Percent of Total Billed Charges,,,,,434.28,,,,,,,Percent of Total Billed Charges,,,,,1861.2,,,,,,,Percent of Total Billed Charges,,,,,1861.2,,,,,,,Percent of Total Billed Charges,,,,,413.6,,,,,,,Percent of Total Billed Charges,,,,,579.04,,,,,,,Percent of Total Billed Charges,,,,,1654.4,,,,,,,Percent of Total Billed Charges,,,,,413.6,,,,,,,Percent of Total Billed Charges,,,, U LOWER VENOUS DOPPLER UNILATERAL-REFLUX,93971TC ,CPT,,Outpatient,,,1839.5,1471.6,1374.11,,,,,,,Percent of Total Billed Charges,,1374.11,1374.11,,1839.5,,,,,,,Percent of Total Billed Charges,,,,,1765.92,,,,,,,Percent of Total Billed Charges,,,,,1747.53,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,,,1563.58,,,,,,,Percent of Total Billed Charges,,,,,386.3,,,,,,,Percent of Total Billed Charges,,,,,1655.55,,,,,,,Percent of Total Billed Charges,,,,,1655.55,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,,,515.06,,,,,,,Percent of Total Billed Charges,,,,,1471.6,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,, U UPPER VENOUS DOPPLER UNILATERAL ,93971TC ,CPT,,Outpatient,,,1839.5,1471.6,1374.11,,,,,,,Percent of Total Billed Charges,,1374.11,1374.11,,1839.5,,,,,,,Percent of Total Billed Charges,,,,,1765.92,,,,,,,Percent of Total Billed Charges,,,,,1747.53,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,,,1563.58,,,,,,,Percent of Total Billed Charges,,,,,386.3,,,,,,,Percent of Total Billed Charges,,,,,1655.55,,,,,,,Percent of Total Billed Charges,,,,,1655.55,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,,,515.06,,,,,,,Percent of Total Billed Charges,,,,,1471.6,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,, U ELASTOGRAPHY PARENCHYMA ,76981TC ,CPT,,Outpatient,,,427,341.6,318.97,,,,,,,Percent of Total Billed Charges,,318.97,318.97,,427,,,,,,,Percent of Total Billed Charges,,,,,409.92,,,,,,,Percent of Total Billed Charges,,,,,405.65,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,362.95,,,,,,,Percent of Total Billed Charges,,,,,89.67,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,119.56,,,,,,,Percent of Total Billed Charges,,,,,341.6,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,, U ELASTOGRAPHY 1st TARGET LESION ,76982TC ,CPT,,Outpatient,,,389.5,311.6,290.96,,,,,,,Percent of Total Billed Charges,,290.96,290.96,,389.5,,,,,,,Percent of Total Billed Charges,,,,,373.92,,,,,,,Percent of Total Billed Charges,,,,,370.03,,,,,,,Percent of Total Billed Charges,,,,,77.9,,,,,,,Percent of Total Billed Charges,,,,,331.08,,,,,,,Percent of Total Billed Charges,,,,,81.8,,,,,,,Percent of Total Billed Charges,,,,,350.55,,,,,,,Percent of Total Billed Charges,,,,,350.55,,,,,,,Percent of Total Billed Charges,,,,,77.9,,,,,,,Percent of Total Billed Charges,,,,,109.06,,,,,,,Percent of Total Billed Charges,,,,,311.6,,,,,,,Percent of Total Billed Charges,,,,,77.9,,,,,,,Percent of Total Billed Charges,,,, U ELASTOGRAPHY ADDITIONAL LESION ,76983TC ,CPT,,Outpatient,,,287,229.6,214.39,,,,,,,Percent of Total Billed Charges,,214.39,214.39,,287,,,,,,,Percent of Total Billed Charges,,,,,275.52,,,,,,,Percent of Total Billed Charges,,,,,272.65,,,,,,,Percent of Total Billed Charges,,,,,57.4,,,,,,,Percent of Total Billed Charges,,,,,243.95,,,,,,,Percent of Total Billed Charges,,,,,60.27,,,,,,,Percent of Total Billed Charges,,,,,258.3,,,,,,,Percent of Total Billed Charges,,,,,258.3,,,,,,,Percent of Total Billed Charges,,,,,57.4,,,,,,,Percent of Total Billed Charges,,,,,80.36,,,,,,,Percent of Total Billed Charges,,,,,229.6,,,,,,,Percent of Total Billed Charges,,,,,57.4,,,,,,,Percent of Total Billed Charges,,,, U TESTICULAR SONO ,76870TC ,CPT,,Outpatient,,,1405.5,1124.4,1049.91,,,,,,,Percent of Total Billed Charges,,1049.91,1049.91,,1405.5,,,,,,,Percent of Total Billed Charges,,,,,1349.28,,,,,,,Percent of Total Billed Charges,,,,,1335.23,,,,,,,Percent of Total Billed Charges,,,,,281.1,,,,,,,Percent of Total Billed Charges,,,,,1194.68,,,,,,,Percent of Total Billed Charges,,,,,295.16,,,,,,,Percent of Total Billed Charges,,,,,1264.95,,,,,,,Percent of Total Billed Charges,,,,,1264.95,,,,,,,Percent of Total Billed Charges,,,,,281.1,,,,,,,Percent of Total Billed Charges,,,,,393.54,,,,,,,Percent of Total Billed Charges,,,,,1124.4,,,,,,,Percent of Total Billed Charges,,,,,281.1,,,,,,,Percent of Total Billed Charges,,,, U ULTRASOUND GUIDED BIOPSY ,76942TC ,CPT,,Outpatient,,,1059,847.2,791.07,,,,,,,Percent of Total Billed Charges,,791.07,791.07,,1059,,,,,,,Percent of Total Billed Charges,,,,,1016.64,,,,,,,Percent of Total Billed Charges,,,,,1006.05,,,,,,,Percent of Total Billed Charges,,,,,211.8,,,,,,,Percent of Total Billed Charges,,,,,900.15,,,,,,,Percent of Total Billed Charges,,,,,222.39,,,,,,,Percent of Total Billed Charges,,,,,953.1,,,,,,,Percent of Total Billed Charges,,,,,953.1,,,,,,,Percent of Total Billed Charges,,,,,211.8,,,,,,,Percent of Total Billed Charges,,,,,296.52,,,,,,,Percent of Total Billed Charges,,,,,847.2,,,,,,,Percent of Total Billed Charges,,,,,211.8,,,,,,,Percent of Total Billed Charges,,,, E DOPPLER ECHOCARDIOGRAPHY ,93320,CPT,,Outpatient,,,1234.5,987.6,922.17,,,,,,,Percent of Total Billed Charges,,922.17,922.17,,1234.5,,,,,,,Percent of Total Billed Charges,,,,,1185.12,,,,,,,Percent of Total Billed Charges,,,,,1172.78,,,,,,,Percent of Total Billed Charges,,,,,246.9,,,,,,,Percent of Total Billed Charges,,,,,1049.33,,,,,,,Percent of Total Billed Charges,,,,,259.25,,,,,,,Percent of Total Billed Charges,,,,,1111.05,,,,,,,Percent of Total Billed Charges,,,,,1111.05,,,,,,,Percent of Total Billed Charges,,,,,246.9,,,,,,,Percent of Total Billed Charges,,,,,345.66,,,,,,,Percent of Total Billed Charges,,,,,987.6,,,,,,,Percent of Total Billed Charges,,,,,246.9,,,,,,,Percent of Total Billed Charges,,,, U CHEST SONO ,76604TC ,CPT,,Outpatient,,,1632,1305.6,1219.1,,,,,,,Percent of Total Billed Charges,,1219.1,1219.1,,1632,,,,,,,Percent of Total Billed Charges,,,,,1566.72,,,,,,,Percent of Total Billed Charges,,,,,1550.4,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,1387.2,,,,,,,Percent of Total Billed Charges,,,,,342.72,,,,,,,Percent of Total Billed Charges,,,,,1468.8,,,,,,,Percent of Total Billed Charges,,,,,1468.8,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,456.96,,,,,,,Percent of Total Billed Charges,,,,,1305.6,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,, U LIMITED LOWER EXT EXAM SONO ,76882TC ,CPT,,Outpatient,,,824,659.2,615.53,,,,,,,Percent of Total Billed Charges,,615.53,615.53,,824,,,,,,,Percent of Total Billed Charges,,,,,791.04,,,,,,,Percent of Total Billed Charges,,,,,782.8,,,,,,,Percent of Total Billed Charges,,,,,164.8,,,,,,,Percent of Total Billed Charges,,,,,700.4,,,,,,,Percent of Total Billed Charges,,,,,173.04,,,,,,,Percent of Total Billed Charges,,,,,741.6,,,,,,,Percent of Total Billed Charges,,,,,741.6,,,,,,,Percent of Total Billed Charges,,,,,164.8,,,,,,,Percent of Total Billed Charges,,,,,230.72,,,,,,,Percent of Total Billed Charges,,,,,659.2,,,,,,,Percent of Total Billed Charges,,,,,164.8,,,,,,,Percent of Total Billed Charges,,,, U ULTRASOUND GUIDED BREAST BIOPSY ,76942TC ,CPT,,Outpatient,,,503,402.4,375.74,,,,,,,Percent of Total Billed Charges,,375.74,375.74,,503,,,,,,,Percent of Total Billed Charges,,,,,482.88,,,,,,,Percent of Total Billed Charges,,,,,477.85,,,,,,,Percent of Total Billed Charges,,,,,100.6,,,,,,,Percent of Total Billed Charges,,,,,427.55,,,,,,,Percent of Total Billed Charges,,,,,105.63,,,,,,,Percent of Total Billed Charges,,,,,452.7,,,,,,,Percent of Total Billed Charges,,,,,452.7,,,,,,,Percent of Total Billed Charges,,,,,100.6,,,,,,,Percent of Total Billed Charges,,,,,140.84,,,,,,,Percent of Total Billed Charges,,,,,402.4,,,,,,,Percent of Total Billed Charges,,,,,100.6,,,,,,,Percent of Total Billed Charges,,,, U GALLBLADDER PANCREAS ,76705TC ,CPT,,Outpatient,,,1684,1347.2,1257.95,,,,,,,Percent of Total Billed Charges,,1257.95,1257.95,,1684,,,,,,,Percent of Total Billed Charges,,,,,1616.64,,,,,,,Percent of Total Billed Charges,,,,,1599.8,,,,,,,Percent of Total Billed Charges,,,,,336.8,,,,,,,Percent of Total Billed Charges,,,,,1431.4,,,,,,,Percent of Total Billed Charges,,,,,353.64,,,,,,,Percent of Total Billed Charges,,,,,1515.6,,,,,,,Percent of Total Billed Charges,,,,,1515.6,,,,,,,Percent of Total Billed Charges,,,,,336.8,,,,,,,Percent of Total Billed Charges,,,,,471.52,,,,,,,Percent of Total Billed Charges,,,,,1347.2,,,,,,,Percent of Total Billed Charges,,,,,336.8,,,,,,,Percent of Total Billed Charges,,,, U ABD FOR ASCITES ,76775TC ,CPT,,Outpatient,,,1638,1310.4,1223.59,,,,,,,Percent of Total Billed Charges,,1223.59,1223.59,,1638,,,,,,,Percent of Total Billed Charges,,,,,1572.48,,,,,,,Percent of Total Billed Charges,,,,,1556.1,,,,,,,Percent of Total Billed Charges,,,,,327.6,,,,,,,Percent of Total Billed Charges,,,,,1392.3,,,,,,,Percent of Total Billed Charges,,,,,343.98,,,,,,,Percent of Total Billed Charges,,,,,1474.2,,,,,,,Percent of Total Billed Charges,,,,,1474.2,,,,,,,Percent of Total Billed Charges,,,,,327.6,,,,,,,Percent of Total Billed Charges,,,,,458.64,,,,,,,Percent of Total Billed Charges,,,,,1310.4,,,,,,,Percent of Total Billed Charges,,,,,327.6,,,,,,,Percent of Total Billed Charges,,,, U OB FETAL (LIMITED) ,76815TC ,CPT,,Outpatient,,,607.5,486,453.8,,,,,,,Percent of Total Billed Charges,,453.8,453.8,,607.5,,,,,,,Percent of Total Billed Charges,,,,,583.2,,,,,,,Percent of Total Billed Charges,,,,,577.13,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,,,516.38,,,,,,,Percent of Total Billed Charges,,,,,127.58,,,,,,,Percent of Total Billed Charges,,,,,546.75,,,,,,,Percent of Total Billed Charges,,,,,546.75,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,,,170.1,,,,,,,Percent of Total Billed Charges,,,,,486,,,,,,,Percent of Total Billed Charges,,,,,121.5,,,,,,,Percent of Total Billed Charges,,,, E COLOR FLOW MAPPING ,93325,CPT,,Outpatient,,,338,270.4,252.49,,,,,,,Percent of Total Billed Charges,,252.49,252.49,,338,,,,,,,Percent of Total Billed Charges,,,,,324.48,,,,,,,Percent of Total Billed Charges,,,,,321.1,,,,,,,Percent of Total Billed Charges,,,,,67.6,,,,,,,Percent of Total Billed Charges,,,,,287.3,,,,,,,Percent of Total Billed Charges,,,,,70.98,,,,,,,Percent of Total Billed Charges,,,,,304.2,,,,,,,Percent of Total Billed Charges,,,,,304.2,,,,,,,Percent of Total Billed Charges,,,,,67.6,,,,,,,Percent of Total Billed Charges,,,,,94.64,,,,,,,Percent of Total Billed Charges,,,,,270.4,,,,,,,Percent of Total Billed Charges,,,,,67.6,,,,,,,Percent of Total Billed Charges,,,, U PROSTATE SONO ,76872TC ,CPT,,Outpatient,,,1792,1433.6,1338.62,,,,,,,Percent of Total Billed Charges,,1338.62,1338.62,,1792,,,,,,,Percent of Total Billed Charges,,,,,1720.32,,,,,,,Percent of Total Billed Charges,,,,,1702.4,,,,,,,Percent of Total Billed Charges,,,,,358.4,,,,,,,Percent of Total Billed Charges,,,,,1523.2,,,,,,,Percent of Total Billed Charges,,,,,376.32,,,,,,,Percent of Total Billed Charges,,,,,1612.8,,,,,,,Percent of Total Billed Charges,,,,,1612.8,,,,,,,Percent of Total Billed Charges,,,,,358.4,,,,,,,Percent of Total Billed Charges,,,,,501.76,,,,,,,Percent of Total Billed Charges,,,,,1433.6,,,,,,,Percent of Total Billed Charges,,,,,358.4,,,,,,,Percent of Total Billed Charges,,,, U PELVIC TRANSVAGINAL ONLY ,76830TC ,CPT,,Outpatient,,,1190.5,952.4,889.3,,,,,,,Percent of Total Billed Charges,,889.3,889.3,,1190.5,,,,,,,Percent of Total Billed Charges,,,,,1142.88,,,,,,,Percent of Total Billed Charges,,,,,1130.98,,,,,,,Percent of Total Billed Charges,,,,,238.1,,,,,,,Percent of Total Billed Charges,,,,,1011.93,,,,,,,Percent of Total Billed Charges,,,,,250.01,,,,,,,Percent of Total Billed Charges,,,,,1071.45,,,,,,,Percent of Total Billed Charges,,,,,1071.45,,,,,,,Percent of Total Billed Charges,,,,,238.1,,,,,,,Percent of Total Billed Charges,,,,,333.34,,,,,,,Percent of Total Billed Charges,,,,,952.4,,,,,,,Percent of Total Billed Charges,,,,,238.1,,,,,,,Percent of Total Billed Charges,,,, U SOFT TISSUE HEAD/NECK ,76536TC ,CPT,,Outpatient,,,983.5,786.8,734.67,,,,,,,Percent of Total Billed Charges,,734.67,734.67,,983.5,,,,,,,Percent of Total Billed Charges,,,,,944.16,,,,,,,Percent of Total Billed Charges,,,,,934.33,,,,,,,Percent of Total Billed Charges,,,,,196.7,,,,,,,Percent of Total Billed Charges,,,,,835.98,,,,,,,Percent of Total Billed Charges,,,,,206.54,,,,,,,Percent of Total Billed Charges,,,,,885.15,,,,,,,Percent of Total Billed Charges,,,,,885.15,,,,,,,Percent of Total Billed Charges,,,,,196.7,,,,,,,Percent of Total Billed Charges,,,,,275.38,,,,,,,Percent of Total Billed Charges,,,,,786.8,,,,,,,Percent of Total Billed Charges,,,,,196.7,,,,,,,Percent of Total Billed Charges,,,, U LOWER VENOUS DOPPLER BILATERAL ,93970TC ,CPT,,Outpatient,,,2736,2188.8,2043.79,,,,,,,Percent of Total Billed Charges,,2043.79,2043.79,,2736,,,,,,,Percent of Total Billed Charges,,,,,2626.56,,,,,,,Percent of Total Billed Charges,,,,,2599.2,,,,,,,Percent of Total Billed Charges,,,,,547.2,,,,,,,Percent of Total Billed Charges,,,,,2325.6,,,,,,,Percent of Total Billed Charges,,,,,574.56,,,,,,,Percent of Total Billed Charges,,,,,2462.4,,,,,,,Percent of Total Billed Charges,,,,,2462.4,,,,,,,Percent of Total Billed Charges,,,,,547.2,,,,,,,Percent of Total Billed Charges,,,,,766.08,,,,,,,Percent of Total Billed Charges,,,,,2188.8,,,,,,,Percent of Total Billed Charges,,,,,547.2,,,,,,,Percent of Total Billed Charges,,,, U LOWER ARTERIAL DOPPLER BILAT LIMITED ,93922TC ,CPT,,Outpatient,,,1974,1579.2,1474.58,,,,,,,Percent of Total Billed Charges,,1474.58,1474.58,,1974,,,,,,,Percent of Total Billed Charges,,,,,1895.04,,,,,,,Percent of Total Billed Charges,,,,,1875.3,,,,,,,Percent of Total Billed Charges,,,,,394.8,,,,,,,Percent of Total Billed Charges,,,,,1677.9,,,,,,,Percent of Total Billed Charges,,,,,414.54,,,,,,,Percent of Total Billed Charges,,,,,1776.6,,,,,,,Percent of Total Billed Charges,,,,,1776.6,,,,,,,Percent of Total Billed Charges,,,,,394.8,,,,,,,Percent of Total Billed Charges,,,,,552.72,,,,,,,Percent of Total Billed Charges,,,,,1579.2,,,,,,,Percent of Total Billed Charges,,,,,394.8,,,,,,,Percent of Total Billed Charges,,,, U OB 1ST TRIMESTER ,76801TC ,CPT,,Outpatient,,,1009,807.2,753.72,,,,,,,Percent of Total Billed Charges,,753.72,753.72,,1009,,,,,,,Percent of Total Billed Charges,,,,,968.64,,,,,,,Percent of Total Billed Charges,,,,,958.55,,,,,,,Percent of Total Billed Charges,,,,,201.8,,,,,,,Percent of Total Billed Charges,,,,,857.65,,,,,,,Percent of Total Billed Charges,,,,,211.89,,,,,,,Percent of Total Billed Charges,,,,,908.1,,,,,,,Percent of Total Billed Charges,,,,,908.1,,,,,,,Percent of Total Billed Charges,,,,,201.8,,,,,,,Percent of Total Billed Charges,,,,,282.52,,,,,,,Percent of Total Billed Charges,,,,,807.2,,,,,,,Percent of Total Billed Charges,,,,,201.8,,,,,,,Percent of Total Billed Charges,,,, U TRANSVAG OB ,76817TC ,CPT,,Outpatient,,,1190.5,952.4,889.3,,,,,,,Percent of Total Billed Charges,,889.3,889.3,,1190.5,,,,,,,Percent of Total Billed Charges,,,,,1142.88,,,,,,,Percent of Total Billed Charges,,,,,1130.98,,,,,,,Percent of Total Billed Charges,,,,,238.1,,,,,,,Percent of Total Billed Charges,,,,,1011.93,,,,,,,Percent of Total Billed Charges,,,,,250.01,,,,,,,Percent of Total Billed Charges,,,,,1071.45,,,,,,,Percent of Total Billed Charges,,,,,1071.45,,,,,,,Percent of Total Billed Charges,,,,,238.1,,,,,,,Percent of Total Billed Charges,,,,,333.34,,,,,,,Percent of Total Billed Charges,,,,,952.4,,,,,,,Percent of Total Billed Charges,,,,,238.1,,,,,,,Percent of Total Billed Charges,,,, U PELVIC W ,76856TC ,CPT,,Outpatient,,,2375.5,1900.4,1774.5,,,,,,,Percent of Total Billed Charges,,1774.5,1774.5,,2375.5,,,,,,,Percent of Total Billed Charges,,,,,2280.48,,,,,,,Percent of Total Billed Charges,,,,,2256.73,,,,,,,Percent of Total Billed Charges,,,,,475.1,,,,,,,Percent of Total Billed Charges,,,,,2019.18,,,,,,,Percent of Total Billed Charges,,,,,498.86,,,,,,,Percent of Total Billed Charges,,,,,2137.95,,,,,,,Percent of Total Billed Charges,,,,,2137.95,,,,,,,Percent of Total Billed Charges,,,,,475.1,,,,,,,Percent of Total Billed Charges,,,,,665.14,,,,,,,Percent of Total Billed Charges,,,,,1900.4,,,,,,,Percent of Total Billed Charges,,,,,475.1,,,,,,,Percent of Total Billed Charges,,,, U LOWER ARTERIAL DOPPLER BILAT COMP ,93923TC ,CPT,,Outpatient,,,2546.5,2037.2,1902.24,,,,,,,Percent of Total Billed Charges,,1902.24,1902.24,,2546.5,,,,,,,Percent of Total Billed Charges,,,,,2444.64,,,,,,,Percent of Total Billed Charges,,,,,2419.18,,,,,,,Percent of Total Billed Charges,,,,,509.3,,,,,,,Percent of Total Billed Charges,,,,,2164.53,,,,,,,Percent of Total Billed Charges,,,,,534.77,,,,,,,Percent of Total Billed Charges,,,,,2291.85,,,,,,,Percent of Total Billed Charges,,,,,2291.85,,,,,,,Percent of Total Billed Charges,,,,,509.3,,,,,,,Percent of Total Billed Charges,,,,,713.02,,,,,,,Percent of Total Billed Charges,,,,,2037.2,,,,,,,Percent of Total Billed Charges,,,,,509.3,,,,,,,Percent of Total Billed Charges,,,, U ULTRASOUND GUIDED KIDNEY BIO LT ,76942LTTC ,CPT,,Outpatient,,,844.5,675.6,630.84,,,,,,,Percent of Total Billed Charges,,630.84,630.84,,844.5,,,,,,,Percent of Total Billed Charges,,,,,810.72,,,,,,,Percent of Total Billed Charges,,,,,802.28,,,,,,,Percent of Total Billed Charges,,,,,168.9,,,,,,,Percent of Total Billed Charges,,,,,717.83,,,,,,,Percent of Total Billed Charges,,,,,177.35,,,,,,,Percent of Total Billed Charges,,,,,760.05,,,,,,,Percent of Total Billed Charges,,,,,760.05,,,,,,,Percent of Total Billed Charges,,,,,168.9,,,,,,,Percent of Total Billed Charges,,,,,236.46,,,,,,,Percent of Total Billed Charges,,,,,675.6,,,,,,,Percent of Total Billed Charges,,,,,168.9,,,,,,,Percent of Total Billed Charges,,,, U ULTRASOUND GUIDED KIDNEY BIO RT ,76942RTTC ,CPT,,Outpatient,,,844.5,675.6,630.84,,,,,,,Percent of Total Billed Charges,,630.84,630.84,,844.5,,,,,,,Percent of Total Billed Charges,,,,,810.72,,,,,,,Percent of Total Billed Charges,,,,,802.28,,,,,,,Percent of Total Billed Charges,,,,,168.9,,,,,,,Percent of Total Billed Charges,,,,,717.83,,,,,,,Percent of Total Billed Charges,,,,,177.35,,,,,,,Percent of Total Billed Charges,,,,,760.05,,,,,,,Percent of Total Billed Charges,,,,,760.05,,,,,,,Percent of Total Billed Charges,,,,,168.9,,,,,,,Percent of Total Billed Charges,,,,,236.46,,,,,,,Percent of Total Billed Charges,,,,,675.6,,,,,,,Percent of Total Billed Charges,,,,,168.9,,,,,,,Percent of Total Billed Charges,,,, E ECHOCARDIOGRAM WITH STRAIN ,93356TC ,CPT,,Outpatient,,,2558.5,2046.8,1911.2,,,,,,,Percent of Total Billed Charges,,1911.2,1911.2,,2558.5,,,,,,,Percent of Total Billed Charges,,,,,2456.16,,,,,,,Percent of Total Billed Charges,,,,,2430.58,,,,,,,Percent of Total Billed Charges,,,,,511.7,,,,,,,Percent of Total Billed Charges,,,,,2174.73,,,,,,,Percent of Total Billed Charges,,,,,537.29,,,,,,,Percent of Total Billed Charges,,,,,2302.65,,,,,,,Percent of Total Billed Charges,,,,,2302.65,,,,,,,Percent of Total Billed Charges,,,,,511.7,,,,,,,Percent of Total Billed Charges,,,,,716.38,,,,,,,Percent of Total Billed Charges,,,,,2046.8,,,,,,,Percent of Total Billed Charges,,,,,511.7,,,,,,,Percent of Total Billed Charges,,,, U PELVIC TA ONLY ,76856TC ,CPT,,Outpatient,,,2375.5,1900.4,1774.5,,,,,,,Percent of Total Billed Charges,,1774.5,1774.5,,2375.5,,,,,,,Percent of Total Billed Charges,,,,,2280.48,,,,,,,Percent of Total Billed Charges,,,,,2256.73,,,,,,,Percent of Total Billed Charges,,,,,475.1,,,,,,,Percent of Total Billed Charges,,,,,2019.18,,,,,,,Percent of Total Billed Charges,,,,,498.86,,,,,,,Percent of Total Billed Charges,,,,,2137.95,,,,,,,Percent of Total Billed Charges,,,,,2137.95,,,,,,,Percent of Total Billed Charges,,,,,475.1,,,,,,,Percent of Total Billed Charges,,,,,665.14,,,,,,,Percent of Total Billed Charges,,,,,1900.4,,,,,,,Percent of Total Billed Charges,,,,,475.1,,,,,,,Percent of Total Billed Charges,,,, E ECHOCARDIOGRAM-SC ONLY ,93306TC ,CPT,,Outpatient,,,2558.5,2046.8,1911.2,,,,,,,Percent of Total Billed Charges,,1911.2,1911.2,,2558.5,,,,,,,Percent of Total Billed Charges,,,,,2456.16,,,,,,,Percent of Total Billed Charges,,,,,2430.58,,,,,,,Percent of Total Billed Charges,,,,,511.7,,,,,,,Percent of Total Billed Charges,,,,,2174.73,,,,,,,Percent of Total Billed Charges,,,,,537.29,,,,,,,Percent of Total Billed Charges,,,,,2302.65,,,,,,,Percent of Total Billed Charges,,,,,2302.65,,,,,,,Percent of Total Billed Charges,,,,,511.7,,,,,,,Percent of Total Billed Charges,,,,,716.38,,,,,,,Percent of Total Billed Charges,,,,,2046.8,,,,,,,Percent of Total Billed Charges,,,,,511.7,,,,,,,Percent of Total Billed Charges,,,, U LOWER VENOUS DOPPLER UNILATERAL ,93971TC ,CPT,,Outpatient,,,1839.5,1471.6,1374.11,,,,,,,Percent of Total Billed Charges,,1374.11,1374.11,,1839.5,,,,,,,Percent of Total Billed Charges,,,,,1765.92,,,,,,,Percent of Total Billed Charges,,,,,1747.53,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,,,1563.58,,,,,,,Percent of Total Billed Charges,,,,,386.3,,,,,,,Percent of Total Billed Charges,,,,,1655.55,,,,,,,Percent of Total Billed Charges,,,,,1655.55,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,,,515.06,,,,,,,Percent of Total Billed Charges,,,,,1471.6,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,, U LOWER VENOUS DOPPLER BILATERAL-REFLUX ,93970TC ,CPT,,Outpatient,,,2736,2188.8,2043.79,,,,,,,Percent of Total Billed Charges,,2043.79,2043.79,,2736,,,,,,,Percent of Total Billed Charges,,,,,2626.56,,,,,,,Percent of Total Billed Charges,,,,,2599.2,,,,,,,Percent of Total Billed Charges,,,,,547.2,,,,,,,Percent of Total Billed Charges,,,,,2325.6,,,,,,,Percent of Total Billed Charges,,,,,574.56,,,,,,,Percent of Total Billed Charges,,,,,2462.4,,,,,,,Percent of Total Billed Charges,,,,,2462.4,,,,,,,Percent of Total Billed Charges,,,,,547.2,,,,,,,Percent of Total Billed Charges,,,,,766.08,,,,,,,Percent of Total Billed Charges,,,,,2188.8,,,,,,,Percent of Total Billed Charges,,,,,547.2,,,,,,,Percent of Total Billed Charges,,,, U ABDOMEN AORTA SCREENING ,76706TC ,CPT,,Outpatient,,,1593.5,1274.8,1190.34,,,,,,,Percent of Total Billed Charges,,1190.34,1190.34,,1593.5,,,,,,,Percent of Total Billed Charges,,,,,1529.76,,,,,,,Percent of Total Billed Charges,,,,,1513.83,,,,,,,Percent of Total Billed Charges,,,,,318.7,,,,,,,Percent of Total Billed Charges,,,,,1354.48,,,,,,,Percent of Total Billed Charges,,,,,334.64,,,,,,,Percent of Total Billed Charges,,,,,1434.15,,,,,,,Percent of Total Billed Charges,,,,,1434.15,,,,,,,Percent of Total Billed Charges,,,,,318.7,,,,,,,Percent of Total Billed Charges,,,,,446.18,,,,,,,Percent of Total Billed Charges,,,,,1274.8,,,,,,,Percent of Total Billed Charges,,,,,318.7,,,,,,,Percent of Total Billed Charges,,,, U LOWER ARTERIAL EXERCISE/REACTIVE ,93924TC ,CPT,,Outpatient,,,2927,2341.6,2186.47,,,,,,,Percent of Total Billed Charges,,2186.47,2186.47,,2927,,,,,,,Percent of Total Billed Charges,,,,,2809.92,,,,,,,Percent of Total Billed Charges,,,,,2780.65,,,,,,,Percent of Total Billed Charges,,,,,585.4,,,,,,,Percent of Total Billed Charges,,,,,2487.95,,,,,,,Percent of Total Billed Charges,,,,,614.67,,,,,,,Percent of Total Billed Charges,,,,,2634.3,,,,,,,Percent of Total Billed Charges,,,,,2634.3,,,,,,,Percent of Total Billed Charges,,,,,585.4,,,,,,,Percent of Total Billed Charges,,,,,819.56,,,,,,,Percent of Total Billed Charges,,,,,2341.6,,,,,,,Percent of Total Billed Charges,,,,,585.4,,,,,,,Percent of Total Billed Charges,,,, U LOWER ARTERIAL DUPLEX ,93925TC ,CPT,,Outpatient,,,1973.5,1578.8,1474.2,,,,,,,Percent of Total Billed Charges,,1474.2,1474.2,,1973.5,,,,,,,Percent of Total Billed Charges,,,,,1894.56,,,,,,,Percent of Total Billed Charges,,,,,1874.83,,,,,,,Percent of Total Billed Charges,,,,,394.7,,,,,,,Percent of Total Billed Charges,,,,,1677.48,,,,,,,Percent of Total Billed Charges,,,,,414.44,,,,,,,Percent of Total Billed Charges,,,,,1776.15,,,,,,,Percent of Total Billed Charges,,,,,1776.15,,,,,,,Percent of Total Billed Charges,,,,,394.7,,,,,,,Percent of Total Billed Charges,,,,,552.58,,,,,,,Percent of Total Billed Charges,,,,,1578.8,,,,,,,Percent of Total Billed Charges,,,,,394.7,,,,,,,Percent of Total Billed Charges,,,, U UPPER ARTERIAL DOPPLER BILAT LIMITED ,93922TC ,CPT,,Outpatient,,,1593.5,1274.8,1190.34,,,,,,,Percent of Total Billed Charges,,1190.34,1190.34,,1593.5,,,,,,,Percent of Total Billed Charges,,,,,1529.76,,,,,,,Percent of Total Billed Charges,,,,,1513.83,,,,,,,Percent of Total Billed Charges,,,,,318.7,,,,,,,Percent of Total Billed Charges,,,,,1354.48,,,,,,,Percent of Total Billed Charges,,,,,334.64,,,,,,,Percent of Total Billed Charges,,,,,1434.15,,,,,,,Percent of Total Billed Charges,,,,,1434.15,,,,,,,Percent of Total Billed Charges,,,,,318.7,,,,,,,Percent of Total Billed Charges,,,,,446.18,,,,,,,Percent of Total Billed Charges,,,,,1274.8,,,,,,,Percent of Total Billed Charges,,,,,318.7,,,,,,,Percent of Total Billed Charges,,,, U UPPER ARTERIAL DOPPLER BILAT COMPLETE ,93923TC ,CPT,,Outpatient,,,1839.5,1471.6,1374.11,,,,,,,Percent of Total Billed Charges,,1374.11,1374.11,,1839.5,,,,,,,Percent of Total Billed Charges,,,,,1765.92,,,,,,,Percent of Total Billed Charges,,,,,1747.53,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,,,1563.58,,,,,,,Percent of Total Billed Charges,,,,,386.3,,,,,,,Percent of Total Billed Charges,,,,,1655.55,,,,,,,Percent of Total Billed Charges,,,,,1655.55,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,,,515.06,,,,,,,Percent of Total Billed Charges,,,,,1471.6,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,, U UPPER ARTERIAL DUPLEX ,93930TC ,CPT,,Outpatient,,,1593.5,1274.8,1190.34,,,,,,,Percent of Total Billed Charges,,1190.34,1190.34,,1593.5,,,,,,,Percent of Total Billed Charges,,,,,1529.76,,,,,,,Percent of Total Billed Charges,,,,,1513.83,,,,,,,Percent of Total Billed Charges,,,,,318.7,,,,,,,Percent of Total Billed Charges,,,,,1354.48,,,,,,,Percent of Total Billed Charges,,,,,334.64,,,,,,,Percent of Total Billed Charges,,,,,1434.15,,,,,,,Percent of Total Billed Charges,,,,,1434.15,,,,,,,Percent of Total Billed Charges,,,,,318.7,,,,,,,Percent of Total Billed Charges,,,,,446.18,,,,,,,Percent of Total Billed Charges,,,,,1274.8,,,,,,,Percent of Total Billed Charges,,,,,318.7,,,,,,,Percent of Total Billed Charges,,,, U LOWER ARTERIAL DOPPLER UNILATERAL ,93922TC ,CPT,,Outpatient,,,1839.5,1471.6,1374.11,,,,,,,Percent of Total Billed Charges,,1374.11,1374.11,,1839.5,,,,,,,Percent of Total Billed Charges,,,,,1765.92,,,,,,,Percent of Total Billed Charges,,,,,1747.53,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,,,1563.58,,,,,,,Percent of Total Billed Charges,,,,,386.3,,,,,,,Percent of Total Billed Charges,,,,,1655.55,,,,,,,Percent of Total Billed Charges,,,,,1655.55,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,,,515.06,,,,,,,Percent of Total Billed Charges,,,,,1471.6,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,, U UPPER ARTERIAL DOPPLER UNIL ,93931TC ,CPT,,Outpatient,,,1348.5,1078.8,1007.33,,,,,,,Percent of Total Billed Charges,,1007.33,1007.33,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,1294.56,,,,,,,Percent of Total Billed Charges,,,,,1281.08,,,,,,,Percent of Total Billed Charges,,,,,269.7,,,,,,,Percent of Total Billed Charges,,,,,1146.23,,,,,,,Percent of Total Billed Charges,,,,,283.19,,,,,,,Percent of Total Billed Charges,,,,,1213.65,,,,,,,Percent of Total Billed Charges,,,,,1213.65,,,,,,,Percent of Total Billed Charges,,,,,269.7,,,,,,,Percent of Total Billed Charges,,,,,377.58,,,,,,,Percent of Total Billed Charges,,,,,1078.8,,,,,,,Percent of Total Billed Charges,,,,,269.7,,,,,,,Percent of Total Billed Charges,,,, U ARTERIAL DOPPLER/HEMODIALYSIS ACCESS ,93990,CPT,,Outpatient,,,1839.5,1471.6,1374.11,,,,,,,Percent of Total Billed Charges,,1374.11,1374.11,,1839.5,,,,,,,Percent of Total Billed Charges,,,,,1765.92,,,,,,,Percent of Total Billed Charges,,,,,1747.53,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,,,1563.58,,,,,,,Percent of Total Billed Charges,,,,,386.3,,,,,,,Percent of Total Billed Charges,,,,,1655.55,,,,,,,Percent of Total Billed Charges,,,,,1655.55,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,,,515.06,,,,,,,Percent of Total Billed Charges,,,,,1471.6,,,,,,,Percent of Total Billed Charges,,,,,367.9,,,,,,,Percent of Total Billed Charges,,,, X BREAST BIOPSY CORE WITH CLIP ,19283TC ,CPT,,Outpatient,,,1146,916.8,856.06,,,,,,,Percent of Total Billed Charges,,856.06,856.06,,1146,,,,,,,Percent of Total Billed Charges,,,,,1100.16,,,,,,,Percent of Total Billed Charges,,,,,1088.7,,,,,,,Percent of Total Billed Charges,,,,,229.2,,,,,,,Percent of Total Billed Charges,,,,,974.1,,,,,,,Percent of Total Billed Charges,,,,,240.66,,,,,,,Percent of Total Billed Charges,,,,,1031.4,,,,,,,Percent of Total Billed Charges,,,,,1031.4,,,,,,,Percent of Total Billed Charges,,,,,229.2,,,,,,,Percent of Total Billed Charges,,,,,320.88,,,,,,,Percent of Total Billed Charges,,,,,916.8,,,,,,,Percent of Total Billed Charges,,,,,229.2,,,,,,,Percent of Total Billed Charges,,,, U THYROID FNA BX ,10005TC ,CPT,,Outpatient,,,677.5,542,506.09,,,,,,,Percent of Total Billed Charges,,506.09,506.09,,677.5,,,,,,,Percent of Total Billed Charges,,,,,650.4,,,,,,,Percent of Total Billed Charges,,,,,643.63,,,,,,,Percent of Total Billed Charges,,,,,135.5,,,,,,,Percent of Total Billed Charges,,,,,575.88,,,,,,,Percent of Total Billed Charges,,,,,142.28,,,,,,,Percent of Total Billed Charges,,,,,609.75,,,,,,,Percent of Total Billed Charges,,,,,609.75,,,,,,,Percent of Total Billed Charges,,,,,135.5,,,,,,,Percent of Total Billed Charges,,,,,189.7,,,,,,,Percent of Total Billed Charges,,,,,542,,,,,,,Percent of Total Billed Charges,,,,,135.5,,,,,,,Percent of Total Billed Charges,,,, U SALIVARY GLAND BIOPSY ,42400TC ,CPT,,Outpatient,,,530.5,424.4,396.28,,,,,,,Percent of Total Billed Charges,,396.28,396.28,,530.5,,,,,,,Percent of Total Billed Charges,,,,,509.28,,,,,,,Percent of Total Billed Charges,,,,,503.98,,,,,,,Percent of Total Billed Charges,,,,,106.1,,,,,,,Percent of Total Billed Charges,,,,,450.93,,,,,,,Percent of Total Billed Charges,,,,,111.41,,,,,,,Percent of Total Billed Charges,,,,,477.45,,,,,,,Percent of Total Billed Charges,,,,,477.45,,,,,,,Percent of Total Billed Charges,,,,,106.1,,,,,,,Percent of Total Billed Charges,,,,,148.54,,,,,,,Percent of Total Billed Charges,,,,,424.4,,,,,,,Percent of Total Billed Charges,,,,,106.1,,,,,,,Percent of Total Billed Charges,,,, U LYMPH NODE BIOPSY ,38505TC ,CPT,,Outpatient,,,831.5,665.2,621.13,,,,,,,Percent of Total Billed Charges,,621.13,621.13,,831.5,,,,,,,Percent of Total Billed Charges,,,,,798.24,,,,,,,Percent of Total Billed Charges,,,,,789.93,,,,,,,Percent of Total Billed Charges,,,,,166.3,,,,,,,Percent of Total Billed Charges,,,,,706.78,,,,,,,Percent of Total Billed Charges,,,,,174.62,,,,,,,Percent of Total Billed Charges,,,,,748.35,,,,,,,Percent of Total Billed Charges,,,,,748.35,,,,,,,Percent of Total Billed Charges,,,,,166.3,,,,,,,Percent of Total Billed Charges,,,,,232.82,,,,,,,Percent of Total Billed Charges,,,,,665.2,,,,,,,Percent of Total Billed Charges,,,,,166.3,,,,,,,Percent of Total Billed Charges,,,, U ADDITIONL BREAST BIOPSY CORE WITH CLIP,19283TC ,CPT,,Outpatient,,,896,716.8,669.31,,,,,,,Percent of Total Billed Charges,,669.31,669.31,,896,,,,,,,Percent of Total Billed Charges,,,,,860.16,,,,,,,Percent of Total Billed Charges,,,,,851.2,,,,,,,Percent of Total Billed Charges,,,,,179.2,,,,,,,Percent of Total Billed Charges,,,,,761.6,,,,,,,Percent of Total Billed Charges,,,,,188.16,,,,,,,Percent of Total Billed Charges,,,,,806.4,,,,,,,Percent of Total Billed Charges,,,,,806.4,,,,,,,Percent of Total Billed Charges,,,,,179.2,,,,,,,Percent of Total Billed Charges,,,,,250.88,,,,,,,Percent of Total Billed Charges,,,,,716.8,,,,,,,Percent of Total Billed Charges,,,,,179.2,,,,,,,Percent of Total Billed Charges,,,, U BREAST BIOPSY CORE 1ST LESION ,19083TC ,CPT,,Outpatient,,,1009.5,807.6,754.1,,,,,,,Percent of Total Billed Charges,,754.1,754.1,,1009.5,,,,,,,Percent of Total Billed Charges,,,,,969.12,,,,,,,Percent of Total Billed Charges,,,,,959.03,,,,,,,Percent of Total Billed Charges,,,,,201.9,,,,,,,Percent of Total Billed Charges,,,,,858.08,,,,,,,Percent of Total Billed Charges,,,,,212,,,,,,,Percent of Total Billed Charges,,,,,908.55,,,,,,,Percent of Total Billed Charges,,,,,908.55,,,,,,,Percent of Total Billed Charges,,,,,201.9,,,,,,,Percent of Total Billed Charges,,,,,282.66,,,,,,,Percent of Total Billed Charges,,,,,807.6,,,,,,,Percent of Total Billed Charges,,,,,201.9,,,,,,,Percent of Total Billed Charges,,,, E ECHOCARDIOGRAM OUTSIDE READING ,93307,CPT,,Outpatient,,,2042,1633.6,1525.37,,,,,,,Percent of Total Billed Charges,,1525.37,1525.37,,2042,,,,,,,Percent of Total Billed Charges,,,,,1960.32,,,,,,,Percent of Total Billed Charges,,,,,1939.9,,,,,,,Percent of Total Billed Charges,,,,,408.4,,,,,,,Percent of Total Billed Charges,,,,,1735.7,,,,,,,Percent of Total Billed Charges,,,,,428.82,,,,,,,Percent of Total Billed Charges,,,,,1837.8,,,,,,,Percent of Total Billed Charges,,,,,1837.8,,,,,,,Percent of Total Billed Charges,,,,,408.4,,,,,,,Percent of Total Billed Charges,,,,,571.76,,,,,,,Percent of Total Billed Charges,,,,,1633.6,,,,,,,Percent of Total Billed Charges,,,,,408.4,,,,,,,Percent of Total Billed Charges,,,, E DOPPLER ECHO OUTSIDE READING ,93320,CPT,,Outpatient,,,1122,897.6,838.13,,,,,,,Percent of Total Billed Charges,,838.13,838.13,,1122,,,,,,,Percent of Total Billed Charges,,,,,1077.12,,,,,,,Percent of Total Billed Charges,,,,,1065.9,,,,,,,Percent of Total Billed Charges,,,,,224.4,,,,,,,Percent of Total Billed Charges,,,,,953.7,,,,,,,Percent of Total Billed Charges,,,,,235.62,,,,,,,Percent of Total Billed Charges,,,,,1009.8,,,,,,,Percent of Total Billed Charges,,,,,1009.8,,,,,,,Percent of Total Billed Charges,,,,,224.4,,,,,,,Percent of Total Billed Charges,,,,,314.16,,,,,,,Percent of Total Billed Charges,,,,,897.6,,,,,,,Percent of Total Billed Charges,,,,,224.4,,,,,,,Percent of Total Billed Charges,,,, E COLORFLOW MAP OUTSIDE READING ,93325,CPT,,Outpatient,,,410.5,328.4,306.64,,,,,,,Percent of Total Billed Charges,,306.64,306.64,,410.5,,,,,,,Percent of Total Billed Charges,,,,,394.08,,,,,,,Percent of Total Billed Charges,,,,,389.98,,,,,,,Percent of Total Billed Charges,,,,,82.1,,,,,,,Percent of Total Billed Charges,,,,,348.93,,,,,,,Percent of Total Billed Charges,,,,,86.21,,,,,,,Percent of Total Billed Charges,,,,,369.45,,,,,,,Percent of Total Billed Charges,,,,,369.45,,,,,,,Percent of Total Billed Charges,,,,,82.1,,,,,,,Percent of Total Billed Charges,,,,,114.94,,,,,,,Percent of Total Billed Charges,,,,,328.4,,,,,,,Percent of Total Billed Charges,,,,,82.1,,,,,,,Percent of Total Billed Charges,,,, ANS EQUIPMENT MINOR ,250,RC,,Outpatient,,,408,326.4,304.78,,,,,,,Percent of Total Billed Charges,,304.78,304.78,,408,,,,,,,Percent of Total Billed Charges,,,,,391.68,,,,,,,Percent of Total Billed Charges,,,,,387.6,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,346.8,,,,,,,Percent of Total Billed Charges,,,,,85.68,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,367.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,114.24,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,, ANS EQUIPMENT MAJOR ,250,RC,,Outpatient,,,711.5,569.2,531.49,,,,,,,Percent of Total Billed Charges,,531.49,531.49,,711.5,,,,,,,Percent of Total Billed Charges,,,,,683.04,,,,,,,Percent of Total Billed Charges,,,,,675.93,,,,,,,Percent of Total Billed Charges,,,,,142.3,,,,,,,Percent of Total Billed Charges,,,,,604.78,,,,,,,Percent of Total Billed Charges,,,,,149.42,,,,,,,Percent of Total Billed Charges,,,,,640.35,,,,,,,Percent of Total Billed Charges,,,,,640.35,,,,,,,Percent of Total Billed Charges,,,,,142.3,,,,,,,Percent of Total Billed Charges,,,,,199.22,,,,,,,Percent of Total Billed Charges,,,,,569.2,,,,,,,Percent of Total Billed Charges,,,,,142.3,,,,,,,Percent of Total Billed Charges,,,, ANS UNITS MOD MON ,1480,CPT,,Outpatient,,,324,259.2,242.03,,,,,,,Percent of Total Billed Charges,,242.03,242.03,,324,,,,,,,Percent of Total Billed Charges,,,,,311.04,,,,,,,Percent of Total Billed Charges,,,,,307.8,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,275.4,,,,,,,Percent of Total Billed Charges,,,,,68.04,,,,,,,Percent of Total Billed Charges,,,,,291.6,,,,,,,Percent of Total Billed Charges,,,,,291.6,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,,,90.72,,,,,,,Percent of Total Billed Charges,,,,,259.2,,,,,,,Percent of Total Billed Charges,,,,,64.8,,,,,,,Percent of Total Billed Charges,,,, ANS UNITS MOD AGE ,1480,CPT,,Outpatient,,,324.5,259.6,242.4,,,,,,,Percent of Total Billed Charges,,242.4,242.4,,324.5,,,,,,,Percent of Total Billed Charges,,,,,311.52,,,,,,,Percent of Total Billed Charges,,,,,308.28,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,275.83,,,,,,,Percent of Total Billed Charges,,,,,68.15,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,90.86,,,,,,,Percent of Total Billed Charges,,,,,259.6,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,, ANS UNITS MOD POS ,1480,CPT,,Outpatient,,,324.5,259.6,242.4,,,,,,,Percent of Total Billed Charges,,242.4,242.4,,324.5,,,,,,,Percent of Total Billed Charges,,,,,311.52,,,,,,,Percent of Total Billed Charges,,,,,308.28,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,275.83,,,,,,,Percent of Total Billed Charges,,,,,68.15,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,90.86,,,,,,,Percent of Total Billed Charges,,,,,259.6,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,, ANS UNITS MOD ASA 2 ,1480,CPT,,Outpatient,,,324.5,259.6,242.4,,,,,,,Percent of Total Billed Charges,,242.4,242.4,,324.5,,,,,,,Percent of Total Billed Charges,,,,,311.52,,,,,,,Percent of Total Billed Charges,,,,,308.28,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,275.83,,,,,,,Percent of Total Billed Charges,,,,,68.15,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,90.86,,,,,,,Percent of Total Billed Charges,,,,,259.6,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,, ANS UNITS MOD ASA 3 ,1480,CPT,,Outpatient,,,631,504.8,471.36,,,,,,,Percent of Total Billed Charges,,471.36,471.36,,631,,,,,,,Percent of Total Billed Charges,,,,,605.76,,,,,,,Percent of Total Billed Charges,,,,,599.45,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,,,536.35,,,,,,,Percent of Total Billed Charges,,,,,132.51,,,,,,,Percent of Total Billed Charges,,,,,567.9,,,,,,,Percent of Total Billed Charges,,,,,567.9,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,,,176.68,,,,,,,Percent of Total Billed Charges,,,,,504.8,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,, ANS UNITS MOD ASA 4 ,250,RC,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS UNITS MOD E1 ,250,RC,,Outpatient,,,324.5,259.6,242.4,,,,,,,Percent of Total Billed Charges,,242.4,242.4,,324.5,,,,,,,Percent of Total Billed Charges,,,,,311.52,,,,,,,Percent of Total Billed Charges,,,,,308.28,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,275.83,,,,,,,Percent of Total Billed Charges,,,,,68.15,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,90.86,,,,,,,Percent of Total Billed Charges,,,,,259.6,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,, ANS UNITS MOD E2 ,250,RC,,Outpatient,,,631,504.8,471.36,,,,,,,Percent of Total Billed Charges,,471.36,471.36,,631,,,,,,,Percent of Total Billed Charges,,,,,605.76,,,,,,,Percent of Total Billed Charges,,,,,599.45,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,,,536.35,,,,,,,Percent of Total Billed Charges,,,,,132.51,,,,,,,Percent of Total Billed Charges,,,,,567.9,,,,,,,Percent of Total Billed Charges,,,,,567.9,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,,,176.68,,,,,,,Percent of Total Billed Charges,,,,,504.8,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,, ANS UNITS MOD E3 ,250,RC,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS UNITS MOD E4 ,250,RC,,Outpatient,,,1868.5,1494.8,1395.77,,,,,,,Percent of Total Billed Charges,,1395.77,1395.77,,1868.5,,,,,,,Percent of Total Billed Charges,,,,,1793.76,,,,,,,Percent of Total Billed Charges,,,,,1775.08,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,1588.23,,,,,,,Percent of Total Billed Charges,,,,,392.39,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,523.18,,,,,,,Percent of Total Billed Charges,,,,,1494.8,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,, ANS UNITS MOD E5 ,250,RC,,Outpatient,,,3109,2487.2,2322.42,,,,,,,Percent of Total Billed Charges,,2322.42,2322.42,,3109,,,,,,,Percent of Total Billed Charges,,,,,2984.64,,,,,,,Percent of Total Billed Charges,,,,,2953.55,,,,,,,Percent of Total Billed Charges,,,,,621.8,,,,,,,Percent of Total Billed Charges,,,,,2642.65,,,,,,,Percent of Total Billed Charges,,,,,652.89,,,,,,,Percent of Total Billed Charges,,,,,2798.1,,,,,,,Percent of Total Billed Charges,,,,,2798.1,,,,,,,Percent of Total Billed Charges,,,,,621.8,,,,,,,Percent of Total Billed Charges,,,,,870.52,,,,,,,Percent of Total Billed Charges,,,,,2487.2,,,,,,,Percent of Total Billed Charges,,,,,621.8,,,,,,,Percent of Total Billed Charges,,,, ANS ETT ORAL O/R ,1480,CPT,,Outpatient,,,324.5,259.6,242.4,,,,,,,Percent of Total Billed Charges,,242.4,242.4,,324.5,,,,,,,Percent of Total Billed Charges,,,,,311.52,,,,,,,Percent of Total Billed Charges,,,,,308.28,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,275.83,,,,,,,Percent of Total Billed Charges,,,,,68.15,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,90.86,,,,,,,Percent of Total Billed Charges,,,,,259.6,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,, ANS ETT NASAL O/R ,250,RC,,Outpatient,,,631,504.8,471.36,,,,,,,Percent of Total Billed Charges,,471.36,471.36,,631,,,,,,,Percent of Total Billed Charges,,,,,605.76,,,,,,,Percent of Total Billed Charges,,,,,599.45,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,,,536.35,,,,,,,Percent of Total Billed Charges,,,,,132.51,,,,,,,Percent of Total Billed Charges,,,,,567.9,,,,,,,Percent of Total Billed Charges,,,,,567.9,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,,,176.68,,,,,,,Percent of Total Billed Charges,,,,,504.8,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,, ANS CALL-IN ,250,RC,,Outpatient,,,324.5,259.6,242.4,,,,,,,Percent of Total Billed Charges,,242.4,242.4,,324.5,,,,,,,Percent of Total Billed Charges,,,,,311.52,,,,,,,Percent of Total Billed Charges,,,,,308.28,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,275.83,,,,,,,Percent of Total Billed Charges,,,,,68.15,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,90.86,,,,,,,Percent of Total Billed Charges,,,,,259.6,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,, ANS CODE BLUE ,92950QZ ,CPT,,Outpatient,,,324.5,259.6,242.4,,,,,,,Percent of Total Billed Charges,,242.4,242.4,,324.5,,,,,,,Percent of Total Billed Charges,,,,,311.52,,,,,,,Percent of Total Billed Charges,,,,,308.28,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,275.83,,,,,,,Percent of Total Billed Charges,,,,,68.15,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,90.86,,,,,,,Percent of Total Billed Charges,,,,,259.6,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,, ANS INTUBATION ORAL ,31500QZ ,CPT,,Outpatient,,,1868.5,1494.8,1395.77,,,,,,,Percent of Total Billed Charges,,1395.77,1395.77,,1868.5,,,,,,,Percent of Total Billed Charges,,,,,1793.76,,,,,,,Percent of Total Billed Charges,,,,,1775.08,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,1588.23,,,,,,,Percent of Total Billed Charges,,,,,392.39,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,523.18,,,,,,,Percent of Total Billed Charges,,,,,1494.8,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,, ANS INTUBATION NASAL ,31500QZ ,CPT,,Outpatient,,,1868.5,1494.8,1395.77,,,,,,,Percent of Total Billed Charges,,1395.77,1395.77,,1868.5,,,,,,,Percent of Total Billed Charges,,,,,1793.76,,,,,,,Percent of Total Billed Charges,,,,,1775.08,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,1588.23,,,,,,,Percent of Total Billed Charges,,,,,392.39,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,523.18,,,,,,,Percent of Total Billed Charges,,,,,1494.8,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,, ANS EXTUBATION ,250,RC,,Outpatient,,,324.5,259.6,242.4,,,,,,,Percent of Total Billed Charges,,242.4,242.4,,324.5,,,,,,,Percent of Total Billed Charges,,,,,311.52,,,,,,,Percent of Total Billed Charges,,,,,308.28,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,275.83,,,,,,,Percent of Total Billed Charges,,,,,68.15,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,90.86,,,,,,,Percent of Total Billed Charges,,,,,259.6,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,, ANS RESP EVAL ,250,RC,,Outpatient,,,324.5,259.6,242.4,,,,,,,Percent of Total Billed Charges,,242.4,242.4,,324.5,,,,,,,Percent of Total Billed Charges,,,,,311.52,,,,,,,Percent of Total Billed Charges,,,,,308.28,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,275.83,,,,,,,Percent of Total Billed Charges,,,,,68.15,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,90.86,,,,,,,Percent of Total Billed Charges,,,,,259.6,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,, ANS ART BLD GAS DRAW ,36600QZ ,CPT,,Outpatient,,,324.5,259.6,242.4,,,,,,,Percent of Total Billed Charges,,242.4,242.4,,324.5,,,,,,,Percent of Total Billed Charges,,,,,311.52,,,,,,,Percent of Total Billed Charges,,,,,308.28,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,275.83,,,,,,,Percent of Total Billed Charges,,,,,68.15,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,90.86,,,,,,,Percent of Total Billed Charges,,,,,259.6,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,, ANS ART MON LINE ,250,RC,,Outpatient,,,631,504.8,471.36,,,,,,,Percent of Total Billed Charges,,471.36,471.36,,631,,,,,,,Percent of Total Billed Charges,,,,,605.76,,,,,,,Percent of Total Billed Charges,,,,,599.45,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,,,536.35,,,,,,,Percent of Total Billed Charges,,,,,132.51,,,,,,,Percent of Total Billed Charges,,,,,567.9,,,,,,,Percent of Total Billed Charges,,,,,567.9,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,,,176.68,,,,,,,Percent of Total Billed Charges,,,,,504.8,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,, ANS IV INS SMPL ,250,RC,,Outpatient,,,324.5,259.6,242.4,,,,,,,Percent of Total Billed Charges,,242.4,242.4,,324.5,,,,,,,Percent of Total Billed Charges,,,,,311.52,,,,,,,Percent of Total Billed Charges,,,,,308.28,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,275.83,,,,,,,Percent of Total Billed Charges,,,,,68.15,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,90.86,,,,,,,Percent of Total Billed Charges,,,,,259.6,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,, ANS IV INS COMP ,250,RC,,Outpatient,,,631,504.8,471.36,,,,,,,Percent of Total Billed Charges,,471.36,471.36,,631,,,,,,,Percent of Total Billed Charges,,,,,605.76,,,,,,,Percent of Total Billed Charges,,,,,599.45,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,,,536.35,,,,,,,Percent of Total Billed Charges,,,,,132.51,,,,,,,Percent of Total Billed Charges,,,,,567.9,,,,,,,Percent of Total Billed Charges,,,,,567.9,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,,,176.68,,,,,,,Percent of Total Billed Charges,,,,,504.8,,,,,,,Percent of Total Billed Charges,,,,,126.2,,,,,,,Percent of Total Billed Charges,,,, ANS ARTERIAL CATH ,36620QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS CVP CATH INSERTION ,36558QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS DX LUMBAR PUNCTURE ,62270QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS EPIDURAL CATH INSERTION ,62319QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS CONT SPINAL CATH INSERTION ,62318QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS TIME (MINUTES) ,1480,CPT,,Outpatient,,,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, ANS INTEG HEAD ,00100QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS. EAR PROCEDURE ,00120QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS. EYE PROCEDURE ,00140QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS LENS SURGERY ,00142QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS FOR NOSE ,00160QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS INTRAORAL PROCED ,00170QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS INTEG NECK ,00300QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS:ESO/THRY/LAR/TRA ,00320QZ ,CPT,,Outpatient,,,1868.5,1494.8,1395.77,,,,,,,Percent of Total Billed Charges,,1395.77,1395.77,,1868.5,,,,,,,Percent of Total Billed Charges,,,,,1793.76,,,,,,,Percent of Total Billed Charges,,,,,1775.08,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,1588.23,,,,,,,Percent of Total Billed Charges,,,,,392.39,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,523.18,,,,,,,Percent of Total Billed Charges,,,,,1494.8,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,, ANS:SIMP LIG. VESSEL ,00352QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS INTEG ANT CHEST ,00400QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS RAD/MOD.RADICAL ,00404QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS CARDIOVERSION ,00410QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS INTEG POST CHST ,00300QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS CLAVICAL/SCAPULA ,00450QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS DEBRIDEMENT TOES/FOOT DIABETIC GANGR,01462QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS CLS.CHEST+OSCOPY ,00520QZ ,CPT,,Outpatient,,,1868.5,1494.8,1395.77,,,,,,,Percent of Total Billed Charges,,1395.77,1395.77,,1868.5,,,,,,,Percent of Total Billed Charges,,,,,1793.76,,,,,,,Percent of Total Billed Charges,,,,,1775.08,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,1588.23,,,,,,,Percent of Total Billed Charges,,,,,392.39,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,523.18,,,,,,,Percent of Total Billed Charges,,,,,1494.8,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,, ANS PARACENTESIS ,00524QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS: MEDIASTINOSCOPY ,00528QZ ,CPT,,Outpatient,,,2491,1992.8,1860.78,,,,,,,Percent of Total Billed Charges,,1860.78,1860.78,,2491,,,,,,,Percent of Total Billed Charges,,,,,2391.36,,,,,,,Percent of Total Billed Charges,,,,,2366.45,,,,,,,Percent of Total Billed Charges,,,,,498.2,,,,,,,Percent of Total Billed Charges,,,,,2117.35,,,,,,,Percent of Total Billed Charges,,,,,523.11,,,,,,,Percent of Total Billed Charges,,,,,2241.9,,,,,,,Percent of Total Billed Charges,,,,,2241.9,,,,,,,Percent of Total Billed Charges,,,,,498.2,,,,,,,Percent of Total Billed Charges,,,,,697.48,,,,,,,Percent of Total Billed Charges,,,,,1992.8,,,,,,,Percent of Total Billed Charges,,,,,498.2,,,,,,,Percent of Total Billed Charges,,,, ANS TRANVEN PACEMAKR INSERTION ,00530QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS MEDIPORT INSERTION ,00532QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS THORACOTOMY ,00540QZ ,CPT,,Outpatient,,,4036.5,3229.2,3015.27,,,,,,,Percent of Total Billed Charges,,3015.27,3015.27,,4036.5,,,,,,,Percent of Total Billed Charges,,,,,3875.04,,,,,,,Percent of Total Billed Charges,,,,,3834.68,,,,,,,Percent of Total Billed Charges,,,,,807.3,,,,,,,Percent of Total Billed Charges,,,,,3431.03,,,,,,,Percent of Total Billed Charges,,,,,847.67,,,,,,,Percent of Total Billed Charges,,,,,3632.85,,,,,,,Percent of Total Billed Charges,,,,,3632.85,,,,,,,Percent of Total Billed Charges,,,,,807.3,,,,,,,Percent of Total Billed Charges,,,,,1130.22,,,,,,,Percent of Total Billed Charges,,,,,3229.2,,,,,,,Percent of Total Billed Charges,,,,,807.3,,,,,,,Percent of Total Billed Charges,,,, ANS UP ANT.ABD. WALL ,00700QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS UP.POST.ABD.WALL ,00730QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS UPR.GI ENDOSCOPY ,731,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS UPR.GI ENDOSCOPY ,00740QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS UPR.ABD HERNIA ,00750QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS UP VENT HERNIA ,00752QZ ,CPT,,Outpatient,,,1868.5,1494.8,1395.77,,,,,,,Percent of Total Billed Charges,,1395.77,1395.77,,1868.5,,,,,,,Percent of Total Billed Charges,,,,,1793.76,,,,,,,Percent of Total Billed Charges,,,,,1775.08,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,1588.23,,,,,,,Percent of Total Billed Charges,,,,,392.39,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,523.18,,,,,,,Percent of Total Billed Charges,,,,,1494.8,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,, ANS DIAPHRAG. HERNIA ,00756QZ ,CPT,,Outpatient,,,2180,1744,1628.46,,,,,,,Percent of Total Billed Charges,,1628.46,1628.46,,2180,,,,,,,Percent of Total Billed Charges,,,,,2092.8,,,,,,,Percent of Total Billed Charges,,,,,2071,,,,,,,Percent of Total Billed Charges,,,,,436,,,,,,,Percent of Total Billed Charges,,,,,1853,,,,,,,Percent of Total Billed Charges,,,,,457.8,,,,,,,Percent of Total Billed Charges,,,,,1962,,,,,,,Percent of Total Billed Charges,,,,,1962,,,,,,,Percent of Total Billed Charges,,,,,436,,,,,,,Percent of Total Billed Charges,,,,,610.4,,,,,,,Percent of Total Billed Charges,,,,,1744,,,,,,,Percent of Total Billed Charges,,,,,436,,,,,,,Percent of Total Billed Charges,,,, ANS:UPPER INTRA-ABDM ,00790QZ ,CPT,,Outpatient,,,2180,1744,1628.46,,,,,,,Percent of Total Billed Charges,,1628.46,1628.46,,2180,,,,,,,Percent of Total Billed Charges,,,,,2092.8,,,,,,,Percent of Total Billed Charges,,,,,2071,,,,,,,Percent of Total Billed Charges,,,,,436,,,,,,,Percent of Total Billed Charges,,,,,1853,,,,,,,Percent of Total Billed Charges,,,,,457.8,,,,,,,Percent of Total Billed Charges,,,,,1962,,,,,,,Percent of Total Billed Charges,,,,,1962,,,,,,,Percent of Total Billed Charges,,,,,436,,,,,,,Percent of Total Billed Charges,,,,,610.4,,,,,,,Percent of Total Billed Charges,,,,,1744,,,,,,,Percent of Total Billed Charges,,,,,436,,,,,,,Percent of Total Billed Charges,,,, ANS PANCREATECTOMY ,00794QZ ,CPT,,Outpatient,,,2491,1992.8,1860.78,,,,,,,Percent of Total Billed Charges,,1860.78,1860.78,,2491,,,,,,,Percent of Total Billed Charges,,,,,2391.36,,,,,,,Percent of Total Billed Charges,,,,,2366.45,,,,,,,Percent of Total Billed Charges,,,,,498.2,,,,,,,Percent of Total Billed Charges,,,,,2117.35,,,,,,,Percent of Total Billed Charges,,,,,523.11,,,,,,,Percent of Total Billed Charges,,,,,2241.9,,,,,,,Percent of Total Billed Charges,,,,,2241.9,,,,,,,Percent of Total Billed Charges,,,,,498.2,,,,,,,Percent of Total Billed Charges,,,,,697.48,,,,,,,Percent of Total Billed Charges,,,,,1992.8,,,,,,,Percent of Total Billed Charges,,,,,498.2,,,,,,,Percent of Total Billed Charges,,,, ANS LOW ANT. ABD. WALL ,00800QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS LAPAROSCOPY ,00790QZ ,CPT,,Outpatient,,,1868.5,1494.8,1395.77,,,,,,,Percent of Total Billed Charges,,1395.77,1395.77,,1868.5,,,,,,,Percent of Total Billed Charges,,,,,1793.76,,,,,,,Percent of Total Billed Charges,,,,,1775.08,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,1588.23,,,,,,,Percent of Total Billed Charges,,,,,392.39,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,523.18,,,,,,,Percent of Total Billed Charges,,,,,1494.8,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,, ANS INTES. ENDOSCOPY ,810,CPT,,Outpatient,,,1868.5,1494.8,1395.77,,,,,,,Percent of Total Billed Charges,,1395.77,1395.77,,1868.5,,,,,,,Percent of Total Billed Charges,,,,,1793.76,,,,,,,Percent of Total Billed Charges,,,,,1775.08,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,1588.23,,,,,,,Percent of Total Billed Charges,,,,,392.39,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,523.18,,,,,,,Percent of Total Billed Charges,,,,,1494.8,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,, ANS INTES SCOPE COLONOSCOPY ,811,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS COLONSCOPY SCREENING ,811,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS EGD/COLONOSCOPY COMBO ,813,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS LOW POST ABD. WALL ,00820QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS LOW HERNIA REPAR ,00830QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS LOW VENT HERNIA ,00832QZ ,CPT,,Outpatient,,,1868.5,1494.8,1395.77,,,,,,,Percent of Total Billed Charges,,1395.77,1395.77,,1868.5,,,,,,,Percent of Total Billed Charges,,,,,1793.76,,,,,,,Percent of Total Billed Charges,,,,,1775.08,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,1588.23,,,,,,,Percent of Total Billed Charges,,,,,392.39,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,523.18,,,,,,,Percent of Total Billed Charges,,,,,1494.8,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,, ANS LOW INTRA-ABDOMN ,00840QZ ,CPT,,Outpatient,,,1868.5,1494.8,1395.77,,,,,,,Percent of Total Billed Charges,,1395.77,1395.77,,1868.5,,,,,,,Percent of Total Billed Charges,,,,,1793.76,,,,,,,Percent of Total Billed Charges,,,,,1775.08,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,1588.23,,,,,,,Percent of Total Billed Charges,,,,,392.39,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,523.18,,,,,,,Percent of Total Billed Charges,,,,,1494.8,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,, ANS RAD HYSTERECTOMY ,00846QZ ,CPT,,Outpatient,,,2491,1992.8,1860.78,,,,,,,Percent of Total Billed Charges,,1860.78,1860.78,,2491,,,,,,,Percent of Total Billed Charges,,,,,2391.36,,,,,,,Percent of Total Billed Charges,,,,,2366.45,,,,,,,Percent of Total Billed Charges,,,,,498.2,,,,,,,Percent of Total Billed Charges,,,,,2117.35,,,,,,,Percent of Total Billed Charges,,,,,523.11,,,,,,,Percent of Total Billed Charges,,,,,2241.9,,,,,,,Percent of Total Billed Charges,,,,,2241.9,,,,,,,Percent of Total Billed Charges,,,,,498.2,,,,,,,Percent of Total Billed Charges,,,,,697.48,,,,,,,Percent of Total Billed Charges,,,,,1992.8,,,,,,,Percent of Total Billed Charges,,,,,498.2,,,,,,,Percent of Total Billed Charges,,,, ANS VENOUS ABLATION ,01930QZ ,CPT,,Outpatient,,,3493.5,2794.8,2609.64,,,,,,,Percent of Total Billed Charges,,2609.64,2609.64,,3493.5,,,,,,,Percent of Total Billed Charges,,,,,3353.76,,,,,,,Percent of Total Billed Charges,,,,,3318.83,,,,,,,Percent of Total Billed Charges,,,,,698.7,,,,,,,Percent of Total Billed Charges,,,,,2969.48,,,,,,,Percent of Total Billed Charges,,,,,733.64,,,,,,,Percent of Total Billed Charges,,,,,3144.15,,,,,,,Percent of Total Billed Charges,,,,,3144.15,,,,,,,Percent of Total Billed Charges,,,,,698.7,,,,,,,Percent of Total Billed Charges,,,,,978.18,,,,,,,Percent of Total Billed Charges,,,,,2794.8,,,,,,,Percent of Total Billed Charges,,,,,698.7,,,,,,,Percent of Total Billed Charges,,,, ANS EXTRAPERITONEAL ,00860QZ ,CPT,,Outpatient,,,1868.5,1494.8,1395.77,,,,,,,Percent of Total Billed Charges,,1395.77,1395.77,,1868.5,,,,,,,Percent of Total Billed Charges,,,,,1793.76,,,,,,,Percent of Total Billed Charges,,,,,1775.08,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,1588.23,,,,,,,Percent of Total Billed Charges,,,,,392.39,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,523.18,,,,,,,Percent of Total Billed Charges,,,,,1494.8,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,, ANS RENAL + 1/3 URETER ,00862QZ ,CPT,,Outpatient,,,2180,1744,1628.46,,,,,,,Percent of Total Billed Charges,,1628.46,1628.46,,2180,,,,,,,Percent of Total Billed Charges,,,,,2092.8,,,,,,,Percent of Total Billed Charges,,,,,2071,,,,,,,Percent of Total Billed Charges,,,,,436,,,,,,,Percent of Total Billed Charges,,,,,1853,,,,,,,Percent of Total Billed Charges,,,,,457.8,,,,,,,Percent of Total Billed Charges,,,,,1962,,,,,,,Percent of Total Billed Charges,,,,,1962,,,,,,,Percent of Total Billed Charges,,,,,436,,,,,,,Percent of Total Billed Charges,,,,,610.4,,,,,,,Percent of Total Billed Charges,,,,,1744,,,,,,,Percent of Total Billed Charges,,,,,436,,,,,,,Percent of Total Billed Charges,,,, ANS CYSTOLITHOTOMY ,00870QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS LITHOTRIPSY ,00873QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS TRANSVEN. UNBRELA ,01930QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS PERINEAL INTEGUM ,00400QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS ANORECTAL PROCED. ,00902QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS CYSTOSCOPY ,00910QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS TUR-BLADDER TUM ,00912QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS TUR-PROSTATE ,00914QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS POST-TUR BLEEDING ,00916QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS MALE EXT GENITAL ,00920QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS ORCHIOPEXY ,00930QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS VAGINAL PROCEDUR ,00940QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS COLPOTOMY ECT ,00942QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS VAG HYSTERECTOMY ,00944QZ ,CPT,,Outpatient,,,1868.5,1494.8,1395.77,,,,,,,Percent of Total Billed Charges,,1395.77,1395.77,,1868.5,,,,,,,Percent of Total Billed Charges,,,,,1793.76,,,,,,,Percent of Total Billed Charges,,,,,1775.08,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,1588.23,,,,,,,Percent of Total Billed Charges,,,,,392.39,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,523.18,,,,,,,Percent of Total Billed Charges,,,,,1494.8,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,, ANS HYSTERECTORMY ,00952QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS INTEG ANT ,00400QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS INTEG POST PELVIS ,01173QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS BONE MARROW BX ,01112QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS CLSD. HIP JOINT ,01200QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS OPEN HIP PROCED ,01210QZ ,CPT,,Outpatient,,,1868.5,1494.8,1395.77,,,,,,,Percent of Total Billed Charges,,1395.77,1395.77,,1868.5,,,,,,,Percent of Total Billed Charges,,,,,1793.76,,,,,,,Percent of Total Billed Charges,,,,,1775.08,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,1588.23,,,,,,,Percent of Total Billed Charges,,,,,392.39,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,523.18,,,,,,,Percent of Total Billed Charges,,,,,1494.8,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,, ANS CLSD. UPPER FEMUR ,01220QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS OPEN UP2/3 FEMUR ,01230QZ ,CPT,,Outpatient,,,1868.5,1494.8,1395.77,,,,,,,Percent of Total Billed Charges,,1395.77,1395.77,,1868.5,,,,,,,Percent of Total Billed Charges,,,,,1793.76,,,,,,,Percent of Total Billed Charges,,,,,1775.08,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,1588.23,,,,,,,Percent of Total Billed Charges,,,,,392.39,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,1681.65,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,,,523.18,,,,,,,Percent of Total Billed Charges,,,,,1494.8,,,,,,,Percent of Total Billed Charges,,,,,373.7,,,,,,,Percent of Total Billed Charges,,,, ANS AMPUTATION AK ,01232QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS AMPUTATION TOE ,01480QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS INTEG UPPER LEG ,00400QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS N.M.T.F.B. UP LEG ,01250QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS INTEG KNEE/POP ,00400QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS N.M.T.F.B. KNEE/P ,01320QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS CLSD. LOW1/3 FEMUR ,01320QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS OPN. LOW. 1/3 FEMUR ,01360QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS CLSD KNEE JOINT ,01380QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS ARTHOSCOPY KNEE ,01382QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS OPEN UPPER TIB/FIB/PATELLA ,01392AQ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS OPEN KNEE JOINT ,01400QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS INTEG LOW LEG AK ,00400QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS CLSD LOW LEG/ANK ,01464QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS N.M.T.F.LOW LEG ,01470QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS OPEN BONE LEG/FT ,01480QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS LOW LEG CASTING ,01490QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS INTEG SHOULD/AXL ,00400QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS NMTFB SHOULDER & AXILLA ,01610QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS CLSD.HUM.STRN.SH ,01620QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS OPEN SHOULDER ,01622QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS INTEG UP ARM/EL ,01700QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS N.M.R.F.B. ARM/EL ,01710QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS CLSD HUM ELBOW ,01730QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS OPN HUMER/ELBOW ,01740QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS HUMERUS SURGERY ,01742QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS OPN HUMERUS ,01744QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS INTEG ARM/WRS/HN ,00400QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS N.M.T.F.B.WRIST ,01810QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS CLSD.RA/ULN/HAND ,01820QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS OPEN WRIST/HAND ,01830QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS CAST WRIST/HAND ,01860QZ ,CPT,,Outpatient,,,937.5,750,700.31,,,,,,,Percent of Total Billed Charges,,700.31,700.31,,937.5,,,,,,,Percent of Total Billed Charges,,,,,900,,,,,,,Percent of Total Billed Charges,,,,,890.63,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,796.88,,,,,,,Percent of Total Billed Charges,,,,,196.88,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,843.75,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,,,262.5,,,,,,,Percent of Total Billed Charges,,,,,750,,,,,,,Percent of Total Billed Charges,,,,,187.5,,,,,,,Percent of Total Billed Charges,,,, ANS CAT SCAN ,01922QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS I.V. REGIONAL BLK ,96374QZ ,CPT,,Outpatient,,,1561.5,1249.2,1166.44,,,,,,,Percent of Total Billed Charges,,1166.44,1166.44,,1561.5,,,,,,,Percent of Total Billed Charges,,,,,1499.04,,,,,,,Percent of Total Billed Charges,,,,,1483.43,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,1327.28,,,,,,,Percent of Total Billed Charges,,,,,327.92,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,1405.35,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,437.22,,,,,,,Percent of Total Billed Charges,,,,,1249.2,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,, ANS EPIDURAL NARCOTIC ,01996-QZ ,CPT,,Outpatient,,,1248,998.4,932.26,,,,,,,Percent of Total Billed Charges,,932.26,932.26,,1248,,,,,,,Percent of Total Billed Charges,,,,,1198.08,,,,,,,Percent of Total Billed Charges,,,,,1185.6,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,1060.8,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,998.4,,,,,,,Percent of Total Billed Charges,,,,,249.6,,,,,,,Percent of Total Billed Charges,,,, ANS ,01999QZ ,CPT,,Outpatient,,,324.5,259.6,242.4,,,,,,,Percent of Total Billed Charges,,242.4,242.4,,324.5,,,,,,,Percent of Total Billed Charges,,,,,311.52,,,,,,,Percent of Total Billed Charges,,,,,308.28,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,275.83,,,,,,,Percent of Total Billed Charges,,,,,68.15,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,292.05,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,,,90.86,,,,,,,Percent of Total Billed Charges,,,,,259.6,,,,,,,Percent of Total Billed Charges,,,,,64.9,,,,,,,Percent of Total Billed Charges,,,, ANS MONITOR ECG & NIBP ,93041,CPT,,Outpatient,,,101,80.8,75.45,,,,,,,Percent of Total Billed Charges,,75.45,75.45,,101,,,,,,,Percent of Total Billed Charges,,,,,96.96,,,,,,,Percent of Total Billed Charges,,,,,95.95,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,85.85,,,,,,,Percent of Total Billed Charges,,,,,21.21,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,,,28.28,,,,,,,Percent of Total Billed Charges,,,,,80.8,,,,,,,Percent of Total Billed Charges,,,,,20.2,,,,,,,Percent of Total Billed Charges,,,, ANS MONITOR ECG ,93041,CPT,,Outpatient,,,61.5,49.2,45.94,,,,,,,Percent of Total Billed Charges,,45.94,45.94,,61.5,,,,,,,Percent of Total Billed Charges,,,,,59.04,,,,,,,Percent of Total Billed Charges,,,,,58.43,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,52.28,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,55.35,,,,,,,Percent of Total Billed Charges,,,,,55.35,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,17.22,,,,,,,Percent of Total Billed Charges,,,,,49.2,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,, ANS MONITOR NIBP ,93041,CPT,,Outpatient,,,43,34.4,32.12,,,,,,,Percent of Total Billed Charges,,32.12,32.12,,43,,,,,,,Percent of Total Billed Charges,,,,,41.28,,,,,,,Percent of Total Billed Charges,,,,,40.85,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,36.55,,,,,,,Percent of Total Billed Charges,,,,,9.03,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,38.7,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,,,12.04,,,,,,,Percent of Total Billed Charges,,,,,34.4,,,,,,,Percent of Total Billed Charges,,,,,8.6,,,,,,,Percent of Total Billed Charges,,,, ANS MONITOR OXY-SAT ,94760,CPT,,Outpatient,,,61.5,49.2,45.94,,,,,,,Percent of Total Billed Charges,,45.94,45.94,,61.5,,,,,,,Percent of Total Billed Charges,,,,,59.04,,,,,,,Percent of Total Billed Charges,,,,,58.43,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,52.28,,,,,,,Percent of Total Billed Charges,,,,,12.92,,,,,,,Percent of Total Billed Charges,,,,,55.35,,,,,,,Percent of Total Billed Charges,,,,,55.35,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,,,17.22,,,,,,,Percent of Total Billed Charges,,,,,49.2,,,,,,,Percent of Total Billed Charges,,,,,12.3,,,,,,,Percent of Total Billed Charges,,,, EVALUATION INITIAL ,97001GP ,CPT,,Outpatient,,,902.5,722,674.17,,,,,,,Percent of Total Billed Charges,,674.17,674.17,,902.5,,,,,,,Percent of Total Billed Charges,,,,,866.4,,,,,,,Percent of Total Billed Charges,,,,,857.38,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,,,767.13,,,,,,,Percent of Total Billed Charges,,,,,189.53,,,,,,,Percent of Total Billed Charges,,,,,812.25,,,,,,,Percent of Total Billed Charges,,,,,812.25,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,,,252.7,,,,,,,Percent of Total Billed Charges,,,,,722,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,, RE-EVALUATION FOLLOW UP ,97002,CPT,,Outpatient,,,547,437.6,408.61,,,,,,,Percent of Total Billed Charges,,408.61,408.61,,547,,,,,,,Percent of Total Billed Charges,,,,,525.12,,,,,,,Percent of Total Billed Charges,,,,,519.65,,,,,,,Percent of Total Billed Charges,,,,,109.4,,,,,,,Percent of Total Billed Charges,,,,,464.95,,,,,,,Percent of Total Billed Charges,,,,,114.87,,,,,,,Percent of Total Billed Charges,,,,,492.3,,,,,,,Percent of Total Billed Charges,,,,,492.3,,,,,,,Percent of Total Billed Charges,,,,,109.4,,,,,,,Percent of Total Billed Charges,,,,,153.16,,,,,,,Percent of Total Billed Charges,,,,,437.6,,,,,,,Percent of Total Billed Charges,,,,,109.4,,,,,,,Percent of Total Billed Charges,,,, PT EVAL LOW COMP 20MIN ,97161GP ,CPT,,Outpatient,,,902.5,722,674.17,,,,,,,Percent of Total Billed Charges,,674.17,674.17,,902.5,,,,,,,Percent of Total Billed Charges,,,,,866.4,,,,,,,Percent of Total Billed Charges,,,,,857.38,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,,,767.13,,,,,,,Percent of Total Billed Charges,,,,,189.53,,,,,,,Percent of Total Billed Charges,,,,,812.25,,,,,,,Percent of Total Billed Charges,,,,,812.25,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,,,252.7,,,,,,,Percent of Total Billed Charges,,,,,722,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,, PT EVAL MOD COMP 30MIN ,97162GP ,CPT,,Outpatient,,,902.5,722,674.17,,,,,,,Percent of Total Billed Charges,,674.17,674.17,,902.5,,,,,,,Percent of Total Billed Charges,,,,,866.4,,,,,,,Percent of Total Billed Charges,,,,,857.38,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,,,767.13,,,,,,,Percent of Total Billed Charges,,,,,189.53,,,,,,,Percent of Total Billed Charges,,,,,812.25,,,,,,,Percent of Total Billed Charges,,,,,812.25,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,,,252.7,,,,,,,Percent of Total Billed Charges,,,,,722,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,, PT EVAL HIGH COMP 45 MIN ,97163GP ,CPT,,Outpatient,,,902.5,722,674.17,,,,,,,Percent of Total Billed Charges,,674.17,674.17,,902.5,,,,,,,Percent of Total Billed Charges,,,,,866.4,,,,,,,Percent of Total Billed Charges,,,,,857.38,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,,,767.13,,,,,,,Percent of Total Billed Charges,,,,,189.53,,,,,,,Percent of Total Billed Charges,,,,,812.25,,,,,,,Percent of Total Billed Charges,,,,,812.25,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,,,252.7,,,,,,,Percent of Total Billed Charges,,,,,722,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,, DEBRIDEMENT EA 15 MIN ,97139,CPT,,Outpatient,,,148.5,118.8,110.93,,,,,,,Percent of Total Billed Charges,,110.93,110.93,,148.5,,,,,,,Percent of Total Billed Charges,,,,,142.56,,,,,,,Percent of Total Billed Charges,,,,,141.08,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,126.23,,,,,,,Percent of Total Billed Charges,,,,,31.19,,,,,,,Percent of Total Billed Charges,,,,,133.65,,,,,,,Percent of Total Billed Charges,,,,,133.65,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,,,41.58,,,,,,,Percent of Total Billed Charges,,,,,118.8,,,,,,,Percent of Total Billed Charges,,,,,29.7,,,,,,,Percent of Total Billed Charges,,,, DRESSING ,97799,CPT,,Outpatient,,,117.5,94,87.77,,,,,,,Percent of Total Billed Charges,,87.77,87.77,,117.5,,,,,,,Percent of Total Billed Charges,,,,,112.8,,,,,,,Percent of Total Billed Charges,,,,,111.63,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,99.88,,,,,,,Percent of Total Billed Charges,,,,,24.68,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,105.75,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,,,32.9,,,,,,,Percent of Total Billed Charges,,,,,94,,,,,,,Percent of Total Billed Charges,,,,,23.5,,,,,,,Percent of Total Billed Charges,,,, MANUAL THERAPY EA 15 MIN ,97140GP ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, PT E-VISIT 5-10MIN ,G2061 ,CPT,,Outpatient,,,51.5,41.2,38.47,,,,,,,Percent of Total Billed Charges,,38.47,38.47,,51.5,,,,,,,Percent of Total Billed Charges,,,,,49.44,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,43.78,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,, PT E-VISIT 11-20MIN ,G2062 ,CPT,,Outpatient,,,88.5,70.8,66.11,,,,,,,Percent of Total Billed Charges,,66.11,66.11,,88.5,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,84.08,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,75.23,,,,,,,Percent of Total Billed Charges,,,,,18.59,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,, PT E-VISIT 21MIN OR MORE ,G2063 ,CPT,,Outpatient,,,138.5,110.8,103.46,,,,,,,Percent of Total Billed Charges,,103.46,103.46,,138.5,,,,,,,Percent of Total Billed Charges,,,,,132.96,,,,,,,Percent of Total Billed Charges,,,,,131.58,,,,,,,Percent of Total Billed Charges,,,,,27.7,,,,,,,Percent of Total Billed Charges,,,,,117.73,,,,,,,Percent of Total Billed Charges,,,,,29.09,,,,,,,Percent of Total Billed Charges,,,,,124.65,,,,,,,Percent of Total Billed Charges,,,,,124.65,,,,,,,Percent of Total Billed Charges,,,,,27.7,,,,,,,Percent of Total Billed Charges,,,,,38.78,,,,,,,Percent of Total Billed Charges,,,,,110.8,,,,,,,Percent of Total Billed Charges,,,,,27.7,,,,,,,Percent of Total Billed Charges,,,, PT RE-EVAL EST PLAN ,97164GP ,CPT,,Outpatient,,,547,437.6,408.61,,,,,,,Percent of Total Billed Charges,,408.61,408.61,,547,,,,,,,Percent of Total Billed Charges,,,,,525.12,,,,,,,Percent of Total Billed Charges,,,,,519.65,,,,,,,Percent of Total Billed Charges,,,,,109.4,,,,,,,Percent of Total Billed Charges,,,,,464.95,,,,,,,Percent of Total Billed Charges,,,,,114.87,,,,,,,Percent of Total Billed Charges,,,,,492.3,,,,,,,Percent of Total Billed Charges,,,,,492.3,,,,,,,Percent of Total Billed Charges,,,,,109.4,,,,,,,Percent of Total Billed Charges,,,,,153.16,,,,,,,Percent of Total Billed Charges,,,,,437.6,,,,,,,Percent of Total Billed Charges,,,,,109.4,,,,,,,Percent of Total Billed Charges,,,, GAIT TRNG ASSIST OF 1 EA 15 MIN ,97116GP ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, GAIT TRNG ASSIST OF 2 EA 15 MIN ,97116,CPT,,Outpatient,,,303,242.4,226.34,,,,,,,Percent of Total Billed Charges,,226.34,226.34,,303,,,,,,,Percent of Total Billed Charges,,,,,290.88,,,,,,,Percent of Total Billed Charges,,,,,287.85,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,257.55,,,,,,,Percent of Total Billed Charges,,,,,63.63,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,272.7,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,,,84.84,,,,,,,Percent of Total Billed Charges,,,,,242.4,,,,,,,Percent of Total Billed Charges,,,,,60.6,,,,,,,Percent of Total Billed Charges,,,, THERAPEUTIC EXERCISE EA 15 MIN ,97110GP ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, FUNCTIONAL ACTIVITIES EA 15 MIN ,97530GP ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, HOME PROG INSTRUCT EA 15 MIN ,97110,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, FITTING-ORTHO/BRA/CRUT/ASSESS EA 15MIN ,97760GP ,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, INHOUSE DAILY FEE WALKER/CANE ,250,RC,,Outpatient,,,28,22.4,20.92,,,,,,,Percent of Total Billed Charges,,20.92,20.92,,28,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,23.8,,,,,,,Percent of Total Billed Charges,,,,,5.88,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,,,7.84,,,,,,,Percent of Total Billed Charges,,,,,22.4,,,,,,,Percent of Total Billed Charges,,,,,5.6,,,,,,,Percent of Total Billed Charges,,,, WHIRLPOOL FULL BODY ,97022,CPT,,Outpatient,,,427,341.6,318.97,,,,,,,Percent of Total Billed Charges,,318.97,318.97,,427,,,,,,,Percent of Total Billed Charges,,,,,409.92,,,,,,,Percent of Total Billed Charges,,,,,405.65,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,362.95,,,,,,,Percent of Total Billed Charges,,,,,89.67,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,119.56,,,,,,,Percent of Total Billed Charges,,,,,341.6,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,, WHIRLPOOL FULL BODY STERILE ,97022,CPT,,Outpatient,,,495.5,396.4,370.14,,,,,,,Percent of Total Billed Charges,,370.14,370.14,,495.5,,,,,,,Percent of Total Billed Charges,,,,,475.68,,,,,,,Percent of Total Billed Charges,,,,,470.73,,,,,,,Percent of Total Billed Charges,,,,,99.1,,,,,,,Percent of Total Billed Charges,,,,,421.18,,,,,,,Percent of Total Billed Charges,,,,,104.06,,,,,,,Percent of Total Billed Charges,,,,,445.95,,,,,,,Percent of Total Billed Charges,,,,,445.95,,,,,,,Percent of Total Billed Charges,,,,,99.1,,,,,,,Percent of Total Billed Charges,,,,,138.74,,,,,,,Percent of Total Billed Charges,,,,,396.4,,,,,,,Percent of Total Billed Charges,,,,,99.1,,,,,,,Percent of Total Billed Charges,,,, PROSTH TRAIN INT ENCOUNT UE/LE EA 15MIN ,97761,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, ORTH/PROSTH UE/LE SUBSEQ EA 15MIN ,97763GP ,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, WHIRLPOOL EXTREMITY SMALL ,97022,CPT,,Outpatient,,,357,285.6,266.68,,,,,,,Percent of Total Billed Charges,,266.68,266.68,,357,,,,,,,Percent of Total Billed Charges,,,,,342.72,,,,,,,Percent of Total Billed Charges,,,,,339.15,,,,,,,Percent of Total Billed Charges,,,,,71.4,,,,,,,Percent of Total Billed Charges,,,,,303.45,,,,,,,Percent of Total Billed Charges,,,,,74.97,,,,,,,Percent of Total Billed Charges,,,,,321.3,,,,,,,Percent of Total Billed Charges,,,,,321.3,,,,,,,Percent of Total Billed Charges,,,,,71.4,,,,,,,Percent of Total Billed Charges,,,,,99.96,,,,,,,Percent of Total Billed Charges,,,,,285.6,,,,,,,Percent of Total Billed Charges,,,,,71.4,,,,,,,Percent of Total Billed Charges,,,, WHIRLPOOL EXTREMITY STERILE ,97022,CPT,,Outpatient,,,427,341.6,318.97,,,,,,,Percent of Total Billed Charges,,318.97,318.97,,427,,,,,,,Percent of Total Billed Charges,,,,,409.92,,,,,,,Percent of Total Billed Charges,,,,,405.65,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,362.95,,,,,,,Percent of Total Billed Charges,,,,,89.67,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,384.3,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,,,119.56,,,,,,,Percent of Total Billed Charges,,,,,341.6,,,,,,,Percent of Total Billed Charges,,,,,85.4,,,,,,,Percent of Total Billed Charges,,,, THERP INTERV EACH 15 ,97129,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, THERP INTERV ADD 15 ,97130,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, CONTRAST BATH ,97034,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, PARAFIN BATH ,97018,CPT,,Outpatient,,,262,209.6,195.71,,,,,,,Percent of Total Billed Charges,,195.71,195.71,,262,,,,,,,Percent of Total Billed Charges,,,,,251.52,,,,,,,Percent of Total Billed Charges,,,,,248.9,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,222.7,,,,,,,Percent of Total Billed Charges,,,,,55.02,,,,,,,Percent of Total Billed Charges,,,,,235.8,,,,,,,Percent of Total Billed Charges,,,,,235.8,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,73.36,,,,,,,Percent of Total Billed Charges,,,,,209.6,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,, TENS POST OP PROGRAM ,250,RC,,Outpatient,,,235.5,188.4,175.92,,,,,,,Percent of Total Billed Charges,,175.92,175.92,,235.5,,,,,,,Percent of Total Billed Charges,,,,,226.08,,,,,,,Percent of Total Billed Charges,,,,,223.73,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,,,200.18,,,,,,,Percent of Total Billed Charges,,,,,49.46,,,,,,,Percent of Total Billed Charges,,,,,211.95,,,,,,,Percent of Total Billed Charges,,,,,211.95,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,,,65.94,,,,,,,Percent of Total Billed Charges,,,,,188.4,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,, TENS PRE OP INSTRUCTION ,250,RC,,Outpatient,,,235.5,188.4,175.92,,,,,,,Percent of Total Billed Charges,,175.92,175.92,,235.5,,,,,,,Percent of Total Billed Charges,,,,,226.08,,,,,,,Percent of Total Billed Charges,,,,,223.73,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,,,200.18,,,,,,,Percent of Total Billed Charges,,,,,49.46,,,,,,,Percent of Total Billed Charges,,,,,211.95,,,,,,,Percent of Total Billed Charges,,,,,211.95,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,,,65.94,,,,,,,Percent of Total Billed Charges,,,,,188.4,,,,,,,Percent of Total Billed Charges,,,,,47.1,,,,,,,Percent of Total Billed Charges,,,, TRACTION MECHANICAL ,97012GP ,CPT,,Outpatient,,,185,148,138.2,,,,,,,Percent of Total Billed Charges,,138.2,138.2,,185,,,,,,,Percent of Total Billed Charges,,,,,177.6,,,,,,,Percent of Total Billed Charges,,,,,175.75,,,,,,,Percent of Total Billed Charges,,,,,37,,,,,,,Percent of Total Billed Charges,,,,,157.25,,,,,,,Percent of Total Billed Charges,,,,,38.85,,,,,,,Percent of Total Billed Charges,,,,,166.5,,,,,,,Percent of Total Billed Charges,,,,,166.5,,,,,,,Percent of Total Billed Charges,,,,,37,,,,,,,Percent of Total Billed Charges,,,,,51.8,,,,,,,Percent of Total Billed Charges,,,,,148,,,,,,,Percent of Total Billed Charges,,,,,37,,,,,,,Percent of Total Billed Charges,,,, ELECTRICAL STIMULATION UNATTENDED ,G0283GP ,CPT,,Outpatient,,,262,209.6,195.71,,,,,,,Percent of Total Billed Charges,,195.71,195.71,,262,,,,,,,Percent of Total Billed Charges,,,,,251.52,,,,,,,Percent of Total Billed Charges,,,,,248.9,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,222.7,,,,,,,Percent of Total Billed Charges,,,,,55.02,,,,,,,Percent of Total Billed Charges,,,,,235.8,,,,,,,Percent of Total Billed Charges,,,,,235.8,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,73.36,,,,,,,Percent of Total Billed Charges,,,,,209.6,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,, PT-NEURO RETRAIN 15 MINS ,97112GP ,CPT,,Outpatient,,,321.5,257.2,240.16,,,,,,,Percent of Total Billed Charges,,240.16,240.16,,321.5,,,,,,,Percent of Total Billed Charges,,,,,308.64,,,,,,,Percent of Total Billed Charges,,,,,305.43,,,,,,,Percent of Total Billed Charges,,,,,64.3,,,,,,,Percent of Total Billed Charges,,,,,273.28,,,,,,,Percent of Total Billed Charges,,,,,67.52,,,,,,,Percent of Total Billed Charges,,,,,289.35,,,,,,,Percent of Total Billed Charges,,,,,289.35,,,,,,,Percent of Total Billed Charges,,,,,64.3,,,,,,,Percent of Total Billed Charges,,,,,90.02,,,,,,,Percent of Total Billed Charges,,,,,257.2,,,,,,,Percent of Total Billed Charges,,,,,64.3,,,,,,,Percent of Total Billed Charges,,,, TENS&EMS EVAL&APPL HOME USE ,64550,CPT,,Outpatient,,,332,265.6,248,,,,,,,Percent of Total Billed Charges,,248,248,,332,,,,,,,Percent of Total Billed Charges,,,,,318.72,,,,,,,Percent of Total Billed Charges,,,,,315.4,,,,,,,Percent of Total Billed Charges,,,,,66.4,,,,,,,Percent of Total Billed Charges,,,,,282.2,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,298.8,,,,,,,Percent of Total Billed Charges,,,,,298.8,,,,,,,Percent of Total Billed Charges,,,,,66.4,,,,,,,Percent of Total Billed Charges,,,,,92.96,,,,,,,Percent of Total Billed Charges,,,,,265.6,,,,,,,Percent of Total Billed Charges,,,,,66.4,,,,,,,Percent of Total Billed Charges,,,, ELECTRICAL STIMULATION ,97032GP ,CPT,,Outpatient,,,282.5,226,211.03,,,,,,,Percent of Total Billed Charges,,211.03,211.03,,282.5,,,,,,,Percent of Total Billed Charges,,,,,271.2,,,,,,,Percent of Total Billed Charges,,,,,268.38,,,,,,,Percent of Total Billed Charges,,,,,56.5,,,,,,,Percent of Total Billed Charges,,,,,240.13,,,,,,,Percent of Total Billed Charges,,,,,59.33,,,,,,,Percent of Total Billed Charges,,,,,254.25,,,,,,,Percent of Total Billed Charges,,,,,254.25,,,,,,,Percent of Total Billed Charges,,,,,56.5,,,,,,,Percent of Total Billed Charges,,,,,79.1,,,,,,,Percent of Total Billed Charges,,,,,226,,,,,,,Percent of Total Billed Charges,,,,,56.5,,,,,,,Percent of Total Billed Charges,,,, SHORTWAVE DIATHERMY ,97024,CPT,,Outpatient,,,262,209.6,195.71,,,,,,,Percent of Total Billed Charges,,195.71,195.71,,262,,,,,,,Percent of Total Billed Charges,,,,,251.52,,,,,,,Percent of Total Billed Charges,,,,,248.9,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,222.7,,,,,,,Percent of Total Billed Charges,,,,,55.02,,,,,,,Percent of Total Billed Charges,,,,,235.8,,,,,,,Percent of Total Billed Charges,,,,,235.8,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,,,73.36,,,,,,,Percent of Total Billed Charges,,,,,209.6,,,,,,,Percent of Total Billed Charges,,,,,52.4,,,,,,,Percent of Total Billed Charges,,,, CPM MACHINE ,250,RC,,Outpatient,,,172.5,138,128.86,,,,,,,Percent of Total Billed Charges,,128.86,128.86,,172.5,,,,,,,Percent of Total Billed Charges,,,,,165.6,,,,,,,Percent of Total Billed Charges,,,,,163.88,,,,,,,Percent of Total Billed Charges,,,,,34.5,,,,,,,Percent of Total Billed Charges,,,,,146.63,,,,,,,Percent of Total Billed Charges,,,,,36.23,,,,,,,Percent of Total Billed Charges,,,,,155.25,,,,,,,Percent of Total Billed Charges,,,,,155.25,,,,,,,Percent of Total Billed Charges,,,,,34.5,,,,,,,Percent of Total Billed Charges,,,,,48.3,,,,,,,Percent of Total Billed Charges,,,,,138,,,,,,,Percent of Total Billed Charges,,,,,34.5,,,,,,,Percent of Total Billed Charges,,,, MERCHANT MARINER ,250,RC,,Outpatient,,,269.5,215.6,201.32,,,,,,,Percent of Total Billed Charges,,201.32,201.32,,269.5,,,,,,,Percent of Total Billed Charges,,,,,258.72,,,,,,,Percent of Total Billed Charges,,,,,256.03,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,,,229.08,,,,,,,Percent of Total Billed Charges,,,,,56.6,,,,,,,Percent of Total Billed Charges,,,,,242.55,,,,,,,Percent of Total Billed Charges,,,,,242.55,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,,,75.46,,,,,,,Percent of Total Billed Charges,,,,,215.6,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,, ULTRASOUND W/ELECTRICAL STIMULATION ,97035,CPT,,Outpatient,,,335,268,250.25,,,,,,,Percent of Total Billed Charges,,250.25,250.25,,335,,,,,,,Percent of Total Billed Charges,,,,,321.6,,,,,,,Percent of Total Billed Charges,,,,,318.25,,,,,,,Percent of Total Billed Charges,,,,,67,,,,,,,Percent of Total Billed Charges,,,,,284.75,,,,,,,Percent of Total Billed Charges,,,,,70.35,,,,,,,Percent of Total Billed Charges,,,,,301.5,,,,,,,Percent of Total Billed Charges,,,,,301.5,,,,,,,Percent of Total Billed Charges,,,,,67,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,,,268,,,,,,,Percent of Total Billed Charges,,,,,67,,,,,,,Percent of Total Billed Charges,,,, ULTRASOUND (1-10MIN) ,97035GP ,CPT,,Outpatient,,,307,245.6,229.33,,,,,,,Percent of Total Billed Charges,,229.33,229.33,,307,,,,,,,Percent of Total Billed Charges,,,,,294.72,,,,,,,Percent of Total Billed Charges,,,,,291.65,,,,,,,Percent of Total Billed Charges,,,,,61.4,,,,,,,Percent of Total Billed Charges,,,,,260.95,,,,,,,Percent of Total Billed Charges,,,,,64.47,,,,,,,Percent of Total Billed Charges,,,,,276.3,,,,,,,Percent of Total Billed Charges,,,,,276.3,,,,,,,Percent of Total Billed Charges,,,,,61.4,,,,,,,Percent of Total Billed Charges,,,,,85.96,,,,,,,Percent of Total Billed Charges,,,,,245.6,,,,,,,Percent of Total Billed Charges,,,,,61.4,,,,,,,Percent of Total Billed Charges,,,, ULTRASOUND (11MIN & UP) ,97035,CPT,,Outpatient,,,312.5,250,233.44,,,,,,,Percent of Total Billed Charges,,233.44,233.44,,312.5,,,,,,,Percent of Total Billed Charges,,,,,300,,,,,,,Percent of Total Billed Charges,,,,,296.88,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,265.63,,,,,,,Percent of Total Billed Charges,,,,,65.63,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,281.25,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,,,87.5,,,,,,,Percent of Total Billed Charges,,,,,250,,,,,,,Percent of Total Billed Charges,,,,,62.5,,,,,,,Percent of Total Billed Charges,,,, MASSAGE (1-10 MIN) ,97124,CPT,,Outpatient,,,237.5,190,177.41,,,,,,,Percent of Total Billed Charges,,177.41,177.41,,237.5,,,,,,,Percent of Total Billed Charges,,,,,228,,,,,,,Percent of Total Billed Charges,,,,,225.63,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,201.88,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,213.75,,,,,,,Percent of Total Billed Charges,,,,,213.75,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,190,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,, ICE MASSAGE ,97039,CPT,,Outpatient,,,237.5,190,177.41,,,,,,,Percent of Total Billed Charges,,177.41,177.41,,237.5,,,,,,,Percent of Total Billed Charges,,,,,228,,,,,,,Percent of Total Billed Charges,,,,,225.63,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,201.88,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,213.75,,,,,,,Percent of Total Billed Charges,,,,,213.75,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,190,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,, US - PHONOPHORESIS (1-10MIN) ,97035GP ,CPT,,Outpatient,,,310,248,231.57,,,,,,,Percent of Total Billed Charges,,231.57,231.57,,310,,,,,,,Percent of Total Billed Charges,,,,,297.6,,,,,,,Percent of Total Billed Charges,,,,,294.5,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,,,263.5,,,,,,,Percent of Total Billed Charges,,,,,65.1,,,,,,,Percent of Total Billed Charges,,,,,279,,,,,,,Percent of Total Billed Charges,,,,,279,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,,,86.8,,,,,,,Percent of Total Billed Charges,,,,,248,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,, ULTRASOUND PHONOPHORESIS (11MIN & UP) ,97035,CPT,,Outpatient,,,364,291.2,271.91,,,,,,,Percent of Total Billed Charges,,271.91,271.91,,364,,,,,,,Percent of Total Billed Charges,,,,,349.44,,,,,,,Percent of Total Billed Charges,,,,,345.8,,,,,,,Percent of Total Billed Charges,,,,,72.8,,,,,,,Percent of Total Billed Charges,,,,,309.4,,,,,,,Percent of Total Billed Charges,,,,,76.44,,,,,,,Percent of Total Billed Charges,,,,,327.6,,,,,,,Percent of Total Billed Charges,,,,,327.6,,,,,,,Percent of Total Billed Charges,,,,,72.8,,,,,,,Percent of Total Billed Charges,,,,,101.92,,,,,,,Percent of Total Billed Charges,,,,,291.2,,,,,,,Percent of Total Billed Charges,,,,,72.8,,,,,,,Percent of Total Billed Charges,,,, IONTOPHORESSIS ,97033GP ,CPT,,Outpatient,,,310,248,231.57,,,,,,,Percent of Total Billed Charges,,231.57,231.57,,310,,,,,,,Percent of Total Billed Charges,,,,,297.6,,,,,,,Percent of Total Billed Charges,,,,,294.5,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,,,263.5,,,,,,,Percent of Total Billed Charges,,,,,65.1,,,,,,,Percent of Total Billed Charges,,,,,279,,,,,,,Percent of Total Billed Charges,,,,,279,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,,,86.8,,,,,,,Percent of Total Billed Charges,,,,,248,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,, ICE PACK ,250,RC,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, CANALITH REPOSITIONING PROCEDURE ,95992GP ,CPT,,Outpatient,,,239.5,191.6,178.91,,,,,,,Percent of Total Billed Charges,,178.91,178.91,,239.5,,,,,,,Percent of Total Billed Charges,,,,,229.92,,,,,,,Percent of Total Billed Charges,,,,,227.53,,,,,,,Percent of Total Billed Charges,,,,,47.9,,,,,,,Percent of Total Billed Charges,,,,,203.58,,,,,,,Percent of Total Billed Charges,,,,,50.3,,,,,,,Percent of Total Billed Charges,,,,,215.55,,,,,,,Percent of Total Billed Charges,,,,,215.55,,,,,,,Percent of Total Billed Charges,,,,,47.9,,,,,,,Percent of Total Billed Charges,,,,,67.06,,,,,,,Percent of Total Billed Charges,,,,,191.6,,,,,,,Percent of Total Billed Charges,,,,,47.9,,,,,,,Percent of Total Billed Charges,,,, "PT-WHEELCHAIR MGN, EA 15 MIN ",97542GP ,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, PHYSICAL PERFORMANCE TEST-EA 15 MIN ,97750GP ,CPT,,Outpatient,,,275.5,220.4,205.8,,,,,,,Percent of Total Billed Charges,,205.8,205.8,,275.5,,,,,,,Percent of Total Billed Charges,,,,,264.48,,,,,,,Percent of Total Billed Charges,,,,,261.73,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,57.86,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,77.14,,,,,,,Percent of Total Billed Charges,,,,,220.4,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,, EVALUATION INITIAL-PRIMUS ,97001,CPT,,Outpatient,,,902.5,722,674.17,,,,,,,Percent of Total Billed Charges,,674.17,674.17,,902.5,,,,,,,Percent of Total Billed Charges,,,,,866.4,,,,,,,Percent of Total Billed Charges,,,,,857.38,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,,,767.13,,,,,,,Percent of Total Billed Charges,,,,,189.53,,,,,,,Percent of Total Billed Charges,,,,,812.25,,,,,,,Percent of Total Billed Charges,,,,,812.25,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,,,252.7,,,,,,,Percent of Total Billed Charges,,,,,722,,,,,,,Percent of Total Billed Charges,,,,,180.5,,,,,,,Percent of Total Billed Charges,,,, RE-EVALUATION-PRIMUS ,97002,CPT,,Outpatient,,,603.5,482.8,450.81,,,,,,,Percent of Total Billed Charges,,450.81,450.81,,603.5,,,,,,,Percent of Total Billed Charges,,,,,579.36,,,,,,,Percent of Total Billed Charges,,,,,573.33,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,,,512.98,,,,,,,Percent of Total Billed Charges,,,,,126.74,,,,,,,Percent of Total Billed Charges,,,,,543.15,,,,,,,Percent of Total Billed Charges,,,,,543.15,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,,,168.98,,,,,,,Percent of Total Billed Charges,,,,,482.8,,,,,,,Percent of Total Billed Charges,,,,,120.7,,,,,,,Percent of Total Billed Charges,,,, THERAPEUTIC EXERCISE-PRIMUS-EA 15 MIN ,97110GP ,CPT,,Outpatient,,,260.5,208.4,194.59,,,,,,,Percent of Total Billed Charges,,194.59,194.59,,260.5,,,,,,,Percent of Total Billed Charges,,,,,250.08,,,,,,,Percent of Total Billed Charges,,,,,247.48,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,221.43,,,,,,,Percent of Total Billed Charges,,,,,54.71,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,234.45,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,,,72.94,,,,,,,Percent of Total Billed Charges,,,,,208.4,,,,,,,Percent of Total Billed Charges,,,,,52.1,,,,,,,Percent of Total Billed Charges,,,, PT-HOME OFFICE/ERGO VISIT/ 15 MINS ,97537,CPT,,Outpatient,,,544.5,435.6,406.74,,,,,,,Percent of Total Billed Charges,,406.74,406.74,,544.5,,,,,,,Percent of Total Billed Charges,,,,,522.72,,,,,,,Percent of Total Billed Charges,,,,,517.28,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,462.83,,,,,,,Percent of Total Billed Charges,,,,,114.35,,,,,,,Percent of Total Billed Charges,,,,,490.05,,,,,,,Percent of Total Billed Charges,,,,,490.05,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,,,152.46,,,,,,,Percent of Total Billed Charges,,,,,435.6,,,,,,,Percent of Total Billed Charges,,,,,108.9,,,,,,,Percent of Total Billed Charges,,,, N/H FUNCTIONAL ACT EA 15 MIN ,250,RC,,Outpatient,,,118,94.4,88.15,,,,,,,Percent of Total Billed Charges,,88.15,88.15,,118,,,,,,,Percent of Total Billed Charges,,,,,113.28,,,,,,,Percent of Total Billed Charges,,,,,112.1,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,100.3,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,106.2,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,,,33.04,,,,,,,Percent of Total Billed Charges,,,,,94.4,,,,,,,Percent of Total Billed Charges,,,,,23.6,,,,,,,Percent of Total Billed Charges,,,, N/H FITTINGS BRAC CRUTCH EA 5 MIN ,250,RC,,Outpatient,,,40,32,29.88,,,,,,,Percent of Total Billed Charges,,29.88,29.88,,40,,,,,,,Percent of Total Billed Charges,,,,,38.4,,,,,,,Percent of Total Billed Charges,,,,,38,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,34,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,36,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,32,,,,,,,Percent of Total Billed Charges,,,,,8,,,,,,,Percent of Total Billed Charges,,,, N/H PARAFIN BATH ,250,RC,,Outpatient,,,140.5,112.4,104.95,,,,,,,Percent of Total Billed Charges,,104.95,104.95,,140.5,,,,,,,Percent of Total Billed Charges,,,,,134.88,,,,,,,Percent of Total Billed Charges,,,,,133.48,,,,,,,Percent of Total Billed Charges,,,,,28.1,,,,,,,Percent of Total Billed Charges,,,,,119.43,,,,,,,Percent of Total Billed Charges,,,,,29.51,,,,,,,Percent of Total Billed Charges,,,,,126.45,,,,,,,Percent of Total Billed Charges,,,,,126.45,,,,,,,Percent of Total Billed Charges,,,,,28.1,,,,,,,Percent of Total Billed Charges,,,,,39.34,,,,,,,Percent of Total Billed Charges,,,,,112.4,,,,,,,Percent of Total Billed Charges,,,,,28.1,,,,,,,Percent of Total Billed Charges,,,, N/H ULTRASOUND (1-10 MIN) ,250,RC,,Outpatient,,,140.5,112.4,104.95,,,,,,,Percent of Total Billed Charges,,104.95,104.95,,140.5,,,,,,,Percent of Total Billed Charges,,,,,134.88,,,,,,,Percent of Total Billed Charges,,,,,133.48,,,,,,,Percent of Total Billed Charges,,,,,28.1,,,,,,,Percent of Total Billed Charges,,,,,119.43,,,,,,,Percent of Total Billed Charges,,,,,29.51,,,,,,,Percent of Total Billed Charges,,,,,126.45,,,,,,,Percent of Total Billed Charges,,,,,126.45,,,,,,,Percent of Total Billed Charges,,,,,28.1,,,,,,,Percent of Total Billed Charges,,,,,39.34,,,,,,,Percent of Total Billed Charges,,,,,112.4,,,,,,,Percent of Total Billed Charges,,,,,28.1,,,,,,,Percent of Total Billed Charges,,,, MOBILITY CURRENT CH 0% ,G8978GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY CURRENT CI 1-19% ,G8978GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY CURRENT CJ 20-39% ,G8978GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY CURRENT CK 40-59% ,G8978GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY CURRENT CL 60-79% ,G8978GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY CURRENT CM 80-99% ,G8978GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY CURRENT CN 100% ,G8978GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY GOAL CH 0% ,G8979GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY GOAL CI 1-19% ,G8979GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY GOAL CJ 20-39% ,G8979GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY GOAL CK 40-59% ,G8979GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY GOAL CL 60-79% ,G8979GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY GOAL CM 80-99% ,G8979GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY GOAL CN 100% ,G8979GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY DC CH 0% ,G8980GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY DC CI 1-19% ,G8980GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY DC CJ 20-39% ,G8980GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY DC CK 40-59% ,G8980GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY DC CL 60-79% ,G8980GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY DC CM 80-99% ,G8980GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY DC CN 100% ,G8980GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION CURRENT ,G8981GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION CURRENT ,G8981GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION CURRENT ,G8981GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION CURRENT ,G8981GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION CURRENT ,G8981GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION CURRENT ,G8981GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION CURRENT ,G8981GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION GOAL ,G8982GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION GOAL ,G8982GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION GOAL ,G8982GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION GOAL ,G8982GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION GOAL ,G8982GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION GOAL ,G8982GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION GOAL ,G8982GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION DC ,G8983GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION DC ,G8983GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION DC ,G8983GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION DC ,G8983GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION DC ,G8983GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION DC ,G8983GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION DC ,G8983GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS CURRENT ,G8984GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS CURRENT ,G8984GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS CURRENT ,G8984GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS CURRENT ,G8984GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS CURRENT ,G8984GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS CURRENT ,G8984GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS CURRENT ,G8984GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS GOAL ,G8985GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS GOAL ,G8985GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS GOAL ,G8985GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS GOAL ,G8985GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS GOAL ,G8985GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS GOAL ,G8985GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS GOAL ,G8985GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS DC ,G8986GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS DC ,G8986GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS DC ,G8986GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS DC ,G8986GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS DC ,G8986GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS DC ,G8986GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS DC ,G8986GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE CURRENT ,G8987GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE CURRENT ,G8987GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE CURRENT ,G8987GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE CURRENT ,G8987GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE CURRENT ,G8987GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE CURRENT ,G8987GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE CURRENT ,G8987GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE GOAL ,G8988GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE GOAL ,G8988GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE GOAL ,G8988GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE GOAL ,G8988GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE GOAL ,G8988GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE GOAL ,G8988GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE GOAL ,G8988GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE DC ,G8989GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE DC ,G8989GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE DC ,G8989GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE DC ,G8989GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE DC ,G8989GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE DC ,G8989GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE DC ,G8989GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT CURRENT ,G8990GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT CURRENT ,G8990GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT CURRENT ,G8990GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT CURRENT ,G8990GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT CURRENT ,G8990GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT CURRENT ,G8990GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT CURRENT ,G8990GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT GOAL ,G8991GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT GOAL ,G8991GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT GOAL ,G8991GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT GOAL ,G8991GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT GOAL ,G8991GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT GOAL ,G8991GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT GOAL ,G8991GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT DC ,G8992GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT DC ,G8992GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT DC ,G8992GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT DC ,G8992GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT DC ,G8992GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT DC ,G8992GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT PRIMARY FUNC LIMIT DC ,G8992GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT CURRENT ,G8993GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT CURRENT ,G8993GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT CURRENT ,G8993GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT CURRENT ,G8993GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT CURRENT ,G8993GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT CURRENT ,G8993GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT CURRENT ,G8993GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT GOAL ,G8994GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT GOAL ,G8994GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT GOAL ,G8994GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT GOAL ,G8994GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT GOAL ,G8994GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT GOAL ,G8994GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT GOAL ,G8994GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT DC ,G8995GPCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT DC ,G8995GPCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT DC ,G8995GPCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT DC ,G8995GPCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT DC ,G8995GPCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT DC ,G8995GPCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER PT SUBSEQ FUNC LIMIT DC ,G8995GPCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OT E-VISIT 5-10MIN ,G2061 ,CPT,,Outpatient,,,49,39.2,36.6,,,,,,,Percent of Total Billed Charges,,36.6,36.6,,49,,,,,,,Percent of Total Billed Charges,,,,,47.04,,,,,,,Percent of Total Billed Charges,,,,,46.55,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,41.65,,,,,,,Percent of Total Billed Charges,,,,,10.29,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,44.1,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,,,13.72,,,,,,,Percent of Total Billed Charges,,,,,39.2,,,,,,,Percent of Total Billed Charges,,,,,9.8,,,,,,,Percent of Total Billed Charges,,,, OT E-VISIT 11-20MIN ,G2062 ,CPT,,Outpatient,,,83.5,66.8,62.37,,,,,,,Percent of Total Billed Charges,,62.37,62.37,,83.5,,,,,,,Percent of Total Billed Charges,,,,,80.16,,,,,,,Percent of Total Billed Charges,,,,,79.33,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,70.98,,,,,,,Percent of Total Billed Charges,,,,,17.54,,,,,,,Percent of Total Billed Charges,,,,,75.15,,,,,,,Percent of Total Billed Charges,,,,,75.15,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,,,23.38,,,,,,,Percent of Total Billed Charges,,,,,66.8,,,,,,,Percent of Total Billed Charges,,,,,16.7,,,,,,,Percent of Total Billed Charges,,,, OT E-VISIT 21MIN OR MORE ,G2063 ,CPT,,Outpatient,,,131.5,105.2,98.23,,,,,,,Percent of Total Billed Charges,,98.23,98.23,,131.5,,,,,,,Percent of Total Billed Charges,,,,,126.24,,,,,,,Percent of Total Billed Charges,,,,,124.93,,,,,,,Percent of Total Billed Charges,,,,,26.3,,,,,,,Percent of Total Billed Charges,,,,,111.78,,,,,,,Percent of Total Billed Charges,,,,,27.62,,,,,,,Percent of Total Billed Charges,,,,,118.35,,,,,,,Percent of Total Billed Charges,,,,,118.35,,,,,,,Percent of Total Billed Charges,,,,,26.3,,,,,,,Percent of Total Billed Charges,,,,,36.82,,,,,,,Percent of Total Billed Charges,,,,,105.2,,,,,,,Percent of Total Billed Charges,,,,,26.3,,,,,,,Percent of Total Billed Charges,,,, OT-EVALUATION ,97003,CPT,,Outpatient,,,637,509.6,475.84,,,,,,,Percent of Total Billed Charges,,475.84,475.84,,637,,,,,,,Percent of Total Billed Charges,,,,,611.52,,,,,,,Percent of Total Billed Charges,,,,,605.15,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,541.45,,,,,,,Percent of Total Billed Charges,,,,,133.77,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,178.36,,,,,,,Percent of Total Billed Charges,,,,,509.6,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,, OT-EVALUATION LOW COMP 30 MIN ,97165GO ,CPT,,Outpatient,,,601,480.8,448.95,,,,,,,Percent of Total Billed Charges,,448.95,448.95,,601,,,,,,,Percent of Total Billed Charges,,,,,576.96,,,,,,,Percent of Total Billed Charges,,,,,570.95,,,,,,,Percent of Total Billed Charges,,,,,120.2,,,,,,,Percent of Total Billed Charges,,,,,510.85,,,,,,,Percent of Total Billed Charges,,,,,126.21,,,,,,,Percent of Total Billed Charges,,,,,540.9,,,,,,,Percent of Total Billed Charges,,,,,540.9,,,,,,,Percent of Total Billed Charges,,,,,120.2,,,,,,,Percent of Total Billed Charges,,,,,168.28,,,,,,,Percent of Total Billed Charges,,,,,480.8,,,,,,,Percent of Total Billed Charges,,,,,120.2,,,,,,,Percent of Total Billed Charges,,,, OT-EVALUATION MOD COMP 45 MIN ,97166GO ,CPT,,Outpatient,,,637,509.6,475.84,,,,,,,Percent of Total Billed Charges,,475.84,475.84,,637,,,,,,,Percent of Total Billed Charges,,,,,611.52,,,,,,,Percent of Total Billed Charges,,,,,605.15,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,541.45,,,,,,,Percent of Total Billed Charges,,,,,133.77,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,178.36,,,,,,,Percent of Total Billed Charges,,,,,509.6,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,, OT-EVALUATION HIGH COMP 60 MIN ,97167GO ,CPT,,Outpatient,,,637,509.6,475.84,,,,,,,Percent of Total Billed Charges,,475.84,475.84,,637,,,,,,,Percent of Total Billed Charges,,,,,611.52,,,,,,,Percent of Total Billed Charges,,,,,605.15,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,541.45,,,,,,,Percent of Total Billed Charges,,,,,133.77,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,178.36,,,,,,,Percent of Total Billed Charges,,,,,509.6,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,, OT-RE-EVALUATION ,97004,CPT,,Outpatient,,,637,509.6,475.84,,,,,,,Percent of Total Billed Charges,,475.84,475.84,,637,,,,,,,Percent of Total Billed Charges,,,,,611.52,,,,,,,Percent of Total Billed Charges,,,,,605.15,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,541.45,,,,,,,Percent of Total Billed Charges,,,,,133.77,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,178.36,,,,,,,Percent of Total Billed Charges,,,,,509.6,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,, OT-RE-EVALUATION EST PLAN CARE ,97168GO ,CPT,,Outpatient,,,637,509.6,475.84,,,,,,,Percent of Total Billed Charges,,475.84,475.84,,637,,,,,,,Percent of Total Billed Charges,,,,,611.52,,,,,,,Percent of Total Billed Charges,,,,,605.15,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,541.45,,,,,,,Percent of Total Billed Charges,,,,,133.77,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,573.3,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,,,178.36,,,,,,,Percent of Total Billed Charges,,,,,509.6,,,,,,,Percent of Total Billed Charges,,,,,127.4,,,,,,,Percent of Total Billed Charges,,,, OT-HOME OFFICE/ERGO VISIT/ 15 MINS ,97537,CPT,,Outpatient,,,572,457.6,427.28,,,,,,,Percent of Total Billed Charges,,427.28,427.28,,572,,,,,,,Percent of Total Billed Charges,,,,,549.12,,,,,,,Percent of Total Billed Charges,,,,,543.4,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,486.2,,,,,,,Percent of Total Billed Charges,,,,,120.12,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,514.8,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,,,160.16,,,,,,,Percent of Total Billed Charges,,,,,457.6,,,,,,,Percent of Total Billed Charges,,,,,114.4,,,,,,,Percent of Total Billed Charges,,,, OT-ADL TRMNT/ 15 MINS ,97535,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, OT-PHONOPHORESIS ,97035,CPT,,Outpatient,,,346,276.8,258.46,,,,,,,Percent of Total Billed Charges,,258.46,258.46,,346,,,,,,,Percent of Total Billed Charges,,,,,332.16,,,,,,,Percent of Total Billed Charges,,,,,328.7,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,294.1,,,,,,,Percent of Total Billed Charges,,,,,72.66,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,96.88,,,,,,,Percent of Total Billed Charges,,,,,276.8,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,, "OT-ELECTRICAL STIMULATION, EA 15 MIN ",97032,CPT,,Outpatient,,,352.5,282,263.32,,,,,,,Percent of Total Billed Charges,,263.32,263.32,,352.5,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,334.88,,,,,,,Percent of Total Billed Charges,,,,,70.5,,,,,,,Percent of Total Billed Charges,,,,,299.63,,,,,,,Percent of Total Billed Charges,,,,,74.03,,,,,,,Percent of Total Billed Charges,,,,,317.25,,,,,,,Percent of Total Billed Charges,,,,,317.25,,,,,,,Percent of Total Billed Charges,,,,,70.5,,,,,,,Percent of Total Billed Charges,,,,,98.7,,,,,,,Percent of Total Billed Charges,,,,,282,,,,,,,Percent of Total Billed Charges,,,,,70.5,,,,,,,Percent of Total Billed Charges,,,, OT-HAND REHABILITAION 15 MINS ,97110GO ,CPT,,Outpatient,,,322,257.6,240.53,,,,,,,Percent of Total Billed Charges,,240.53,240.53,,322,,,,,,,Percent of Total Billed Charges,,,,,309.12,,,,,,,Percent of Total Billed Charges,,,,,305.9,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,273.7,,,,,,,Percent of Total Billed Charges,,,,,67.62,,,,,,,Percent of Total Billed Charges,,,,,289.8,,,,,,,Percent of Total Billed Charges,,,,,289.8,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,90.16,,,,,,,Percent of Total Billed Charges,,,,,257.6,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,, OT-JOINT MOBILIZATION ,97140GO ,CPT,,Outpatient,,,322,257.6,240.53,,,,,,,Percent of Total Billed Charges,,240.53,240.53,,322,,,,,,,Percent of Total Billed Charges,,,,,309.12,,,,,,,Percent of Total Billed Charges,,,,,305.9,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,273.7,,,,,,,Percent of Total Billed Charges,,,,,67.62,,,,,,,Percent of Total Billed Charges,,,,,289.8,,,,,,,Percent of Total Billed Charges,,,,,289.8,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,90.16,,,,,,,Percent of Total Billed Charges,,,,,257.6,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,, "OT-IONTOPHORESIS, EA 15 MIN ",97033,CPT,,Outpatient,,,374,299.2,279.38,,,,,,,Percent of Total Billed Charges,,279.38,279.38,,374,,,,,,,Percent of Total Billed Charges,,,,,359.04,,,,,,,Percent of Total Billed Charges,,,,,355.3,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,317.9,,,,,,,Percent of Total Billed Charges,,,,,78.54,,,,,,,Percent of Total Billed Charges,,,,,336.6,,,,,,,Percent of Total Billed Charges,,,,,336.6,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,,,104.72,,,,,,,Percent of Total Billed Charges,,,,,299.2,,,,,,,Percent of Total Billed Charges,,,,,74.8,,,,,,,Percent of Total Billed Charges,,,, OT-MUSCULAR FACIL/RETRAIN 15 MINS ,97112,CPT,,Outpatient,,,322,257.6,240.53,,,,,,,Percent of Total Billed Charges,,240.53,240.53,,322,,,,,,,Percent of Total Billed Charges,,,,,309.12,,,,,,,Percent of Total Billed Charges,,,,,305.9,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,273.7,,,,,,,Percent of Total Billed Charges,,,,,67.62,,,,,,,Percent of Total Billed Charges,,,,,289.8,,,,,,,Percent of Total Billed Charges,,,,,289.8,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,90.16,,,,,,,Percent of Total Billed Charges,,,,,257.6,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,, OT-MANUAL THERAPY ,97140GO ,CPT,,Outpatient,,,322,257.6,240.53,,,,,,,Percent of Total Billed Charges,,240.53,240.53,,322,,,,,,,Percent of Total Billed Charges,,,,,309.12,,,,,,,Percent of Total Billed Charges,,,,,305.9,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,273.7,,,,,,,Percent of Total Billed Charges,,,,,67.62,,,,,,,Percent of Total Billed Charges,,,,,289.8,,,,,,,Percent of Total Billed Charges,,,,,289.8,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,90.16,,,,,,,Percent of Total Billed Charges,,,,,257.6,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,, OT-NEURO-REED 15 MIN ,97112,CPT,,Outpatient,,,322,257.6,240.53,,,,,,,Percent of Total Billed Charges,,240.53,240.53,,322,,,,,,,Percent of Total Billed Charges,,,,,309.12,,,,,,,Percent of Total Billed Charges,,,,,305.9,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,273.7,,,,,,,Percent of Total Billed Charges,,,,,67.62,,,,,,,Percent of Total Billed Charges,,,,,289.8,,,,,,,Percent of Total Billed Charges,,,,,289.8,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,90.16,,,,,,,Percent of Total Billed Charges,,,,,257.6,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,, "OT-THERAPEUTIC ACTIVITIES, EACH 15 MIN ",97530GO ,CPT,,Outpatient,,,263.5,210.8,196.83,,,,,,,Percent of Total Billed Charges,,196.83,196.83,,263.5,,,,,,,Percent of Total Billed Charges,,,,,252.96,,,,,,,Percent of Total Billed Charges,,,,,250.33,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,,,223.98,,,,,,,Percent of Total Billed Charges,,,,,55.34,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,,,73.78,,,,,,,Percent of Total Billed Charges,,,,,210.8,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,, OT-THERAPY EXERCISE EA 15 MIN ,97110GO ,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, "OT-ULTRASOUND, EA 15 MIN ",97035GO ,CPT,,Outpatient,,,344.5,275.6,257.34,,,,,,,Percent of Total Billed Charges,,257.34,257.34,,344.5,,,,,,,Percent of Total Billed Charges,,,,,330.72,,,,,,,Percent of Total Billed Charges,,,,,327.28,,,,,,,Percent of Total Billed Charges,,,,,68.9,,,,,,,Percent of Total Billed Charges,,,,,292.83,,,,,,,Percent of Total Billed Charges,,,,,72.35,,,,,,,Percent of Total Billed Charges,,,,,310.05,,,,,,,Percent of Total Billed Charges,,,,,310.05,,,,,,,Percent of Total Billed Charges,,,,,68.9,,,,,,,Percent of Total Billed Charges,,,,,96.46,,,,,,,Percent of Total Billed Charges,,,,,275.6,,,,,,,Percent of Total Billed Charges,,,,,68.9,,,,,,,Percent of Total Billed Charges,,,, "OT-WHEELCHAIR MGN, EA 15 MIN ",97542,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, OT-SPLINT FABRICATION/ 15 MINS ,97760,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, OT-SPLINT MODIFICATIONS/15 MINS ,97760,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, ORTHO MGMT/TRNG EA 15MIN ,97760,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, PROSTH TRAN INIT ENCOT UE/LE EA 15MIN ,97761,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, ORTHO/PROSTH/UE/LE SUBSEQ EA 15MIN ,97763GO ,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, THERP INTERV EA15 ,97129,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, THERP INTERV ADD15 ,97130,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, OT-FUNCTIONAL CAPACITY EVALUATION ,97750,CPT,,Outpatient,,,1948,1558.4,1455.16,,,,,,,Percent of Total Billed Charges,,1455.16,1455.16,,1948,,,,,,,Percent of Total Billed Charges,,,,,1870.08,,,,,,,Percent of Total Billed Charges,,,,,1850.6,,,,,,,Percent of Total Billed Charges,,,,,389.6,,,,,,,Percent of Total Billed Charges,,,,,1655.8,,,,,,,Percent of Total Billed Charges,,,,,409.08,,,,,,,Percent of Total Billed Charges,,,,,1753.2,,,,,,,Percent of Total Billed Charges,,,,,1753.2,,,,,,,Percent of Total Billed Charges,,,,,389.6,,,,,,,Percent of Total Billed Charges,,,,,545.44,,,,,,,Percent of Total Billed Charges,,,,,1558.4,,,,,,,Percent of Total Billed Charges,,,,,389.6,,,,,,,Percent of Total Billed Charges,,,, OT-COGNITIVE RE-EDUCATION DO NOT USE!!!!,97532GO ,CPT,,Outpatient,,,263.5,210.8,196.83,,,,,,,Percent of Total Billed Charges,,196.83,196.83,,263.5,,,,,,,Percent of Total Billed Charges,,,,,252.96,,,,,,,Percent of Total Billed Charges,,,,,250.33,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,,,223.98,,,,,,,Percent of Total Billed Charges,,,,,55.34,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,237.15,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,,,73.78,,,,,,,Percent of Total Billed Charges,,,,,210.8,,,,,,,Percent of Total Billed Charges,,,,,52.7,,,,,,,Percent of Total Billed Charges,,,, OT-ICE PACK 15 MINS ,97010,CPT,,Outpatient,,,230,184,171.81,,,,,,,Percent of Total Billed Charges,,171.81,171.81,,230,,,,,,,Percent of Total Billed Charges,,,,,220.8,,,,,,,Percent of Total Billed Charges,,,,,218.5,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,,,195.5,,,,,,,Percent of Total Billed Charges,,,,,48.3,,,,,,,Percent of Total Billed Charges,,,,,207,,,,,,,Percent of Total Billed Charges,,,,,207,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,184,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,, OT-CONTRAST BATH 15 MINS ,97034,CPT,,Outpatient,,,230,184,171.81,,,,,,,Percent of Total Billed Charges,,171.81,171.81,,230,,,,,,,Percent of Total Billed Charges,,,,,220.8,,,,,,,Percent of Total Billed Charges,,,,,218.5,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,,,195.5,,,,,,,Percent of Total Billed Charges,,,,,48.3,,,,,,,Percent of Total Billed Charges,,,,,207,,,,,,,Percent of Total Billed Charges,,,,,207,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,184,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,, OT-PARAFIN BATH ,97018GO ,CPT,,Outpatient,,,230,184,171.81,,,,,,,Percent of Total Billed Charges,,171.81,171.81,,230,,,,,,,Percent of Total Billed Charges,,,,,220.8,,,,,,,Percent of Total Billed Charges,,,,,218.5,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,,,195.5,,,,,,,Percent of Total Billed Charges,,,,,48.3,,,,,,,Percent of Total Billed Charges,,,,,207,,,,,,,Percent of Total Billed Charges,,,,,207,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,184,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,, OT-SENSORY INTEGRATION EA 15 MIN ,97533,CPT,,Outpatient,,,322,257.6,240.53,,,,,,,Percent of Total Billed Charges,,240.53,240.53,,322,,,,,,,Percent of Total Billed Charges,,,,,309.12,,,,,,,Percent of Total Billed Charges,,,,,305.9,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,273.7,,,,,,,Percent of Total Billed Charges,,,,,67.62,,,,,,,Percent of Total Billed Charges,,,,,289.8,,,,,,,Percent of Total Billed Charges,,,,,289.8,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,90.16,,,,,,,Percent of Total Billed Charges,,,,,257.6,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,, OT-WHIRLPOOL ,97022,CPT,,Outpatient,,,230,184,171.81,,,,,,,Percent of Total Billed Charges,,171.81,171.81,,230,,,,,,,Percent of Total Billed Charges,,,,,220.8,,,,,,,Percent of Total Billed Charges,,,,,218.5,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,,,195.5,,,,,,,Percent of Total Billed Charges,,,,,48.3,,,,,,,Percent of Total Billed Charges,,,,,207,,,,,,,Percent of Total Billed Charges,,,,,207,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,,,64.4,,,,,,,Percent of Total Billed Charges,,,,,184,,,,,,,Percent of Total Billed Charges,,,,,46,,,,,,,Percent of Total Billed Charges,,,, OT-PHYSICAL PERFORMANCE TEST EA 15 MIN ,97750,CPT,,Outpatient,,,275.5,220.4,205.8,,,,,,,Percent of Total Billed Charges,,205.8,205.8,,275.5,,,,,,,Percent of Total Billed Charges,,,,,264.48,,,,,,,Percent of Total Billed Charges,,,,,261.73,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,57.86,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,247.95,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,,,77.14,,,,,,,Percent of Total Billed Charges,,,,,220.4,,,,,,,Percent of Total Billed Charges,,,,,55.1,,,,,,,Percent of Total Billed Charges,,,, OT-OCCUP THER CONTR SERVICES/HR ,250,RC,,Outpatient,,,444,355.2,331.67,,,,,,,Percent of Total Billed Charges,,331.67,331.67,,444,,,,,,,Percent of Total Billed Charges,,,,,426.24,,,,,,,Percent of Total Billed Charges,,,,,421.8,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,,,377.4,,,,,,,Percent of Total Billed Charges,,,,,93.24,,,,,,,Percent of Total Billed Charges,,,,,399.6,,,,,,,Percent of Total Billed Charges,,,,,399.6,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,,,124.32,,,,,,,Percent of Total Billed Charges,,,,,355.2,,,,,,,Percent of Total Billed Charges,,,,,88.8,,,,,,,Percent of Total Billed Charges,,,, OT-OCCUP THER CONTR SERVICES/1/2 HR ,250,RC,,Outpatient,,,223,178.4,166.58,,,,,,,Percent of Total Billed Charges,,166.58,166.58,,223,,,,,,,Percent of Total Billed Charges,,,,,214.08,,,,,,,Percent of Total Billed Charges,,,,,211.85,,,,,,,Percent of Total Billed Charges,,,,,44.6,,,,,,,Percent of Total Billed Charges,,,,,189.55,,,,,,,Percent of Total Billed Charges,,,,,46.83,,,,,,,Percent of Total Billed Charges,,,,,200.7,,,,,,,Percent of Total Billed Charges,,,,,200.7,,,,,,,Percent of Total Billed Charges,,,,,44.6,,,,,,,Percent of Total Billed Charges,,,,,62.44,,,,,,,Percent of Total Billed Charges,,,,,178.4,,,,,,,Percent of Total Billed Charges,,,,,44.6,,,,,,,Percent of Total Billed Charges,,,, BATH SPONGE ,250,RC,,Outpatient,,,54,43.2,40.34,,,,,,,Percent of Total Billed Charges,,40.34,40.34,,54,,,,,,,Percent of Total Billed Charges,,,,,51.84,,,,,,,Percent of Total Billed Charges,,,,,51.3,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,45.9,,,,,,,Percent of Total Billed Charges,,,,,11.34,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,48.6,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,15.12,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,, BUTTON/ZIPPER AID ,250,RC,,Outpatient,,,70,56,52.29,,,,,,,Percent of Total Billed Charges,,52.29,52.29,,70,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,59.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,56,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,, DRESSING STICK ,250,RC,,Outpatient,,,70,56,52.29,,,,,,,Percent of Total Billed Charges,,52.29,52.29,,70,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,59.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,56,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,, ELASTIC SHOE HORN ,250,RC,,Outpatient,,,70,56,52.29,,,,,,,Percent of Total Billed Charges,,52.29,52.29,,70,,,,,,,Percent of Total Billed Charges,,,,,67.2,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,59.5,,,,,,,Percent of Total Billed Charges,,,,,14.7,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,63,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,19.6,,,,,,,Percent of Total Billed Charges,,,,,56,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,, REACHER ,250,RC,,Outpatient,,,171,136.8,127.74,,,,,,,Percent of Total Billed Charges,,127.74,127.74,,171,,,,,,,Percent of Total Billed Charges,,,,,164.16,,,,,,,Percent of Total Billed Charges,,,,,162.45,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,145.35,,,,,,,Percent of Total Billed Charges,,,,,35.91,,,,,,,Percent of Total Billed Charges,,,,,153.9,,,,,,,Percent of Total Billed Charges,,,,,153.9,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,47.88,,,,,,,Percent of Total Billed Charges,,,,,136.8,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,, SOCK AID ,250,RC,,Outpatient,,,161,128.8,120.27,,,,,,,Percent of Total Billed Charges,,120.27,120.27,,161,,,,,,,Percent of Total Billed Charges,,,,,154.56,,,,,,,Percent of Total Billed Charges,,,,,152.95,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,136.85,,,,,,,Percent of Total Billed Charges,,,,,33.81,,,,,,,Percent of Total Billed Charges,,,,,144.9,,,,,,,Percent of Total Billed Charges,,,,,144.9,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,45.08,,,,,,,Percent of Total Billed Charges,,,,,128.8,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,, OT-EVALUATION-PRIMUS ,97003,CPT,,Outpatient,,,625,500,466.88,,,,,,,Percent of Total Billed Charges,,466.88,466.88,,625,,,,,,,Percent of Total Billed Charges,,,,,600,,,,,,,Percent of Total Billed Charges,,,,,593.75,,,,,,,Percent of Total Billed Charges,,,,,125,,,,,,,Percent of Total Billed Charges,,,,,531.25,,,,,,,Percent of Total Billed Charges,,,,,131.25,,,,,,,Percent of Total Billed Charges,,,,,562.5,,,,,,,Percent of Total Billed Charges,,,,,562.5,,,,,,,Percent of Total Billed Charges,,,,,125,,,,,,,Percent of Total Billed Charges,,,,,175,,,,,,,Percent of Total Billed Charges,,,,,500,,,,,,,Percent of Total Billed Charges,,,,,125,,,,,,,Percent of Total Billed Charges,,,, OT-RE-EVALUATION-PRIMUS ,97004,CPT,,Outpatient,,,625,500,466.88,,,,,,,Percent of Total Billed Charges,,466.88,466.88,,625,,,,,,,Percent of Total Billed Charges,,,,,600,,,,,,,Percent of Total Billed Charges,,,,,593.75,,,,,,,Percent of Total Billed Charges,,,,,125,,,,,,,Percent of Total Billed Charges,,,,,531.25,,,,,,,Percent of Total Billed Charges,,,,,131.25,,,,,,,Percent of Total Billed Charges,,,,,562.5,,,,,,,Percent of Total Billed Charges,,,,,562.5,,,,,,,Percent of Total Billed Charges,,,,,125,,,,,,,Percent of Total Billed Charges,,,,,175,,,,,,,Percent of Total Billed Charges,,,,,500,,,,,,,Percent of Total Billed Charges,,,,,125,,,,,,,Percent of Total Billed Charges,,,, OT-ICE MASSAGE ,97039,CPT,,Outpatient,,,237.5,190,177.41,,,,,,,Percent of Total Billed Charges,,177.41,177.41,,237.5,,,,,,,Percent of Total Billed Charges,,,,,228,,,,,,,Percent of Total Billed Charges,,,,,225.63,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,201.88,,,,,,,Percent of Total Billed Charges,,,,,49.88,,,,,,,Percent of Total Billed Charges,,,,,213.75,,,,,,,Percent of Total Billed Charges,,,,,213.75,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,66.5,,,,,,,Percent of Total Billed Charges,,,,,190,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,, OT-ADL TRMNT-PRIMUS-15 MIN ,97535,CPT,,Outpatient,,,252,201.6,188.24,,,,,,,Percent of Total Billed Charges,,188.24,188.24,,252,,,,,,,Percent of Total Billed Charges,,,,,241.92,,,,,,,Percent of Total Billed Charges,,,,,239.4,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,214.2,,,,,,,Percent of Total Billed Charges,,,,,52.92,,,,,,,Percent of Total Billed Charges,,,,,226.8,,,,,,,Percent of Total Billed Charges,,,,,226.8,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,70.56,,,,,,,Percent of Total Billed Charges,,,,,201.6,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,, OT-HAND REHABILITAION-PRIMUS-15 MIN ,97110GO ,CPT,,Outpatient,,,267,213.6,199.45,,,,,,,Percent of Total Billed Charges,,199.45,199.45,,267,,,,,,,Percent of Total Billed Charges,,,,,256.32,,,,,,,Percent of Total Billed Charges,,,,,253.65,,,,,,,Percent of Total Billed Charges,,,,,53.4,,,,,,,Percent of Total Billed Charges,,,,,226.95,,,,,,,Percent of Total Billed Charges,,,,,56.07,,,,,,,Percent of Total Billed Charges,,,,,240.3,,,,,,,Percent of Total Billed Charges,,,,,240.3,,,,,,,Percent of Total Billed Charges,,,,,53.4,,,,,,,Percent of Total Billed Charges,,,,,74.76,,,,,,,Percent of Total Billed Charges,,,,,213.6,,,,,,,Percent of Total Billed Charges,,,,,53.4,,,,,,,Percent of Total Billed Charges,,,, OT-THERAPEUTIC ACTIVITIES-PRIMUS-15 MIN ,97530,CPT,,Outpatient,,,267,213.6,199.45,,,,,,,Percent of Total Billed Charges,,199.45,199.45,,267,,,,,,,Percent of Total Billed Charges,,,,,256.32,,,,,,,Percent of Total Billed Charges,,,,,253.65,,,,,,,Percent of Total Billed Charges,,,,,53.4,,,,,,,Percent of Total Billed Charges,,,,,226.95,,,,,,,Percent of Total Billed Charges,,,,,56.07,,,,,,,Percent of Total Billed Charges,,,,,240.3,,,,,,,Percent of Total Billed Charges,,,,,240.3,,,,,,,Percent of Total Billed Charges,,,,,53.4,,,,,,,Percent of Total Billed Charges,,,,,74.76,,,,,,,Percent of Total Billed Charges,,,,,213.6,,,,,,,Percent of Total Billed Charges,,,,,53.4,,,,,,,Percent of Total Billed Charges,,,, OT-EI E/A ONSITE 15 MIN ,97003,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, OT-EI E/A OFFSITE 15 MIN ,96112GO ,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, OT-EI IFSP DEV 15 MIN ,99499GO ,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, OT-EI IFSP MTG 15 MIN ,99499GO ,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, OT-EI IND THERAPY ONSITE 15 MIN ,97530,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, OT-EI IND THERAPY OFFSITE 15 MIN ,97530,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, MOBILITY CURRENT ,G8978GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY CURRENT ,G8978GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY CURRENT ,G8978GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY CURRENT ,G8978GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY CURRENT ,G8978GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY CURRENT ,G8978GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY CURRENT ,G8978GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY GOAL ,G8979GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY GOAL ,G8979GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY GOAL ,G8979GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY GOAL ,G8979GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY GOAL ,G8979GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY GOAL ,G8979GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY GOAL ,G8979GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY DC ,G8980GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY DC ,G8980GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY DC ,G8980GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY DC ,G8980GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY DC ,G8980GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY DC ,G8980GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOBILITY DC ,G8980GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION CURRENT ,G8981GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION CURRENT ,G8981GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION CURRENT ,G8981GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION CURRENT ,G8981GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION CURRENT ,G8981GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION CURRENT ,G8981GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION CURRENT ,G8981GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION GOAL ,G8982GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION GOAL ,G8982GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION GOAL ,G8982GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION GOAL ,G8982GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION GOAL ,G8982GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION GOAL ,G8982GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION GOAL ,G8982GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION DC ,G8983GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION DC ,G8983GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION DC ,G8983GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION DC ,G8983GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION DC ,G8983GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION DC ,G8983GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CHANGING BODY POSITION DC ,G8983GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS CURRENT ,G8984GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS CURRENT ,G8984GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS CURRENT ,G8984GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS CURRENT ,G8984GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS CURRENT ,G8984GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS CURRENT ,G8984GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS CURRENT ,G8984GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS GOAL ,G8985GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS GOAL ,G8985GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS GOAL ,G8985GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS GOAL ,G8985GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS GOAL ,G8985GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS GOAL ,G8985GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS GOAL ,G8985GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS DC ,G8986GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS DC ,G8986GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS DC ,G8986GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS DC ,G8986GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS DC ,G8986GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS DC ,G8986GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, CARRYING MOVING OBJECTS DC ,G8986GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE CURRENT ,G8987GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE CURRENT ,G8987GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE CURRENT ,G8987GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE CURRENT ,G8987GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE CURRENT ,G8987GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE CURRENT ,G8987GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE CURRENT ,G8987GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE GOAL ,G8988GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE GOAL ,G8988GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE GOAL ,G8988GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE GOAL ,G8988GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE GOAL ,G8988GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE GOAL ,G8988GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE GOAL ,G8988GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE DC ,G8989GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE DC ,G8989GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE DC ,G8989GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE DC ,G8989GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE DC ,G8989GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE DC ,G8989GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SELF CARE DC ,G8989GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT CURRENT ,G8990GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT CURRENT ,G8990GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT CURRENT ,G8990GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT CURRENT ,G8990GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT CURRENT ,G8990GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT CURRENT ,G8990GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT CURRENT ,G8990GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT GOAL ,G8991GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT GOAL ,G8991GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT GOAL ,G8991GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT GOAL ,G8991GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT GOAL ,G8991GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT GOAL ,G8991GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT GOAL ,G8991GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT DC ,G8992GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT DC ,G8992GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT DC ,G8992GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT DC ,G8992GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT DC ,G8992GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT DC ,G8992GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT PRIMARY FUNC LIMIT DC ,G8992GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT CURRENT ,G8993GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT CURRENT ,G8993GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT CURRENT ,G8993GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT CURRENT ,G8993GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT CURRENT ,G8993GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT CURRENT ,G8993GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT CURRENT ,G8993GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT GOAL ,G8994GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT GOAL ,G8994GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT GOAL ,G8994GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT GOAL ,G8994GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT GOAL ,G8994GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT GOAL ,G8994GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT GOAL ,G8994GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT DC ,G8995GOCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT DC ,G8995GOCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT DC ,G8995GOCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT DC ,G8995GOCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT DC ,G8995GOCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT DC ,G8995GOCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, OTHER OT SUBSEQ FUNC LIMIT DC ,G8995GOCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, HOMEMAKER PER HOUR ,250,RC,,Outpatient,,,13,10.4,9.71,,,,,,,Percent of Total Billed Charges,,9.71,9.71,,13,,,,,,,Percent of Total Billed Charges,,,,,12.48,,,,,,,Percent of Total Billed Charges,,,,,12.35,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,11.05,,,,,,,Percent of Total Billed Charges,,,,,2.73,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,11.7,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,,,3.64,,,,,,,Percent of Total Billed Charges,,,,,10.4,,,,,,,Percent of Total Billed Charges,,,,,2.6,,,,,,,Percent of Total Billed Charges,,,, HOME HEALTH VISIT MILEAGE/MI ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, OFFICE VISIT ,250,RC,,Outpatient,,,12,9.6,8.96,,,,,,,Percent of Total Billed Charges,,8.96,8.96,,12,,,,,,,Percent of Total Billed Charges,,,,,11.52,,,,,,,Percent of Total Billed Charges,,,,,11.4,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,10.2,,,,,,,Percent of Total Billed Charges,,,,,2.52,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,3.36,,,,,,,Percent of Total Billed Charges,,,,,9.6,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,, INFLUENZA VIRUS VACCINE ,90658,CPT,,Outpatient,,,12.5,10,9.34,,,,,,,Percent of Total Billed Charges,,9.34,9.34,,12.5,,,,,,,Percent of Total Billed Charges,,,,,12,,,,,,,Percent of Total Billed Charges,,,,,11.88,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,10.63,,,,,,,Percent of Total Billed Charges,,,,,2.63,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,11.25,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,,,3.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,2.5,,,,,,,Percent of Total Billed Charges,,,, INFLUENZA VIRUS ADMINISTRATION ,G0008 ,CPT,,Outpatient,,,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, PNEUMONIA VACCINE ,90732,CPT,,Outpatient,,,26,20.8,19.42,,,,,,,Percent of Total Billed Charges,,19.42,19.42,,26,,,,,,,Percent of Total Billed Charges,,,,,24.96,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,7.28,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,, PNEUMONIA VACCINE ADMINISTRATION ,G0009 ,CPT,,Outpatient,,,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, MRI BRAIN W/O CONTRAST ,70551TC ,CPT,,Outpatient,,,6394,5115.2,4776.32,,,,,,,Percent of Total Billed Charges,,4776.32,4776.32,,6394,,,,,,,Percent of Total Billed Charges,,,,,6138.24,,,,,,,Percent of Total Billed Charges,,,,,6074.3,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,,,5434.9,,,,,,,Percent of Total Billed Charges,,,,,1342.74,,,,,,,Percent of Total Billed Charges,,,,,5754.6,,,,,,,Percent of Total Billed Charges,,,,,5754.6,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,,,1790.32,,,,,,,Percent of Total Billed Charges,,,,,5115.2,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,, MRI BRAIN W/CONTRAST ,70552,CPT,,Outpatient,,,6394,5115.2,4776.32,,,,,,,Percent of Total Billed Charges,,4776.32,4776.32,,6394,,,,,,,Percent of Total Billed Charges,,,,,6138.24,,,,,,,Percent of Total Billed Charges,,,,,6074.3,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,,,5434.9,,,,,,,Percent of Total Billed Charges,,,,,1342.74,,,,,,,Percent of Total Billed Charges,,,,,5754.6,,,,,,,Percent of Total Billed Charges,,,,,5754.6,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,,,1790.32,,,,,,,Percent of Total Billed Charges,,,,,5115.2,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,, MRI HEAD/BRAIN W/O W/CONTRAST ,70553TC ,CPT,,Outpatient,,,6727.5,5382,5025.44,,,,,,,Percent of Total Billed Charges,,5025.44,5025.44,,6727.5,,,,,,,Percent of Total Billed Charges,,,,,6458.4,,,,,,,Percent of Total Billed Charges,,,,,6391.13,,,,,,,Percent of Total Billed Charges,,,,,1345.5,,,,,,,Percent of Total Billed Charges,,,,,5718.38,,,,,,,Percent of Total Billed Charges,,,,,1412.78,,,,,,,Percent of Total Billed Charges,,,,,6054.75,,,,,,,Percent of Total Billed Charges,,,,,6054.75,,,,,,,Percent of Total Billed Charges,,,,,1345.5,,,,,,,Percent of Total Billed Charges,,,,,1883.7,,,,,,,Percent of Total Billed Charges,,,,,5382,,,,,,,Percent of Total Billed Charges,,,,,1345.5,,,,,,,Percent of Total Billed Charges,,,, MRI ORBIT/FACE/ST NECK W/O CONTRAST ,70540TC ,CPT,,Outpatient,,,6394,5115.2,4776.32,,,,,,,Percent of Total Billed Charges,,4776.32,4776.32,,6394,,,,,,,Percent of Total Billed Charges,,,,,6138.24,,,,,,,Percent of Total Billed Charges,,,,,6074.3,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,,,5434.9,,,,,,,Percent of Total Billed Charges,,,,,1342.74,,,,,,,Percent of Total Billed Charges,,,,,5754.6,,,,,,,Percent of Total Billed Charges,,,,,5754.6,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,,,1790.32,,,,,,,Percent of Total Billed Charges,,,,,5115.2,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,, MRI TEMPOROMANDIBULAR JOINT ,70336TC ,CPT,,Outpatient,,,6394,5115.2,4776.32,,,,,,,Percent of Total Billed Charges,,4776.32,4776.32,,6394,,,,,,,Percent of Total Billed Charges,,,,,6138.24,,,,,,,Percent of Total Billed Charges,,,,,6074.3,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,,,5434.9,,,,,,,Percent of Total Billed Charges,,,,,1342.74,,,,,,,Percent of Total Billed Charges,,,,,5754.6,,,,,,,Percent of Total Billed Charges,,,,,5754.6,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,,,1790.32,,,,,,,Percent of Total Billed Charges,,,,,5115.2,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,, MRA LEG RUN OFFS ,73725TC ,CPT,,Outpatient,,,3325,2660,2483.78,,,,,,,Percent of Total Billed Charges,,2483.78,2483.78,,3325,,,,,,,Percent of Total Billed Charges,,,,,3192,,,,,,,Percent of Total Billed Charges,,,,,3158.75,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,2826.25,,,,,,,Percent of Total Billed Charges,,,,,698.25,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,931,,,,,,,Percent of Total Billed Charges,,,,,2660,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,, MRA NECK/CAROTIDS W/O CONTRAST ,70547TC ,CPT,,Outpatient,,,3325,2660,2483.78,,,,,,,Percent of Total Billed Charges,,2483.78,2483.78,,3325,,,,,,,Percent of Total Billed Charges,,,,,3192,,,,,,,Percent of Total Billed Charges,,,,,3158.75,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,2826.25,,,,,,,Percent of Total Billed Charges,,,,,698.25,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,931,,,,,,,Percent of Total Billed Charges,,,,,2660,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,, MRA ANGIOGRAPHY HEAD W/O CONTRAST ,70544TC ,CPT,,Outpatient,,,3325,2660,2483.78,,,,,,,Percent of Total Billed Charges,,2483.78,2483.78,,3325,,,,,,,Percent of Total Billed Charges,,,,,3192,,,,,,,Percent of Total Billed Charges,,,,,3158.75,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,2826.25,,,,,,,Percent of Total Billed Charges,,,,,698.25,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,931,,,,,,,Percent of Total Billed Charges,,,,,2660,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,, MRA RENAL ,74185TC ,CPT,,Outpatient,,,3325,2660,2483.78,,,,,,,Percent of Total Billed Charges,,2483.78,2483.78,,3325,,,,,,,Percent of Total Billed Charges,,,,,3192,,,,,,,Percent of Total Billed Charges,,,,,3158.75,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,2826.25,,,,,,,Percent of Total Billed Charges,,,,,698.25,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,931,,,,,,,Percent of Total Billed Charges,,,,,2660,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,, MRI ABDOMEN W/O CONTRAST ,74181TC ,CPT,,Outpatient,,,6754.5,5403.6,5045.61,,,,,,,Percent of Total Billed Charges,,5045.61,5045.61,,6754.5,,,,,,,Percent of Total Billed Charges,,,,,6484.32,,,,,,,Percent of Total Billed Charges,,,,,6416.78,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,,,5741.33,,,,,,,Percent of Total Billed Charges,,,,,1418.45,,,,,,,Percent of Total Billed Charges,,,,,6079.05,,,,,,,Percent of Total Billed Charges,,,,,6079.05,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,,,1891.26,,,,,,,Percent of Total Billed Charges,,,,,5403.6,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,, MRI PELVIS WO CONT ,72195TC ,CPT,,Outpatient,,,6754.5,5403.6,5045.61,,,,,,,Percent of Total Billed Charges,,5045.61,5045.61,,6754.5,,,,,,,Percent of Total Billed Charges,,,,,6484.32,,,,,,,Percent of Total Billed Charges,,,,,6416.78,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,,,5741.33,,,,,,,Percent of Total Billed Charges,,,,,1418.45,,,,,,,Percent of Total Billed Charges,,,,,6079.05,,,,,,,Percent of Total Billed Charges,,,,,6079.05,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,,,1891.26,,,,,,,Percent of Total Billed Charges,,,,,5403.6,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,, MRA LIVER ,74185TC ,CPT,,Outpatient,,,3325,2660,2483.78,,,,,,,Percent of Total Billed Charges,,2483.78,2483.78,,3325,,,,,,,Percent of Total Billed Charges,,,,,3192,,,,,,,Percent of Total Billed Charges,,,,,3158.75,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,2826.25,,,,,,,Percent of Total Billed Charges,,,,,698.25,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,931,,,,,,,Percent of Total Billed Charges,,,,,2660,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,, MRA UPPER EXTREMITY WITHOUT AND WITH ,73223TC ,CPT,,Outpatient,,,6372.5,5098,4760.26,,,,,,,Percent of Total Billed Charges,,4760.26,4760.26,,6372.5,,,,,,,Percent of Total Billed Charges,,,,,6117.6,,,,,,,Percent of Total Billed Charges,,,,,6053.88,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,,,5416.63,,,,,,,Percent of Total Billed Charges,,,,,1338.23,,,,,,,Percent of Total Billed Charges,,,,,5735.25,,,,,,,Percent of Total Billed Charges,,,,,5735.25,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,,,1784.3,,,,,,,Percent of Total Billed Charges,,,,,5098,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,, MRI UPPER EXTREMITY JOINT WITH ,73222TC ,CPT,,Outpatient,,,4936.5,3949.2,3687.57,,,,,,,Percent of Total Billed Charges,,3687.57,3687.57,,4936.5,,,,,,,Percent of Total Billed Charges,,,,,4739.04,,,,,,,Percent of Total Billed Charges,,,,,4689.68,,,,,,,Percent of Total Billed Charges,,,,,987.3,,,,,,,Percent of Total Billed Charges,,,,,4196.03,,,,,,,Percent of Total Billed Charges,,,,,1036.67,,,,,,,Percent of Total Billed Charges,,,,,4442.85,,,,,,,Percent of Total Billed Charges,,,,,4442.85,,,,,,,Percent of Total Billed Charges,,,,,987.3,,,,,,,Percent of Total Billed Charges,,,,,1382.22,,,,,,,Percent of Total Billed Charges,,,,,3949.2,,,,,,,Percent of Total Billed Charges,,,,,987.3,,,,,,,Percent of Total Billed Charges,,,, MRI UPPER EXTREMITY JOINT WITHOUT & WITH,73222TC ,CPT,,Outpatient,,,5157,4125.6,3852.28,,,,,,,Percent of Total Billed Charges,,3852.28,3852.28,,5157,,,,,,,Percent of Total Billed Charges,,,,,4950.72,,,,,,,Percent of Total Billed Charges,,,,,4899.15,,,,,,,Percent of Total Billed Charges,,,,,1031.4,,,,,,,Percent of Total Billed Charges,,,,,4383.45,,,,,,,Percent of Total Billed Charges,,,,,1082.97,,,,,,,Percent of Total Billed Charges,,,,,4641.3,,,,,,,Percent of Total Billed Charges,,,,,4641.3,,,,,,,Percent of Total Billed Charges,,,,,1031.4,,,,,,,Percent of Total Billed Charges,,,,,1443.96,,,,,,,Percent of Total Billed Charges,,,,,4125.6,,,,,,,Percent of Total Billed Charges,,,,,1031.4,,,,,,,Percent of Total Billed Charges,,,, MRI PELVIS WITH CONTRAST ,72196TC ,CPT,,Outpatient,,,6754.5,5403.6,5045.61,,,,,,,Percent of Total Billed Charges,,5045.61,5045.61,,6754.5,,,,,,,Percent of Total Billed Charges,,,,,6484.32,,,,,,,Percent of Total Billed Charges,,,,,6416.78,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,,,5741.33,,,,,,,Percent of Total Billed Charges,,,,,1418.45,,,,,,,Percent of Total Billed Charges,,,,,6079.05,,,,,,,Percent of Total Billed Charges,,,,,6079.05,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,,,1891.26,,,,,,,Percent of Total Billed Charges,,,,,5403.6,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,, MRI LOWER EXTREMITY WITH ,73719TC ,CPT,,Outpatient,,,6372.5,5098,4760.26,,,,,,,Percent of Total Billed Charges,,4760.26,4760.26,,6372.5,,,,,,,Percent of Total Billed Charges,,,,,6117.6,,,,,,,Percent of Total Billed Charges,,,,,6053.88,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,,,5416.63,,,,,,,Percent of Total Billed Charges,,,,,1338.23,,,,,,,Percent of Total Billed Charges,,,,,5735.25,,,,,,,Percent of Total Billed Charges,,,,,5735.25,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,,,1784.3,,,,,,,Percent of Total Billed Charges,,,,,5098,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,, MRI JOINT LOWER EXTREMITY WITHOUT ,73721TC ,CPT,,Outpatient,,,6372.5,5098,4760.26,,,,,,,Percent of Total Billed Charges,,4760.26,4760.26,,6372.5,,,,,,,Percent of Total Billed Charges,,,,,6117.6,,,,,,,Percent of Total Billed Charges,,,,,6053.88,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,,,5416.63,,,,,,,Percent of Total Billed Charges,,,,,1338.23,,,,,,,Percent of Total Billed Charges,,,,,5735.25,,,,,,,Percent of Total Billed Charges,,,,,5735.25,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,,,1784.3,,,,,,,Percent of Total Billed Charges,,,,,5098,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,, MRI LOWER EXTREMITY WITHOUT ,73718TC ,CPT,,Outpatient,,,6372.5,5098,4760.26,,,,,,,Percent of Total Billed Charges,,4760.26,4760.26,,6372.5,,,,,,,Percent of Total Billed Charges,,,,,6117.6,,,,,,,Percent of Total Billed Charges,,,,,6053.88,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,,,5416.63,,,,,,,Percent of Total Billed Charges,,,,,1338.23,,,,,,,Percent of Total Billed Charges,,,,,5735.25,,,,,,,Percent of Total Billed Charges,,,,,5735.25,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,,,1784.3,,,,,,,Percent of Total Billed Charges,,,,,5098,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,, MRI UPPER EXTREMITY JOINT WITHOUT ,73221TC ,CPT,,Outpatient,,,6372.5,5098,4760.26,,,,,,,Percent of Total Billed Charges,,4760.26,4760.26,,6372.5,,,,,,,Percent of Total Billed Charges,,,,,6117.6,,,,,,,Percent of Total Billed Charges,,,,,6053.88,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,,,5416.63,,,,,,,Percent of Total Billed Charges,,,,,1338.23,,,,,,,Percent of Total Billed Charges,,,,,5735.25,,,,,,,Percent of Total Billed Charges,,,,,5735.25,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,,,1784.3,,,,,,,Percent of Total Billed Charges,,,,,5098,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,, MRI UPPER EXTREMITY WITHOUT ,73218TC ,CPT,,Outpatient,,,6372.5,5098,4760.26,,,,,,,Percent of Total Billed Charges,,4760.26,4760.26,,6372.5,,,,,,,Percent of Total Billed Charges,,,,,6117.6,,,,,,,Percent of Total Billed Charges,,,,,6053.88,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,,,5416.63,,,,,,,Percent of Total Billed Charges,,,,,1338.23,,,,,,,Percent of Total Billed Charges,,,,,5735.25,,,,,,,Percent of Total Billed Charges,,,,,5735.25,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,,,1784.3,,,,,,,Percent of Total Billed Charges,,,,,5098,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,, MRI UPPER EXTREMITY WITHOUT AND WITH ,73223TC ,CPT,,Outpatient,,,6372.5,5098,4760.26,,,,,,,Percent of Total Billed Charges,,4760.26,4760.26,,6372.5,,,,,,,Percent of Total Billed Charges,,,,,6117.6,,,,,,,Percent of Total Billed Charges,,,,,6053.88,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,,,5416.63,,,,,,,Percent of Total Billed Charges,,,,,1338.23,,,,,,,Percent of Total Billed Charges,,,,,5735.25,,,,,,,Percent of Total Billed Charges,,,,,5735.25,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,,,1784.3,,,,,,,Percent of Total Billed Charges,,,,,5098,,,,,,,Percent of Total Billed Charges,,,,,1274.5,,,,,,,Percent of Total Billed Charges,,,, MRI JOINT LOWER EXT W/O AND W ,73723TC ,CPT,,Outpatient,,,6763.5,5410.8,5052.33,,,,,,,Percent of Total Billed Charges,,5052.33,5052.33,,6763.5,,,,,,,Percent of Total Billed Charges,,,,,6492.96,,,,,,,Percent of Total Billed Charges,,,,,6425.33,,,,,,,Percent of Total Billed Charges,,,,,1352.7,,,,,,,Percent of Total Billed Charges,,,,,5748.98,,,,,,,Percent of Total Billed Charges,,,,,1420.34,,,,,,,Percent of Total Billed Charges,,,,,6087.15,,,,,,,Percent of Total Billed Charges,,,,,6087.15,,,,,,,Percent of Total Billed Charges,,,,,1352.7,,,,,,,Percent of Total Billed Charges,,,,,1893.78,,,,,,,Percent of Total Billed Charges,,,,,5410.8,,,,,,,Percent of Total Billed Charges,,,,,1352.7,,,,,,,Percent of Total Billed Charges,,,, MRI CHEST W/O ,71550TC ,CPT,,Outpatient,,,7380.5,5904.4,5513.23,,,,,,,Percent of Total Billed Charges,,5513.23,5513.23,,7380.5,,,,,,,Percent of Total Billed Charges,,,,,7085.28,,,,,,,Percent of Total Billed Charges,,,,,7011.48,,,,,,,Percent of Total Billed Charges,,,,,1476.1,,,,,,,Percent of Total Billed Charges,,,,,6273.43,,,,,,,Percent of Total Billed Charges,,,,,1549.91,,,,,,,Percent of Total Billed Charges,,,,,6642.45,,,,,,,Percent of Total Billed Charges,,,,,6642.45,,,,,,,Percent of Total Billed Charges,,,,,1476.1,,,,,,,Percent of Total Billed Charges,,,,,2066.54,,,,,,,Percent of Total Billed Charges,,,,,5904.4,,,,,,,Percent of Total Billed Charges,,,,,1476.1,,,,,,,Percent of Total Billed Charges,,,, MRI C-SPINE W/O CONTRAST ,72141TC ,CPT,,Outpatient,,,6742.5,5394,5036.65,,,,,,,Percent of Total Billed Charges,,5036.65,5036.65,,6742.5,,,,,,,Percent of Total Billed Charges,,,,,6472.8,,,,,,,Percent of Total Billed Charges,,,,,6405.38,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,5731.13,,,,,,,Percent of Total Billed Charges,,,,,1415.93,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,1887.9,,,,,,,Percent of Total Billed Charges,,,,,5394,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,, MRI C-SPINE W/CONTRAST ,72142TC ,CPT,,Outpatient,,,6742.5,5394,5036.65,,,,,,,Percent of Total Billed Charges,,5036.65,5036.65,,6742.5,,,,,,,Percent of Total Billed Charges,,,,,6472.8,,,,,,,Percent of Total Billed Charges,,,,,6405.38,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,5731.13,,,,,,,Percent of Total Billed Charges,,,,,1415.93,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,1887.9,,,,,,,Percent of Total Billed Charges,,,,,5394,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,, MRI C-SPINE W/O W/CONTRAST ,72156TC ,CPT,,Outpatient,,,7308,5846.4,5459.08,,,,,,,Percent of Total Billed Charges,,5459.08,5459.08,,7308,,,,,,,Percent of Total Billed Charges,,,,,7015.68,,,,,,,Percent of Total Billed Charges,,,,,6942.6,,,,,,,Percent of Total Billed Charges,,,,,1461.6,,,,,,,Percent of Total Billed Charges,,,,,6211.8,,,,,,,Percent of Total Billed Charges,,,,,1534.68,,,,,,,Percent of Total Billed Charges,,,,,6577.2,,,,,,,Percent of Total Billed Charges,,,,,6577.2,,,,,,,Percent of Total Billed Charges,,,,,1461.6,,,,,,,Percent of Total Billed Charges,,,,,2046.24,,,,,,,Percent of Total Billed Charges,,,,,5846.4,,,,,,,Percent of Total Billed Charges,,,,,1461.6,,,,,,,Percent of Total Billed Charges,,,, MRI T-SPINE W/O (ROUTINE) ,72146TC ,CPT,,Outpatient,,,6742.5,5394,5036.65,,,,,,,Percent of Total Billed Charges,,5036.65,5036.65,,6742.5,,,,,,,Percent of Total Billed Charges,,,,,6472.8,,,,,,,Percent of Total Billed Charges,,,,,6405.38,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,5731.13,,,,,,,Percent of Total Billed Charges,,,,,1415.93,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,1887.9,,,,,,,Percent of Total Billed Charges,,,,,5394,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,, MRI T-SPINE W/CONTRAST ,72147TC ,CPT,,Outpatient,,,6742.5,5394,5036.65,,,,,,,Percent of Total Billed Charges,,5036.65,5036.65,,6742.5,,,,,,,Percent of Total Billed Charges,,,,,6472.8,,,,,,,Percent of Total Billed Charges,,,,,6405.38,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,5731.13,,,,,,,Percent of Total Billed Charges,,,,,1415.93,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,1887.9,,,,,,,Percent of Total Billed Charges,,,,,5394,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,, MRI T-SPINE W/O W/CONTRAST ,72157TC ,CPT,,Outpatient,,,7308,5846.4,5459.08,,,,,,,Percent of Total Billed Charges,,5459.08,5459.08,,7308,,,,,,,Percent of Total Billed Charges,,,,,7015.68,,,,,,,Percent of Total Billed Charges,,,,,6942.6,,,,,,,Percent of Total Billed Charges,,,,,1461.6,,,,,,,Percent of Total Billed Charges,,,,,6211.8,,,,,,,Percent of Total Billed Charges,,,,,1534.68,,,,,,,Percent of Total Billed Charges,,,,,6577.2,,,,,,,Percent of Total Billed Charges,,,,,6577.2,,,,,,,Percent of Total Billed Charges,,,,,1461.6,,,,,,,Percent of Total Billed Charges,,,,,2046.24,,,,,,,Percent of Total Billed Charges,,,,,5846.4,,,,,,,Percent of Total Billed Charges,,,,,1461.6,,,,,,,Percent of Total Billed Charges,,,, MRI L-SPINE W/O CONT (ROUT) ,72148TC ,CPT,,Outpatient,,,6742.5,5394,5036.65,,,,,,,Percent of Total Billed Charges,,5036.65,5036.65,,6742.5,,,,,,,Percent of Total Billed Charges,,,,,6472.8,,,,,,,Percent of Total Billed Charges,,,,,6405.38,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,5731.13,,,,,,,Percent of Total Billed Charges,,,,,1415.93,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,1887.9,,,,,,,Percent of Total Billed Charges,,,,,5394,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,, MRI L-SPINE W/CONTRAST ,72149TC ,CPT,,Outpatient,,,6742.5,5394,5036.65,,,,,,,Percent of Total Billed Charges,,5036.65,5036.65,,6742.5,,,,,,,Percent of Total Billed Charges,,,,,6472.8,,,,,,,Percent of Total Billed Charges,,,,,6405.38,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,5731.13,,,,,,,Percent of Total Billed Charges,,,,,1415.93,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,1887.9,,,,,,,Percent of Total Billed Charges,,,,,5394,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,, MRI L-SPINE W/O W/CONTRAST ,72158TC ,CPT,,Outpatient,,,7308,5846.4,5459.08,,,,,,,Percent of Total Billed Charges,,5459.08,5459.08,,7308,,,,,,,Percent of Total Billed Charges,,,,,7015.68,,,,,,,Percent of Total Billed Charges,,,,,6942.6,,,,,,,Percent of Total Billed Charges,,,,,1461.6,,,,,,,Percent of Total Billed Charges,,,,,6211.8,,,,,,,Percent of Total Billed Charges,,,,,1534.68,,,,,,,Percent of Total Billed Charges,,,,,6577.2,,,,,,,Percent of Total Billed Charges,,,,,6577.2,,,,,,,Percent of Total Billed Charges,,,,,1461.6,,,,,,,Percent of Total Billed Charges,,,,,2046.24,,,,,,,Percent of Total Billed Charges,,,,,5846.4,,,,,,,Percent of Total Billed Charges,,,,,1461.6,,,,,,,Percent of Total Billed Charges,,,, MRI HEAD/BRAIN W/O CONTRAST ,70551TC ,CPT,,Outpatient,,,6394,5115.2,4776.32,,,,,,,Percent of Total Billed Charges,,4776.32,4776.32,,6394,,,,,,,Percent of Total Billed Charges,,,,,6138.24,,,,,,,Percent of Total Billed Charges,,,,,6074.3,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,,,5434.9,,,,,,,Percent of Total Billed Charges,,,,,1342.74,,,,,,,Percent of Total Billed Charges,,,,,5754.6,,,,,,,Percent of Total Billed Charges,,,,,5754.6,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,,,1790.32,,,,,,,Percent of Total Billed Charges,,,,,5115.2,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,, MRI HEAD/BRAIN W/CONTRAST ,70552TC ,CPT,,Outpatient,,,6742.5,5394,5036.65,,,,,,,Percent of Total Billed Charges,,5036.65,5036.65,,6742.5,,,,,,,Percent of Total Billed Charges,,,,,6472.8,,,,,,,Percent of Total Billed Charges,,,,,6405.38,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,5731.13,,,,,,,Percent of Total Billed Charges,,,,,1415.93,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,1887.9,,,,,,,Percent of Total Billed Charges,,,,,5394,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,, MRA HEAD W W/O CONTRAST ANGIO ,70546,CPT,,Outpatient,,,7062,5649.6,5275.31,,,,,,,Percent of Total Billed Charges,,5275.31,5275.31,,7062,,,,,,,Percent of Total Billed Charges,,,,,6779.52,,,,,,,Percent of Total Billed Charges,,,,,6708.9,,,,,,,Percent of Total Billed Charges,,,,,1412.4,,,,,,,Percent of Total Billed Charges,,,,,6002.7,,,,,,,Percent of Total Billed Charges,,,,,1483.02,,,,,,,Percent of Total Billed Charges,,,,,6355.8,,,,,,,Percent of Total Billed Charges,,,,,6355.8,,,,,,,Percent of Total Billed Charges,,,,,1412.4,,,,,,,Percent of Total Billed Charges,,,,,1977.36,,,,,,,Percent of Total Billed Charges,,,,,5649.6,,,,,,,Percent of Total Billed Charges,,,,,1412.4,,,,,,,Percent of Total Billed Charges,,,, MRI CONTRAST ,A4647 ,CPT,,Outpatient,,,1069.5,855.6,798.92,,,,,,,Percent of Total Billed Charges,,798.92,798.92,,1069.5,,,,,,,Percent of Total Billed Charges,,,,,1026.72,,,,,,,Percent of Total Billed Charges,,,,,1016.03,,,,,,,Percent of Total Billed Charges,,,,,213.9,,,,,,,Percent of Total Billed Charges,,,,,909.08,,,,,,,Percent of Total Billed Charges,,,,,224.6,,,,,,,Percent of Total Billed Charges,,,,,962.55,,,,,,,Percent of Total Billed Charges,,,,,962.55,,,,,,,Percent of Total Billed Charges,,,,,213.9,,,,,,,Percent of Total Billed Charges,,,,,299.46,,,,,,,Percent of Total Billed Charges,,,,,855.6,,,,,,,Percent of Total Billed Charges,,,,,213.9,,,,,,,Percent of Total Billed Charges,,,, MR ,A4647 ,CPT,,Outpatient,,,436.5,349.2,326.07,,,,,,,Percent of Total Billed Charges,,326.07,326.07,,436.5,,,,,,,Percent of Total Billed Charges,,,,,419.04,,,,,,,Percent of Total Billed Charges,,,,,414.68,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,371.03,,,,,,,Percent of Total Billed Charges,,,,,91.67,,,,,,,Percent of Total Billed Charges,,,,,392.85,,,,,,,Percent of Total Billed Charges,,,,,392.85,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,,,122.22,,,,,,,Percent of Total Billed Charges,,,,,349.2,,,,,,,Percent of Total Billed Charges,,,,,87.3,,,,,,,Percent of Total Billed Charges,,,, MRI EMERGENCY SCAN ,250,RC,,Outpatient,,,1087,869.6,811.99,,,,,,,Percent of Total Billed Charges,,811.99,811.99,,1087,,,,,,,Percent of Total Billed Charges,,,,,1043.52,,,,,,,Percent of Total Billed Charges,,,,,1032.65,,,,,,,Percent of Total Billed Charges,,,,,217.4,,,,,,,Percent of Total Billed Charges,,,,,923.95,,,,,,,Percent of Total Billed Charges,,,,,228.27,,,,,,,Percent of Total Billed Charges,,,,,978.3,,,,,,,Percent of Total Billed Charges,,,,,978.3,,,,,,,Percent of Total Billed Charges,,,,,217.4,,,,,,,Percent of Total Billed Charges,,,,,304.36,,,,,,,Percent of Total Billed Charges,,,,,869.6,,,,,,,Percent of Total Billed Charges,,,,,217.4,,,,,,,Percent of Total Billed Charges,,,, MRI STAT READING ,250,RC,,Outpatient,,,310,248,231.57,,,,,,,Percent of Total Billed Charges,,231.57,231.57,,310,,,,,,,Percent of Total Billed Charges,,,,,297.6,,,,,,,Percent of Total Billed Charges,,,,,294.5,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,,,263.5,,,,,,,Percent of Total Billed Charges,,,,,65.1,,,,,,,Percent of Total Billed Charges,,,,,279,,,,,,,Percent of Total Billed Charges,,,,,279,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,,,86.8,,,,,,,Percent of Total Billed Charges,,,,,248,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,, MRI BRACHIAL PLEXUS ,71555TC ,CPT,,Outpatient,,,6742.5,5394,5036.65,,,,,,,Percent of Total Billed Charges,,5036.65,5036.65,,6742.5,,,,,,,Percent of Total Billed Charges,,,,,6472.8,,,,,,,Percent of Total Billed Charges,,,,,6405.38,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,5731.13,,,,,,,Percent of Total Billed Charges,,,,,1415.93,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,1887.9,,,,,,,Percent of Total Billed Charges,,,,,5394,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,, MRA PELVIS ,72198TC ,CPT,,Outpatient,,,7451.5,5961.2,5566.27,,,,,,,Percent of Total Billed Charges,,5566.27,5566.27,,7451.5,,,,,,,Percent of Total Billed Charges,,,,,7153.44,,,,,,,Percent of Total Billed Charges,,,,,7078.93,,,,,,,Percent of Total Billed Charges,,,,,1490.3,,,,,,,Percent of Total Billed Charges,,,,,6333.78,,,,,,,Percent of Total Billed Charges,,,,,1564.82,,,,,,,Percent of Total Billed Charges,,,,,6706.35,,,,,,,Percent of Total Billed Charges,,,,,6706.35,,,,,,,Percent of Total Billed Charges,,,,,1490.3,,,,,,,Percent of Total Billed Charges,,,,,2086.42,,,,,,,Percent of Total Billed Charges,,,,,5961.2,,,,,,,Percent of Total Billed Charges,,,,,1490.3,,,,,,,Percent of Total Billed Charges,,,, MRA CHEST ,71555TC ,CPT,,Outpatient,,,7451.5,5961.2,5566.27,,,,,,,Percent of Total Billed Charges,,5566.27,5566.27,,7451.5,,,,,,,Percent of Total Billed Charges,,,,,7153.44,,,,,,,Percent of Total Billed Charges,,,,,7078.93,,,,,,,Percent of Total Billed Charges,,,,,1490.3,,,,,,,Percent of Total Billed Charges,,,,,6333.78,,,,,,,Percent of Total Billed Charges,,,,,1564.82,,,,,,,Percent of Total Billed Charges,,,,,6706.35,,,,,,,Percent of Total Billed Charges,,,,,6706.35,,,,,,,Percent of Total Billed Charges,,,,,1490.3,,,,,,,Percent of Total Billed Charges,,,,,2086.42,,,,,,,Percent of Total Billed Charges,,,,,5961.2,,,,,,,Percent of Total Billed Charges,,,,,1490.3,,,,,,,Percent of Total Billed Charges,,,, MRI DUPLICATION PER EXAM ,250,RC,,Outpatient,,,36,28.8,26.89,,,,,,,Percent of Total Billed Charges,,26.89,26.89,,36,,,,,,,Percent of Total Billed Charges,,,,,34.56,,,,,,,Percent of Total Billed Charges,,,,,34.2,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,7.56,,,,,,,Percent of Total Billed Charges,,,,,32.4,,,,,,,Percent of Total Billed Charges,,,,,32.4,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,,,10.08,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,7.2,,,,,,,Percent of Total Billed Charges,,,, MRA ANGIOGRAPHY HEAD W/CONTRAST ,70545TC ,CPT,,Outpatient,,,3325,2660,2483.78,,,,,,,Percent of Total Billed Charges,,2483.78,2483.78,,3325,,,,,,,Percent of Total Billed Charges,,,,,3192,,,,,,,Percent of Total Billed Charges,,,,,3158.75,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,2826.25,,,,,,,Percent of Total Billed Charges,,,,,698.25,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,931,,,,,,,Percent of Total Billed Charges,,,,,2660,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,, MRA ANGIO HEAD W/O W CONTRAST ,70546TC ,CPT,,Outpatient,,,3325,2660,2483.78,,,,,,,Percent of Total Billed Charges,,2483.78,2483.78,,3325,,,,,,,Percent of Total Billed Charges,,,,,3192,,,,,,,Percent of Total Billed Charges,,,,,3158.75,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,2826.25,,,,,,,Percent of Total Billed Charges,,,,,698.25,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,931,,,,,,,Percent of Total Billed Charges,,,,,2660,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,, MRA NECK/CAROTIDS W CONTRAST ,70548TC ,CPT,,Outpatient,,,3325,2660,2483.78,,,,,,,Percent of Total Billed Charges,,2483.78,2483.78,,3325,,,,,,,Percent of Total Billed Charges,,,,,3192,,,,,,,Percent of Total Billed Charges,,,,,3158.75,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,2826.25,,,,,,,Percent of Total Billed Charges,,,,,698.25,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,931,,,,,,,Percent of Total Billed Charges,,,,,2660,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,, MRA NECK/CAROTIDS W/O W CONTRAST ,70549TC ,CPT,,Outpatient,,,3325,2660,2483.78,,,,,,,Percent of Total Billed Charges,,2483.78,2483.78,,3325,,,,,,,Percent of Total Billed Charges,,,,,3192,,,,,,,Percent of Total Billed Charges,,,,,3158.75,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,2826.25,,,,,,,Percent of Total Billed Charges,,,,,698.25,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,931,,,,,,,Percent of Total Billed Charges,,,,,2660,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,, MRI ABDOMEN W CONTRAST ,74182TC ,CPT,,Outpatient,,,6754.5,5403.6,5045.61,,,,,,,Percent of Total Billed Charges,,5045.61,5045.61,,6754.5,,,,,,,Percent of Total Billed Charges,,,,,6484.32,,,,,,,Percent of Total Billed Charges,,,,,6416.78,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,,,5741.33,,,,,,,Percent of Total Billed Charges,,,,,1418.45,,,,,,,Percent of Total Billed Charges,,,,,6079.05,,,,,,,Percent of Total Billed Charges,,,,,6079.05,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,,,1891.26,,,,,,,Percent of Total Billed Charges,,,,,5403.6,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,, MRI ABDOMEN W/O W CONTRAST ,74183TC ,CPT,,Outpatient,,,6754.5,5403.6,5045.61,,,,,,,Percent of Total Billed Charges,,5045.61,5045.61,,6754.5,,,,,,,Percent of Total Billed Charges,,,,,6484.32,,,,,,,Percent of Total Billed Charges,,,,,6416.78,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,,,5741.33,,,,,,,Percent of Total Billed Charges,,,,,1418.45,,,,,,,Percent of Total Billed Charges,,,,,6079.05,,,,,,,Percent of Total Billed Charges,,,,,6079.05,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,,,1891.26,,,,,,,Percent of Total Billed Charges,,,,,5403.6,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,, MRI CHEST W/CONTRAST ,71551TC ,CPT,,Outpatient,,,6742.5,5394,5036.65,,,,,,,Percent of Total Billed Charges,,5036.65,5036.65,,6742.5,,,,,,,Percent of Total Billed Charges,,,,,6472.8,,,,,,,Percent of Total Billed Charges,,,,,6405.38,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,5731.13,,,,,,,Percent of Total Billed Charges,,,,,1415.93,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,1887.9,,,,,,,Percent of Total Billed Charges,,,,,5394,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,, MRI CHEST W/O W CONTR ,71552TC ,CPT,,Outpatient,,,6742.5,5394,5036.65,,,,,,,Percent of Total Billed Charges,,5036.65,5036.65,,6742.5,,,,,,,Percent of Total Billed Charges,,,,,6472.8,,,,,,,Percent of Total Billed Charges,,,,,6405.38,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,5731.13,,,,,,,Percent of Total Billed Charges,,,,,1415.93,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,6068.25,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,,,1887.9,,,,,,,Percent of Total Billed Charges,,,,,5394,,,,,,,Percent of Total Billed Charges,,,,,1348.5,,,,,,,Percent of Total Billed Charges,,,, MRI ORBIT FACE WO W CONT ,70482TC ,CPT,,Outpatient,,,6394,5115.2,4776.32,,,,,,,Percent of Total Billed Charges,,4776.32,4776.32,,6394,,,,,,,Percent of Total Billed Charges,,,,,6138.24,,,,,,,Percent of Total Billed Charges,,,,,6074.3,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,,,5434.9,,,,,,,Percent of Total Billed Charges,,,,,1342.74,,,,,,,Percent of Total Billed Charges,,,,,5754.6,,,,,,,Percent of Total Billed Charges,,,,,5754.6,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,,,1790.32,,,,,,,Percent of Total Billed Charges,,,,,5115.2,,,,,,,Percent of Total Billed Charges,,,,,1278.8,,,,,,,Percent of Total Billed Charges,,,, MRV HEAD W/O CONTRAST ,70544TC ,CPT,,Outpatient,,,3325,2660,2483.78,,,,,,,Percent of Total Billed Charges,,2483.78,2483.78,,3325,,,,,,,Percent of Total Billed Charges,,,,,3192,,,,,,,Percent of Total Billed Charges,,,,,3158.75,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,2826.25,,,,,,,Percent of Total Billed Charges,,,,,698.25,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,2992.5,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,,,931,,,,,,,Percent of Total Billed Charges,,,,,2660,,,,,,,Percent of Total Billed Charges,,,,,665,,,,,,,Percent of Total Billed Charges,,,, MRI SACRUM W/O CONTRAST ,72195TC ,CPT,,Outpatient,,,6544.5,5235.6,4888.74,,,,,,,Percent of Total Billed Charges,,4888.74,4888.74,,6544.5,,,,,,,Percent of Total Billed Charges,,,,,6282.72,,,,,,,Percent of Total Billed Charges,,,,,6217.28,,,,,,,Percent of Total Billed Charges,,,,,1308.9,,,,,,,Percent of Total Billed Charges,,,,,5562.83,,,,,,,Percent of Total Billed Charges,,,,,1374.35,,,,,,,Percent of Total Billed Charges,,,,,5890.05,,,,,,,Percent of Total Billed Charges,,,,,5890.05,,,,,,,Percent of Total Billed Charges,,,,,1308.9,,,,,,,Percent of Total Billed Charges,,,,,1832.46,,,,,,,Percent of Total Billed Charges,,,,,5235.6,,,,,,,Percent of Total Billed Charges,,,,,1308.9,,,,,,,Percent of Total Billed Charges,,,, MRI SACRUM W/O W CONTRAST ,72197TC ,CPT,,Outpatient,,,6754.5,5403.6,5045.61,,,,,,,Percent of Total Billed Charges,,5045.61,5045.61,,6754.5,,,,,,,Percent of Total Billed Charges,,,,,6484.32,,,,,,,Percent of Total Billed Charges,,,,,6416.78,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,,,5741.33,,,,,,,Percent of Total Billed Charges,,,,,1418.45,,,,,,,Percent of Total Billed Charges,,,,,6079.05,,,,,,,Percent of Total Billed Charges,,,,,6079.05,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,,,1891.26,,,,,,,Percent of Total Billed Charges,,,,,5403.6,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,, MRI ORBIT/FACE/ST NECK W/O W CONTRAST ,70543TC ,CPT,,Outpatient,,,8188,6550.4,6116.44,,,,,,,Percent of Total Billed Charges,,6116.44,6116.44,,8188,,,,,,,Percent of Total Billed Charges,,,,,7860.48,,,,,,,Percent of Total Billed Charges,,,,,7778.6,,,,,,,Percent of Total Billed Charges,,,,,1637.6,,,,,,,Percent of Total Billed Charges,,,,,6959.8,,,,,,,Percent of Total Billed Charges,,,,,1719.48,,,,,,,Percent of Total Billed Charges,,,,,7369.2,,,,,,,Percent of Total Billed Charges,,,,,7369.2,,,,,,,Percent of Total Billed Charges,,,,,1637.6,,,,,,,Percent of Total Billed Charges,,,,,2292.64,,,,,,,Percent of Total Billed Charges,,,,,6550.4,,,,,,,Percent of Total Billed Charges,,,,,1637.6,,,,,,,Percent of Total Billed Charges,,,, MRI PELVIS W0/W ,72197TC ,CPT,,Outpatient,,,6754.5,5403.6,5045.61,,,,,,,Percent of Total Billed Charges,,5045.61,5045.61,,6754.5,,,,,,,Percent of Total Billed Charges,,,,,6484.32,,,,,,,Percent of Total Billed Charges,,,,,6416.78,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,,,5741.33,,,,,,,Percent of Total Billed Charges,,,,,1418.45,,,,,,,Percent of Total Billed Charges,,,,,6079.05,,,,,,,Percent of Total Billed Charges,,,,,6079.05,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,,,1891.26,,,,,,,Percent of Total Billed Charges,,,,,5403.6,,,,,,,Percent of Total Billed Charges,,,,,1350.9,,,,,,,Percent of Total Billed Charges,,,, DO NOT USE ,73720TC ,CPT,,Outpatient,,,6454.5,5163.6,4821.51,,,,,,,Percent of Total Billed Charges,,4821.51,4821.51,,6454.5,,,,,,,Percent of Total Billed Charges,,,,,6196.32,,,,,,,Percent of Total Billed Charges,,,,,6131.78,,,,,,,Percent of Total Billed Charges,,,,,1290.9,,,,,,,Percent of Total Billed Charges,,,,,5486.33,,,,,,,Percent of Total Billed Charges,,,,,1355.45,,,,,,,Percent of Total Billed Charges,,,,,5809.05,,,,,,,Percent of Total Billed Charges,,,,,5809.05,,,,,,,Percent of Total Billed Charges,,,,,1290.9,,,,,,,Percent of Total Billed Charges,,,,,1807.26,,,,,,,Percent of Total Billed Charges,,,,,5163.6,,,,,,,Percent of Total Billed Charges,,,,,1290.9,,,,,,,Percent of Total Billed Charges,,,, MRI LOWER EXTREMITY WO/W ,73720TC ,CPT,,Outpatient,,,6455.5,5164.4,4822.26,,,,,,,Percent of Total Billed Charges,,4822.26,4822.26,,6455.5,,,,,,,Percent of Total Billed Charges,,,,,6197.28,,,,,,,Percent of Total Billed Charges,,,,,6132.73,,,,,,,Percent of Total Billed Charges,,,,,1291.1,,,,,,,Percent of Total Billed Charges,,,,,5487.18,,,,,,,Percent of Total Billed Charges,,,,,1355.66,,,,,,,Percent of Total Billed Charges,,,,,5809.95,,,,,,,Percent of Total Billed Charges,,,,,5809.95,,,,,,,Percent of Total Billed Charges,,,,,1291.1,,,,,,,Percent of Total Billed Charges,,,,,1807.54,,,,,,,Percent of Total Billed Charges,,,,,5164.4,,,,,,,Percent of Total Billed Charges,,,,,1291.1,,,,,,,Percent of Total Billed Charges,,,, S-EI ONSITE INDIVID THERAPY ,92507,CPT,,Outpatient,,,174,139.2,129.98,,,,,,,Percent of Total Billed Charges,,129.98,129.98,,174,,,,,,,Percent of Total Billed Charges,,,,,167.04,,,,,,,Percent of Total Billed Charges,,,,,165.3,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,147.9,,,,,,,Percent of Total Billed Charges,,,,,36.54,,,,,,,Percent of Total Billed Charges,,,,,156.6,,,,,,,Percent of Total Billed Charges,,,,,156.6,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,,,48.72,,,,,,,Percent of Total Billed Charges,,,,,139.2,,,,,,,Percent of Total Billed Charges,,,,,34.8,,,,,,,Percent of Total Billed Charges,,,, X RIGHT MASTOIDS ,70130TC ,CPT,,Outpatient,,,848.5,678.8,633.83,,,,,,,Percent of Total Billed Charges,,633.83,633.83,,848.5,,,,,,,Percent of Total Billed Charges,,,,,814.56,,,,,,,Percent of Total Billed Charges,,,,,806.08,,,,,,,Percent of Total Billed Charges,,,,,169.7,,,,,,,Percent of Total Billed Charges,,,,,721.23,,,,,,,Percent of Total Billed Charges,,,,,178.19,,,,,,,Percent of Total Billed Charges,,,,,763.65,,,,,,,Percent of Total Billed Charges,,,,,763.65,,,,,,,Percent of Total Billed Charges,,,,,169.7,,,,,,,Percent of Total Billed Charges,,,,,237.58,,,,,,,Percent of Total Billed Charges,,,,,678.8,,,,,,,Percent of Total Billed Charges,,,,,169.7,,,,,,,Percent of Total Billed Charges,,,, S EVAL PRE STGEN AUG/ALT COMM ,92607,CPT,,Outpatient,,,600,480,448.2,,,,,,,Percent of Total Billed Charges,,448.2,448.2,,600,,,,,,,Percent of Total Billed Charges,,,,,576,,,,,,,Percent of Total Billed Charges,,,,,570,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,510,,,,,,,Percent of Total Billed Charges,,,,,126,,,,,,,Percent of Total Billed Charges,,,,,540,,,,,,,Percent of Total Billed Charges,,,,,540,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,,,168,,,,,,,Percent of Total Billed Charges,,,,,480,,,,,,,Percent of Total Billed Charges,,,,,120,,,,,,,Percent of Total Billed Charges,,,, S THERAPY GENERATING DEVICES/AAC ,92609,CPT,,Outpatient,,,488.5,390.8,364.91,,,,,,,Percent of Total Billed Charges,,364.91,364.91,,488.5,,,,,,,Percent of Total Billed Charges,,,,,468.96,,,,,,,Percent of Total Billed Charges,,,,,464.08,,,,,,,Percent of Total Billed Charges,,,,,97.7,,,,,,,Percent of Total Billed Charges,,,,,415.23,,,,,,,Percent of Total Billed Charges,,,,,102.59,,,,,,,Percent of Total Billed Charges,,,,,439.65,,,,,,,Percent of Total Billed Charges,,,,,439.65,,,,,,,Percent of Total Billed Charges,,,,,97.7,,,,,,,Percent of Total Billed Charges,,,,,136.78,,,,,,,Percent of Total Billed Charges,,,,,390.8,,,,,,,Percent of Total Billed Charges,,,,,97.7,,,,,,,Percent of Total Billed Charges,,,, S ASSESSMENT OF APHASIA ,96105,CPT,,Outpatient,,,508.5,406.8,379.85,,,,,,,Percent of Total Billed Charges,,379.85,379.85,,508.5,,,,,,,Percent of Total Billed Charges,,,,,488.16,,,,,,,Percent of Total Billed Charges,,,,,483.08,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,432.23,,,,,,,Percent of Total Billed Charges,,,,,106.79,,,,,,,Percent of Total Billed Charges,,,,,457.65,,,,,,,Percent of Total Billed Charges,,,,,457.65,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,,,142.38,,,,,,,Percent of Total Billed Charges,,,,,406.8,,,,,,,Percent of Total Billed Charges,,,,,101.7,,,,,,,Percent of Total Billed Charges,,,, SPEECH DEVELP OF COGNITIVE SKILLS ,97532,CPT,,Outpatient,,,104,83.2,77.69,,,,,,,Percent of Total Billed Charges,,77.69,77.69,,104,,,,,,,Percent of Total Billed Charges,,,,,99.84,,,,,,,Percent of Total Billed Charges,,,,,98.8,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,21.84,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,29.12,,,,,,,Percent of Total Billed Charges,,,,,83.2,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,, FITTING-ORTHO/BRA/CRUT/ASSES EA 15MIN ,97760,CPT,,Outpatient,,,104,83.2,77.69,,,,,,,Percent of Total Billed Charges,,77.69,77.69,,104,,,,,,,Percent of Total Billed Charges,,,,,99.84,,,,,,,Percent of Total Billed Charges,,,,,98.8,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,21.84,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,29.12,,,,,,,Percent of Total Billed Charges,,,,,83.2,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,, PROSTH TRAIN INIT ENCOUT UE/LE EA 15MIN ,97761,CPT,,Outpatient,,,104,83.2,77.69,,,,,,,Percent of Total Billed Charges,,77.69,77.69,,104,,,,,,,Percent of Total Billed Charges,,,,,99.84,,,,,,,Percent of Total Billed Charges,,,,,98.8,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,21.84,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,29.12,,,,,,,Percent of Total Billed Charges,,,,,83.2,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,, ORTHO/PROST UE/LE SUBSEQ EA 15MIN ,97763GN ,CPT,,Outpatient,,,104,83.2,77.69,,,,,,,Percent of Total Billed Charges,,77.69,77.69,,104,,,,,,,Percent of Total Billed Charges,,,,,99.84,,,,,,,Percent of Total Billed Charges,,,,,98.8,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,21.84,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,29.12,,,,,,,Percent of Total Billed Charges,,,,,83.2,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,, THERP INTRV EA 15 ,97129,CPT,,Outpatient,,,104,83.2,77.69,,,,,,,Percent of Total Billed Charges,,77.69,77.69,,104,,,,,,,Percent of Total Billed Charges,,,,,99.84,,,,,,,Percent of Total Billed Charges,,,,,98.8,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,21.84,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,29.12,,,,,,,Percent of Total Billed Charges,,,,,83.2,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,, THERP INTRV ADD 15 ,97130,CPT,,Outpatient,,,104,83.2,77.69,,,,,,,Percent of Total Billed Charges,,77.69,77.69,,104,,,,,,,Percent of Total Billed Charges,,,,,99.84,,,,,,,Percent of Total Billed Charges,,,,,98.8,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,88.4,,,,,,,Percent of Total Billed Charges,,,,,21.84,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,29.12,,,,,,,Percent of Total Billed Charges,,,,,83.2,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,, S SWALLOW B/S EVAL ,92610GN ,CPT,,Outpatient,,,569.5,455.6,425.42,,,,,,,Percent of Total Billed Charges,,425.42,425.42,,569.5,,,,,,,Percent of Total Billed Charges,,,,,546.72,,,,,,,Percent of Total Billed Charges,,,,,541.03,,,,,,,Percent of Total Billed Charges,,,,,113.9,,,,,,,Percent of Total Billed Charges,,,,,484.08,,,,,,,Percent of Total Billed Charges,,,,,119.6,,,,,,,Percent of Total Billed Charges,,,,,512.55,,,,,,,Percent of Total Billed Charges,,,,,512.55,,,,,,,Percent of Total Billed Charges,,,,,113.9,,,,,,,Percent of Total Billed Charges,,,,,159.46,,,,,,,Percent of Total Billed Charges,,,,,455.6,,,,,,,Percent of Total Billed Charges,,,,,113.9,,,,,,,Percent of Total Billed Charges,,,, S-EI EVAL ONSITE SWALLOW B/S ,92610GN ,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, S-EI EVAL OFFSITE SWALLOW B/S ,92610GN ,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, S SWALLOW ORAL/THERMO TREATMENT ,92526GN ,CPT,,Outpatient,,,592.5,474,442.6,,,,,,,Percent of Total Billed Charges,,442.6,442.6,,592.5,,,,,,,Percent of Total Billed Charges,,,,,568.8,,,,,,,Percent of Total Billed Charges,,,,,562.88,,,,,,,Percent of Total Billed Charges,,,,,118.5,,,,,,,Percent of Total Billed Charges,,,,,503.63,,,,,,,Percent of Total Billed Charges,,,,,124.43,,,,,,,Percent of Total Billed Charges,,,,,533.25,,,,,,,Percent of Total Billed Charges,,,,,533.25,,,,,,,Percent of Total Billed Charges,,,,,118.5,,,,,,,Percent of Total Billed Charges,,,,,165.9,,,,,,,Percent of Total Billed Charges,,,,,474,,,,,,,Percent of Total Billed Charges,,,,,118.5,,,,,,,Percent of Total Billed Charges,,,, S SWALLOW ORAL/THERMO TREATMENT 30 MIN ,92526GN ,CPT,,Outpatient,,,569.5,455.6,425.42,,,,,,,Percent of Total Billed Charges,,425.42,425.42,,569.5,,,,,,,Percent of Total Billed Charges,,,,,546.72,,,,,,,Percent of Total Billed Charges,,,,,541.03,,,,,,,Percent of Total Billed Charges,,,,,113.9,,,,,,,Percent of Total Billed Charges,,,,,484.08,,,,,,,Percent of Total Billed Charges,,,,,119.6,,,,,,,Percent of Total Billed Charges,,,,,512.55,,,,,,,Percent of Total Billed Charges,,,,,512.55,,,,,,,Percent of Total Billed Charges,,,,,113.9,,,,,,,Percent of Total Billed Charges,,,,,159.46,,,,,,,Percent of Total Billed Charges,,,,,455.6,,,,,,,Percent of Total Billed Charges,,,,,113.9,,,,,,,Percent of Total Billed Charges,,,, S SWALLOW ORAL/THERMO TREATMENT 45 MIN ,92526GN ,CPT,,Outpatient,,,854,683.2,637.94,,,,,,,Percent of Total Billed Charges,,637.94,637.94,,854,,,,,,,Percent of Total Billed Charges,,,,,819.84,,,,,,,Percent of Total Billed Charges,,,,,811.3,,,,,,,Percent of Total Billed Charges,,,,,170.8,,,,,,,Percent of Total Billed Charges,,,,,725.9,,,,,,,Percent of Total Billed Charges,,,,,179.34,,,,,,,Percent of Total Billed Charges,,,,,768.6,,,,,,,Percent of Total Billed Charges,,,,,768.6,,,,,,,Percent of Total Billed Charges,,,,,170.8,,,,,,,Percent of Total Billed Charges,,,,,239.12,,,,,,,Percent of Total Billed Charges,,,,,683.2,,,,,,,Percent of Total Billed Charges,,,,,170.8,,,,,,,Percent of Total Billed Charges,,,, S SWALLOW EVAL VIDEOFLUROSCOPY ,92611,CPT,,Outpatient,,,569.5,455.6,425.42,,,,,,,Percent of Total Billed Charges,,425.42,425.42,,569.5,,,,,,,Percent of Total Billed Charges,,,,,546.72,,,,,,,Percent of Total Billed Charges,,,,,541.03,,,,,,,Percent of Total Billed Charges,,,,,113.9,,,,,,,Percent of Total Billed Charges,,,,,484.08,,,,,,,Percent of Total Billed Charges,,,,,119.6,,,,,,,Percent of Total Billed Charges,,,,,512.55,,,,,,,Percent of Total Billed Charges,,,,,512.55,,,,,,,Percent of Total Billed Charges,,,,,113.9,,,,,,,Percent of Total Billed Charges,,,,,159.46,,,,,,,Percent of Total Billed Charges,,,,,455.6,,,,,,,Percent of Total Billed Charges,,,,,113.9,,,,,,,Percent of Total Billed Charges,,,, SP E-VISIT 5-10MIN ,G2061 ,CPT,,Outpatient,,,51.5,41.2,38.47,,,,,,,Percent of Total Billed Charges,,38.47,38.47,,51.5,,,,,,,Percent of Total Billed Charges,,,,,49.44,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,43.78,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,, SP E-VISIT 11-20 MIN ,G2062 ,CPT,,Outpatient,,,88.5,70.8,66.11,,,,,,,Percent of Total Billed Charges,,66.11,66.11,,88.5,,,,,,,Percent of Total Billed Charges,,,,,84.96,,,,,,,Percent of Total Billed Charges,,,,,84.08,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,75.23,,,,,,,Percent of Total Billed Charges,,,,,18.59,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,79.65,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,,,24.78,,,,,,,Percent of Total Billed Charges,,,,,70.8,,,,,,,Percent of Total Billed Charges,,,,,17.7,,,,,,,Percent of Total Billed Charges,,,, SP E-VISIT 21MIN OR MORE ,G2063 ,CPT,,Outpatient,,,138.5,110.8,103.46,,,,,,,Percent of Total Billed Charges,,103.46,103.46,,138.5,,,,,,,Percent of Total Billed Charges,,,,,132.96,,,,,,,Percent of Total Billed Charges,,,,,131.58,,,,,,,Percent of Total Billed Charges,,,,,27.7,,,,,,,Percent of Total Billed Charges,,,,,117.73,,,,,,,Percent of Total Billed Charges,,,,,29.09,,,,,,,Percent of Total Billed Charges,,,,,124.65,,,,,,,Percent of Total Billed Charges,,,,,124.65,,,,,,,Percent of Total Billed Charges,,,,,27.7,,,,,,,Percent of Total Billed Charges,,,,,38.78,,,,,,,Percent of Total Billed Charges,,,,,110.8,,,,,,,Percent of Total Billed Charges,,,,,27.7,,,,,,,Percent of Total Billed Charges,,,, SPEECH EVAL ADD 30MIN ,92608,CPT,,Outpatient,,,228,182.4,170.32,,,,,,,Percent of Total Billed Charges,,170.32,170.32,,228,,,,,,,Percent of Total Billed Charges,,,,,218.88,,,,,,,Percent of Total Billed Charges,,,,,216.6,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,193.8,,,,,,,Percent of Total Billed Charges,,,,,47.88,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,182.4,,,,,,,Percent of Total Billed Charges,,,,,45.6,,,,,,,Percent of Total Billed Charges,,,, DEVEL TST PHYS/QHP 1ST HR ,96112,CPT,,Outpatient,,,590,472,440.73,,,,,,,Percent of Total Billed Charges,,440.73,440.73,,590,,,,,,,Percent of Total Billed Charges,,,,,566.4,,,,,,,Percent of Total Billed Charges,,,,,560.5,,,,,,,Percent of Total Billed Charges,,,,,118,,,,,,,Percent of Total Billed Charges,,,,,501.5,,,,,,,Percent of Total Billed Charges,,,,,123.9,,,,,,,Percent of Total Billed Charges,,,,,531,,,,,,,Percent of Total Billed Charges,,,,,531,,,,,,,Percent of Total Billed Charges,,,,,118,,,,,,,Percent of Total Billed Charges,,,,,165.2,,,,,,,Percent of Total Billed Charges,,,,,472,,,,,,,Percent of Total Billed Charges,,,,,118,,,,,,,Percent of Total Billed Charges,,,, DEVEL TST PHYS/QHP EA ADD 30MIN ,96113,CPT,,Outpatient,,,264,211.2,197.21,,,,,,,Percent of Total Billed Charges,,197.21,197.21,,264,,,,,,,Percent of Total Billed Charges,,,,,253.44,,,,,,,Percent of Total Billed Charges,,,,,250.8,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,224.4,,,,,,,Percent of Total Billed Charges,,,,,55.44,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,237.6,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,,,73.92,,,,,,,Percent of Total Billed Charges,,,,,211.2,,,,,,,Percent of Total Billed Charges,,,,,52.8,,,,,,,Percent of Total Billed Charges,,,, COGNITIVE TEST BY HC PRO ,96125,CPT,,Outpatient,,,499.5,399.6,373.13,,,,,,,Percent of Total Billed Charges,,373.13,373.13,,499.5,,,,,,,Percent of Total Billed Charges,,,,,479.52,,,,,,,Percent of Total Billed Charges,,,,,474.53,,,,,,,Percent of Total Billed Charges,,,,,99.9,,,,,,,Percent of Total Billed Charges,,,,,424.58,,,,,,,Percent of Total Billed Charges,,,,,104.9,,,,,,,Percent of Total Billed Charges,,,,,449.55,,,,,,,Percent of Total Billed Charges,,,,,449.55,,,,,,,Percent of Total Billed Charges,,,,,99.9,,,,,,,Percent of Total Billed Charges,,,,,139.86,,,,,,,Percent of Total Billed Charges,,,,,399.6,,,,,,,Percent of Total Billed Charges,,,,,99.9,,,,,,,Percent of Total Billed Charges,,,, SENSORY INTEGRATION EA 15MIN ,97533,CPT,,Outpatient,,,145,116,108.32,,,,,,,Percent of Total Billed Charges,,108.32,108.32,,145,,,,,,,Percent of Total Billed Charges,,,,,139.2,,,,,,,Percent of Total Billed Charges,,,,,137.75,,,,,,,Percent of Total Billed Charges,,,,,29,,,,,,,Percent of Total Billed Charges,,,,,123.25,,,,,,,Percent of Total Billed Charges,,,,,30.45,,,,,,,Percent of Total Billed Charges,,,,,130.5,,,,,,,Percent of Total Billed Charges,,,,,130.5,,,,,,,Percent of Total Billed Charges,,,,,29,,,,,,,Percent of Total Billed Charges,,,,,40.6,,,,,,,Percent of Total Billed Charges,,,,,116,,,,,,,Percent of Total Billed Charges,,,,,29,,,,,,,Percent of Total Billed Charges,,,, S COM EVAL FLUENCY ,92521,CPT,,Outpatient,,,521.5,417.2,389.56,,,,,,,Percent of Total Billed Charges,,389.56,389.56,,521.5,,,,,,,Percent of Total Billed Charges,,,,,500.64,,,,,,,Percent of Total Billed Charges,,,,,495.43,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,,,443.28,,,,,,,Percent of Total Billed Charges,,,,,109.52,,,,,,,Percent of Total Billed Charges,,,,,469.35,,,,,,,Percent of Total Billed Charges,,,,,469.35,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,,,146.02,,,,,,,Percent of Total Billed Charges,,,,,417.2,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,, S-EI ONSITE EVAL FLUENCY ,92521,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, S-EI OFFSITE EVAL FLUENCY ,92521,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, S COMMUNICATION TREATMENT ,92507,CPT,,Outpatient,,,592.5,474,442.6,,,,,,,Percent of Total Billed Charges,,442.6,442.6,,592.5,,,,,,,Percent of Total Billed Charges,,,,,568.8,,,,,,,Percent of Total Billed Charges,,,,,562.88,,,,,,,Percent of Total Billed Charges,,,,,118.5,,,,,,,Percent of Total Billed Charges,,,,,503.63,,,,,,,Percent of Total Billed Charges,,,,,124.43,,,,,,,Percent of Total Billed Charges,,,,,533.25,,,,,,,Percent of Total Billed Charges,,,,,533.25,,,,,,,Percent of Total Billed Charges,,,,,118.5,,,,,,,Percent of Total Billed Charges,,,,,165.9,,,,,,,Percent of Total Billed Charges,,,,,474,,,,,,,Percent of Total Billed Charges,,,,,118.5,,,,,,,Percent of Total Billed Charges,,,, S-EI ONSITE INDIVID THEREAPY ,92507,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, S COMMUNICATION TREATMENT/45 MINS ,92507,CPT,,Outpatient,,,854,683.2,637.94,,,,,,,Percent of Total Billed Charges,,637.94,637.94,,854,,,,,,,Percent of Total Billed Charges,,,,,819.84,,,,,,,Percent of Total Billed Charges,,,,,811.3,,,,,,,Percent of Total Billed Charges,,,,,170.8,,,,,,,Percent of Total Billed Charges,,,,,725.9,,,,,,,Percent of Total Billed Charges,,,,,179.34,,,,,,,Percent of Total Billed Charges,,,,,768.6,,,,,,,Percent of Total Billed Charges,,,,,768.6,,,,,,,Percent of Total Billed Charges,,,,,170.8,,,,,,,Percent of Total Billed Charges,,,,,239.12,,,,,,,Percent of Total Billed Charges,,,,,683.2,,,,,,,Percent of Total Billed Charges,,,,,170.8,,,,,,,Percent of Total Billed Charges,,,, S-EI OFFSITE INDIVID THERAPY ,92507,CPT,,Outpatient,,,248.5,198.8,185.63,,,,,,,Percent of Total Billed Charges,,185.63,185.63,,248.5,,,,,,,Percent of Total Billed Charges,,,,,238.56,,,,,,,Percent of Total Billed Charges,,,,,236.08,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,211.23,,,,,,,Percent of Total Billed Charges,,,,,52.19,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,223.65,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,,,69.58,,,,,,,Percent of Total Billed Charges,,,,,198.8,,,,,,,Percent of Total Billed Charges,,,,,49.7,,,,,,,Percent of Total Billed Charges,,,, S COM EVAL SOUND PROD ,92522GN ,CPT,,Outpatient,,,521.5,417.2,389.56,,,,,,,Percent of Total Billed Charges,,389.56,389.56,,521.5,,,,,,,Percent of Total Billed Charges,,,,,500.64,,,,,,,Percent of Total Billed Charges,,,,,495.43,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,,,443.28,,,,,,,Percent of Total Billed Charges,,,,,109.52,,,,,,,Percent of Total Billed Charges,,,,,469.35,,,,,,,Percent of Total Billed Charges,,,,,469.35,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,,,146.02,,,,,,,Percent of Total Billed Charges,,,,,417.2,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,, S-EI EVAL ONSITE SOUND PROD ,92522GN ,CPT,,Outpatient,,,249,199.2,186,,,,,,,Percent of Total Billed Charges,,186,186,,249,,,,,,,Percent of Total Billed Charges,,,,,239.04,,,,,,,Percent of Total Billed Charges,,,,,236.55,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,211.65,,,,,,,Percent of Total Billed Charges,,,,,52.29,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,199.2,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,, S-EI EVAL OFFSITE SOUND PROD ,92522GN ,CPT,,Outpatient,,,249,199.2,186,,,,,,,Percent of Total Billed Charges,,186,186,,249,,,,,,,Percent of Total Billed Charges,,,,,239.04,,,,,,,Percent of Total Billed Charges,,,,,236.55,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,211.65,,,,,,,Percent of Total Billed Charges,,,,,52.29,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,199.2,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,, S COM EVAL LANG COMP ,92523,CPT,,Outpatient,,,521.5,417.2,389.56,,,,,,,Percent of Total Billed Charges,,389.56,389.56,,521.5,,,,,,,Percent of Total Billed Charges,,,,,500.64,,,,,,,Percent of Total Billed Charges,,,,,495.43,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,,,443.28,,,,,,,Percent of Total Billed Charges,,,,,109.52,,,,,,,Percent of Total Billed Charges,,,,,469.35,,,,,,,Percent of Total Billed Charges,,,,,469.35,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,,,146.02,,,,,,,Percent of Total Billed Charges,,,,,417.2,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,, S-EI ONSITE EVAL LANG COMP ,92523,CPT,,Outpatient,,,249,199.2,186,,,,,,,Percent of Total Billed Charges,,186,186,,249,,,,,,,Percent of Total Billed Charges,,,,,239.04,,,,,,,Percent of Total Billed Charges,,,,,236.55,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,211.65,,,,,,,Percent of Total Billed Charges,,,,,52.29,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,199.2,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,, S-EI OFFISITE EVAL LANG COMP ,92523,CPT,,Outpatient,,,249,199.2,186,,,,,,,Percent of Total Billed Charges,,186,186,,249,,,,,,,Percent of Total Billed Charges,,,,,239.04,,,,,,,Percent of Total Billed Charges,,,,,236.55,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,211.65,,,,,,,Percent of Total Billed Charges,,,,,52.29,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,199.2,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,, S COM EVAL VOICE ANALYSIS ,92524,CPT,,Outpatient,,,521.5,417.2,389.56,,,,,,,Percent of Total Billed Charges,,389.56,389.56,,521.5,,,,,,,Percent of Total Billed Charges,,,,,500.64,,,,,,,Percent of Total Billed Charges,,,,,495.43,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,,,443.28,,,,,,,Percent of Total Billed Charges,,,,,109.52,,,,,,,Percent of Total Billed Charges,,,,,469.35,,,,,,,Percent of Total Billed Charges,,,,,469.35,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,,,146.02,,,,,,,Percent of Total Billed Charges,,,,,417.2,,,,,,,Percent of Total Billed Charges,,,,,104.3,,,,,,,Percent of Total Billed Charges,,,, S-EI EVAL ONSITE VOICE ANALYSIS ,92524,CPT,,Outpatient,,,249,199.2,186,,,,,,,Percent of Total Billed Charges,,186,186,,249,,,,,,,Percent of Total Billed Charges,,,,,239.04,,,,,,,Percent of Total Billed Charges,,,,,236.55,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,211.65,,,,,,,Percent of Total Billed Charges,,,,,52.29,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,199.2,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,, S-EI EVAL OFFSITE VOICE ANALYSIS ,92524,CPT,,Outpatient,,,249,199.2,186,,,,,,,Percent of Total Billed Charges,,186,186,,249,,,,,,,Percent of Total Billed Charges,,,,,239.04,,,,,,,Percent of Total Billed Charges,,,,,236.55,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,211.65,,,,,,,Percent of Total Billed Charges,,,,,52.29,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,224.1,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,,,69.72,,,,,,,Percent of Total Billed Charges,,,,,199.2,,,,,,,Percent of Total Billed Charges,,,,,49.8,,,,,,,Percent of Total Billed Charges,,,, S EVAL USE/FITTING PROSTHETIC DEVICE ,92597,CPT,,Outpatient,,,346,276.8,258.46,,,,,,,Percent of Total Billed Charges,,258.46,258.46,,346,,,,,,,Percent of Total Billed Charges,,,,,332.16,,,,,,,Percent of Total Billed Charges,,,,,328.7,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,294.1,,,,,,,Percent of Total Billed Charges,,,,,72.66,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,96.88,,,,,,,Percent of Total Billed Charges,,,,,276.8,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,, S-IFSP ONSITE 15 MIN ,99499GN ,CPT,,Outpatient,,,201,160.8,150.15,,,,,,,Percent of Total Billed Charges,,150.15,150.15,,201,,,,,,,Percent of Total Billed Charges,,,,,192.96,,,,,,,Percent of Total Billed Charges,,,,,190.95,,,,,,,Percent of Total Billed Charges,,,,,40.2,,,,,,,Percent of Total Billed Charges,,,,,170.85,,,,,,,Percent of Total Billed Charges,,,,,42.21,,,,,,,Percent of Total Billed Charges,,,,,180.9,,,,,,,Percent of Total Billed Charges,,,,,180.9,,,,,,,Percent of Total Billed Charges,,,,,40.2,,,,,,,Percent of Total Billed Charges,,,,,56.28,,,,,,,Percent of Total Billed Charges,,,,,160.8,,,,,,,Percent of Total Billed Charges,,,,,40.2,,,,,,,Percent of Total Billed Charges,,,, S-IFSP OFFSITE 15 MIN ,99499GN ,CPT,,Outpatient,,,201,160.8,150.15,,,,,,,Percent of Total Billed Charges,,150.15,150.15,,201,,,,,,,Percent of Total Billed Charges,,,,,192.96,,,,,,,Percent of Total Billed Charges,,,,,190.95,,,,,,,Percent of Total Billed Charges,,,,,40.2,,,,,,,Percent of Total Billed Charges,,,,,170.85,,,,,,,Percent of Total Billed Charges,,,,,42.21,,,,,,,Percent of Total Billed Charges,,,,,180.9,,,,,,,Percent of Total Billed Charges,,,,,180.9,,,,,,,Percent of Total Billed Charges,,,,,40.2,,,,,,,Percent of Total Billed Charges,,,,,56.28,,,,,,,Percent of Total Billed Charges,,,,,160.8,,,,,,,Percent of Total Billed Charges,,,,,40.2,,,,,,,Percent of Total Billed Charges,,,, S-IFSP MTG 15 MIN ,99499GN ,CPT,,Outpatient,,,191,152.8,142.68,,,,,,,Percent of Total Billed Charges,,142.68,142.68,,191,,,,,,,Percent of Total Billed Charges,,,,,183.36,,,,,,,Percent of Total Billed Charges,,,,,181.45,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,162.35,,,,,,,Percent of Total Billed Charges,,,,,40.11,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,53.48,,,,,,,Percent of Total Billed Charges,,,,,152.8,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,, S-EI GRP THERAPY 15MIN ,92508,CPT,,Outpatient,,,191,152.8,142.68,,,,,,,Percent of Total Billed Charges,,142.68,142.68,,191,,,,,,,Percent of Total Billed Charges,,,,,183.36,,,,,,,Percent of Total Billed Charges,,,,,181.45,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,162.35,,,,,,,Percent of Total Billed Charges,,,,,40.11,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,171.9,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,,,53.48,,,,,,,Percent of Total Billed Charges,,,,,152.8,,,,,,,Percent of Total Billed Charges,,,,,38.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH DC ,G9158GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH DC ,G9158GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH DC ,G9158GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH DC ,G9158GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH DC ,G9158GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH DC ,G9158GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH DC ,G9158GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP CURRENT ,G9159GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP CURRENT ,G9159GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP CURRENT ,G9159GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP CURRENT ,G9159GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP CURRENT ,G9159GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP CURRENT ,G9159GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP CURRENT ,G9159GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP GOAL ,G9160GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP GOAL ,G9160GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP GOAL ,G9160GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP GOAL ,G9160GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP GOAL ,G9160GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP GOAL ,G9160GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP GOAL ,G9160GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP DC ,G9161GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP DC ,G9161GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP DC ,G9161GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP DC ,G9161GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP DC ,G9161GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP DC ,G9161GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG COMP DC ,G9161GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS CURRENT ,G9162GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS CURRENT ,G9162GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS CURRENT ,G9162GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS CURRENT ,G9162GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS CURRENT ,G9162GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS CURRENT ,G9162GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS CURRENT ,G9162GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS GOAL ,G9163GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS GOAL ,G9163GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS GOAL ,G9163GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS GOAL ,G9163GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS GOAL ,G9163GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS GOAL ,G9163GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS GOAL ,G9163GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS DC ,G9164GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS DC ,G9164GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS DC ,G9164GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS DC ,G9164GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS DC ,G9164GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS DC ,G9164GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, LANG EXPRESS DC ,G9164GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN CURRENT ,G9165GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN CURRENT ,G9165GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN CURRENT ,G9165GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN CURRENT ,G9165GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN CURRENT ,G9165GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN CURRENT ,G9165GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN CURRENT ,G9165GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN GOAL ,G9166GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN GOAL ,G9166GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN GOAL ,G9166GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN GOAL ,G9166GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN GOAL ,G9166GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN GOAL ,G9166GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN GOAL ,G9166GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN DC ,G9167GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN DC ,G9167GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN DC ,G9167GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN DC ,G9167GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN DC ,G9167GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN DC ,G9167GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, ATTEN DC ,G9167GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY CURRENT ,G9168GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY CURRENT ,G9168GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY CURRENT ,G9168GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY CURRENT ,G9168GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY CURRENT ,G9168GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY CURRENT ,G9168GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY CURRENT ,G9168GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY GOAL ,G9169GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY GOAL ,G9169GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY GOAL ,G9169GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY GOAL ,G9169GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY GOAL ,G9169GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY GOAL ,G9169GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY GOAL ,G9169GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY DC ,G9170GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY DC ,G9170GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY DC ,G9170GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY DC ,G9170GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY DC ,G9170GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY DC ,G9170GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MEMORY DC ,G9170GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE CURRENT ,G9171GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE CURRENT ,G9171GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE CURRENT ,G9171GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE CURRENT ,G9171GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE CURRENT ,G9171GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE CURRENT ,G9171GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE CURRENT ,G9171GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE GOAL ,G9172GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE GOAL ,G9172GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE GOAL ,G9172GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE GOAL ,G9172GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE GOAL ,G9172GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE GOAL ,G9172GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE GOAL ,G9172GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE DC ,G9173GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE DC ,G9173GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE DC ,G9173GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE DC ,G9173GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE DC ,G9173GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE DC ,G9173GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, VOICE DC ,G9173GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG CURRENT ,G9174GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG CURRENT ,G9174GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG CURRENT ,G9174GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG CURRENT ,G9174GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG CURRENT ,G9174GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG CURRENT ,G9174GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG CURRENT ,G9174GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG GOAL ,G9175GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG GOAL ,G9175GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG GOAL ,G9175GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG GOAL ,G9175GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG GOAL ,G9175GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG GOAL ,G9175GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG GOAL ,G9175GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG DC ,G9176GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG DC ,G9176GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG DC ,G9176GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG DC ,G9176GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG DC ,G9176GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG DC ,G9176GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SPEECK LANG DC ,G9176GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH GOAL ,G9186GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH GOAL ,G9186GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH GOAL ,G9186GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH GOAL ,G9186GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH GOAL ,G9186GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH GOAL ,G9186GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH GOAL ,G9186GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW CURRENT ,G8996GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW CURRENT ,G8996GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW CURRENT ,G8996GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW CURRENT ,G8996GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW CURRENT ,G8996GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW CURRENT ,G8996GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW CURRENT ,G8996GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW GOAL ,G8997GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW GOAL ,G8997GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW GOAL ,G8997GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW GOAL ,G8997GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW GOAL ,G8997GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW GOAL ,G8997GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW GOAL ,G8997GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW DC ,G8998GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW DC ,G8998GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW DC ,G8998GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW DC ,G8998GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW DC ,G8998GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW DC ,G8998GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, SWALLOW DC ,G8998GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH CURRENT ,G8999GNCH ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH CURRENT ,G8999GNCI ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH CURRENT ,G8999GNCJ ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH CURRENT ,G8999GNCK ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH CURRENT ,G8999GNCL ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH CURRENT ,G8999GNCM ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, MOTOR SPEECH CURRENT ,G8999GNCN ,CPT,,Outpatient,,,1,0.8,0.75,,,,,,,Percent of Total Billed Charges,,0.75,0.75,,1,,,,,,,Percent of Total Billed Charges,,,,,0.96,,,,,,,Percent of Total Billed Charges,,,,,0.95,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.85,,,,,,,Percent of Total Billed Charges,,,,,0.21,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.9,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,,,0.28,,,,,,,Percent of Total Billed Charges,,,,,0.8,,,,,,,Percent of Total Billed Charges,,,,,0.2,,,,,,,Percent of Total Billed Charges,,,, DIABETIC ED INDIVIDUAL EA 30MIN MED ,G0108 ,CPT,,Outpatient,,,109.5,87.6,81.8,,,,,,,Percent of Total Billed Charges,,81.8,81.8,,109.5,,,,,,,Percent of Total Billed Charges,,,,,105.12,,,,,,,Percent of Total Billed Charges,,,,,104.03,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,93.08,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,30.66,,,,,,,Percent of Total Billed Charges,,,,,87.6,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,, DIABETIC ED GRP EA 30MIN ,G0109 ,CPT,,Outpatient,,,71.5,57.2,53.41,,,,,,,Percent of Total Billed Charges,,53.41,53.41,,71.5,,,,,,,Percent of Total Billed Charges,,,,,68.64,,,,,,,Percent of Total Billed Charges,,,,,67.93,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,,,60.78,,,,,,,Percent of Total Billed Charges,,,,,15.02,,,,,,,Percent of Total Billed Charges,,,,,64.35,,,,,,,Percent of Total Billed Charges,,,,,64.35,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,,,20.02,,,,,,,Percent of Total Billed Charges,,,,,57.2,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,, DIABETIC ED INDIVIDUAL EA 30MIN COMM ,98960,CPT,,Outpatient,,,109.5,87.6,81.8,,,,,,,Percent of Total Billed Charges,,81.8,81.8,,109.5,,,,,,,Percent of Total Billed Charges,,,,,105.12,,,,,,,Percent of Total Billed Charges,,,,,104.03,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,93.08,,,,,,,Percent of Total Billed Charges,,,,,23,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,98.55,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,,,30.66,,,,,,,Percent of Total Billed Charges,,,,,87.6,,,,,,,Percent of Total Billed Charges,,,,,21.9,,,,,,,Percent of Total Billed Charges,,,, DIABETIC ED GRP 2-4 EA 30MIN ,98961,CPT,,Outpatient,,,71.5,57.2,53.41,,,,,,,Percent of Total Billed Charges,,53.41,53.41,,71.5,,,,,,,Percent of Total Billed Charges,,,,,68.64,,,,,,,Percent of Total Billed Charges,,,,,67.93,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,,,60.78,,,,,,,Percent of Total Billed Charges,,,,,15.02,,,,,,,Percent of Total Billed Charges,,,,,64.35,,,,,,,Percent of Total Billed Charges,,,,,64.35,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,,,20.02,,,,,,,Percent of Total Billed Charges,,,,,57.2,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,, DIABETIC ED GRP 5-8 EA 30MIN ,98962,CPT,,Outpatient,,,71.5,57.2,53.41,,,,,,,Percent of Total Billed Charges,,53.41,53.41,,71.5,,,,,,,Percent of Total Billed Charges,,,,,68.64,,,,,,,Percent of Total Billed Charges,,,,,67.93,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,,,60.78,,,,,,,Percent of Total Billed Charges,,,,,15.02,,,,,,,Percent of Total Billed Charges,,,,,64.35,,,,,,,Percent of Total Billed Charges,,,,,64.35,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,,,20.02,,,,,,,Percent of Total Billed Charges,,,,,57.2,,,,,,,Percent of Total Billed Charges,,,,,14.3,,,,,,,Percent of Total Billed Charges,,,, GLUCOSE MONITOR HOOK-UP ,95250,CPT,,Outpatient,,,498.5,398.8,372.38,,,,,,,Percent of Total Billed Charges,,372.38,372.38,,498.5,,,,,,,Percent of Total Billed Charges,,,,,478.56,,,,,,,Percent of Total Billed Charges,,,,,473.58,,,,,,,Percent of Total Billed Charges,,,,,99.7,,,,,,,Percent of Total Billed Charges,,,,,423.73,,,,,,,Percent of Total Billed Charges,,,,,104.69,,,,,,,Percent of Total Billed Charges,,,,,448.65,,,,,,,Percent of Total Billed Charges,,,,,448.65,,,,,,,Percent of Total Billed Charges,,,,,99.7,,,,,,,Percent of Total Billed Charges,,,,,139.58,,,,,,,Percent of Total Billed Charges,,,,,398.8,,,,,,,Percent of Total Billed Charges,,,,,99.7,,,,,,,Percent of Total Billed Charges,,,, GLUCOSE INTERP/REPORT ,95251,CPT,,Outpatient,,,159,127.2,118.77,,,,,,,Percent of Total Billed Charges,,118.77,118.77,,159,,,,,,,Percent of Total Billed Charges,,,,,152.64,,,,,,,Percent of Total Billed Charges,,,,,151.05,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,135.15,,,,,,,Percent of Total Billed Charges,,,,,33.39,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,143.1,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,,,44.52,,,,,,,Percent of Total Billed Charges,,,,,127.2,,,,,,,Percent of Total Billed Charges,,,,,31.8,,,,,,,Percent of Total Billed Charges,,,, PERSONAL CGM ,95249,CPT,,Outpatient,,,185,148,138.2,,,,,,,Percent of Total Billed Charges,,138.2,138.2,,185,,,,,,,Percent of Total Billed Charges,,,,,177.6,,,,,,,Percent of Total Billed Charges,,,,,175.75,,,,,,,Percent of Total Billed Charges,,,,,37,,,,,,,Percent of Total Billed Charges,,,,,157.25,,,,,,,Percent of Total Billed Charges,,,,,38.85,,,,,,,Percent of Total Billed Charges,,,,,166.5,,,,,,,Percent of Total Billed Charges,,,,,166.5,,,,,,,Percent of Total Billed Charges,,,,,37,,,,,,,Percent of Total Billed Charges,,,,,51.8,,,,,,,Percent of Total Billed Charges,,,,,148,,,,,,,Percent of Total Billed Charges,,,,,37,,,,,,,Percent of Total Billed Charges,,,, MEDICAL NUTRITION THERAPY EA15MIN ,97802,CPT,,Outpatient,,,129,103.2,96.36,,,,,,,Percent of Total Billed Charges,,96.36,96.36,,129,,,,,,,Percent of Total Billed Charges,,,,,123.84,,,,,,,Percent of Total Billed Charges,,,,,122.55,,,,,,,Percent of Total Billed Charges,,,,,25.8,,,,,,,Percent of Total Billed Charges,,,,,109.65,,,,,,,Percent of Total Billed Charges,,,,,27.09,,,,,,,Percent of Total Billed Charges,,,,,116.1,,,,,,,Percent of Total Billed Charges,,,,,116.1,,,,,,,Percent of Total Billed Charges,,,,,25.8,,,,,,,Percent of Total Billed Charges,,,,,36.12,,,,,,,Percent of Total Billed Charges,,,,,103.2,,,,,,,Percent of Total Billed Charges,,,,,25.8,,,,,,,Percent of Total Billed Charges,,,, MEDICAL NUTRITION THERAPY GRP30MIN ,97804,CPT,,Outpatient,,,51.5,41.2,38.47,,,,,,,Percent of Total Billed Charges,,38.47,38.47,,51.5,,,,,,,Percent of Total Billed Charges,,,,,49.44,,,,,,,Percent of Total Billed Charges,,,,,48.93,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,43.78,,,,,,,Percent of Total Billed Charges,,,,,10.82,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,46.35,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,,,14.42,,,,,,,Percent of Total Billed Charges,,,,,41.2,,,,,,,Percent of Total Billed Charges,,,,,10.3,,,,,,,Percent of Total Billed Charges,,,, TELE HEALTH FACILITY ,Q3014 ,CPT,,Outpatient,,,77.5,62,57.89,,,,,,,Percent of Total Billed Charges,,57.89,57.89,,77.5,,,,,,,Percent of Total Billed Charges,,,,,74.4,,,,,,,Percent of Total Billed Charges,,,,,73.63,,,,,,,Percent of Total Billed Charges,,,,,15.5,,,,,,,Percent of Total Billed Charges,,,,,65.88,,,,,,,Percent of Total Billed Charges,,,,,16.28,,,,,,,Percent of Total Billed Charges,,,,,69.75,,,,,,,Percent of Total Billed Charges,,,,,69.75,,,,,,,Percent of Total Billed Charges,,,,,15.5,,,,,,,Percent of Total Billed Charges,,,,,21.7,,,,,,,Percent of Total Billed Charges,,,,,62,,,,,,,Percent of Total Billed Charges,,,,,15.5,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST LEVEL 1 I/P ,99221,CPT,,Outpatient,,,346,276.8,258.46,,,,,,,Percent of Total Billed Charges,,258.46,258.46,,346,,,,,,,Percent of Total Billed Charges,,,,,332.16,,,,,,,Percent of Total Billed Charges,,,,,328.7,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,294.1,,,,,,,Percent of Total Billed Charges,,,,,72.66,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,311.4,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,,,96.88,,,,,,,Percent of Total Billed Charges,,,,,276.8,,,,,,,Percent of Total Billed Charges,,,,,69.2,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST LEVEL 2 I/P ,99222,CPT,,Outpatient,,,1384.5,1107.6,1034.22,,,,,,,Percent of Total Billed Charges,,1034.22,1034.22,,1384.5,,,,,,,Percent of Total Billed Charges,,,,,1329.12,,,,,,,Percent of Total Billed Charges,,,,,1315.28,,,,,,,Percent of Total Billed Charges,,,,,276.9,,,,,,,Percent of Total Billed Charges,,,,,1176.83,,,,,,,Percent of Total Billed Charges,,,,,290.75,,,,,,,Percent of Total Billed Charges,,,,,1246.05,,,,,,,Percent of Total Billed Charges,,,,,1246.05,,,,,,,Percent of Total Billed Charges,,,,,276.9,,,,,,,Percent of Total Billed Charges,,,,,387.66,,,,,,,Percent of Total Billed Charges,,,,,1107.6,,,,,,,Percent of Total Billed Charges,,,,,276.9,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST LEVEL 3 I/P ,99223,CPT,,Outpatient,,,2049,1639.2,1530.6,,,,,,,Percent of Total Billed Charges,,1530.6,1530.6,,2049,,,,,,,Percent of Total Billed Charges,,,,,1967.04,,,,,,,Percent of Total Billed Charges,,,,,1946.55,,,,,,,Percent of Total Billed Charges,,,,,409.8,,,,,,,Percent of Total Billed Charges,,,,,1741.65,,,,,,,Percent of Total Billed Charges,,,,,430.29,,,,,,,Percent of Total Billed Charges,,,,,1844.1,,,,,,,Percent of Total Billed Charges,,,,,1844.1,,,,,,,Percent of Total Billed Charges,,,,,409.8,,,,,,,Percent of Total Billed Charges,,,,,573.72,,,,,,,Percent of Total Billed Charges,,,,,1639.2,,,,,,,Percent of Total Billed Charges,,,,,409.8,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST I/P LEVEL 1 SUBSEQ ,99231,CPT,,Outpatient,,,395,316,295.07,,,,,,,Percent of Total Billed Charges,,295.07,295.07,,395,,,,,,,Percent of Total Billed Charges,,,,,379.2,,,,,,,Percent of Total Billed Charges,,,,,375.25,,,,,,,Percent of Total Billed Charges,,,,,79,,,,,,,Percent of Total Billed Charges,,,,,335.75,,,,,,,Percent of Total Billed Charges,,,,,82.95,,,,,,,Percent of Total Billed Charges,,,,,355.5,,,,,,,Percent of Total Billed Charges,,,,,355.5,,,,,,,Percent of Total Billed Charges,,,,,79,,,,,,,Percent of Total Billed Charges,,,,,110.6,,,,,,,Percent of Total Billed Charges,,,,,316,,,,,,,Percent of Total Billed Charges,,,,,79,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST I/P LEVEL 2 SUBSEQ ,99232,CPT,,Outpatient,,,246.5,197.2,184.14,,,,,,,Percent of Total Billed Charges,,184.14,184.14,,246.5,,,,,,,Percent of Total Billed Charges,,,,,236.64,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,209.53,,,,,,,Percent of Total Billed Charges,,,,,51.77,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,69.02,,,,,,,Percent of Total Billed Charges,,,,,197.2,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST I/P LEVEL 3 SUBSEQ ,99233,CPT,,Outpatient,,,352.5,282,263.32,,,,,,,Percent of Total Billed Charges,,263.32,263.32,,352.5,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,334.88,,,,,,,Percent of Total Billed Charges,,,,,70.5,,,,,,,Percent of Total Billed Charges,,,,,299.63,,,,,,,Percent of Total Billed Charges,,,,,74.03,,,,,,,Percent of Total Billed Charges,,,,,317.25,,,,,,,Percent of Total Billed Charges,,,,,317.25,,,,,,,Percent of Total Billed Charges,,,,,70.5,,,,,,,Percent of Total Billed Charges,,,,,98.7,,,,,,,Percent of Total Billed Charges,,,,,282,,,,,,,Percent of Total Billed Charges,,,,,70.5,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST I/P DISCH LEVEL 1 ,99238,CPT,,Outpatient,,,729.5,583.6,544.94,,,,,,,Percent of Total Billed Charges,,544.94,544.94,,729.5,,,,,,,Percent of Total Billed Charges,,,,,700.32,,,,,,,Percent of Total Billed Charges,,,,,693.03,,,,,,,Percent of Total Billed Charges,,,,,145.9,,,,,,,Percent of Total Billed Charges,,,,,620.08,,,,,,,Percent of Total Billed Charges,,,,,153.2,,,,,,,Percent of Total Billed Charges,,,,,656.55,,,,,,,Percent of Total Billed Charges,,,,,656.55,,,,,,,Percent of Total Billed Charges,,,,,145.9,,,,,,,Percent of Total Billed Charges,,,,,204.26,,,,,,,Percent of Total Billed Charges,,,,,583.6,,,,,,,Percent of Total Billed Charges,,,,,145.9,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST I/P DISCH LEVEL 2 ,99239,CPT,,Outpatient,,,360.5,288.4,269.29,,,,,,,Percent of Total Billed Charges,,269.29,269.29,,360.5,,,,,,,Percent of Total Billed Charges,,,,,346.08,,,,,,,Percent of Total Billed Charges,,,,,342.48,,,,,,,Percent of Total Billed Charges,,,,,72.1,,,,,,,Percent of Total Billed Charges,,,,,306.43,,,,,,,Percent of Total Billed Charges,,,,,75.71,,,,,,,Percent of Total Billed Charges,,,,,324.45,,,,,,,Percent of Total Billed Charges,,,,,324.45,,,,,,,Percent of Total Billed Charges,,,,,72.1,,,,,,,Percent of Total Billed Charges,,,,,100.94,,,,,,,Percent of Total Billed Charges,,,,,288.4,,,,,,,Percent of Total Billed Charges,,,,,72.1,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST IN/OUT SAME DAY LEVEL 1 ,99234,CPT,,Outpatient,,,454.5,363.6,339.51,,,,,,,Percent of Total Billed Charges,,339.51,339.51,,454.5,,,,,,,Percent of Total Billed Charges,,,,,436.32,,,,,,,Percent of Total Billed Charges,,,,,431.78,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,386.33,,,,,,,Percent of Total Billed Charges,,,,,95.45,,,,,,,Percent of Total Billed Charges,,,,,409.05,,,,,,,Percent of Total Billed Charges,,,,,409.05,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,,,127.26,,,,,,,Percent of Total Billed Charges,,,,,363.6,,,,,,,Percent of Total Billed Charges,,,,,90.9,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST IN/OUT SAME DAY LEVEL 2 ,99235,CPT,,Outpatient,,,569.5,455.6,425.42,,,,,,,Percent of Total Billed Charges,,425.42,425.42,,569.5,,,,,,,Percent of Total Billed Charges,,,,,546.72,,,,,,,Percent of Total Billed Charges,,,,,541.03,,,,,,,Percent of Total Billed Charges,,,,,113.9,,,,,,,Percent of Total Billed Charges,,,,,484.08,,,,,,,Percent of Total Billed Charges,,,,,119.6,,,,,,,Percent of Total Billed Charges,,,,,512.55,,,,,,,Percent of Total Billed Charges,,,,,512.55,,,,,,,Percent of Total Billed Charges,,,,,113.9,,,,,,,Percent of Total Billed Charges,,,,,159.46,,,,,,,Percent of Total Billed Charges,,,,,455.6,,,,,,,Percent of Total Billed Charges,,,,,113.9,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST IN/OUT SAME DAY LEVEL 3 ,99236,CPT,,Outpatient,,,735,588,549.05,,,,,,,Percent of Total Billed Charges,,549.05,549.05,,735,,,,,,,Percent of Total Billed Charges,,,,,705.6,,,,,,,Percent of Total Billed Charges,,,,,698.25,,,,,,,Percent of Total Billed Charges,,,,,147,,,,,,,Percent of Total Billed Charges,,,,,624.75,,,,,,,Percent of Total Billed Charges,,,,,154.35,,,,,,,Percent of Total Billed Charges,,,,,661.5,,,,,,,Percent of Total Billed Charges,,,,,661.5,,,,,,,Percent of Total Billed Charges,,,,,147,,,,,,,Percent of Total Billed Charges,,,,,205.8,,,,,,,Percent of Total Billed Charges,,,,,588,,,,,,,Percent of Total Billed Charges,,,,,147,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST CRITICAL I/P 30-74 MIN ,99291,CPT,,Outpatient,,,918.5,734.8,686.12,,,,,,,Percent of Total Billed Charges,,686.12,686.12,,918.5,,,,,,,Percent of Total Billed Charges,,,,,881.76,,,,,,,Percent of Total Billed Charges,,,,,872.58,,,,,,,Percent of Total Billed Charges,,,,,183.7,,,,,,,Percent of Total Billed Charges,,,,,780.73,,,,,,,Percent of Total Billed Charges,,,,,192.89,,,,,,,Percent of Total Billed Charges,,,,,826.65,,,,,,,Percent of Total Billed Charges,,,,,826.65,,,,,,,Percent of Total Billed Charges,,,,,183.7,,,,,,,Percent of Total Billed Charges,,,,,257.18,,,,,,,Percent of Total Billed Charges,,,,,734.8,,,,,,,Percent of Total Billed Charges,,,,,183.7,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST CRITICAL I/P ADD 30MIN ,99292,CPT,,Outpatient,,,413.5,330.8,308.88,,,,,,,Percent of Total Billed Charges,,308.88,308.88,,413.5,,,,,,,Percent of Total Billed Charges,,,,,396.96,,,,,,,Percent of Total Billed Charges,,,,,392.83,,,,,,,Percent of Total Billed Charges,,,,,82.7,,,,,,,Percent of Total Billed Charges,,,,,351.48,,,,,,,Percent of Total Billed Charges,,,,,86.84,,,,,,,Percent of Total Billed Charges,,,,,372.15,,,,,,,Percent of Total Billed Charges,,,,,372.15,,,,,,,Percent of Total Billed Charges,,,,,82.7,,,,,,,Percent of Total Billed Charges,,,,,115.78,,,,,,,Percent of Total Billed Charges,,,,,330.8,,,,,,,Percent of Total Billed Charges,,,,,82.7,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST OBS LEVEL 1 ,99218,CPT,,Outpatient,,,340,272,253.98,,,,,,,Percent of Total Billed Charges,,253.98,253.98,,340,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,323,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,,,289,,,,,,,Percent of Total Billed Charges,,,,,71.4,,,,,,,Percent of Total Billed Charges,,,,,306,,,,,,,Percent of Total Billed Charges,,,,,306,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,,,95.2,,,,,,,Percent of Total Billed Charges,,,,,272,,,,,,,Percent of Total Billed Charges,,,,,68,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST OBS LEVEL 2 ,99219,CPT,,Outpatient,,,458,366.4,342.13,,,,,,,Percent of Total Billed Charges,,342.13,342.13,,458,,,,,,,Percent of Total Billed Charges,,,,,439.68,,,,,,,Percent of Total Billed Charges,,,,,435.1,,,,,,,Percent of Total Billed Charges,,,,,91.6,,,,,,,Percent of Total Billed Charges,,,,,389.3,,,,,,,Percent of Total Billed Charges,,,,,96.18,,,,,,,Percent of Total Billed Charges,,,,,412.2,,,,,,,Percent of Total Billed Charges,,,,,412.2,,,,,,,Percent of Total Billed Charges,,,,,91.6,,,,,,,Percent of Total Billed Charges,,,,,128.24,,,,,,,Percent of Total Billed Charges,,,,,366.4,,,,,,,Percent of Total Billed Charges,,,,,91.6,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST OBS LEVEL 3 ,99220,CPT,,Outpatient,,,627,501.6,468.37,,,,,,,Percent of Total Billed Charges,,468.37,468.37,,627,,,,,,,Percent of Total Billed Charges,,,,,601.92,,,,,,,Percent of Total Billed Charges,,,,,595.65,,,,,,,Percent of Total Billed Charges,,,,,125.4,,,,,,,Percent of Total Billed Charges,,,,,532.95,,,,,,,Percent of Total Billed Charges,,,,,131.67,,,,,,,Percent of Total Billed Charges,,,,,564.3,,,,,,,Percent of Total Billed Charges,,,,,564.3,,,,,,,Percent of Total Billed Charges,,,,,125.4,,,,,,,Percent of Total Billed Charges,,,,,175.56,,,,,,,Percent of Total Billed Charges,,,,,501.6,,,,,,,Percent of Total Billed Charges,,,,,125.4,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST OBS NEXT DAY DISHCHARGE ,99217,CPT,,Outpatient,,,246.5,197.2,184.14,,,,,,,Percent of Total Billed Charges,,184.14,184.14,,246.5,,,,,,,Percent of Total Billed Charges,,,,,236.64,,,,,,,Percent of Total Billed Charges,,,,,234.18,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,209.53,,,,,,,Percent of Total Billed Charges,,,,,51.77,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,221.85,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,,,69.02,,,,,,,Percent of Total Billed Charges,,,,,197.2,,,,,,,Percent of Total Billed Charges,,,,,49.3,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST SWING ADMIN/DISCH LOW ,99304,CPT,,Outpatient,,,307.5,246,229.7,,,,,,,Percent of Total Billed Charges,,229.7,229.7,,307.5,,,,,,,Percent of Total Billed Charges,,,,,295.2,,,,,,,Percent of Total Billed Charges,,,,,292.13,,,,,,,Percent of Total Billed Charges,,,,,61.5,,,,,,,Percent of Total Billed Charges,,,,,261.38,,,,,,,Percent of Total Billed Charges,,,,,64.58,,,,,,,Percent of Total Billed Charges,,,,,276.75,,,,,,,Percent of Total Billed Charges,,,,,276.75,,,,,,,Percent of Total Billed Charges,,,,,61.5,,,,,,,Percent of Total Billed Charges,,,,,86.1,,,,,,,Percent of Total Billed Charges,,,,,246,,,,,,,Percent of Total Billed Charges,,,,,61.5,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST SWING ADMIN/DISCH MOD ,99305,CPT,,Outpatient,,,438,350.4,327.19,,,,,,,Percent of Total Billed Charges,,327.19,327.19,,438,,,,,,,Percent of Total Billed Charges,,,,,420.48,,,,,,,Percent of Total Billed Charges,,,,,416.1,,,,,,,Percent of Total Billed Charges,,,,,87.6,,,,,,,Percent of Total Billed Charges,,,,,372.3,,,,,,,Percent of Total Billed Charges,,,,,91.98,,,,,,,Percent of Total Billed Charges,,,,,394.2,,,,,,,Percent of Total Billed Charges,,,,,394.2,,,,,,,Percent of Total Billed Charges,,,,,87.6,,,,,,,Percent of Total Billed Charges,,,,,122.64,,,,,,,Percent of Total Billed Charges,,,,,350.4,,,,,,,Percent of Total Billed Charges,,,,,87.6,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST SWING ADMIN/DISCH HIGH ,99306,CPT,,Outpatient,,,557.5,446,416.45,,,,,,,Percent of Total Billed Charges,,416.45,416.45,,557.5,,,,,,,Percent of Total Billed Charges,,,,,535.2,,,,,,,Percent of Total Billed Charges,,,,,529.63,,,,,,,Percent of Total Billed Charges,,,,,111.5,,,,,,,Percent of Total Billed Charges,,,,,473.88,,,,,,,Percent of Total Billed Charges,,,,,117.08,,,,,,,Percent of Total Billed Charges,,,,,501.75,,,,,,,Percent of Total Billed Charges,,,,,501.75,,,,,,,Percent of Total Billed Charges,,,,,111.5,,,,,,,Percent of Total Billed Charges,,,,,156.1,,,,,,,Percent of Total Billed Charges,,,,,446,,,,,,,Percent of Total Billed Charges,,,,,111.5,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST SWING SUBSEQUENT STR FRW,99307,CPT,,Outpatient,,,150.5,120.4,112.42,,,,,,,Percent of Total Billed Charges,,112.42,112.42,,150.5,,,,,,,Percent of Total Billed Charges,,,,,144.48,,,,,,,Percent of Total Billed Charges,,,,,142.98,,,,,,,Percent of Total Billed Charges,,,,,30.1,,,,,,,Percent of Total Billed Charges,,,,,127.93,,,,,,,Percent of Total Billed Charges,,,,,31.61,,,,,,,Percent of Total Billed Charges,,,,,135.45,,,,,,,Percent of Total Billed Charges,,,,,135.45,,,,,,,Percent of Total Billed Charges,,,,,30.1,,,,,,,Percent of Total Billed Charges,,,,,42.14,,,,,,,Percent of Total Billed Charges,,,,,120.4,,,,,,,Percent of Total Billed Charges,,,,,30.1,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST SWING SUBSEQUENT LOW ,99308,CPT,,Outpatient,,,228.5,182.8,170.69,,,,,,,Percent of Total Billed Charges,,170.69,170.69,,228.5,,,,,,,Percent of Total Billed Charges,,,,,219.36,,,,,,,Percent of Total Billed Charges,,,,,217.08,,,,,,,Percent of Total Billed Charges,,,,,45.7,,,,,,,Percent of Total Billed Charges,,,,,194.23,,,,,,,Percent of Total Billed Charges,,,,,47.99,,,,,,,Percent of Total Billed Charges,,,,,205.65,,,,,,,Percent of Total Billed Charges,,,,,205.65,,,,,,,Percent of Total Billed Charges,,,,,45.7,,,,,,,Percent of Total Billed Charges,,,,,63.98,,,,,,,Percent of Total Billed Charges,,,,,182.8,,,,,,,Percent of Total Billed Charges,,,,,45.7,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST SWING SUBSEQUENT MOD ,99309,CPT,,Outpatient,,,304,243.2,227.09,,,,,,,Percent of Total Billed Charges,,227.09,227.09,,304,,,,,,,Percent of Total Billed Charges,,,,,291.84,,,,,,,Percent of Total Billed Charges,,,,,288.8,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,258.4,,,,,,,Percent of Total Billed Charges,,,,,63.84,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,273.6,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,,,85.12,,,,,,,Percent of Total Billed Charges,,,,,243.2,,,,,,,Percent of Total Billed Charges,,,,,60.8,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST SWING SUBSEQUENT HIGH ,99310,CPT,,Outpatient,,,451.5,361.2,337.27,,,,,,,Percent of Total Billed Charges,,337.27,337.27,,451.5,,,,,,,Percent of Total Billed Charges,,,,,433.44,,,,,,,Percent of Total Billed Charges,,,,,428.93,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,383.78,,,,,,,Percent of Total Billed Charges,,,,,94.82,,,,,,,Percent of Total Billed Charges,,,,,406.35,,,,,,,Percent of Total Billed Charges,,,,,406.35,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,,,126.42,,,,,,,Percent of Total Billed Charges,,,,,361.2,,,,,,,Percent of Total Billed Charges,,,,,90.3,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST SWING DISCH <30MIN ,99315,CPT,,Outpatient,,,244,195.2,182.27,,,,,,,Percent of Total Billed Charges,,182.27,182.27,,244,,,,,,,Percent of Total Billed Charges,,,,,234.24,,,,,,,Percent of Total Billed Charges,,,,,231.8,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,,,207.4,,,,,,,Percent of Total Billed Charges,,,,,51.24,,,,,,,Percent of Total Billed Charges,,,,,219.6,,,,,,,Percent of Total Billed Charges,,,,,219.6,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,,,68.32,,,,,,,Percent of Total Billed Charges,,,,,195.2,,,,,,,Percent of Total Billed Charges,,,,,48.8,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST SWING DISCH >30MIN ,99316,CPT,,Outpatient,,,352.5,282,263.32,,,,,,,Percent of Total Billed Charges,,263.32,263.32,,352.5,,,,,,,Percent of Total Billed Charges,,,,,338.4,,,,,,,Percent of Total Billed Charges,,,,,334.88,,,,,,,Percent of Total Billed Charges,,,,,70.5,,,,,,,Percent of Total Billed Charges,,,,,299.63,,,,,,,Percent of Total Billed Charges,,,,,74.03,,,,,,,Percent of Total Billed Charges,,,,,317.25,,,,,,,Percent of Total Billed Charges,,,,,317.25,,,,,,,Percent of Total Billed Charges,,,,,70.5,,,,,,,Percent of Total Billed Charges,,,,,98.7,,,,,,,Percent of Total Billed Charges,,,,,282,,,,,,,Percent of Total Billed Charges,,,,,70.5,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST OBS SUBS LEVEL 1 ,99224,CPT,,Outpatient,,,202,161.6,150.89,,,,,,,Percent of Total Billed Charges,,150.89,150.89,,202,,,,,,,Percent of Total Billed Charges,,,,,193.92,,,,,,,Percent of Total Billed Charges,,,,,191.9,,,,,,,Percent of Total Billed Charges,,,,,40.4,,,,,,,Percent of Total Billed Charges,,,,,171.7,,,,,,,Percent of Total Billed Charges,,,,,42.42,,,,,,,Percent of Total Billed Charges,,,,,181.8,,,,,,,Percent of Total Billed Charges,,,,,181.8,,,,,,,Percent of Total Billed Charges,,,,,40.4,,,,,,,Percent of Total Billed Charges,,,,,56.56,,,,,,,Percent of Total Billed Charges,,,,,161.6,,,,,,,Percent of Total Billed Charges,,,,,40.4,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST OBS SUBS LEVEL 2 ,99225,CPT,,Outpatient,,,366.5,293.2,273.78,,,,,,,Percent of Total Billed Charges,,273.78,273.78,,366.5,,,,,,,Percent of Total Billed Charges,,,,,351.84,,,,,,,Percent of Total Billed Charges,,,,,348.18,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,311.53,,,,,,,Percent of Total Billed Charges,,,,,76.97,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,329.85,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,,,102.62,,,,,,,Percent of Total Billed Charges,,,,,293.2,,,,,,,Percent of Total Billed Charges,,,,,73.3,,,,,,,Percent of Total Billed Charges,,,, M/S HOSPITALIST OBS SUBS LEVEL 3 ,99226,CPT,,Outpatient,,,527.5,422,394.04,,,,,,,Percent of Total Billed Charges,,394.04,394.04,,527.5,,,,,,,Percent of Total Billed Charges,,,,,506.4,,,,,,,Percent of Total Billed Charges,,,,,501.13,,,,,,,Percent of Total Billed Charges,,,,,105.5,,,,,,,Percent of Total Billed Charges,,,,,448.38,,,,,,,Percent of Total Billed Charges,,,,,110.78,,,,,,,Percent of Total Billed Charges,,,,,474.75,,,,,,,Percent of Total Billed Charges,,,,,474.75,,,,,,,Percent of Total Billed Charges,,,,,105.5,,,,,,,Percent of Total Billed Charges,,,,,147.7,,,,,,,Percent of Total Billed Charges,,,,,422,,,,,,,Percent of Total Billed Charges,,,,,105.5,,,,,,,Percent of Total Billed Charges,,,, PULM REHAB II EVAL ,94625,CPT,,Outpatient,,,447,357.6,333.91,,,,,,,Percent of Total Billed Charges,,333.91,333.91,,447,,,,,,,Percent of Total Billed Charges,,,,,429.12,,,,,,,Percent of Total Billed Charges,,,,,424.65,,,,,,,Percent of Total Billed Charges,,,,,89.4,,,,,,,Percent of Total Billed Charges,,,,,379.95,,,,,,,Percent of Total Billed Charges,,,,,93.87,,,,,,,Percent of Total Billed Charges,,,,,402.3,,,,,,,Percent of Total Billed Charges,,,,,402.3,,,,,,,Percent of Total Billed Charges,,,,,89.4,,,,,,,Percent of Total Billed Charges,,,,,125.16,,,,,,,Percent of Total Billed Charges,,,,,357.6,,,,,,,Percent of Total Billed Charges,,,,,89.4,,,,,,,Percent of Total Billed Charges,,,, PUL REHAB PHASE II ,94625,CPT,,Outpatient,,,361,288.8,269.67,,,,,,,Percent of Total Billed Charges,,269.67,269.67,,361,,,,,,,Percent of Total Billed Charges,,,,,346.56,,,,,,,Percent of Total Billed Charges,,,,,342.95,,,,,,,Percent of Total Billed Charges,,,,,72.2,,,,,,,Percent of Total Billed Charges,,,,,306.85,,,,,,,Percent of Total Billed Charges,,,,,75.81,,,,,,,Percent of Total Billed Charges,,,,,324.9,,,,,,,Percent of Total Billed Charges,,,,,324.9,,,,,,,Percent of Total Billed Charges,,,,,72.2,,,,,,,Percent of Total Billed Charges,,,,,101.08,,,,,,,Percent of Total Billed Charges,,,,,288.8,,,,,,,Percent of Total Billed Charges,,,,,72.2,,,,,,,Percent of Total Billed Charges,,,, PUL REHAB PHASE I ,97150,CPT,,Outpatient,,,267,213.6,199.45,,,,,,,Percent of Total Billed Charges,,199.45,199.45,,267,,,,,,,Percent of Total Billed Charges,,,,,256.32,,,,,,,Percent of Total Billed Charges,,,,,253.65,,,,,,,Percent of Total Billed Charges,,,,,53.4,,,,,,,Percent of Total Billed Charges,,,,,226.95,,,,,,,Percent of Total Billed Charges,,,,,56.07,,,,,,,Percent of Total Billed Charges,,,,,240.3,,,,,,,Percent of Total Billed Charges,,,,,240.3,,,,,,,Percent of Total Billed Charges,,,,,53.4,,,,,,,Percent of Total Billed Charges,,,,,74.76,,,,,,,Percent of Total Billed Charges,,,,,213.6,,,,,,,Percent of Total Billed Charges,,,,,53.4,,,,,,,Percent of Total Billed Charges,,,, PUL REHAB I EVALU ,97150,CPT,,Outpatient,,,198.5,158.8,148.28,,,,,,,Percent of Total Billed Charges,,148.28,148.28,,198.5,,,,,,,Percent of Total Billed Charges,,,,,190.56,,,,,,,Percent of Total Billed Charges,,,,,188.58,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,168.73,,,,,,,Percent of Total Billed Charges,,,,,41.69,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,178.65,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,,,55.58,,,,,,,Percent of Total Billed Charges,,,,,158.8,,,,,,,Percent of Total Billed Charges,,,,,39.7,,,,,,,Percent of Total Billed Charges,,,, M-CAR IN DISTRICT ONE WAY ,A0130 QN ,CPT,,Outpatient,,,26,20.8,19.42,,,,,,,Percent of Total Billed Charges,,19.42,19.42,,26,,,,,,,Percent of Total Billed Charges,,,,,24.96,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,7.28,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,, M-CAR OUT OF DISTRICT ONE WAY ,A0130 QN ,CPT,,Outpatient,,,41.5,33.2,31,,,,,,,Percent of Total Billed Charges,,31,31,,41.5,,,,,,,Percent of Total Billed Charges,,,,,39.84,,,,,,,Percent of Total Billed Charges,,,,,39.43,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,35.28,,,,,,,Percent of Total Billed Charges,,,,,8.72,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,37.35,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,,,11.62,,,,,,,Percent of Total Billed Charges,,,,,33.2,,,,,,,Percent of Total Billed Charges,,,,,8.3,,,,,,,Percent of Total Billed Charges,,,, M-CAR TRANSPORT/WAITING TIME P/HR ,A0130 QN ,CPT,,Outpatient,,,14,11.2,10.46,,,,,,,Percent of Total Billed Charges,,10.46,10.46,,14,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,, M-CAR MILEAGE LOADED MILE ,A0160 QN ,CPT,,Outpatient,,,2.5,2,1.87,,,,,,,Percent of Total Billed Charges,,1.87,1.87,,2.5,,,,,,,Percent of Total Billed Charges,,,,,2.4,,,,,,,Percent of Total Billed Charges,,,,,2.38,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,2.13,,,,,,,Percent of Total Billed Charges,,,,,0.53,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,2.25,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,,,0.7,,,,,,,Percent of Total Billed Charges,,,,,2,,,,,,,Percent of Total Billed Charges,,,,,0.5,,,,,,,Percent of Total Billed Charges,,,, M-CAR ATTENDANT P/HR ,A0130 QN ,CPT,,Outpatient,,,14,11.2,10.46,,,,,,,Percent of Total Billed Charges,,10.46,10.46,,14,,,,,,,Percent of Total Billed Charges,,,,,13.44,,,,,,,Percent of Total Billed Charges,,,,,13.3,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,11.9,,,,,,,Percent of Total Billed Charges,,,,,2.94,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,,,3.92,,,,,,,Percent of Total Billed Charges,,,,,11.2,,,,,,,Percent of Total Billed Charges,,,,,2.8,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ TISSUE 20sq cm/< 15-29 MIN ,11042,CPT,,Outpatient,,,651,520.8,486.3,,,,,,,Percent of Total Billed Charges,,486.3,486.3,,651,,,,,,,Percent of Total Billed Charges,,,,,624.96,,,,,,,Percent of Total Billed Charges,,,,,618.45,,,,,,,Percent of Total Billed Charges,,,,,130.2,,,,,,,Percent of Total Billed Charges,,,,,553.35,,,,,,,Percent of Total Billed Charges,,,,,136.71,,,,,,,Percent of Total Billed Charges,,,,,585.9,,,,,,,Percent of Total Billed Charges,,,,,585.9,,,,,,,Percent of Total Billed Charges,,,,,130.2,,,,,,,Percent of Total Billed Charges,,,,,182.28,,,,,,,Percent of Total Billed Charges,,,,,520.8,,,,,,,Percent of Total Billed Charges,,,,,130.2,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ TISSUE 20sq cm/< 30-44 MIN ,11042,CPT,,Outpatient,,,772,617.6,576.68,,,,,,,Percent of Total Billed Charges,,576.68,576.68,,772,,,,,,,Percent of Total Billed Charges,,,,,741.12,,,,,,,Percent of Total Billed Charges,,,,,733.4,,,,,,,Percent of Total Billed Charges,,,,,154.4,,,,,,,Percent of Total Billed Charges,,,,,656.2,,,,,,,Percent of Total Billed Charges,,,,,162.12,,,,,,,Percent of Total Billed Charges,,,,,694.8,,,,,,,Percent of Total Billed Charges,,,,,694.8,,,,,,,Percent of Total Billed Charges,,,,,154.4,,,,,,,Percent of Total Billed Charges,,,,,216.16,,,,,,,Percent of Total Billed Charges,,,,,617.6,,,,,,,Percent of Total Billed Charges,,,,,154.4,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ TISSUE 20sq cm/< 45-59 MIN ,11042,CPT,,Outpatient,,,945,756,705.92,,,,,,,Percent of Total Billed Charges,,705.92,705.92,,945,,,,,,,Percent of Total Billed Charges,,,,,907.2,,,,,,,Percent of Total Billed Charges,,,,,897.75,,,,,,,Percent of Total Billed Charges,,,,,189,,,,,,,Percent of Total Billed Charges,,,,,803.25,,,,,,,Percent of Total Billed Charges,,,,,198.45,,,,,,,Percent of Total Billed Charges,,,,,850.5,,,,,,,Percent of Total Billed Charges,,,,,850.5,,,,,,,Percent of Total Billed Charges,,,,,189,,,,,,,Percent of Total Billed Charges,,,,,264.6,,,,,,,Percent of Total Billed Charges,,,,,756,,,,,,,Percent of Total Billed Charges,,,,,189,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ TISSUE 20sq cm/< 10-19 MIN ,11042,CPT,,Outpatient,,,559,447.2,417.57,,,,,,,Percent of Total Billed Charges,,417.57,417.57,,559,,,,,,,Percent of Total Billed Charges,,,,,536.64,,,,,,,Percent of Total Billed Charges,,,,,531.05,,,,,,,Percent of Total Billed Charges,,,,,111.8,,,,,,,Percent of Total Billed Charges,,,,,475.15,,,,,,,Percent of Total Billed Charges,,,,,117.39,,,,,,,Percent of Total Billed Charges,,,,,503.1,,,,,,,Percent of Total Billed Charges,,,,,503.1,,,,,,,Percent of Total Billed Charges,,,,,111.8,,,,,,,Percent of Total Billed Charges,,,,,156.52,,,,,,,Percent of Total Billed Charges,,,,,447.2,,,,,,,Percent of Total Billed Charges,,,,,111.8,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ TISSUE 20sq cm/< 20-29 MIN ,11042,CPT,,Outpatient,,,674,539.2,503.48,,,,,,,Percent of Total Billed Charges,,503.48,503.48,,674,,,,,,,Percent of Total Billed Charges,,,,,647.04,,,,,,,Percent of Total Billed Charges,,,,,640.3,,,,,,,Percent of Total Billed Charges,,,,,134.8,,,,,,,Percent of Total Billed Charges,,,,,572.9,,,,,,,Percent of Total Billed Charges,,,,,141.54,,,,,,,Percent of Total Billed Charges,,,,,606.6,,,,,,,Percent of Total Billed Charges,,,,,606.6,,,,,,,Percent of Total Billed Charges,,,,,134.8,,,,,,,Percent of Total Billed Charges,,,,,188.72,,,,,,,Percent of Total Billed Charges,,,,,539.2,,,,,,,Percent of Total Billed Charges,,,,,134.8,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ TISSUE 20sq cm/< 30-39 MIN ,11042,CPT,,Outpatient,,,875,700,653.63,,,,,,,Percent of Total Billed Charges,,653.63,653.63,,875,,,,,,,Percent of Total Billed Charges,,,,,840,,,,,,,Percent of Total Billed Charges,,,,,831.25,,,,,,,Percent of Total Billed Charges,,,,,175,,,,,,,Percent of Total Billed Charges,,,,,743.75,,,,,,,Percent of Total Billed Charges,,,,,183.75,,,,,,,Percent of Total Billed Charges,,,,,787.5,,,,,,,Percent of Total Billed Charges,,,,,787.5,,,,,,,Percent of Total Billed Charges,,,,,175,,,,,,,Percent of Total Billed Charges,,,,,245,,,,,,,Percent of Total Billed Charges,,,,,700,,,,,,,Percent of Total Billed Charges,,,,,175,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ TISSUE 20sq cm/< 40-54 MIN ,11042,CPT,,Outpatient,,,989,791.2,738.78,,,,,,,Percent of Total Billed Charges,,738.78,738.78,,989,,,,,,,Percent of Total Billed Charges,,,,,949.44,,,,,,,Percent of Total Billed Charges,,,,,939.55,,,,,,,Percent of Total Billed Charges,,,,,197.8,,,,,,,Percent of Total Billed Charges,,,,,840.65,,,,,,,Percent of Total Billed Charges,,,,,207.69,,,,,,,Percent of Total Billed Charges,,,,,890.1,,,,,,,Percent of Total Billed Charges,,,,,890.1,,,,,,,Percent of Total Billed Charges,,,,,197.8,,,,,,,Percent of Total Billed Charges,,,,,276.92,,,,,,,Percent of Total Billed Charges,,,,,791.2,,,,,,,Percent of Total Billed Charges,,,,,197.8,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ TISSUE ADD ON 20-29 MIN ,11045,CPT,,Outpatient,,,161,128.8,120.27,,,,,,,Percent of Total Billed Charges,,120.27,120.27,,161,,,,,,,Percent of Total Billed Charges,,,,,154.56,,,,,,,Percent of Total Billed Charges,,,,,152.95,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,136.85,,,,,,,Percent of Total Billed Charges,,,,,33.81,,,,,,,Percent of Total Billed Charges,,,,,144.9,,,,,,,Percent of Total Billed Charges,,,,,144.9,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,,,45.08,,,,,,,Percent of Total Billed Charges,,,,,128.8,,,,,,,Percent of Total Billed Charges,,,,,32.2,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ TISSUE ADD ON 30-39 MIN ,11045,CPT,,Outpatient,,,186,148.8,138.94,,,,,,,Percent of Total Billed Charges,,138.94,138.94,,186,,,,,,,Percent of Total Billed Charges,,,,,178.56,,,,,,,Percent of Total Billed Charges,,,,,176.7,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,158.1,,,,,,,Percent of Total Billed Charges,,,,,39.06,,,,,,,Percent of Total Billed Charges,,,,,167.4,,,,,,,Percent of Total Billed Charges,,,,,167.4,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,,,52.08,,,,,,,Percent of Total Billed Charges,,,,,148.8,,,,,,,Percent of Total Billed Charges,,,,,37.2,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ TISSUE ADD ON 40-54 MIN ,11045,CPT,,Outpatient,,,286,228.8,213.64,,,,,,,Percent of Total Billed Charges,,213.64,213.64,,286,,,,,,,Percent of Total Billed Charges,,,,,274.56,,,,,,,Percent of Total Billed Charges,,,,,271.7,,,,,,,Percent of Total Billed Charges,,,,,57.2,,,,,,,Percent of Total Billed Charges,,,,,243.1,,,,,,,Percent of Total Billed Charges,,,,,60.06,,,,,,,Percent of Total Billed Charges,,,,,257.4,,,,,,,Percent of Total Billed Charges,,,,,257.4,,,,,,,Percent of Total Billed Charges,,,,,57.2,,,,,,,Percent of Total Billed Charges,,,,,80.08,,,,,,,Percent of Total Billed Charges,,,,,228.8,,,,,,,Percent of Total Billed Charges,,,,,57.2,,,,,,,Percent of Total Billed Charges,,,, DEB RMVL DEVITAL TIS 20CM/< 20-29MIN ,97597,CPT,,Outpatient,,,559,447.2,417.57,,,,,,,Percent of Total Billed Charges,,417.57,417.57,,559,,,,,,,Percent of Total Billed Charges,,,,,536.64,,,,,,,Percent of Total Billed Charges,,,,,531.05,,,,,,,Percent of Total Billed Charges,,,,,111.8,,,,,,,Percent of Total Billed Charges,,,,,475.15,,,,,,,Percent of Total Billed Charges,,,,,117.39,,,,,,,Percent of Total Billed Charges,,,,,503.1,,,,,,,Percent of Total Billed Charges,,,,,503.1,,,,,,,Percent of Total Billed Charges,,,,,111.8,,,,,,,Percent of Total Billed Charges,,,,,156.52,,,,,,,Percent of Total Billed Charges,,,,,447.2,,,,,,,Percent of Total Billed Charges,,,,,111.8,,,,,,,Percent of Total Billed Charges,,,, DEB RMVL DEVITAL TIS 20CM/< 30-39 MIN ,97597,CPT,,Outpatient,,,685,548,511.7,,,,,,,Percent of Total Billed Charges,,511.7,511.7,,685,,,,,,,Percent of Total Billed Charges,,,,,657.6,,,,,,,Percent of Total Billed Charges,,,,,650.75,,,,,,,Percent of Total Billed Charges,,,,,137,,,,,,,Percent of Total Billed Charges,,,,,582.25,,,,,,,Percent of Total Billed Charges,,,,,143.85,,,,,,,Percent of Total Billed Charges,,,,,616.5,,,,,,,Percent of Total Billed Charges,,,,,616.5,,,,,,,Percent of Total Billed Charges,,,,,137,,,,,,,Percent of Total Billed Charges,,,,,191.8,,,,,,,Percent of Total Billed Charges,,,,,548,,,,,,,Percent of Total Billed Charges,,,,,137,,,,,,,Percent of Total Billed Charges,,,, DEB RMVL DEVITAL TIS 20CM/< 40-54 MIN ,97597,CPT,,Outpatient,,,899,719.2,671.55,,,,,,,Percent of Total Billed Charges,,671.55,671.55,,899,,,,,,,Percent of Total Billed Charges,,,,,863.04,,,,,,,Percent of Total Billed Charges,,,,,854.05,,,,,,,Percent of Total Billed Charges,,,,,179.8,,,,,,,Percent of Total Billed Charges,,,,,764.15,,,,,,,Percent of Total Billed Charges,,,,,188.79,,,,,,,Percent of Total Billed Charges,,,,,809.1,,,,,,,Percent of Total Billed Charges,,,,,809.1,,,,,,,Percent of Total Billed Charges,,,,,179.8,,,,,,,Percent of Total Billed Charges,,,,,251.72,,,,,,,Percent of Total Billed Charges,,,,,719.2,,,,,,,Percent of Total Billed Charges,,,,,179.8,,,,,,,Percent of Total Billed Charges,,,, DEB RMVL DEVITAL ADD ON 20CM/< ,97598,CPT,,Outpatient,,,100,80,74.7,,,,,,,Percent of Total Billed Charges,,74.7,74.7,,100,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,95,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,85,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,, NEG PRESSURE WOUND TX<=50CM ,97605,CPT,,Outpatient,,,146,116.8,109.06,,,,,,,Percent of Total Billed Charges,,109.06,109.06,,146,,,,,,,Percent of Total Billed Charges,,,,,140.16,,,,,,,Percent of Total Billed Charges,,,,,138.7,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,124.1,,,,,,,Percent of Total Billed Charges,,,,,30.66,,,,,,,Percent of Total Billed Charges,,,,,131.4,,,,,,,Percent of Total Billed Charges,,,,,131.4,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,,,40.88,,,,,,,Percent of Total Billed Charges,,,,,116.8,,,,,,,Percent of Total Billed Charges,,,,,29.2,,,,,,,Percent of Total Billed Charges,,,, SKIN SUB GRAFT TRNK/ARM/LEG 20-29MIN ,15271,CPT,,Outpatient,,,5130,4104,3832.11,,,,,,,Percent of Total Billed Charges,,3832.11,3832.11,,5130,,,,,,,Percent of Total Billed Charges,,,,,4924.8,,,,,,,Percent of Total Billed Charges,,,,,4873.5,,,,,,,Percent of Total Billed Charges,,,,,1026,,,,,,,Percent of Total Billed Charges,,,,,4360.5,,,,,,,Percent of Total Billed Charges,,,,,1077.3,,,,,,,Percent of Total Billed Charges,,,,,4617,,,,,,,Percent of Total Billed Charges,,,,,4617,,,,,,,Percent of Total Billed Charges,,,,,1026,,,,,,,Percent of Total Billed Charges,,,,,1436.4,,,,,,,Percent of Total Billed Charges,,,,,4104,,,,,,,Percent of Total Billed Charges,,,,,1026,,,,,,,Percent of Total Billed Charges,,,, SKIN SUB GRAFT TRNK/ARM/LEG 30-39MIN ,15271,CPT,,Outpatient,,,5256,4204.8,3926.23,,,,,,,Percent of Total Billed Charges,,3926.23,3926.23,,5256,,,,,,,Percent of Total Billed Charges,,,,,5045.76,,,,,,,Percent of Total Billed Charges,,,,,4993.2,,,,,,,Percent of Total Billed Charges,,,,,1051.2,,,,,,,Percent of Total Billed Charges,,,,,4467.6,,,,,,,Percent of Total Billed Charges,,,,,1103.76,,,,,,,Percent of Total Billed Charges,,,,,4730.4,,,,,,,Percent of Total Billed Charges,,,,,4730.4,,,,,,,Percent of Total Billed Charges,,,,,1051.2,,,,,,,Percent of Total Billed Charges,,,,,1471.68,,,,,,,Percent of Total Billed Charges,,,,,4204.8,,,,,,,Percent of Total Billed Charges,,,,,1051.2,,,,,,,Percent of Total Billed Charges,,,, SKIN SUB GRAFT TRNK/ARM/LEG 40-54MIN ,15271,CPT,,Outpatient,,,5470,4376,4086.09,,,,,,,Percent of Total Billed Charges,,4086.09,4086.09,,5470,,,,,,,Percent of Total Billed Charges,,,,,5251.2,,,,,,,Percent of Total Billed Charges,,,,,5196.5,,,,,,,Percent of Total Billed Charges,,,,,1094,,,,,,,Percent of Total Billed Charges,,,,,4649.5,,,,,,,Percent of Total Billed Charges,,,,,1148.7,,,,,,,Percent of Total Billed Charges,,,,,4923,,,,,,,Percent of Total Billed Charges,,,,,4923,,,,,,,Percent of Total Billed Charges,,,,,1094,,,,,,,Percent of Total Billed Charges,,,,,1531.6,,,,,,,Percent of Total Billed Charges,,,,,4376,,,,,,,Percent of Total Billed Charges,,,,,1094,,,,,,,Percent of Total Billed Charges,,,, SKIN SUB GRAFT T/ARM/LG CHILD 20-29MIN ,15273,CPT,,Outpatient,,,9193,7354.4,6867.17,,,,,,,Percent of Total Billed Charges,,6867.17,6867.17,,9193,,,,,,,Percent of Total Billed Charges,,,,,8825.28,,,,,,,Percent of Total Billed Charges,,,,,8733.35,,,,,,,Percent of Total Billed Charges,,,,,1838.6,,,,,,,Percent of Total Billed Charges,,,,,7814.05,,,,,,,Percent of Total Billed Charges,,,,,1930.53,,,,,,,Percent of Total Billed Charges,,,,,8273.7,,,,,,,Percent of Total Billed Charges,,,,,8273.7,,,,,,,Percent of Total Billed Charges,,,,,1838.6,,,,,,,Percent of Total Billed Charges,,,,,2574.04,,,,,,,Percent of Total Billed Charges,,,,,7354.4,,,,,,,Percent of Total Billed Charges,,,,,1838.6,,,,,,,Percent of Total Billed Charges,,,, SKIN SUB GRAFT T/ARM/LG CHILD 30-39MIN ,15273,CPT,,Outpatient,,,9319,7455.2,6961.29,,,,,,,Percent of Total Billed Charges,,6961.29,6961.29,,9319,,,,,,,Percent of Total Billed Charges,,,,,8946.24,,,,,,,Percent of Total Billed Charges,,,,,8853.05,,,,,,,Percent of Total Billed Charges,,,,,1863.8,,,,,,,Percent of Total Billed Charges,,,,,7921.15,,,,,,,Percent of Total Billed Charges,,,,,1956.99,,,,,,,Percent of Total Billed Charges,,,,,8387.1,,,,,,,Percent of Total Billed Charges,,,,,8387.1,,,,,,,Percent of Total Billed Charges,,,,,1863.8,,,,,,,Percent of Total Billed Charges,,,,,2609.32,,,,,,,Percent of Total Billed Charges,,,,,7455.2,,,,,,,Percent of Total Billed Charges,,,,,1863.8,,,,,,,Percent of Total Billed Charges,,,, SKIN SUB GRAFT T/ARM/LG CHILD 40-54MIN ,15273,CPT,,Outpatient,,,9533,7626.4,7121.15,,,,,,,Percent of Total Billed Charges,,7121.15,7121.15,,9533,,,,,,,Percent of Total Billed Charges,,,,,9151.68,,,,,,,Percent of Total Billed Charges,,,,,9056.35,,,,,,,Percent of Total Billed Charges,,,,,1906.6,,,,,,,Percent of Total Billed Charges,,,,,8103.05,,,,,,,Percent of Total Billed Charges,,,,,2001.93,,,,,,,Percent of Total Billed Charges,,,,,8579.7,,,,,,,Percent of Total Billed Charges,,,,,8579.7,,,,,,,Percent of Total Billed Charges,,,,,1906.6,,,,,,,Percent of Total Billed Charges,,,,,2669.24,,,,,,,Percent of Total Billed Charges,,,,,7626.4,,,,,,,Percent of Total Billed Charges,,,,,1906.6,,,,,,,Percent of Total Billed Charges,,,, SKIN SUB GRAFT FACE/NK/HG/G 20-29MIN ,15275,CPT,,Outpatient,,,5130,4104,3832.11,,,,,,,Percent of Total Billed Charges,,3832.11,3832.11,,5130,,,,,,,Percent of Total Billed Charges,,,,,4924.8,,,,,,,Percent of Total Billed Charges,,,,,4873.5,,,,,,,Percent of Total Billed Charges,,,,,1026,,,,,,,Percent of Total Billed Charges,,,,,4360.5,,,,,,,Percent of Total Billed Charges,,,,,1077.3,,,,,,,Percent of Total Billed Charges,,,,,4617,,,,,,,Percent of Total Billed Charges,,,,,4617,,,,,,,Percent of Total Billed Charges,,,,,1026,,,,,,,Percent of Total Billed Charges,,,,,1436.4,,,,,,,Percent of Total Billed Charges,,,,,4104,,,,,,,Percent of Total Billed Charges,,,,,1026,,,,,,,Percent of Total Billed Charges,,,, SKIN SUB GRAFT FACE/NK/HG/G 30-39MIN ,15275,CPT,,Outpatient,,,5256,4204.8,3926.23,,,,,,,Percent of Total Billed Charges,,3926.23,3926.23,,5256,,,,,,,Percent of Total Billed Charges,,,,,5045.76,,,,,,,Percent of Total Billed Charges,,,,,4993.2,,,,,,,Percent of Total Billed Charges,,,,,1051.2,,,,,,,Percent of Total Billed Charges,,,,,4467.6,,,,,,,Percent of Total Billed Charges,,,,,1103.76,,,,,,,Percent of Total Billed Charges,,,,,4730.4,,,,,,,Percent of Total Billed Charges,,,,,4730.4,,,,,,,Percent of Total Billed Charges,,,,,1051.2,,,,,,,Percent of Total Billed Charges,,,,,1471.68,,,,,,,Percent of Total Billed Charges,,,,,4204.8,,,,,,,Percent of Total Billed Charges,,,,,1051.2,,,,,,,Percent of Total Billed Charges,,,, SKIN SUB GRAFT FACE/NK/HG/G 40-54MIN ,15275,CPT,,Outpatient,,,5470,4376,4086.09,,,,,,,Percent of Total Billed Charges,,4086.09,4086.09,,5470,,,,,,,Percent of Total Billed Charges,,,,,5251.2,,,,,,,Percent of Total Billed Charges,,,,,5196.5,,,,,,,Percent of Total Billed Charges,,,,,1094,,,,,,,Percent of Total Billed Charges,,,,,4649.5,,,,,,,Percent of Total Billed Charges,,,,,1148.7,,,,,,,Percent of Total Billed Charges,,,,,4923,,,,,,,Percent of Total Billed Charges,,,,,4923,,,,,,,Percent of Total Billed Charges,,,,,1094,,,,,,,Percent of Total Billed Charges,,,,,1531.6,,,,,,,Percent of Total Billed Charges,,,,,4376,,,,,,,Percent of Total Billed Charges,,,,,1094,,,,,,,Percent of Total Billed Charges,,,, DRESS/DEBRID P-THICK BURN SM ,16020,CPT,,Outpatient,,,516,412.8,385.45,,,,,,,Percent of Total Billed Charges,,385.45,385.45,,516,,,,,,,Percent of Total Billed Charges,,,,,495.36,,,,,,,Percent of Total Billed Charges,,,,,490.2,,,,,,,Percent of Total Billed Charges,,,,,103.2,,,,,,,Percent of Total Billed Charges,,,,,438.6,,,,,,,Percent of Total Billed Charges,,,,,108.36,,,,,,,Percent of Total Billed Charges,,,,,464.4,,,,,,,Percent of Total Billed Charges,,,,,464.4,,,,,,,Percent of Total Billed Charges,,,,,103.2,,,,,,,Percent of Total Billed Charges,,,,,144.48,,,,,,,Percent of Total Billed Charges,,,,,412.8,,,,,,,Percent of Total Billed Charges,,,,,103.2,,,,,,,Percent of Total Billed Charges,,,, DRESS/DEBRID P-THICK BURN MD ,16025,CPT,,Outpatient,,,737,589.6,550.54,,,,,,,Percent of Total Billed Charges,,550.54,550.54,,737,,,,,,,Percent of Total Billed Charges,,,,,707.52,,,,,,,Percent of Total Billed Charges,,,,,700.15,,,,,,,Percent of Total Billed Charges,,,,,147.4,,,,,,,Percent of Total Billed Charges,,,,,626.45,,,,,,,Percent of Total Billed Charges,,,,,154.77,,,,,,,Percent of Total Billed Charges,,,,,663.3,,,,,,,Percent of Total Billed Charges,,,,,663.3,,,,,,,Percent of Total Billed Charges,,,,,147.4,,,,,,,Percent of Total Billed Charges,,,,,206.36,,,,,,,Percent of Total Billed Charges,,,,,589.6,,,,,,,Percent of Total Billed Charges,,,,,147.4,,,,,,,Percent of Total Billed Charges,,,, PRO FEE SMALL/MED ,11010,CPT,,Outpatient,,,1404,1123.2,1048.79,,,,,,,Percent of Total Billed Charges,,1048.79,1048.79,,1404,,,,,,,Percent of Total Billed Charges,,,,,1347.84,,,,,,,Percent of Total Billed Charges,,,,,1333.8,,,,,,,Percent of Total Billed Charges,,,,,280.8,,,,,,,Percent of Total Billed Charges,,,,,1193.4,,,,,,,Percent of Total Billed Charges,,,,,294.84,,,,,,,Percent of Total Billed Charges,,,,,1263.6,,,,,,,Percent of Total Billed Charges,,,,,1263.6,,,,,,,Percent of Total Billed Charges,,,,,280.8,,,,,,,Percent of Total Billed Charges,,,,,393.12,,,,,,,Percent of Total Billed Charges,,,,,1123.2,,,,,,,Percent of Total Billed Charges,,,,,280.8,,,,,,,Percent of Total Billed Charges,,,, PRO FEE MED/LRG ,11012,CPT,,Outpatient,,,2019,1615.2,1508.19,,,,,,,Percent of Total Billed Charges,,1508.19,1508.19,,2019,,,,,,,Percent of Total Billed Charges,,,,,1938.24,,,,,,,Percent of Total Billed Charges,,,,,1918.05,,,,,,,Percent of Total Billed Charges,,,,,403.8,,,,,,,Percent of Total Billed Charges,,,,,1716.15,,,,,,,Percent of Total Billed Charges,,,,,423.99,,,,,,,Percent of Total Billed Charges,,,,,1817.1,,,,,,,Percent of Total Billed Charges,,,,,1817.1,,,,,,,Percent of Total Billed Charges,,,,,403.8,,,,,,,Percent of Total Billed Charges,,,,,565.32,,,,,,,Percent of Total Billed Charges,,,,,1615.2,,,,,,,Percent of Total Billed Charges,,,,,403.8,,,,,,,Percent of Total Billed Charges,,,, OP ROOM FEE 15-29 MIN ,99202,CPT,,Outpatient,,,269.5,215.6,201.32,,,,,,,Percent of Total Billed Charges,,201.32,201.32,,269.5,,,,,,,Percent of Total Billed Charges,,,,,258.72,,,,,,,Percent of Total Billed Charges,,,,,256.03,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,,,229.08,,,,,,,Percent of Total Billed Charges,,,,,56.6,,,,,,,Percent of Total Billed Charges,,,,,242.55,,,,,,,Percent of Total Billed Charges,,,,,242.55,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,,,75.46,,,,,,,Percent of Total Billed Charges,,,,,215.6,,,,,,,Percent of Total Billed Charges,,,,,53.9,,,,,,,Percent of Total Billed Charges,,,, OP ROOM FEE 30-44 MIN ,99203,CPT,,Outpatient,,,380.5,304.4,284.23,,,,,,,Percent of Total Billed Charges,,284.23,284.23,,380.5,,,,,,,Percent of Total Billed Charges,,,,,365.28,,,,,,,Percent of Total Billed Charges,,,,,361.48,,,,,,,Percent of Total Billed Charges,,,,,76.1,,,,,,,Percent of Total Billed Charges,,,,,323.43,,,,,,,Percent of Total Billed Charges,,,,,79.91,,,,,,,Percent of Total Billed Charges,,,,,342.45,,,,,,,Percent of Total Billed Charges,,,,,342.45,,,,,,,Percent of Total Billed Charges,,,,,76.1,,,,,,,Percent of Total Billed Charges,,,,,106.54,,,,,,,Percent of Total Billed Charges,,,,,304.4,,,,,,,Percent of Total Billed Charges,,,,,76.1,,,,,,,Percent of Total Billed Charges,,,, OP ROOM FEE 45-49 MIN ,99204,CPT,,Outpatient,,,581,464.8,434.01,,,,,,,Percent of Total Billed Charges,,434.01,434.01,,581,,,,,,,Percent of Total Billed Charges,,,,,557.76,,,,,,,Percent of Total Billed Charges,,,,,551.95,,,,,,,Percent of Total Billed Charges,,,,,116.2,,,,,,,Percent of Total Billed Charges,,,,,493.85,,,,,,,Percent of Total Billed Charges,,,,,122.01,,,,,,,Percent of Total Billed Charges,,,,,522.9,,,,,,,Percent of Total Billed Charges,,,,,522.9,,,,,,,Percent of Total Billed Charges,,,,,116.2,,,,,,,Percent of Total Billed Charges,,,,,162.68,,,,,,,Percent of Total Billed Charges,,,,,464.8,,,,,,,Percent of Total Billed Charges,,,,,116.2,,,,,,,Percent of Total Billed Charges,,,, OP ROOM FEE 10-19 MIN ,99212,CPT,,Outpatient,,,162.5,130,121.39,,,,,,,Percent of Total Billed Charges,,121.39,121.39,,162.5,,,,,,,Percent of Total Billed Charges,,,,,156,,,,,,,Percent of Total Billed Charges,,,,,154.38,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,,,138.13,,,,,,,Percent of Total Billed Charges,,,,,34.13,,,,,,,Percent of Total Billed Charges,,,,,146.25,,,,,,,Percent of Total Billed Charges,,,,,146.25,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,,,45.5,,,,,,,Percent of Total Billed Charges,,,,,130,,,,,,,Percent of Total Billed Charges,,,,,32.5,,,,,,,Percent of Total Billed Charges,,,, OP ROOM FEE 20-29MIN ,99213,CPT,,Outpatient,,,267,213.6,199.45,,,,,,,Percent of Total Billed Charges,,199.45,199.45,,267,,,,,,,Percent of Total Billed Charges,,,,,256.32,,,,,,,Percent of Total Billed Charges,,,,,253.65,,,,,,,Percent of Total Billed Charges,,,,,53.4,,,,,,,Percent of Total Billed Charges,,,,,226.95,,,,,,,Percent of Total Billed Charges,,,,,56.07,,,,,,,Percent of Total Billed Charges,,,,,240.3,,,,,,,Percent of Total Billed Charges,,,,,240.3,,,,,,,Percent of Total Billed Charges,,,,,53.4,,,,,,,Percent of Total Billed Charges,,,,,74.76,,,,,,,Percent of Total Billed Charges,,,,,213.6,,,,,,,Percent of Total Billed Charges,,,,,53.4,,,,,,,Percent of Total Billed Charges,,,, OP ROOM FEE 30-39 MIN ,99214,CPT,,Outpatient,,,384,307.2,286.85,,,,,,,Percent of Total Billed Charges,,286.85,286.85,,384,,,,,,,Percent of Total Billed Charges,,,,,368.64,,,,,,,Percent of Total Billed Charges,,,,,364.8,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,326.4,,,,,,,Percent of Total Billed Charges,,,,,80.64,,,,,,,Percent of Total Billed Charges,,,,,345.6,,,,,,,Percent of Total Billed Charges,,,,,345.6,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,107.52,,,,,,,Percent of Total Billed Charges,,,,,307.2,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,, SKIN SUB GRAFT TRNK/ARM/LEG ADD/25SQCM ,15272,CPT,,Outpatient,,,100,80,74.7,,,,,,,Percent of Total Billed Charges,,74.7,74.7,,100,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,95,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,85,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,, SKIN SUB GRAFT FACE/NK/HG/G ADD/25SQCM ,15276,CPT,,Outpatient,,,100,80,74.7,,,,,,,Percent of Total Billed Charges,,74.7,74.7,,100,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,95,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,85,,,,,,,Percent of Total Billed Charges,,,,,21,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,90,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,,,28,,,,,,,Percent of Total Billed Charges,,,,,80,,,,,,,Percent of Total Billed Charges,,,,,20,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ MUSCLE/FASCIA 20SQ 20-29MIN ,11043,CPT,,Outpatient,,,747,597.6,558.01,,,,,,,Percent of Total Billed Charges,,558.01,558.01,,747,,,,,,,Percent of Total Billed Charges,,,,,717.12,,,,,,,Percent of Total Billed Charges,,,,,709.65,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,634.95,,,,,,,Percent of Total Billed Charges,,,,,156.87,,,,,,,Percent of Total Billed Charges,,,,,672.3,,,,,,,Percent of Total Billed Charges,,,,,672.3,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,,,209.16,,,,,,,Percent of Total Billed Charges,,,,,597.6,,,,,,,Percent of Total Billed Charges,,,,,149.4,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ MUSCLE/FASCIA 20SQ 30-39MIN ,11043,CPT,,Outpatient,,,772,617.6,576.68,,,,,,,Percent of Total Billed Charges,,576.68,576.68,,772,,,,,,,Percent of Total Billed Charges,,,,,741.12,,,,,,,Percent of Total Billed Charges,,,,,733.4,,,,,,,Percent of Total Billed Charges,,,,,154.4,,,,,,,Percent of Total Billed Charges,,,,,656.2,,,,,,,Percent of Total Billed Charges,,,,,162.12,,,,,,,Percent of Total Billed Charges,,,,,694.8,,,,,,,Percent of Total Billed Charges,,,,,694.8,,,,,,,Percent of Total Billed Charges,,,,,154.4,,,,,,,Percent of Total Billed Charges,,,,,216.16,,,,,,,Percent of Total Billed Charges,,,,,617.6,,,,,,,Percent of Total Billed Charges,,,,,154.4,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ MUSCLE/FASCIA 20SQ 40-54MIN ,11043,CPT,,Outpatient,,,872,697.6,651.38,,,,,,,Percent of Total Billed Charges,,651.38,651.38,,872,,,,,,,Percent of Total Billed Charges,,,,,837.12,,,,,,,Percent of Total Billed Charges,,,,,828.4,,,,,,,Percent of Total Billed Charges,,,,,174.4,,,,,,,Percent of Total Billed Charges,,,,,741.2,,,,,,,Percent of Total Billed Charges,,,,,183.12,,,,,,,Percent of Total Billed Charges,,,,,784.8,,,,,,,Percent of Total Billed Charges,,,,,784.8,,,,,,,Percent of Total Billed Charges,,,,,174.4,,,,,,,Percent of Total Billed Charges,,,,,244.16,,,,,,,Percent of Total Billed Charges,,,,,697.6,,,,,,,Percent of Total Billed Charges,,,,,174.4,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ BONE 20SQ CM 20-29MIN ,11044,CPT,,Outpatient,,,984,787.2,735.05,,,,,,,Percent of Total Billed Charges,,735.05,735.05,,984,,,,,,,Percent of Total Billed Charges,,,,,944.64,,,,,,,Percent of Total Billed Charges,,,,,934.8,,,,,,,Percent of Total Billed Charges,,,,,196.8,,,,,,,Percent of Total Billed Charges,,,,,836.4,,,,,,,Percent of Total Billed Charges,,,,,206.64,,,,,,,Percent of Total Billed Charges,,,,,885.6,,,,,,,Percent of Total Billed Charges,,,,,885.6,,,,,,,Percent of Total Billed Charges,,,,,196.8,,,,,,,Percent of Total Billed Charges,,,,,275.52,,,,,,,Percent of Total Billed Charges,,,,,787.2,,,,,,,Percent of Total Billed Charges,,,,,196.8,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ BONE 20SQ CM 30-39MIN ,11044,CPT,,Outpatient,,,1009,807.2,753.72,,,,,,,Percent of Total Billed Charges,,753.72,753.72,,1009,,,,,,,Percent of Total Billed Charges,,,,,968.64,,,,,,,Percent of Total Billed Charges,,,,,958.55,,,,,,,Percent of Total Billed Charges,,,,,201.8,,,,,,,Percent of Total Billed Charges,,,,,857.65,,,,,,,Percent of Total Billed Charges,,,,,211.89,,,,,,,Percent of Total Billed Charges,,,,,908.1,,,,,,,Percent of Total Billed Charges,,,,,908.1,,,,,,,Percent of Total Billed Charges,,,,,201.8,,,,,,,Percent of Total Billed Charges,,,,,282.52,,,,,,,Percent of Total Billed Charges,,,,,807.2,,,,,,,Percent of Total Billed Charges,,,,,201.8,,,,,,,Percent of Total Billed Charges,,,, DEB SUBQ BONE 20SQ CM 40-54MIN ,11044,CPT,,Outpatient,,,1109,887.2,828.42,,,,,,,Percent of Total Billed Charges,,828.42,828.42,,1109,,,,,,,Percent of Total Billed Charges,,,,,1064.64,,,,,,,Percent of Total Billed Charges,,,,,1053.55,,,,,,,Percent of Total Billed Charges,,,,,221.8,,,,,,,Percent of Total Billed Charges,,,,,942.65,,,,,,,Percent of Total Billed Charges,,,,,232.89,,,,,,,Percent of Total Billed Charges,,,,,998.1,,,,,,,Percent of Total Billed Charges,,,,,998.1,,,,,,,Percent of Total Billed Charges,,,,,221.8,,,,,,,Percent of Total Billed Charges,,,,,310.52,,,,,,,Percent of Total Billed Charges,,,,,887.2,,,,,,,Percent of Total Billed Charges,,,,,221.8,,,,,,,Percent of Total Billed Charges,,,, APLIGRAFF44sq cm ,Q4101 ,CPT,,Outpatient,,,93,74.4,69.47,,,,,,,Percent of Total Billed Charges,,69.47,69.47,,93,,,,,,,Percent of Total Billed Charges,,,,,89.28,,,,,,,Percent of Total Billed Charges,,,,,88.35,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,79.05,,,,,,,Percent of Total Billed Charges,,,,,19.53,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,83.7,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,,,26.04,,,,,,,Percent of Total Billed Charges,,,,,74.4,,,,,,,Percent of Total Billed Charges,,,,,18.6,,,,,,,Percent of Total Billed Charges,,,, EPIFIX14mm ,Q4186 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, EPIFIX 18mm ,Q4186 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, EPIFIX 2x2 ,Q4186 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, EPIFIX2x3 ,Q4186 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, EPIFIX3.5x3.5 mesh ,Q4186 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, GRAFIX CORE 1.5cmx2cm ,Q4132 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, GRAFIX CORE 2x3cm ,Q4132 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, GRAFIX CORE 3x4cm ,Q4132 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, GRAFIX PRIME 16mm ,Q4133 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, GRAFIX PRIME 3cmx4cm ,Q4133 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, KERECIS OMEGA 1.75x1.75 ,Q4158 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, KERECIS OMEGA 16mm ,Q4158 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, KERECIS OMEGA 3x3.5 cm fene ,Q4158 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, KERECIS OMEGA 3x3.5cm solid ,Q4158 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, KERECIS OMEGA 3x7cm fene ,Q4158 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, KERECIS OMEGA 3x7cm solid ,Q4158 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, KERECIS OMEGA 7x7cm solid ,Q4158 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, PURAPLY AM 16sq ,Q4196 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, PURAPLY AM 2x2cm ,Q4196 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, PURAPLY AM 2x4 cm ,Q4196 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, THERASKIN 1x1 ,Q4121 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, THERASKIN 1x2 ,Q4121 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, THERASKIN 2x3 ,Q4121 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, SNAP PRESSURE WOUND TX<=50CM ,97605,CPT,,Outpatient,,,409,327.2,305.52,,,,,,,Percent of Total Billed Charges,,305.52,305.52,,409,,,,,,,Percent of Total Billed Charges,,,,,392.64,,,,,,,Percent of Total Billed Charges,,,,,388.55,,,,,,,Percent of Total Billed Charges,,,,,81.8,,,,,,,Percent of Total Billed Charges,,,,,347.65,,,,,,,Percent of Total Billed Charges,,,,,85.89,,,,,,,Percent of Total Billed Charges,,,,,368.1,,,,,,,Percent of Total Billed Charges,,,,,368.1,,,,,,,Percent of Total Billed Charges,,,,,81.8,,,,,,,Percent of Total Billed Charges,,,,,114.52,,,,,,,Percent of Total Billed Charges,,,,,327.2,,,,,,,Percent of Total Billed Charges,,,,,81.8,,,,,,,Percent of Total Billed Charges,,,, KERECIS OMEGA 8cm ,Q4158 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, KERECIS OMEGA19cm ,Q4158 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, KERECIS OMEGA 19cm ,Q4158 ,CPT,,Outpatient,,,480,384,358.56,,,,,,,Percent of Total Billed Charges,,358.56,358.56,,480,,,,,,,Percent of Total Billed Charges,,,,,460.8,,,,,,,Percent of Total Billed Charges,,,,,456,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,408,,,,,,,Percent of Total Billed Charges,,,,,100.8,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,432,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,,,134.4,,,,,,,Percent of Total Billed Charges,,,,,384,,,,,,,Percent of Total Billed Charges,,,,,96,,,,,,,Percent of Total Billed Charges,,,, DERMASPAN .5-.9mm 2x2cm ,Q4126 ,CPT,,Outpatient,,,748,598.4,558.76,,,,,,,Percent of Total Billed Charges,,558.76,558.76,,748,,,,,,,Percent of Total Billed Charges,,,,,718.08,,,,,,,Percent of Total Billed Charges,,,,,710.6,,,,,,,Percent of Total Billed Charges,,,,,149.6,,,,,,,Percent of Total Billed Charges,,,,,635.8,,,,,,,Percent of Total Billed Charges,,,,,157.08,,,,,,,Percent of Total Billed Charges,,,,,673.2,,,,,,,Percent of Total Billed Charges,,,,,673.2,,,,,,,Percent of Total Billed Charges,,,,,149.6,,,,,,,Percent of Total Billed Charges,,,,,209.44,,,,,,,Percent of Total Billed Charges,,,,,598.4,,,,,,,Percent of Total Billed Charges,,,,,149.6,,,,,,,Percent of Total Billed Charges,,,, DERMASPAN .5-.9mm 2x3cm ,Q4126 ,CPT,,Outpatient,,,1123,898.4,838.88,,,,,,,Percent of Total Billed Charges,,838.88,838.88,,1123,,,,,,,Percent of Total Billed Charges,,,,,1078.08,,,,,,,Percent of Total Billed Charges,,,,,1066.85,,,,,,,Percent of Total Billed Charges,,,,,224.6,,,,,,,Percent of Total Billed Charges,,,,,954.55,,,,,,,Percent of Total Billed Charges,,,,,235.83,,,,,,,Percent of Total Billed Charges,,,,,1010.7,,,,,,,Percent of Total Billed Charges,,,,,1010.7,,,,,,,Percent of Total Billed Charges,,,,,224.6,,,,,,,Percent of Total Billed Charges,,,,,314.44,,,,,,,Percent of Total Billed Charges,,,,,898.4,,,,,,,Percent of Total Billed Charges,,,,,224.6,,,,,,,Percent of Total Billed Charges,,,, DERMASPAN .5-.9mm 2x4cm ,Q4126 ,CPT,,Outpatient,,,1799,1439.2,1343.85,,,,,,,Percent of Total Billed Charges,,1343.85,1343.85,,1799,,,,,,,Percent of Total Billed Charges,,,,,1727.04,,,,,,,Percent of Total Billed Charges,,,,,1709.05,,,,,,,Percent of Total Billed Charges,,,,,359.8,,,,,,,Percent of Total Billed Charges,,,,,1529.15,,,,,,,Percent of Total Billed Charges,,,,,377.79,,,,,,,Percent of Total Billed Charges,,,,,1619.1,,,,,,,Percent of Total Billed Charges,,,,,1619.1,,,,,,,Percent of Total Billed Charges,,,,,359.8,,,,,,,Percent of Total Billed Charges,,,,,503.72,,,,,,,Percent of Total Billed Charges,,,,,1439.2,,,,,,,Percent of Total Billed Charges,,,,,359.8,,,,,,,Percent of Total Billed Charges,,,, AMNIOREPAIR 16mm ,Q4235 ,CPT,,Outpatient,,,1339,1071.2,1000.23,,,,,,,Percent of Total Billed Charges,,1000.23,1000.23,,1339,,,,,,,Percent of Total Billed Charges,,,,,1285.44,,,,,,,Percent of Total Billed Charges,,,,,1272.05,,,,,,,Percent of Total Billed Charges,,,,,267.8,,,,,,,Percent of Total Billed Charges,,,,,1138.15,,,,,,,Percent of Total Billed Charges,,,,,281.19,,,,,,,Percent of Total Billed Charges,,,,,1205.1,,,,,,,Percent of Total Billed Charges,,,,,1205.1,,,,,,,Percent of Total Billed Charges,,,,,267.8,,,,,,,Percent of Total Billed Charges,,,,,374.92,,,,,,,Percent of Total Billed Charges,,,,,1071.2,,,,,,,Percent of Total Billed Charges,,,,,267.8,,,,,,,Percent of Total Billed Charges,,,, AMNIOREPAIR 2x2cm ,Q4235 ,CPT,,Outpatient,,,3240,2592,2420.28,,,,,,,Percent of Total Billed Charges,,2420.28,2420.28,,3240,,,,,,,Percent of Total Billed Charges,,,,,3110.4,,,,,,,Percent of Total Billed Charges,,,,,3078,,,,,,,Percent of Total Billed Charges,,,,,648,,,,,,,Percent of Total Billed Charges,,,,,2754,,,,,,,Percent of Total Billed Charges,,,,,680.4,,,,,,,Percent of Total Billed Charges,,,,,2916,,,,,,,Percent of Total Billed Charges,,,,,2916,,,,,,,Percent of Total Billed Charges,,,,,648,,,,,,,Percent of Total Billed Charges,,,,,907.2,,,,,,,Percent of Total Billed Charges,,,,,2592,,,,,,,Percent of Total Billed Charges,,,,,648,,,,,,,Percent of Total Billed Charges,,,, AMINOREPAIR 2x3cm ,Q4235 ,CPT,,Outpatient,,,3391,2712.8,2533.08,,,,,,,Percent of Total Billed Charges,,2533.08,2533.08,,3391,,,,,,,Percent of Total Billed Charges,,,,,3255.36,,,,,,,Percent of Total Billed Charges,,,,,3221.45,,,,,,,Percent of Total Billed Charges,,,,,678.2,,,,,,,Percent of Total Billed Charges,,,,,2882.35,,,,,,,Percent of Total Billed Charges,,,,,712.11,,,,,,,Percent of Total Billed Charges,,,,,3051.9,,,,,,,Percent of Total Billed Charges,,,,,3051.9,,,,,,,Percent of Total Billed Charges,,,,,678.2,,,,,,,Percent of Total Billed Charges,,,,,949.48,,,,,,,Percent of Total Billed Charges,,,,,2712.8,,,,,,,Percent of Total Billed Charges,,,,,678.2,,,,,,,Percent of Total Billed Charges,,,, AMINOREPAIR 2x4cm ,Q4235 ,CPT,,Outpatient,,,3910,3128,2920.77,,,,,,,Percent of Total Billed Charges,,2920.77,2920.77,,3910,,,,,,,Percent of Total Billed Charges,,,,,3753.6,,,,,,,Percent of Total Billed Charges,,,,,3714.5,,,,,,,Percent of Total Billed Charges,,,,,782,,,,,,,Percent of Total Billed Charges,,,,,3323.5,,,,,,,Percent of Total Billed Charges,,,,,821.1,,,,,,,Percent of Total Billed Charges,,,,,3519,,,,,,,Percent of Total Billed Charges,,,,,3519,,,,,,,Percent of Total Billed Charges,,,,,782,,,,,,,Percent of Total Billed Charges,,,,,1094.8,,,,,,,Percent of Total Billed Charges,,,,,3128,,,,,,,Percent of Total Billed Charges,,,,,782,,,,,,,Percent of Total Billed Charges,,,, ALLERGY TEST ,95004,CPT,,Outpatient,,,5,4,3.74,,,,,,,Percent of Total Billed Charges,,3.74,3.74,,5,,,,,,,Percent of Total Billed Charges,,,,,4.8,,,,,,,Percent of Total Billed Charges,,,,,4.75,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,4.25,,,,,,,Percent of Total Billed Charges,,,,,1.05,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,4.5,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,,,1.4,,,,,,,Percent of Total Billed Charges,,,,,4,,,,,,,Percent of Total Billed Charges,,,,,1,,,,,,,Percent of Total Billed Charges,,,, O/P ROOM FEE 30-39MIN ,99214,CPT,,Outpatient,,,331,264.8,247.26,,,,,,,Percent of Total Billed Charges,,247.26,247.26,,331,,,,,,,Percent of Total Billed Charges,,,,,317.76,,,,,,,Percent of Total Billed Charges,,,,,314.45,,,,,,,Percent of Total Billed Charges,,,,,66.2,,,,,,,Percent of Total Billed Charges,,,,,281.35,,,,,,,Percent of Total Billed Charges,,,,,69.51,,,,,,,Percent of Total Billed Charges,,,,,297.9,,,,,,,Percent of Total Billed Charges,,,,,297.9,,,,,,,Percent of Total Billed Charges,,,,,66.2,,,,,,,Percent of Total Billed Charges,,,,,92.68,,,,,,,Percent of Total Billed Charges,,,,,264.8,,,,,,,Percent of Total Billed Charges,,,,,66.2,,,,,,,Percent of Total Billed Charges,,,, ANTIGEN THERAPY X150 UNITS ,95165,CPT,,Outpatient,,,2400,1920,1792.8,,,,,,,Percent of Total Billed Charges,,1792.8,1792.8,,2400,,,,,,,Percent of Total Billed Charges,,,,,2304,,,,,,,Percent of Total Billed Charges,,,,,2280,,,,,,,Percent of Total Billed Charges,,,,,480,,,,,,,Percent of Total Billed Charges,,,,,2040,,,,,,,Percent of Total Billed Charges,,,,,504,,,,,,,Percent of Total Billed Charges,,,,,2160,,,,,,,Percent of Total Billed Charges,,,,,2160,,,,,,,Percent of Total Billed Charges,,,,,480,,,,,,,Percent of Total Billed Charges,,,,,672,,,,,,,Percent of Total Billed Charges,,,,,1920,,,,,,,Percent of Total Billed Charges,,,,,480,,,,,,,Percent of Total Billed Charges,,,, ANTIGEN THERAPY X180 UNITS ,95165,CPT,,Outpatient,,,3240,2592,2420.28,,,,,,,Percent of Total Billed Charges,,2420.28,2420.28,,3240,,,,,,,Percent of Total Billed Charges,,,,,3110.4,,,,,,,Percent of Total Billed Charges,,,,,3078,,,,,,,Percent of Total Billed Charges,,,,,648,,,,,,,Percent of Total Billed Charges,,,,,2754,,,,,,,Percent of Total Billed Charges,,,,,680.4,,,,,,,Percent of Total Billed Charges,,,,,2916,,,,,,,Percent of Total Billed Charges,,,,,2916,,,,,,,Percent of Total Billed Charges,,,,,648,,,,,,,Percent of Total Billed Charges,,,,,907.2,,,,,,,Percent of Total Billed Charges,,,,,2592,,,,,,,Percent of Total Billed Charges,,,,,648,,,,,,,Percent of Total Billed Charges,,,, ANTIGEN THERAPY X200 UNITS ,95165,CPT,,Outpatient,,,4000,3200,2988,,,,,,,Percent of Total Billed Charges,,2988,2988,,4000,,,,,,,Percent of Total Billed Charges,,,,,3840,,,,,,,Percent of Total Billed Charges,,,,,3800,,,,,,,Percent of Total Billed Charges,,,,,800,,,,,,,Percent of Total Billed Charges,,,,,3400,,,,,,,Percent of Total Billed Charges,,,,,840,,,,,,,Percent of Total Billed Charges,,,,,3600,,,,,,,Percent of Total Billed Charges,,,,,3600,,,,,,,Percent of Total Billed Charges,,,,,800,,,,,,,Percent of Total Billed Charges,,,,,1120,,,,,,,Percent of Total Billed Charges,,,,,3200,,,,,,,Percent of Total Billed Charges,,,,,800,,,,,,,Percent of Total Billed Charges,,,, CONSULT FEE ,99214,CPT,,Outpatient,,,331,264.8,247.26,,,,,,,Percent of Total Billed Charges,,247.26,247.26,,331,,,,,,,Percent of Total Billed Charges,,,,,317.76,,,,,,,Percent of Total Billed Charges,,,,,314.45,,,,,,,Percent of Total Billed Charges,,,,,66.2,,,,,,,Percent of Total Billed Charges,,,,,281.35,,,,,,,Percent of Total Billed Charges,,,,,69.51,,,,,,,Percent of Total Billed Charges,,,,,297.9,,,,,,,Percent of Total Billed Charges,,,,,297.9,,,,,,,Percent of Total Billed Charges,,,,,66.2,,,,,,,Percent of Total Billed Charges,,,,,92.68,,,,,,,Percent of Total Billed Charges,,,,,264.8,,,,,,,Percent of Total Billed Charges,,,,,66.2,,,,,,,Percent of Total Billed Charges,,,, CTA PELVIS ,72191TC ,CPT,,Outpatient,,,4536,3628.8,3388.39,,,,,,,Percent of Total Billed Charges,,3388.39,3388.39,,4536,,,,,,,Percent of Total Billed Charges,,,,,4354.56,,,,,,,Percent of Total Billed Charges,,,,,4309.2,,,,,,,Percent of Total Billed Charges,,,,,907.2,,,,,,,Percent of Total Billed Charges,,,,,3855.6,,,,,,,Percent of Total Billed Charges,,,,,952.56,,,,,,,Percent of Total Billed Charges,,,,,4082.4,,,,,,,Percent of Total Billed Charges,,,,,4082.4,,,,,,,Percent of Total Billed Charges,,,,,907.2,,,,,,,Percent of Total Billed Charges,,,,,1270.08,,,,,,,Percent of Total Billed Charges,,,,,3628.8,,,,,,,Percent of Total Billed Charges,,,,,907.2,,,,,,,Percent of Total Billed Charges,,,, CTA ABD ,74175TC ,CPT,,Outpatient,,,4536,3628.8,3388.39,,,,,,,Percent of Total Billed Charges,,3388.39,3388.39,,4536,,,,,,,Percent of Total Billed Charges,,,,,4354.56,,,,,,,Percent of Total Billed Charges,,,,,4309.2,,,,,,,Percent of Total Billed Charges,,,,,907.2,,,,,,,Percent of Total Billed Charges,,,,,3855.6,,,,,,,Percent of Total Billed Charges,,,,,952.56,,,,,,,Percent of Total Billed Charges,,,,,4082.4,,,,,,,Percent of Total Billed Charges,,,,,4082.4,,,,,,,Percent of Total Billed Charges,,,,,907.2,,,,,,,Percent of Total Billed Charges,,,,,1270.08,,,,,,,Percent of Total Billed Charges,,,,,3628.8,,,,,,,Percent of Total Billed Charges,,,,,907.2,,,,,,,Percent of Total Billed Charges,,,, CT FACIAL BONES W/CONTRAST ,70487TC ,CPT,,Outpatient,,,3977,3181.6,2970.82,,,,,,,Percent of Total Billed Charges,,2970.82,2970.82,,3977,,,,,,,Percent of Total Billed Charges,,,,,3817.92,,,,,,,Percent of Total Billed Charges,,,,,3778.15,,,,,,,Percent of Total Billed Charges,,,,,795.4,,,,,,,Percent of Total Billed Charges,,,,,3380.45,,,,,,,Percent of Total Billed Charges,,,,,835.17,,,,,,,Percent of Total Billed Charges,,,,,3579.3,,,,,,,Percent of Total Billed Charges,,,,,3579.3,,,,,,,Percent of Total Billed Charges,,,,,795.4,,,,,,,Percent of Total Billed Charges,,,,,1113.56,,,,,,,Percent of Total Billed Charges,,,,,3181.6,,,,,,,Percent of Total Billed Charges,,,,,795.4,,,,,,,Percent of Total Billed Charges,,,, ..TEST ONLY VITAMIN A ,84590TC ,CPT,,Outpatient,,,101.5,81.2,75.82,,,,,,,Percent of Total Billed Charges,,75.82,75.82,,101.5,,,,,,,Percent of Total Billed Charges,,,,,97.44,,,,,,,Percent of Total Billed Charges,,,,,96.43,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,86.28,,,,,,,Percent of Total Billed Charges,,,,,21.32,,,,,,,Percent of Total Billed Charges,,,,,91.35,,,,,,,Percent of Total Billed Charges,,,,,91.35,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,,,28.42,,,,,,,Percent of Total Billed Charges,,,,,81.2,,,,,,,Percent of Total Billed Charges,,,,,20.3,,,,,,,Percent of Total Billed Charges,,,, ER DR TRIGGER PT INJ 1-2 MUSCLES ,20552,CPT,,Outpatient,,,226.5,181.2,169.2,,,,,,,Percent of Total Billed Charges,,169.2,169.2,,226.5,,,,,,,Percent of Total Billed Charges,,,,,217.44,,,,,,,Percent of Total Billed Charges,,,,,215.18,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,,,192.53,,,,,,,Percent of Total Billed Charges,,,,,47.57,,,,,,,Percent of Total Billed Charges,,,,,203.85,,,,,,,Percent of Total Billed Charges,,,,,203.85,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,,,63.42,,,,,,,Percent of Total Billed Charges,,,,,181.2,,,,,,,Percent of Total Billed Charges,,,,,45.3,,,,,,,Percent of Total Billed Charges,,,, ER DR US ABDOMEN ,7670526,CPT,,Outpatient,,,463.5,370.8,346.23,,,,,,,Percent of Total Billed Charges,,346.23,346.23,,463.5,,,,,,,Percent of Total Billed Charges,,,,,444.96,,,,,,,Percent of Total Billed Charges,,,,,440.33,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,393.98,,,,,,,Percent of Total Billed Charges,,,,,97.34,,,,,,,Percent of Total Billed Charges,,,,,417.15,,,,,,,Percent of Total Billed Charges,,,,,417.15,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,,,129.78,,,,,,,Percent of Total Billed Charges,,,,,370.8,,,,,,,Percent of Total Billed Charges,,,,,92.7,,,,,,,Percent of Total Billed Charges,,,, MILEAGE NONCOVERED ,A0888QN ,CPT,,Outpatient,,,31.5,25.2,23.53,,,,,,,Percent of Total Billed Charges,,23.53,23.53,,31.5,,,,,,,Percent of Total Billed Charges,,,,,30.24,,,,,,,Percent of Total Billed Charges,,,,,29.93,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,26.78,,,,,,,Percent of Total Billed Charges,,,,,6.62,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,28.35,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,8.82,,,,,,,Percent of Total Billed Charges,,,,,25.2,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,, CORTISOL-SALIVA ,82533TC ,CPT,,Outpatient,,,481,384.8,359.31,,,,,,,Percent of Total Billed Charges,,359.31,359.31,,481,,,,,,,Percent of Total Billed Charges,,,,,461.76,,,,,,,Percent of Total Billed Charges,,,,,456.95,,,,,,,Percent of Total Billed Charges,,,,,96.2,,,,,,,Percent of Total Billed Charges,,,,,408.85,,,,,,,Percent of Total Billed Charges,,,,,101.01,,,,,,,Percent of Total Billed Charges,,,,,432.9,,,,,,,Percent of Total Billed Charges,,,,,432.9,,,,,,,Percent of Total Billed Charges,,,,,96.2,,,,,,,Percent of Total Billed Charges,,,,,134.68,,,,,,,Percent of Total Billed Charges,,,,,384.8,,,,,,,Percent of Total Billed Charges,,,,,96.2,,,,,,,Percent of Total Billed Charges,,,, EXTRACTIBLE NUCLEAR ANTIGENS ,86235TC ,CPT,,Outpatient,,,273,218.4,203.93,,,,,,,Percent of Total Billed Charges,,203.93,203.93,,273,,,,,,,Percent of Total Billed Charges,,,,,262.08,,,,,,,Percent of Total Billed Charges,,,,,259.35,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,232.05,,,,,,,Percent of Total Billed Charges,,,,,57.33,,,,,,,Percent of Total Billed Charges,,,,,245.7,,,,,,,Percent of Total Billed Charges,,,,,245.7,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,,,76.44,,,,,,,Percent of Total Billed Charges,,,,,218.4,,,,,,,Percent of Total Billed Charges,,,,,54.6,,,,,,,Percent of Total Billed Charges,,,, "CYCLIC CITRULLINATED PEPTIDE AB, IGG/A ",86200TC ,CPT,,Outpatient,,,272.5,218,203.56,,,,,,,Percent of Total Billed Charges,,203.56,203.56,,272.5,,,,,,,Percent of Total Billed Charges,,,,,261.6,,,,,,,Percent of Total Billed Charges,,,,,258.88,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,231.63,,,,,,,Percent of Total Billed Charges,,,,,57.23,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,245.25,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,,,76.3,,,,,,,Percent of Total Billed Charges,,,,,218,,,,,,,Percent of Total Billed Charges,,,,,54.5,,,,,,,Percent of Total Billed Charges,,,, UROVYSION FISH ,88120TC ,CPT,,Outpatient,,,988.5,790.8,738.41,,,,,,,Percent of Total Billed Charges,,738.41,738.41,,988.5,,,,,,,Percent of Total Billed Charges,,,,,948.96,,,,,,,Percent of Total Billed Charges,,,,,939.08,,,,,,,Percent of Total Billed Charges,,,,,197.7,,,,,,,Percent of Total Billed Charges,,,,,840.23,,,,,,,Percent of Total Billed Charges,,,,,207.59,,,,,,,Percent of Total Billed Charges,,,,,889.65,,,,,,,Percent of Total Billed Charges,,,,,889.65,,,,,,,Percent of Total Billed Charges,,,,,197.7,,,,,,,Percent of Total Billed Charges,,,,,276.78,,,,,,,Percent of Total Billed Charges,,,,,790.8,,,,,,,Percent of Total Billed Charges,,,,,197.7,,,,,,,Percent of Total Billed Charges,,,, MAGNESIUM ,83735TC ,CPT,,Outpatient,,,147.5,118,110.18,,,,,,,Percent of Total Billed Charges,,110.18,110.18,,147.5,,,,,,,Percent of Total Billed Charges,,,,,141.6,,,,,,,Percent of Total Billed Charges,,,,,140.13,,,,,,,Percent of Total Billed Charges,,,,,29.5,,,,,,,Percent of Total Billed Charges,,,,,125.38,,,,,,,Percent of Total Billed Charges,,,,,30.98,,,,,,,Percent of Total Billed Charges,,,,,132.75,,,,,,,Percent of Total Billed Charges,,,,,132.75,,,,,,,Percent of Total Billed Charges,,,,,29.5,,,,,,,Percent of Total Billed Charges,,,,,41.3,,,,,,,Percent of Total Billed Charges,,,,,118,,,,,,,Percent of Total Billed Charges,,,,,29.5,,,,,,,Percent of Total Billed Charges,,,, TOXOPLASMOSIS AB IGM ,86778TC ,CPT,,Outpatient,,,347,277.6,259.21,,,,,,,Percent of Total Billed Charges,,259.21,259.21,,347,,,,,,,Percent of Total Billed Charges,,,,,333.12,,,,,,,Percent of Total Billed Charges,,,,,329.65,,,,,,,Percent of Total Billed Charges,,,,,69.4,,,,,,,Percent of Total Billed Charges,,,,,294.95,,,,,,,Percent of Total Billed Charges,,,,,72.87,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,312.3,,,,,,,Percent of Total Billed Charges,,,,,69.4,,,,,,,Percent of Total Billed Charges,,,,,97.16,,,,,,,Percent of Total Billed Charges,,,,,277.6,,,,,,,Percent of Total Billed Charges,,,,,69.4,,,,,,,Percent of Total Billed Charges,,,, CT DUPLICATION PER EXAM ,250,RC,,Outpatient,,,22,17.6,16.43,,,,,,,Percent of Total Billed Charges,,16.43,16.43,,22,,,,,,,Percent of Total Billed Charges,,,,,21.12,,,,,,,Percent of Total Billed Charges,,,,,20.9,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,18.7,,,,,,,Percent of Total Billed Charges,,,,,4.62,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,19.8,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,6.16,,,,,,,Percent of Total Billed Charges,,,,,17.6,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,, LUMISON 25 MG EXAM ,250,RC,,Outpatient,,,215,172,160.61,,,,,,,Percent of Total Billed Charges,,160.61,160.61,,215,,,,,,,Percent of Total Billed Charges,,,,,206.4,,,,,,,Percent of Total Billed Charges,,,,,204.25,,,,,,,Percent of Total Billed Charges,,,,,43,,,,,,,Percent of Total Billed Charges,,,,,182.75,,,,,,,Percent of Total Billed Charges,,,,,45.15,,,,,,,Percent of Total Billed Charges,,,,,193.5,,,,,,,Percent of Total Billed Charges,,,,,193.5,,,,,,,Percent of Total Billed Charges,,,,,43,,,,,,,Percent of Total Billed Charges,,,,,60.2,,,,,,,Percent of Total Billed Charges,,,,,172,,,,,,,Percent of Total Billed Charges,,,,,43,,,,,,,Percent of Total Billed Charges,,,, SUPPLY LUMASON ORDER ,250,RC,,Outpatient,,,1032,825.6,770.9,,,,,,,Percent of Total Billed Charges,,770.9,770.9,,1032,,,,,,,Percent of Total Billed Charges,,,,,990.72,,,,,,,Percent of Total Billed Charges,,,,,980.4,,,,,,,Percent of Total Billed Charges,,,,,206.4,,,,,,,Percent of Total Billed Charges,,,,,877.2,,,,,,,Percent of Total Billed Charges,,,,,216.72,,,,,,,Percent of Total Billed Charges,,,,,928.8,,,,,,,Percent of Total Billed Charges,,,,,928.8,,,,,,,Percent of Total Billed Charges,,,,,206.4,,,,,,,Percent of Total Billed Charges,,,,,288.96,,,,,,,Percent of Total Billed Charges,,,,,825.6,,,,,,,Percent of Total Billed Charges,,,,,206.4,,,,,,,Percent of Total Billed Charges,,,, $BNP CARTRIDGES I-STAT ,250,RC,,Outpatient,,,950.5,760.4,710.02,,,,,,,Percent of Total Billed Charges,,710.02,710.02,,950.5,,,,,,,Percent of Total Billed Charges,,,,,912.48,,,,,,,Percent of Total Billed Charges,,,,,902.98,,,,,,,Percent of Total Billed Charges,,,,,190.1,,,,,,,Percent of Total Billed Charges,,,,,807.93,,,,,,,Percent of Total Billed Charges,,,,,199.61,,,,,,,Percent of Total Billed Charges,,,,,855.45,,,,,,,Percent of Total Billed Charges,,,,,855.45,,,,,,,Percent of Total Billed Charges,,,,,190.1,,,,,,,Percent of Total Billed Charges,,,,,266.14,,,,,,,Percent of Total Billed Charges,,,,,760.4,,,,,,,Percent of Total Billed Charges,,,,,190.1,,,,,,,Percent of Total Billed Charges,,,, $L 1 BNP CONTROL I-STAT ,250,RC,,Outpatient,,,295.5,236.4,220.74,,,,,,,Percent of Total Billed Charges,,220.74,220.74,,295.5,,,,,,,Percent of Total Billed Charges,,,,,283.68,,,,,,,Percent of Total Billed Charges,,,,,280.73,,,,,,,Percent of Total Billed Charges,,,,,59.1,,,,,,,Percent of Total Billed Charges,,,,,251.18,,,,,,,Percent of Total Billed Charges,,,,,62.06,,,,,,,Percent of Total Billed Charges,,,,,265.95,,,,,,,Percent of Total Billed Charges,,,,,265.95,,,,,,,Percent of Total Billed Charges,,,,,59.1,,,,,,,Percent of Total Billed Charges,,,,,82.74,,,,,,,Percent of Total Billed Charges,,,,,236.4,,,,,,,Percent of Total Billed Charges,,,,,59.1,,,,,,,Percent of Total Billed Charges,,,, $L 3 BNP CONTROL I-STAT ,250,RC,,Outpatient,,,295.5,236.4,220.74,,,,,,,Percent of Total Billed Charges,,220.74,220.74,,295.5,,,,,,,Percent of Total Billed Charges,,,,,283.68,,,,,,,Percent of Total Billed Charges,,,,,280.73,,,,,,,Percent of Total Billed Charges,,,,,59.1,,,,,,,Percent of Total Billed Charges,,,,,251.18,,,,,,,Percent of Total Billed Charges,,,,,62.06,,,,,,,Percent of Total Billed Charges,,,,,265.95,,,,,,,Percent of Total Billed Charges,,,,,265.95,,,,,,,Percent of Total Billed Charges,,,,,59.1,,,,,,,Percent of Total Billed Charges,,,,,82.74,,,,,,,Percent of Total Billed Charges,,,,,236.4,,,,,,,Percent of Total Billed Charges,,,,,59.1,,,,,,,Percent of Total Billed Charges,,,, $9VOLT BATTERIES ,250,RC,,Outpatient,,,50,40,37.35,,,,,,,Percent of Total Billed Charges,,37.35,37.35,,50,,,,,,,Percent of Total Billed Charges,,,,,48,,,,,,,Percent of Total Billed Charges,,,,,47.5,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,42.5,,,,,,,Percent of Total Billed Charges,,,,,10.5,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,45,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,,,14,,,,,,,Percent of Total Billed Charges,,,,,40,,,,,,,Percent of Total Billed Charges,,,,,10,,,,,,,Percent of Total Billed Charges,,,, $NASAL PHAR. SWAB COLLECTION KIT ,250,RC,,Outpatient,,,165.5,132.4,123.63,,,,,,,Percent of Total Billed Charges,,123.63,123.63,,165.5,,,,,,,Percent of Total Billed Charges,,,,,158.88,,,,,,,Percent of Total Billed Charges,,,,,157.23,,,,,,,Percent of Total Billed Charges,,,,,33.1,,,,,,,Percent of Total Billed Charges,,,,,140.68,,,,,,,Percent of Total Billed Charges,,,,,34.76,,,,,,,Percent of Total Billed Charges,,,,,148.95,,,,,,,Percent of Total Billed Charges,,,,,148.95,,,,,,,Percent of Total Billed Charges,,,,,33.1,,,,,,,Percent of Total Billed Charges,,,,,46.34,,,,,,,Percent of Total Billed Charges,,,,,132.4,,,,,,,Percent of Total Billed Charges,,,,,33.1,,,,,,,Percent of Total Billed Charges,,,, $PIPETTE TIPS - FILTERED ,250,RC,,Outpatient,,,164,131.2,122.51,,,,,,,Percent of Total Billed Charges,,122.51,122.51,,164,,,,,,,Percent of Total Billed Charges,,,,,157.44,,,,,,,Percent of Total Billed Charges,,,,,155.8,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,139.4,,,,,,,Percent of Total Billed Charges,,,,,34.44,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,147.6,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,,,45.92,,,,,,,Percent of Total Billed Charges,,,,,131.2,,,,,,,Percent of Total Billed Charges,,,,,32.8,,,,,,,Percent of Total Billed Charges,,,, $REVOGENE C. DIFF TESTING KIT ,250,RC,,Outpatient,,,2176,1740.8,1625.47,,,,,,,Percent of Total Billed Charges,,1625.47,1625.47,,2176,,,,,,,Percent of Total Billed Charges,,,,,2088.96,,,,,,,Percent of Total Billed Charges,,,,,2067.2,,,,,,,Percent of Total Billed Charges,,,,,435.2,,,,,,,Percent of Total Billed Charges,,,,,1849.6,,,,,,,Percent of Total Billed Charges,,,,,456.96,,,,,,,Percent of Total Billed Charges,,,,,1958.4,,,,,,,Percent of Total Billed Charges,,,,,1958.4,,,,,,,Percent of Total Billed Charges,,,,,435.2,,,,,,,Percent of Total Billed Charges,,,,,609.28,,,,,,,Percent of Total Billed Charges,,,,,1740.8,,,,,,,Percent of Total Billed Charges,,,,,435.2,,,,,,,Percent of Total Billed Charges,,,, $REVOGENE C. DIFF CONTROLS ,250,RC,,Outpatient,,,319,255.2,238.29,,,,,,,Percent of Total Billed Charges,,238.29,238.29,,319,,,,,,,Percent of Total Billed Charges,,,,,306.24,,,,,,,Percent of Total Billed Charges,,,,,303.05,,,,,,,Percent of Total Billed Charges,,,,,63.8,,,,,,,Percent of Total Billed Charges,,,,,271.15,,,,,,,Percent of Total Billed Charges,,,,,66.99,,,,,,,Percent of Total Billed Charges,,,,,287.1,,,,,,,Percent of Total Billed Charges,,,,,287.1,,,,,,,Percent of Total Billed Charges,,,,,63.8,,,,,,,Percent of Total Billed Charges,,,,,89.32,,,,,,,Percent of Total Billed Charges,,,,,255.2,,,,,,,Percent of Total Billed Charges,,,,,63.8,,,,,,,Percent of Total Billed Charges,,,, $IDNOW STREPA 2 ,250,RC,,Outpatient,,,1787,1429.6,1334.89,,,,,,,Percent of Total Billed Charges,,1334.89,1334.89,,1787,,,,,,,Percent of Total Billed Charges,,,,,1715.52,,,,,,,Percent of Total Billed Charges,,,,,1697.65,,,,,,,Percent of Total Billed Charges,,,,,357.4,,,,,,,Percent of Total Billed Charges,,,,,1518.95,,,,,,,Percent of Total Billed Charges,,,,,375.27,,,,,,,Percent of Total Billed Charges,,,,,1608.3,,,,,,,Percent of Total Billed Charges,,,,,1608.3,,,,,,,Percent of Total Billed Charges,,,,,357.4,,,,,,,Percent of Total Billed Charges,,,,,500.36,,,,,,,Percent of Total Billed Charges,,,,,1429.6,,,,,,,Percent of Total Billed Charges,,,,,357.4,,,,,,,Percent of Total Billed Charges,,,, $REVOGENE STREP CONTROLS ,250,RC,,Outpatient,,,96,76.8,71.71,,,,,,,Percent of Total Billed Charges,,71.71,71.71,,96,,,,,,,Percent of Total Billed Charges,,,,,92.16,,,,,,,Percent of Total Billed Charges,,,,,91.2,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,81.6,,,,,,,Percent of Total Billed Charges,,,,,20.16,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,86.4,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,,,26.88,,,,,,,Percent of Total Billed Charges,,,,,76.8,,,,,,,Percent of Total Billed Charges,,,,,19.2,,,,,,,Percent of Total Billed Charges,,,, $REVOGENE MOCK PIE ,250,RC,,Outpatient,,,2176,1740.8,1625.47,,,,,,,Percent of Total Billed Charges,,1625.47,1625.47,,2176,,,,,,,Percent of Total Billed Charges,,,,,2088.96,,,,,,,Percent of Total Billed Charges,,,,,2067.2,,,,,,,Percent of Total Billed Charges,,,,,435.2,,,,,,,Percent of Total Billed Charges,,,,,1849.6,,,,,,,Percent of Total Billed Charges,,,,,456.96,,,,,,,Percent of Total Billed Charges,,,,,1958.4,,,,,,,Percent of Total Billed Charges,,,,,1958.4,,,,,,,Percent of Total Billed Charges,,,,,435.2,,,,,,,Percent of Total Billed Charges,,,,,609.28,,,,,,,Percent of Total Billed Charges,,,,,1740.8,,,,,,,Percent of Total Billed Charges,,,,,435.2,,,,,,,Percent of Total Billed Charges,,,, $LACTATE DEHYDROGENASE REAGENT ,250,RC,,Outpatient,,,5.5,4.4,4.11,,,,,,,Percent of Total Billed Charges,,4.11,4.11,,5.5,,,,,,,Percent of Total Billed Charges,,,,,5.28,,,,,,,Percent of Total Billed Charges,,,,,5.23,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,4.68,,,,,,,Percent of Total Billed Charges,,,,,1.16,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,4.95,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,,,1.54,,,,,,,Percent of Total Billed Charges,,,,,4.4,,,,,,,Percent of Total Billed Charges,,,,,1.1,,,,,,,Percent of Total Billed Charges,,,, $TRIAGE CONTROL LEVEL 2 ,250,RC,,Outpatient,,,163,130.4,121.76,,,,,,,Percent of Total Billed Charges,,121.76,121.76,,163,,,,,,,Percent of Total Billed Charges,,,,,156.48,,,,,,,Percent of Total Billed Charges,,,,,154.85,,,,,,,Percent of Total Billed Charges,,,,,32.6,,,,,,,Percent of Total Billed Charges,,,,,138.55,,,,,,,Percent of Total Billed Charges,,,,,34.23,,,,,,,Percent of Total Billed Charges,,,,,146.7,,,,,,,Percent of Total Billed Charges,,,,,146.7,,,,,,,Percent of Total Billed Charges,,,,,32.6,,,,,,,Percent of Total Billed Charges,,,,,45.64,,,,,,,Percent of Total Billed Charges,,,,,130.4,,,,,,,Percent of Total Billed Charges,,,,,32.6,,,,,,,Percent of Total Billed Charges,,,, $SAMPLE TUBING - POT ,250,RC,,Outpatient,,,187,149.6,139.69,,,,,,,Percent of Total Billed Charges,,139.69,139.69,,187,,,,,,,Percent of Total Billed Charges,,,,,179.52,,,,,,,Percent of Total Billed Charges,,,,,177.65,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,158.95,,,,,,,Percent of Total Billed Charges,,,,,39.27,,,,,,,Percent of Total Billed Charges,,,,,168.3,,,,,,,Percent of Total Billed Charges,,,,,168.3,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,52.36,,,,,,,Percent of Total Billed Charges,,,,,149.6,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,, $O RING ,250,RC,,Outpatient,,,187,149.6,139.69,,,,,,,Percent of Total Billed Charges,,139.69,139.69,,187,,,,,,,Percent of Total Billed Charges,,,,,179.52,,,,,,,Percent of Total Billed Charges,,,,,177.65,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,158.95,,,,,,,Percent of Total Billed Charges,,,,,39.27,,,,,,,Percent of Total Billed Charges,,,,,168.3,,,,,,,Percent of Total Billed Charges,,,,,168.3,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,,,52.36,,,,,,,Percent of Total Billed Charges,,,,,149.6,,,,,,,Percent of Total Billed Charges,,,,,37.4,,,,,,,Percent of Total Billed Charges,,,, $ABBOTT 5 CAL/VER ,250,RC,,Outpatient,,,227,181.6,169.57,,,,,,,Percent of Total Billed Charges,,169.57,169.57,,227,,,,,,,Percent of Total Billed Charges,,,,,217.92,,,,,,,Percent of Total Billed Charges,,,,,215.65,,,,,,,Percent of Total Billed Charges,,,,,45.4,,,,,,,Percent of Total Billed Charges,,,,,192.95,,,,,,,Percent of Total Billed Charges,,,,,47.67,,,,,,,Percent of Total Billed Charges,,,,,204.3,,,,,,,Percent of Total Billed Charges,,,,,204.3,,,,,,,Percent of Total Billed Charges,,,,,45.4,,,,,,,Percent of Total Billed Charges,,,,,63.56,,,,,,,Percent of Total Billed Charges,,,,,181.6,,,,,,,Percent of Total Billed Charges,,,,,45.4,,,,,,,Percent of Total Billed Charges,,,, $MEDTOX DRUG CARTRIDGES ,250,RC,,Outpatient,,,638,510.4,476.59,,,,,,,Percent of Total Billed Charges,,476.59,476.59,,638,,,,,,,Percent of Total Billed Charges,,,,,612.48,,,,,,,Percent of Total Billed Charges,,,,,606.1,,,,,,,Percent of Total Billed Charges,,,,,127.6,,,,,,,Percent of Total Billed Charges,,,,,542.3,,,,,,,Percent of Total Billed Charges,,,,,133.98,,,,,,,Percent of Total Billed Charges,,,,,574.2,,,,,,,Percent of Total Billed Charges,,,,,574.2,,,,,,,Percent of Total Billed Charges,,,,,127.6,,,,,,,Percent of Total Billed Charges,,,,,178.64,,,,,,,Percent of Total Billed Charges,,,,,510.4,,,,,,,Percent of Total Billed Charges,,,,,127.6,,,,,,,Percent of Total Billed Charges,,,, $MEDTOX POS CONTROL ,250,RC,,Outpatient,,,26,20.8,19.42,,,,,,,Percent of Total Billed Charges,,19.42,19.42,,26,,,,,,,Percent of Total Billed Charges,,,,,24.96,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,7.28,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,, $MEDTOX NEG CONTROL ,250,RC,,Outpatient,,,26,20.8,19.42,,,,,,,Percent of Total Billed Charges,,19.42,19.42,,26,,,,,,,Percent of Total Billed Charges,,,,,24.96,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,7.28,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,, $D-DIMER EXCLUSION II ,250,RC,,Outpatient,,,1129,903.2,843.36,,,,,,,Percent of Total Billed Charges,,843.36,843.36,,1129,,,,,,,Percent of Total Billed Charges,,,,,1083.84,,,,,,,Percent of Total Billed Charges,,,,,1072.55,,,,,,,Percent of Total Billed Charges,,,,,225.8,,,,,,,Percent of Total Billed Charges,,,,,959.65,,,,,,,Percent of Total Billed Charges,,,,,237.09,,,,,,,Percent of Total Billed Charges,,,,,1016.1,,,,,,,Percent of Total Billed Charges,,,,,1016.1,,,,,,,Percent of Total Billed Charges,,,,,225.8,,,,,,,Percent of Total Billed Charges,,,,,316.12,,,,,,,Percent of Total Billed Charges,,,,,903.2,,,,,,,Percent of Total Billed Charges,,,,,225.8,,,,,,,Percent of Total Billed Charges,,,, $VIDAS QCV ,250,RC,,Outpatient,,,169.5,135.6,126.62,,,,,,,Percent of Total Billed Charges,,126.62,126.62,,169.5,,,,,,,Percent of Total Billed Charges,,,,,162.72,,,,,,,Percent of Total Billed Charges,,,,,161.03,,,,,,,Percent of Total Billed Charges,,,,,33.9,,,,,,,Percent of Total Billed Charges,,,,,144.08,,,,,,,Percent of Total Billed Charges,,,,,35.6,,,,,,,Percent of Total Billed Charges,,,,,152.55,,,,,,,Percent of Total Billed Charges,,,,,152.55,,,,,,,Percent of Total Billed Charges,,,,,33.9,,,,,,,Percent of Total Billed Charges,,,,,47.46,,,,,,,Percent of Total Billed Charges,,,,,135.6,,,,,,,Percent of Total Billed Charges,,,,,33.9,,,,,,,Percent of Total Billed Charges,,,, $BLEACH - OLYMPUS ,250,RC,,Outpatient,,,13.5,10.8,10.08,,,,,,,Percent of Total Billed Charges,,10.08,10.08,,13.5,,,,,,,Percent of Total Billed Charges,,,,,12.96,,,,,,,Percent of Total Billed Charges,,,,,12.83,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,11.48,,,,,,,Percent of Total Billed Charges,,,,,2.84,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,12.15,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,,,3.78,,,,,,,Percent of Total Billed Charges,,,,,10.8,,,,,,,Percent of Total Billed Charges,,,,,2.7,,,,,,,Percent of Total Billed Charges,,,, $D DIMER EXCLUSION II ,250,RC,,Outpatient,,,907.5,726,677.9,,,,,,,Percent of Total Billed Charges,,677.9,677.9,,907.5,,,,,,,Percent of Total Billed Charges,,,,,871.2,,,,,,,Percent of Total Billed Charges,,,,,862.13,,,,,,,Percent of Total Billed Charges,,,,,181.5,,,,,,,Percent of Total Billed Charges,,,,,771.38,,,,,,,Percent of Total Billed Charges,,,,,190.58,,,,,,,Percent of Total Billed Charges,,,,,816.75,,,,,,,Percent of Total Billed Charges,,,,,816.75,,,,,,,Percent of Total Billed Charges,,,,,181.5,,,,,,,Percent of Total Billed Charges,,,,,254.1,,,,,,,Percent of Total Billed Charges,,,,,726,,,,,,,Percent of Total Billed Charges,,,,,181.5,,,,,,,Percent of Total Billed Charges,,,, $LC174 FILTER ,250,RC,,Outpatient,,,313.5,250.8,234.18,,,,,,,Percent of Total Billed Charges,,234.18,234.18,,313.5,,,,,,,Percent of Total Billed Charges,,,,,300.96,,,,,,,Percent of Total Billed Charges,,,,,297.83,,,,,,,Percent of Total Billed Charges,,,,,62.7,,,,,,,Percent of Total Billed Charges,,,,,266.48,,,,,,,Percent of Total Billed Charges,,,,,65.84,,,,,,,Percent of Total Billed Charges,,,,,282.15,,,,,,,Percent of Total Billed Charges,,,,,282.15,,,,,,,Percent of Total Billed Charges,,,,,62.7,,,,,,,Percent of Total Billed Charges,,,,,87.78,,,,,,,Percent of Total Billed Charges,,,,,250.8,,,,,,,Percent of Total Billed Charges,,,,,62.7,,,,,,,Percent of Total Billed Charges,,,, $SANITIZATION LIQUID ,250,RC,,Outpatient,,,335,268,250.25,,,,,,,Percent of Total Billed Charges,,250.25,250.25,,335,,,,,,,Percent of Total Billed Charges,,,,,321.6,,,,,,,Percent of Total Billed Charges,,,,,318.25,,,,,,,Percent of Total Billed Charges,,,,,67,,,,,,,Percent of Total Billed Charges,,,,,284.75,,,,,,,Percent of Total Billed Charges,,,,,70.35,,,,,,,Percent of Total Billed Charges,,,,,301.5,,,,,,,Percent of Total Billed Charges,,,,,301.5,,,,,,,Percent of Total Billed Charges,,,,,67,,,,,,,Percent of Total Billed Charges,,,,,93.8,,,,,,,Percent of Total Billed Charges,,,,,268,,,,,,,Percent of Total Billed Charges,,,,,67,,,,,,,Percent of Total Billed Charges,,,, $D DIMER LINEARITY ,250,RC,,Outpatient,,,907.5,726,677.9,,,,,,,Percent of Total Billed Charges,,677.9,677.9,,907.5,,,,,,,Percent of Total Billed Charges,,,,,871.2,,,,,,,Percent of Total Billed Charges,,,,,862.13,,,,,,,Percent of Total Billed Charges,,,,,181.5,,,,,,,Percent of Total Billed Charges,,,,,771.38,,,,,,,Percent of Total Billed Charges,,,,,190.58,,,,,,,Percent of Total Billed Charges,,,,,816.75,,,,,,,Percent of Total Billed Charges,,,,,816.75,,,,,,,Percent of Total Billed Charges,,,,,181.5,,,,,,,Percent of Total Billed Charges,,,,,254.1,,,,,,,Percent of Total Billed Charges,,,,,726,,,,,,,Percent of Total Billed Charges,,,,,181.5,,,,,,,Percent of Total Billed Charges,,,, $BIO RAD MULTIQUAL LEVEL1 ,250,RC,,Outpatient,,,133,106.4,99.35,,,,,,,Percent of Total Billed Charges,,99.35,99.35,,133,,,,,,,Percent of Total Billed Charges,,,,,127.68,,,,,,,Percent of Total Billed Charges,,,,,126.35,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,113.05,,,,,,,Percent of Total Billed Charges,,,,,27.93,,,,,,,Percent of Total Billed Charges,,,,,119.7,,,,,,,Percent of Total Billed Charges,,,,,119.7,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,37.24,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,, $BIO RAD MULTIQUAL LEVEL2 ,250,RC,,Outpatient,,,133,106.4,99.35,,,,,,,Percent of Total Billed Charges,,99.35,99.35,,133,,,,,,,Percent of Total Billed Charges,,,,,127.68,,,,,,,Percent of Total Billed Charges,,,,,126.35,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,113.05,,,,,,,Percent of Total Billed Charges,,,,,27.93,,,,,,,Percent of Total Billed Charges,,,,,119.7,,,,,,,Percent of Total Billed Charges,,,,,119.7,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,37.24,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,, $BIO RAD MULTIQUAL LEVEL3 ,250,RC,,Outpatient,,,133,106.4,99.35,,,,,,,Percent of Total Billed Charges,,99.35,99.35,,133,,,,,,,Percent of Total Billed Charges,,,,,127.68,,,,,,,Percent of Total Billed Charges,,,,,126.35,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,113.05,,,,,,,Percent of Total Billed Charges,,,,,27.93,,,,,,,Percent of Total Billed Charges,,,,,119.7,,,,,,,Percent of Total Billed Charges,,,,,119.7,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,37.24,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,, $PRINTER PAPER MEDTOX ,250,RC,,Outpatient,,,26,20.8,19.42,,,,,,,Percent of Total Billed Charges,,19.42,19.42,,26,,,,,,,Percent of Total Billed Charges,,,,,24.96,,,,,,,Percent of Total Billed Charges,,,,,24.7,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,22.1,,,,,,,Percent of Total Billed Charges,,,,,5.46,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,,,7.28,,,,,,,Percent of Total Billed Charges,,,,,20.8,,,,,,,Percent of Total Billed Charges,,,,,5.2,,,,,,,Percent of Total Billed Charges,,,, $ PIERCER SET # 7 ,250,RC,,Outpatient,,,579,463.2,432.51,,,,,,,Percent of Total Billed Charges,,432.51,432.51,,579,,,,,,,Percent of Total Billed Charges,,,,,555.84,,,,,,,Percent of Total Billed Charges,,,,,550.05,,,,,,,Percent of Total Billed Charges,,,,,115.8,,,,,,,Percent of Total Billed Charges,,,,,492.15,,,,,,,Percent of Total Billed Charges,,,,,121.59,,,,,,,Percent of Total Billed Charges,,,,,521.1,,,,,,,Percent of Total Billed Charges,,,,,521.1,,,,,,,Percent of Total Billed Charges,,,,,115.8,,,,,,,Percent of Total Billed Charges,,,,,162.12,,,,,,,Percent of Total Billed Charges,,,,,463.2,,,,,,,Percent of Total Billed Charges,,,,,115.8,,,,,,,Percent of Total Billed Charges,,,, $AIR PUMP SET # 1 ,250,RC,,Outpatient,,,216,172.8,161.35,,,,,,,Percent of Total Billed Charges,,161.35,161.35,,216,,,,,,,Percent of Total Billed Charges,,,,,207.36,,,,,,,Percent of Total Billed Charges,,,,,205.2,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,183.6,,,,,,,Percent of Total Billed Charges,,,,,45.36,,,,,,,Percent of Total Billed Charges,,,,,194.4,,,,,,,Percent of Total Billed Charges,,,,,194.4,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,172.8,,,,,,,Percent of Total Billed Charges,,,,,43.2,,,,,,,Percent of Total Billed Charges,,,, $SMEAR SAFE BLOOD DISPENSER ,250,RC,,Outpatient,,,133,106.4,99.35,,,,,,,Percent of Total Billed Charges,,99.35,99.35,,133,,,,,,,Percent of Total Billed Charges,,,,,127.68,,,,,,,Percent of Total Billed Charges,,,,,126.35,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,113.05,,,,,,,Percent of Total Billed Charges,,,,,27.93,,,,,,,Percent of Total Billed Charges,,,,,119.7,,,,,,,Percent of Total Billed Charges,,,,,119.7,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,,,37.24,,,,,,,Percent of Total Billed Charges,,,,,106.4,,,,,,,Percent of Total Billed Charges,,,,,26.6,,,,,,,Percent of Total Billed Charges,,,, $BLD.BK CHART-HELMER ,250,RC,,Outpatient,,,85.5,68.4,63.87,,,,,,,Percent of Total Billed Charges,,63.87,63.87,,85.5,,,,,,,Percent of Total Billed Charges,,,,,82.08,,,,,,,Percent of Total Billed Charges,,,,,81.23,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,72.68,,,,,,,Percent of Total Billed Charges,,,,,17.96,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,76.95,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,,,23.94,,,,,,,Percent of Total Billed Charges,,,,,68.4,,,,,,,Percent of Total Billed Charges,,,,,17.1,,,,,,,Percent of Total Billed Charges,,,, $TYPESAFE SEGMENMT PIERCING DEVISE ,250,RC,,Outpatient,,,114.5,91.6,85.53,,,,,,,Percent of Total Billed Charges,,85.53,85.53,,114.5,,,,,,,Percent of Total Billed Charges,,,,,109.92,,,,,,,Percent of Total Billed Charges,,,,,108.78,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,,,97.33,,,,,,,Percent of Total Billed Charges,,,,,24.05,,,,,,,Percent of Total Billed Charges,,,,,103.05,,,,,,,Percent of Total Billed Charges,,,,,103.05,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,,,32.06,,,,,,,Percent of Total Billed Charges,,,,,91.6,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,, $BLOOD BAG THER PHLEB-450ML ,250,RC,,Outpatient,,,114.5,91.6,85.53,,,,,,,Percent of Total Billed Charges,,85.53,85.53,,114.5,,,,,,,Percent of Total Billed Charges,,,,,109.92,,,,,,,Percent of Total Billed Charges,,,,,108.78,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,,,97.33,,,,,,,Percent of Total Billed Charges,,,,,24.05,,,,,,,Percent of Total Billed Charges,,,,,103.05,,,,,,,Percent of Total Billed Charges,,,,,103.05,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,,,32.06,,,,,,,Percent of Total Billed Charges,,,,,91.6,,,,,,,Percent of Total Billed Charges,,,,,22.9,,,,,,,Percent of Total Billed Charges,,,, QUALCHEK2 - LEVEL1 ,250,RC,,Outpatient,,,34,27.2,25.4,,,,,,,Percent of Total Billed Charges,,25.4,25.4,,34,,,,,,,Percent of Total Billed Charges,,,,,32.64,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,9.52,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,, QUALCHECK LEVEL2 ,250,RC,,Outpatient,,,34,27.2,25.4,,,,,,,Percent of Total Billed Charges,,25.4,25.4,,34,,,,,,,Percent of Total Billed Charges,,,,,32.64,,,,,,,Percent of Total Billed Charges,,,,,32.3,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,28.9,,,,,,,Percent of Total Billed Charges,,,,,7.14,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,30.6,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,,,9.52,,,,,,,Percent of Total Billed Charges,,,,,27.2,,,,,,,Percent of Total Billed Charges,,,,,6.8,,,,,,,Percent of Total Billed Charges,,,, QUALCHECK LEVEL3 ,250,RC,,Outpatient,,,30,24,22.41,,,,,,,Percent of Total Billed Charges,,22.41,22.41,,30,,,,,,,Percent of Total Billed Charges,,,,,28.8,,,,,,,Percent of Total Billed Charges,,,,,28.5,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,25.5,,,,,,,Percent of Total Billed Charges,,,,,6.3,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,27,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,,,8.4,,,,,,,Percent of Total Billed Charges,,,,,24,,,,,,,Percent of Total Billed Charges,,,,,6,,,,,,,Percent of Total Billed Charges,,,, $THERMAL PAPER RADIOM ,250,RC,,Outpatient,,,63,50.4,47.06,,,,,,,Percent of Total Billed Charges,,47.06,47.06,,63,,,,,,,Percent of Total Billed Charges,,,,,60.48,,,,,,,Percent of Total Billed Charges,,,,,59.85,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,53.55,,,,,,,Percent of Total Billed Charges,,,,,13.23,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,56.7,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,,,17.64,,,,,,,Percent of Total Billed Charges,,,,,50.4,,,,,,,Percent of Total Billed Charges,,,,,12.6,,,,,,,Percent of Total Billed Charges,,,, $ATCC E. FACALIS 29212 ,250,RC,,Outpatient,,,176,140.8,131.47,,,,,,,Percent of Total Billed Charges,,131.47,131.47,,176,,,,,,,Percent of Total Billed Charges,,,,,168.96,,,,,,,Percent of Total Billed Charges,,,,,167.2,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,149.6,,,,,,,Percent of Total Billed Charges,,,,,36.96,,,,,,,Percent of Total Billed Charges,,,,,158.4,,,,,,,Percent of Total Billed Charges,,,,,158.4,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,,,49.28,,,,,,,Percent of Total Billed Charges,,,,,140.8,,,,,,,Percent of Total Billed Charges,,,,,35.2,,,,,,,Percent of Total Billed Charges,,,, $GLUCOSE TOLERANCE DRINK 100 GM ,250,RC,,Outpatient,,,117,93.6,87.4,,,,,,,Percent of Total Billed Charges,,87.4,87.4,,117,,,,,,,Percent of Total Billed Charges,,,,,112.32,,,,,,,Percent of Total Billed Charges,,,,,111.15,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,99.45,,,,,,,Percent of Total Billed Charges,,,,,24.57,,,,,,,Percent of Total Billed Charges,,,,,105.3,,,,,,,Percent of Total Billed Charges,,,,,105.3,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,,32.76,,,,,,,Percent of Total Billed Charges,,,,,93.6,,,,,,,Percent of Total Billed Charges,,,,,23.4,,,,,,,Percent of Total Billed Charges,,,,